When you finish the
test, please enter your responses below and take
a screen shot of this page with your responses and email it to Professor
William Maxwell at williamgaia@yahoo.com.
THANK YOU
Your
Name (Please Print):
______________________________________________________
Family/Last First/Given Middle
____________________________________________________________________________
Email
address
Circle your choice:
1. My
immediate impression of ULTRA is that it
a. Is a waste of time.
b. May
be helpful to a few people.
c. Will
probably be helpful to many people.
d. Probably
will become widespread as a thinking skills monitoring instrument when refined.
e. Ought
to be taken regularly by high school and university students as their monthly
or quarterly mental checkup.
2. On
a pain – pleasure continuum, I would rate ULTRA as below:
_______________________________________________________________
-10 -8 -6 -4
-2 0 +2 +4 +6 +8 +10
Pain Pleasure
3. I
wish to offer suggestions for improving or marketing ULTRA. Send me an email and I will tell the Academy
when to call me to obtain more detailed feedback. My email address is above.
_________________________
Signature
You may also download the word version here.