Autonomous Sensory Meridian Response (ASMR) Survey
As defined by Oxford languages, autonomous sensory meridian response (ASMR) is “a feeling of well-being combined with a tingling sensation in the scalp and down the back of the neck, as experienced by some people in response to a specific gentle stimulus, often a particular sound.” Recently, ASMR has gained a rise in popularity on the internet, with millions of videos on YouTube that stimulate "brain tingles" and relaxation for viewers. Some examples of ASMR triggers are microphone tapping, crinkling paper, whispering, eating, and more.
 
The purpose of this survey is to gather information for a study by Kunling Tong, a student at George Walton High School. The study is to determine the impact of age on responses to ASMR, specifically how different age groups experience (or don't experience) ASMR. You will take a pre-test, watch a videos, and respond to the video in a post-test. Your response is very important and will provide data critical to addressing my research question. The survey is anonymous and your answers are completely confidential and will be released only as summaries in which no individual’s answers can be identified. There is no compensation for participation. This survey is voluntary and there will not be any repercussions should you decide not to fill out the survey. There is minimal/no risk to your participation in the survey. Your completed survey provides consent to use the data you have provided for the purpose stated above. If you have any questions, please contact me or Dr. Tina Link, the Walton AP Research Teacher at tina.link@cobbk12.org. Please take a few minutes to share your experiences and opinions. Thank you!
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Survey Pre-Test
What is your age? *
Which of the following best describes your race/ethnicity? *
Required
Which gender do you identify most with? *
Required
Please list any prescription medications or drugs that you use regularly.
Please list any over-the-counter medications or drugs that you use regularly.
Please select any mental health condition(s) that you have been diagnosed with.
Please select any long-term physical health condition(s) that you have been diagnosed with.
Have you ever experienced "chills" from music? *
How long have you known about ASMR? *
Have you experienced or felt ASMR before? *
How do you feel when you think about ASMR or the concept of ASMR? *
Very slightly or not at all
A little
Moderately
Quite a bit
Extremely
Interested
Distressed
Excited
Upset
Strong
Guilty
Scared
Hostile
Enthusiastic
Proud
Irritable
Alert
Ashamed
Inspired
Nervous
Determined
Attentive
Jittery
Active
Afraid
Next
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