The Yawn Machine Form

Your e-mail address (optional):

Your name (optional):

The following seven items are for research purposes only and will not be recorded as belonging to any particular individual:

How many minutes long was the session? (please answer this)
no session 2-5 minutes 6-15 mins 16-30 31-45 46-60 61-90 91+

What topic did you address? (please answer this):

How many obvious visible yawns? (please answer this)
0 1-5 6-10 11-20 21-30 31-40 41-50 51-75 76-100 100+

Any other obvious physical discharges (sighs, tears etc.)? If so, please detail. (please answer this):

How would you rate this one particular session on a scale of -5 to +5? (please answer this)
-5 -4 -3 -2 -1 0 +1 +2 +3 +4 +5
(-5 = Very harmful, 0 = No change, +5 = Very beneficial)

How does the topic you addressed seem to you now? (please answer this):

Any other comments? (optional):

The following two items are for promotional purposes as well as research, and may be published on this or a related website belonging to the same author:

My change-for-the-better/success/testimonial (optional):

Name/location to be published with the testimonial:
More real details are better than less. But if you don't want to give them, please be honest about it and leave blanks--don't give false details.
Full Name (preferable) or Initials or usual online nick
Town/City
State/Province
Country

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