1. Due to instructor: Sept. 14, 1999

2. Select an environment for observation. It should be an environment where people are frequently found--e.g., a room in your house, an airport terminal, a bar, an elevator, an instructor's office, a car, a street corner, etc.

3. The environment I chose to analyze was _______________________________, located ___________________________________.

4. Rate the environment on the scale below. If, for instance, you perceive this environment to be very formal you would put an "X" beside formal; if you can't decide how formal the environment is or it seems to have about the same formality as informality, put an "X" in the middle position; if the environment is pretty informal, but not extremely informal, put an "X" in the second space to the left of informal, etc.

THIS ENVIRONMENT WAS...

Formal      ____ ____ ____ ____ ____ ____ ____ Informal
Warm      ____ ____ ____ ____ ____ ____ ____ Cold
Private      ____ ____ ____ ____ ____ ____ ____ Public
Constraining   ____ ____ ____ ____ ____ ____ ____ Free
Distant Comm. ____ ____ ____ ____ ____ ____ ____ Close Communication
Familiar      ____ ____ ____ ____ ____ ____ ____ Unfamiliar
Uncertain    ____ ____ ____ ____ ____ ____ ____ Certain
Complex    ____ ____ ____ ____ ____ ____ ____ Simple

5. My reaction to this environment was (Circle the appropriate number):

    I was pleased (happy, contented, satisfied)

          A lot 1 2 3 4 5 6 7 Not at all

     I was aroused (stimulated, alert, excited)

          A lot 1 2 3 4 5 6 7 Not at all

     I felt in control (influential, dominant, important)

          A lot 1 2 3 4 5 6 7 Not at all

6. What are the two features of the environment which you feel are most influential in affecting the communication behavior which takes place in this environment? (e.g., cold temperature, bright colors, hard chairs, etc.)

1.

2.

             ___________________________                                                ______________________________
             Observer's Name                                                                             Observer's SSN