Psychophysiology Laboratory Subject Tracking Form
All subjects must be entered into this database.
This is the only place that subject identifying information should be linked with the ID number of the subject. Please ensure that it resides no where else.
All consent forms must be filed in room 312 Psychology.
Subject Name: First Last
Study ID: (e.g. DEP001)
Student ID #: (No Dashes or Spaces)
Sex Choose one... Male Female Age: Race/Ethnicity: Select One Caucasian Hispanic American Indian Black Asian Other
Telephone # (No Dashes, Spaces, or Parentheses)
Date Run: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 2001 2002 2003 2004 2005 2006 2007
Cap Used: Select Cap Medium 1 Medium 2 Medium 3 Medium 4 Medium 5 Medium 6 Medium 7 Medium 8 Large 1 Large 2 Large 3 large 4 Small 1 Small 2 Not a Babcock Cap
Native English Speaker? No Yes Handedness Left Ambidextrous Right Score
Experimenter Name: Find Yourself Xeniia Ast Andrew Bismark Jim Cavanagh Eynav Elgavish Lauren Kong Petra Kopyciok Andy Martens Nicole McDonald Ralf Mertens Alex Thome Logan Trujillo Assistant Name:
Session Comments:
Entry Password: