Attachment C Self Administered Survey for lab and web participants

Attachment C: Self-administered survey for lab and web participants

Instructions: Below you will find several categories marked in bold. Each category is followed by a list of items. Circle the items that you believe clearly fit within each category. Place a line through the items that you believe should not be included in the category. When you come across items that you are unsure about, leave those items blank.

Window Coverings

Curtains

Tension rods **

Shades

Panels

Curtain liner

Tiebacks *

Valances

Blinds

Household Linens

Fitted sheet

Pillowcases

Pillows

Comforter

Mattress pad

Quilt

Baby blanket

Electric blanket

Duvet

Blanket

Bedspread

Bath sheet

Shower curtain *

Bath mat

Face cloth

Bath towel

Toilet cover *

Tablecloths

Dish towels

Placemats

Cloth napkins

Napkin rings **

Doilies

Chair pads

Coasters **

Futon cover **

Bed skirt

Shams *

Upholstered headboard **

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Furniture for Living, Family, or Recreation Rooms

Sofabed *

Chaise lounge

Loveseat

Futon

Recliner

Bean bag chair

Convertible chair

Television **

Rocker

Swivel chair *

Coffee table

Refrigerator **

Bookcase

Entertainment center *

Ping pong table

Pool table

Coat rack

Bar stools

Gun cabinet *

Desk

Table lamp **

TV remote **

Armchair

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Dining Room or Kitchen Furniture

Garbage disposal **

Wine cabinet

Dinette set

Kitchen chairs

Buffet

China cabinet

Step stool **

Base cabinet

Island *

Serving table

Serving cart

Spice rack **

Faucet **

Dining table

Dining chairs

Spotlight **

Paper towel holder **

Bedroom Furniture

Mattress

Box Spring

Rollaway bed

Headboard

Wooden bed frame *

Chest

Dresser

Vanity

Mattress topper *

Mirror

Entertainment center **

Armoire

Bunk bed

Night table

Water bed

Modular sofa **

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Infant Furniture

Crib

Playpen

High chair

Telephone **

Dresser

Toy chest

Bassinet

Changing table

Car seat **

Swing **

Mattress *

Baby clothes **

Baby toys **

Outdoor Furniture

Patio umbrella

Patio lantern

Patio statues

Bird houses

Wind chimes **

Lounge chair

Patio table

Patio chairs

Fire pit *

Gazebo

Decorative torches

Serving cart

Bar

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Major Kitchen Appliances

Oven

Cooktop

Refrigerator

Crockpot **

Garbage disposal

Built-in dishwasher

Freezer

Range

Blender **

Microwave oven

Minor Kitchen Appliances

Blender

Breadmaker

Coffee grinder

Coffee maker

Ice cream maker

Deep fryer *

Electric barbecue *

Electric can opener

Electric grill

Electric frying pan

Electric toothbrush **

Electric iron

Food processor *

Hot plate

Juicer

Pizza oven *

Popcorn maker

Rice cooker

Slow cooker

Desktop computer **

Toaster oven

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Air Conditioners or Heating and Cooling Equipment

Dehumidifier *

Electric fireplace **

Table-top fan

Floor fan

Humidifier *

Convection heater

Oil heater

Window air-conditioner

Portable air-conditioner

Refrigerator **

Oven **

Other Household Appliances

Air purifier

Water filter *

Carbon monoxide detector

Burglar alarm console

Burglar alarm control modules

Trash compactor

Reclining armchair **

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Sports or Exercise Equipment

Roller blades

Sports uniform

Sports shoes **

Tennis racket

Baseball glove

Skateboard *

Baseball bat

Camera **

Football

Video game system **

Scuba gear *

Basketball

Racquetball

Ping pong paddle

Ping pong table **

Frisbee

Boxing equipment

Golf cart (non-riding) *

Badminton set *

Sports protective gear

Golf clubs

Foosball **

Basketball hoop

Trampoline *

Weights

Rowing machine

Exercise mat *

Exercise bike

Weight bench

Treadmill

Snow skis

Ski boots

Snowboard

Ski poles

Ice skates

Sled

Water skis

Life jacket *

Wakeboard

Water ski vest

Surf board

Raft *

Wind surf board

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Camping, Hunting, or Fishing Equipment

Tent

Kerosene lamp

Sleeping bag

Sleeping pad

Camouflage shirt **

Canteen

Camping stove

Portable heater

Crossbow

Knife

Rifle

Off-road vehicle **

BB/pellet gun

Ammunition

Scopes (not specified) *

Flashlight

Bicycles

Bicycle helmets

Motorized scooter **

Bicycle uniform **

Stand

Bicycle lights

Tires

Rack *

Tubes

Other Recreation Equipment

Telescope

Remote controlled car **

Paintball equipment

Metal detector *

Chaise lounge **

Barbecue grill **

Instructions: Consider the categories marked in bold. Circle the items that fit within the category. Place a line through the items that do not fit. If you are unsure about an item, leave it blank.

Photography Equipment, Supplies, or Fees

Film camera

Digital camera

Memory card **

Photo printer *

Lens

Tripod

Camera bag

Filter

Winder

Enlarger

Projector

Projection screen

Cellular phone **

Strobe light

Battery pack for camera flash

Battery pack for camera

Motor driven film advancer

Camcorder **