Saturday, 24 September 2011

Blank questionnare

How old are you? (please circle)
16-21                           22-29                               30-38                                      39 or over
2.       What gender are you? (please circle)
Male                                    Female
3.       What’s your favourite colour?
Black      Yellow       Green     White    Red     Pink     Blue
4.       What channel do you normally watch? (please circle)
BBC1               BBC2                         ITV                           C4                            C5
5.       What’s your favourite font out of these examples? (please circle)
Phobia                            Phobia                      Phobia                  
                Phobia                               Phobia                             Phobia

6.       What’s your phobia if you have one?

7.       On a scale of 1-10 how scared are you of your phobia?



8.       Would you be put of your food if you saw something horrible in a documentary? E.g graphic surgery.



9.       What makes you scared? (please circle)
Clowns                           spiders                      slugs/snails                  people in hoodies
                  stickers                          insects                               rats                              the dark
10.   What’s your favourite type of music? (please circle)
reggie                              rock                             blues                              hip-hop
                  classic                               trance/dance                

11.   Do you find this scary? (please circle)   Yes     No   





12.   Do you have a strange phobia you’re willing to talk about?

13.   Would you be able to overcome your phobia if you were given help?

14.   What is your reaction to seeing someone react to something their scared of?

15.   What background would you associate with phobias? (chose one)







16.   What type of voice over would you like in a documentary about phobias? (circle one)
Sarcastic                         Eerie                           Sympathetic                   Serious
                 Informative                 Bored                                 Happy      

17.   What would make you want to watch our documentary? (circle one)
Interviews                          interesting clips                     reaction shots
                      Interesting information                          experts

18.   Has a phobia ever stopped you from going out the house etc?


19.   Have you ever had any help from professionals concerning your phobia?


20.   How many phobias do you have that you’re aware of? (Circle one)
           1-2                                 3-5                          6-8                        9 or more

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