{{ extends 'global/Page.html' }} {{ block title }}Survey{{ endblock }} {{ block content }}

Please take the following survey.




Part 1:

Based on your own

real-life experience

with self-checkout machines at a retail (such as a grocery store), please answer the following eight questions by rating them between 1 (Strongly disagree) and 7 (Strongly agree).




1. I feel apprehensive about using self-checkout

{{ form.survey1 }}

2. I hesitate to use self-checkout for fear of making mistakes I cannot correct

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3. Self-checkout would be somewhat intimidating to me

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4. Using self-checkout is complicated

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5. Using self-checkout requires a lot of mental effort

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6. I find self-checkout to be easy to use

{{ form.survey6 }}

7. When using a self-checkout, I feel rushed to complete my transaction as quick as possible

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8. I often find myself in a hurry when I do grocery shopping

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9. When I do grocery shopping, I often feel time pressure

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Part 2:

Please answer the following four questions collecting your basic information.

1. Your Age {{ form.surveyage }}


2. Your Gender {{ form.surveygender }}


3. Your Education {{ form.surveyedu }}


4. Your Input Device {{ form.surveydevice }}


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