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pdfCOGNITIVE INTERVIEW BOOKLET
Name (please print): ____________________________________________________________
Today’s Date: ____________________________________________
1
EXAMPLE OF AN INADEQUATE ANSWER
Context: This symbol appears on machines used in the home and
workplace.
What do you think this symbol means?
Gears and hand
What should you do or not do in response to this symbol?
Be careful
What could happen if you do not follow the symbol’s message?
Could get hurt
EXAMPLE OF A GOOD ANSWER
Context: This symbol appears on machines used in the home and
workplace.
What do you think this symbol means?
Caution. Moving Gears. Do not stick hand near machine while it is running.
What should you do or not do in response to this symbol?
I would stay away and not put my hand near the machine until someone stopped it.
What could happen if you do not follow the symbol’s message?
My fingers or hand could be crushed by the moving gears.
2
This symbol might appear on certain types of furniture, such
as a dresser, chest or clothing storage unit.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
3
This symbol might appear on container labels of
chemical solvents, such as paint strippers or
paint thinners.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
4
This symbol might appear on magnetic building sets or
toys that contain small magnets.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
5
This symbol might appear on products like high chairs, infant
bouncers, and other products with seating for a child.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
6
This symbol might appear on infant sleep products, such
as cribs, bassinets, and play yards.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
7
This symbol might appear on infant sleep products, such
as cribs, bassinets, and play yards.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
8
This symbol might appear on certain types of furniture, such
as a dresser, chest or clothing storage unit.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
9
This symbol might appear on baby changing tables or changing
pads.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
10
This symbol might appear on baby changing tables or changing
pads.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
11
This symbol might appear on propane gas grills.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
12
This symbol might appear on containers of laundry detergent
packets.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
13
This symbol might appear on certain types of furniture, such as
a dresser, chest or clothing storage unit.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
14
This symbol might appear on baby monitors.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
15
This symbol appears on
potentially hazardous
products, such as button
cell batteries.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
16
This symbol might appear on various children’s products, such as high
chairs, baby changing products, strollers, or infant swings.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
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200Kg
This symbol might appear on children’s products, such as high
chairs, infant carriers, strollers, or infant swings.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
18
0-3
This symbol might appear on children’s toys.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
19
! WARNING
Prevent Drowning
This symbol
might appear
ground
Children- especially
toddlersareonatabove
high
risk of drowning.
residential pools or portable pools.
Closely watch children who are in or near this constant Air Inflatable.
Empty water from Constant Air Inflatable after use.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
20
This symbol might appear on or near
swimming pools.
What do you think this symbol means?
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
21
0-36m
This symbol might appear on children’s products such as infant
chairs, baby bouncers, infant swings, or toys.
What do you think this symbol means?
200Kg
What should you do or not do in response to this symbol?
What could happen if you do not follow the symbol’s message?
22
Please answer the following questions about yourself:
Age: _________
Sex: ____ Male ____ Female
Education: (check the option that best describes the highest level of education you have attained)
____ some high school
____ high school degree
____ some college
____ 2-year college degree
____ 4-year college degree
____ master’s degree
____ doctoral
____ other professional degree (please specify): _____________________________________
____ other degree (please specify): _______________________________________________
Marital Status:
____ Single
Children: ____ Yes
____ Married
____ Legally Separated
____ Divorced
____ No
(if yes: please indicate the number of children that live in your home, either full-time or parttime, and their ages in the space provided):
Race:
____ Asian
____ Black/African
____ Caucasian
____ Hispanic/Latino
____ Native American
____ Pacific Islander
____ Mixed Race
____ Prefer not to answer
Current occupation: ___________________________________________________
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File Type | application/pdf |
File Title | COGNITIVE INTERVIEW BOOKLET_5_30_19 |
Author | Michael Kalsher |
File Modified | 2019-05-30 |
File Created | 2019-05-30 |