Part Two Edwards' Research Study
Welcome, Please complete the following surveys and respond to the writing prompt. As you complete one section, click the submit button to continue to the next section.
Email Address
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Participant ID
six digit number
Enter Survey Code
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Seven Digit Number Provided in Your E-mail
Read each statement and select the appropriate response to indicate how you feel right now, that is, at this very moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feelings best.
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Rows
Not at All
A Little
Somewhat
Very Much So
I feel calm
I feel secure
I feel tense
I feel strained
I feel at ease
I feel upset
I am presently worrying over possible misfortunes
I feel satisfied
I feel frightened
I feel uncomfortable
I feel self-confident
I feel nervous
I feel jittery
I feel indecisive
I am relaxed
I feel content
I am worried
I feel confused
I feel steady
I feel pleasant
Please briefly describe the emotions that the thought of your own death arouses in you. Jot down, as specifically as you can, what you think will happen to you physically as you die and one you are physically dead.
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Please briefly describe the emotion that the thought of dental pain arouses in you. Jot down, as specifically as you can, what you think will happen to you physically during dental procedures.
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Thank you for completing your response to the writing prompt. Once the timer runs down, Please complete the word puzzle below
Please complete the following by filling in the blanks with letters to create words. Please fill in the blanks with the first word that comes to mind. Enter only one letter per blank. Some words may be plural. Thank You
Rows
Enter your answer here
B U R _ _ D
W A T _ _
D E _ _
M U _ _
B _ T _ L E
G R A _ _
K _ _ G S
K I _ _ E D
P _ _ T U R E
T A B _ _
W _ _ D O W
S K _ _ L
F L _ W _ R
C O F F _ _
P O S T _ _
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Read each statement and select the appropriate response to indicate how you feel right now, that is, at this very moment. There are no right or wrong answers. Do not spend too much time on any one statement but give the answer which seems to describe your present feelings best.
*
Rows
Not at All
A Little
Somewhat
Very Much So
I feel calm
I feel secure
I feel tense
I feel strained
I feel at ease
I feel upset
I am presently worrying over possible misfortunes
I ask you to select Strongly Agree
I feel satisfied
I feel frightened
I feel uncomfortable
I feel self-confident
I feel nervous
I feel jittery
I feel indecisive
I am relaxed
I feel content
I am worried
I feel confused
I feel steady
I feel pleasant
Below are statements that you may agree or disagree with. Use the scale below, and select the option that best applies to you. Please be open and honest in your response.
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Rows
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
I am very much afraid to die
The thought of death seldom enters my mind
It does not make me nervous when people talk about death
I dream about having an operation
I am not at all afraid to die
I am not particularly afraid of getting cancer
The thought of death never bothers me
I am often distressed by the way time flies so very rapidly
I fear dying a painful death
The subject of life after death troubles me greatly
I am really scared of having a heart attack
I often think about how short life really is
I shudder when I hear people talk about World War III
The sight of a dead body is horrifying to me
I feel that the future holds nothing for me to fear
Final Questions
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Rows
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
To what extent did the writing task make you think about ath
How much did the writing task affect your mood
Thank you, for completing all of the study surveys. Read the following study debriefing statement to conclude your participation. Upon clicking on SUBMIT button, you will be taken to the page which has the variety of workbooks for you to download and use as a thank you for your participation.
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I have read and understood the debriefing statement provided
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Yes
No
I would like to speak to someone with regards to this study's process or procedures
*
Researcher
Researcher's Faculty Advisor
No
I would like to have access to mental health resources/devices due to the stress/anxiety brought on by this research study
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Yes
No
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