雾霾与心情-调查问卷模板-问卷网

Tick the sex about you.

male

female

How old are you?

15

16—20

21—25

26—30

31—35

40

what is your education?

doctor

master

bachelor

senior high school student

other

What is your occupation?

teacher

student

worker

farmer

architect

designer

retired

unemployment

other

What is your favorite color?

red

blue

brown

grey

orange

green

yellow

purple

white

black

other

What weather do you like most?

sunny

windy

cloudy

rainy

snow

fog

haze

other

Assume that you are a outdoor enthusiasts, will you persist in do outdoor exercise when faced with the haze weather?

yes, it is no relationship between exercise and weather.

uncertain, if the weather is not so bad, I will persist in.

no, it is no use to do exercise in haze weather, on the contrary, it is harm to our health while running in haze weather.

I do not know.

Please read the follow questions carefully, do you agree all the idea? Fill the blank with “√”. 1=extremely disagree, 5=uncertain, 9=absolutely agree.

	1	3	5	7	9
8 You always go out for playing.
9 Your plans would not be bothered by the weather.
10 You always do exercise in outside.
11 You think the weather in Beijing is extremely bad.
12 You do not like the haze weather in Beijing.
13 Your emotion is always affected by the haze.
14 You have request on the quality of air in your dwelling in the future.
15 You prefer to stay in bright room.
16 You will be very depressed when you stay in gloomy room for a long time
17 Your bad behavior is related to the haze weather.
18 You do not like gray color.
19 You work efficiency is usually affected by haze weather.
20 You make more mistakes when you feel depressed.
21 You often worry about your health of which you would get tuberculosis.
22 You think the haze has an effect on your travel.
23 You think the haze affects your quality of relax.
24 You always complaint the haze weather in Beijing.
25 Your friends always complaint the haze weather in Beijing.
26 You always take care about the index of pm2.5.
27 You have a clear knowledge about “the event of the haze in London”
28 You think the haze would be more and more serious in Beijing.
29 You think our government should take more measures to deal with the air pollution.
30 You are willing to make contributions to improve the quality of the air in our country.

31 Which color do you think is suitable for Beijing’s sky now?

____________

32 What color do you prefer to use to portrait your depressed mood?

____________

33 Will you stay in Beijing in the future? Why?

____________

34 What is your advice to solve the problem of the haze weather?

____________

35 Do you feel happy now? Write down the suitable number for your emotion( ) [0=the least happy, 10=the happiest.]

____________

雾霾与心情

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