Intake questionnaire: Difference between revisions

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Participant Number:                    ____________________
Participant Number:                     
 
Date of birth      (DD-MM-YYYY)         ____________________


Date of birth      (DD-MM-YYYY)      
Gender                                       M  /  F                       
Gender                                       M  /  F                       


Highest finished education         ____________________
Highest finished education:
 
       
Occupation                         ____________________
Occupation:                      


Experience with Robotics                  Y  /  N
Experience with Robotics                  Y  /  N

Latest revision as of 09:34, 6 April 2019

Intake questionnaire HTI

Participant Number:

Date of birth (DD-MM-YYYY) Gender M / F

Highest finished education:

Occupation:

Experience with Robotics Y / N

Experience with orderpicking Y / N

Color Blind Y / N

Deaf Y / N