CPSC Sleep Warning Rating Worksheet

CPSC Sleep Warnings Rating Worksheet
GROUP ID:______
PARTICIPANT ID:______

1

Grade the idea.
(MARK ONLY ONE RESPONSE)

A

2

3

B

D

C

F

How does this idea make you feel?
(CHECK ALL THAT APPLY)
Confused

Empowered

Confident

Concerned

Neutral

Understood

Angry

Scared

Uncomfortable

Inspired

Discouraged

Other:_________

Determined

Hopeful

Curious

How much do you agree or disagree with the following statements?
(CHECK ONLY ONE RESPONSE FOR EACH ITEM)
Strongly
Disagree
This idea is worth remembering.

This idea grabbed my attention.

This idea is informative.

This idea is meaningful to me.

This idea is convincing.
This idea would make me more
likely to follow the instructions on
a warning label.

Disagree

Neither Agree
nor Disagree

Agree

Strongly
Agree