Mine escape participants post-simulation questionnaire -

Attachment C3b – Mine Escape participants: Post-Simulation Questionnaire (Field Test Version)

Form Approved

OMB No. 0920-0975

Exp. Date xx/xx/20xx

1. For each item below, rate how well your team did in each of the following areas by placing an “X” in the appropriate box.

	Poor	Below Average	Average	Above Average	Excellent
overall performance
communicating with the team
being “team players”
coordinating individual team member’s efforts
perceptive of the conditions in the environment
knowing what needed to be done
being decisive yet flexible
being open to input from others
remaining calm and focused
being logical decision makers

2. Think about the simulation you just completed and place an “X” in the appropriate box.

a) The mental demands were:
Very Low											Very High
b) The physical demands of the exercise were:
Very Low											Very High
c) The level of stress I experienced was:
Very Low											Very High
d) The time pressure I felt was:
Very Low											Very High
e) The level of frustration I experienced was:
Very Low											Very High
f) The amount of effort needed to complete the task was:
Very Low											Very High
g) The level of eye strain I experienced was:
Very Low											Very High

Public reporting burden of this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CDC, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA, 30333, ATTN: PRA (0920-0975).

3. Answer the following questions about the simulation by placing an “X” in the appropriate box.

a) How natural did moving through the virtual mine seem?
Not Natural								Very Natural
b) How much did your experience in the virtual simulation seem consistent with your real-world experiences in an actual mine?
Not Consistent								Very Consistent
c) How natural were your interactions with the environment (e.g., opening doors, taking gas readings)?
Not Natural								Very Natural
d) Were you involved in the exercise to the extent that you lost track of time?
No – I did not lose track of time at all								Yes – I completely lost track of time
e) How engaged were you in the virtual reality experience?
Not at all engaged								Very engaged
f) How immersed did you feel in the virtual environment?
Not at all immersed								Very immersed

4. Rate how much you agree or disagree that the words and phrases below describe the simulation you just completed.

	Strongly Disagree	Disagree	Neither	Agree	Strongly Agree
Engaging
Chilling/eerie
High replay value (i.e., you’d be interested in trying it again sometime)
Interesting
Flexible (i.e., your team could accomplish the goals the way it wanted to)

5. Did you enjoy participating in this VR simulation?  Yes  No