A Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0: 1 : | MOOD ADJECTIVE CHECKLIST Each of the words in the following list describes feelines or mood. Please use the list to describe your feelinzs at this moment. Mark each word accordins to these instructions: If the word definitely describes how you feel at the moment you read it, circle the double check (VV) to the right of the word. For examnle, if the word is calm and you are definitely feeling calm at the moment, circle the double check as follows: calm ww Vv ? no (This means you definitely . vat feel calm at this moment.) Z If the word only slightly applies to your feelings at the moment, circle the single check as follows: - calm vv 2 2 no (This means you feel | a. slightly calm at this moment.) If the word is not clear to you or if you cannot decide whether or not it describes your feelings, circle the question mark as follows: we calm vv Vv. Cy no (This means you cannot 3 decide whether you are calm or not.) Lf you clearly decide that the word does not apply to your feelines at this moment, circle the no as follows: calm vv v ? (20) (This means you are sure » you are not calm at this moment. Work rapidly. Your first reaction is best. Work down the first column before poing to the next. Please mark all the words. This should take only a few minutes. Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0
angry concentrating drowsy | affectionate apprehensive blue boast ful elated active nonchalant skeptical shocked calm bold earnest sluggish - forgiving clutched up Lonely cocky lighthearted quiet ¢4444949 94 449 6 4 <¢ < no no no no no 00 no no no no no no . no no no no no no TiO no no no energetic playful suspicious startled relaxed defiant enraged in thought | pleased tired fearful recret ful egotistic overjoyed virorous witty serene rebellious serious warnhearted insecure selft- centered still Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0 Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0 VV. ¢444¢4¢4394¢424994 8 4 / Tho no n10 no no no no na no na no no no no no no no ' no no no no
i SL Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0 Test: Semantic Differential Checklist Source: SRI Urban and Social Systems Division Purpose: The Semantic Differential Checklist is one of a number of pre- experiment instruments designed to provide a measure of subject conceptualization about an experiment in which he is about to participate. The purpose is to determine whether measures of success in the experiment correlate with pre-experiment conceptualization. _ Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0
ea a TS aC Fa Sr a - Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0 Semantic Differential Checklist The purpose of this rating sheet is to obtain your candid reactions regarding the conditions surrounding the experiment. For each numbered item you will find a concept to be judged. You are to rate each in order. This is how you are to use the scales: If you feel that the concept is highly or closely related to one end of the scale, you should place your checkmark as follows; impractical ~  _ | | ___ practical impractical Le practical If your feelings on the concept are neutral, place your checkmark in the middle space, etc. Work at fairly high speed through this rating sheet. Do not puzzle over ‘individual items. Give your first impressions, your immediate feelings about each item. Conditions surrounding experiment | 1. good © © ad 2. unfriendly Sn friendly 3. stimulating Ci dull 4. positive Le — _._._—>s—segative 5. unhelpful __ Ce A pv 6. right | sro “7. uninteresting eee interesting 8. unorganized organized Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0
| Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0 9. satisfying —_—_— 10. unprepared —_— My dnvolvement in experiment 1. good 2. useless 3, stimulating 4, positive 5.. passive 6. capable 7. important 8, unsuccessful 9, prepared 10. impractical ‘disappointing prepared bad valuable dull _negative active incapable unimportant successful unprepared practical Approved For Release 2000/08/10 : CIA-RDP96-00787R000100020001-0