Page 1 of 1
Screening Questionnaire (Non-Alc.)
Please answer honestly. Your details will be kept strictly confidential, and the identifiable details will be erased upon completion of the study.
Name
*
Age
*
Phone Number
*
Email
*
Today's Date
*
Edinburgh Handedness Inventory - Short Form
*
Instructions: Please indicate your preferences in the use of hands in the following activities or objects.
Always Right
Usually Right
Both Equally
Usually Left
Always Left
Writing
Throwing
Toothbrush
Spoon
Thank you for filling out the form. You will be contacted soon by the researcher.
Submit