Digital Signal Processing Reference
In-Depth Information
B.2 Questionnaire
Name of participant:
Age:
Test number:
Have you participated in subjective tests before?
(Yes/No, if yes, please specify type of test, i.e. 3D or 2D video):
Have you experienced any 3D video content before? (Yes/No):
Symptom Check
1.
Before the test
•
General discomfort
a) none b) slight c) moderate d) severe
•
Fatigue
a) none b) slight c) moderate d) severe
•
Headache
a) none b) slight c) moderate d) severe
•
Difficulty focusing
a) none b) slight c) moderate d) severe
•
Blurred vision
a) none b) slight c) moderate d) severe
2.
After the test
•
General discomfort
a) none b) slight c) moderate d) severe
•
Fatigue
a) none b) slight c) moderate d) severe
•
Headache
a) none b) slight c) moderate d) severe
•
Difficulty focusing
a) none b) slight c) moderate d) severe
•
Blurred vision
a) none b) slight c) moderate d) severe
Comments
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Office use only
Vision characteristics of the participant
1. Eye dominance:
Left
Right
2. Left eye acuity:
Right eye acuity:
3. Colour blindness:
Yes
No
4. Stereoscopic vision:
Yes
No
5. Stereoscopic sensitivity:
Date:
Name of experimenter: