Tell us about your face recognition problem

1. How would you rate your face recognition ability compared to other people around you?

How would you rate your face recognition ability compared to other people around you?

2. Has it always been the situation or have you noticed this problem only recently?

Has it always been the situation or have you noticed this problem only recently?

3. Have you ever failed to recognize a close friend or relative?

Have you ever failed to recognize a close friend or relative?

4. Does it happen often when looking for someone in a big crowd or meeting a familar person out of context?

Does it happen often when looking for someone in a big crowd or meeting a familar person out of context?

5. Do you also have trouble recognizing facial expressions or understanding the intentions or emotional state of others?

Do you also have trouble recognizing facial expressions or understanding the intentions or emotional state of others?

6. To what extent do you rely on the following in recognizing people around you?

	Do not rely at all	Rely heavily
Face	To what extent do you rely on the following in recognizing people around you? Face Do not rely at all	Rely heavily
Voice	Voice Do not rely at all	Rely heavily
Hairstyle	Hairstyle Do not rely at all	Rely heavily
Clothing	Clothing Do not rely at all	Rely heavily
Context	Context Do not rely at all	Rely heavily
Gait	Gait Do not rely at all	Rely heavily

7. Are there other types of infomation you rely on when attempting to recognize a face?

Are there other types of infomation you rely on when attempting to recognize a face?

8. What is your handedness?

What is your handedness?

9. Do you have any of the following spatial problems?

Do you have any of the following spatial problems? right-left confusion

navigation problems

Other (please specify)

10. Do you have any of the following visual problems?

Do you have any of the following visual problems? wear glasses or use contact lenses?

Have you had any vision problems early in life?

Other (please specify)

11. Do you have trouble distinguishing other classes of objects, e.g., cars, shoes, coats?

Do you have trouble distinguishing other classes of objects, e.g., cars, shoes, coats?

12. Have you consulted a physician regarding these problems?

Have you consulted a physician regarding these problems? yes

13. How old are you?

How old are you?

14. What is your profession?

What is your profession?

15. Which part of the world are you from?

Which part of the world are you from?

16. Do you or any of your family members have dyslexia, other learning disabilities, or other conditions, such as Asperger's Syndrome?

Do you or any of your family members have dyslexia, other learning disabilities, or other conditions, such as Asperger's Syndrome? yes

please specify

17. At what age did you start reading?

At what age did you start reading?

18. How is your memory?

How is your memory?

19. Do you experience synesthesia?

Do you experience synesthesia?

20. Do you have any neurological conditions not mentioned earlier?

Do you have any neurological conditions not mentioned earlier?

21. Please add any comments about your face recognition problems that we may have not asked about

Please add any comments about your face recognition problems that we may have not asked about

22. Would it be ok if we contact you with regard to potential participation in studies investigating face processing and impaiments of face recognition?

Would it be ok if we contact you with regard to potential participation in studies investigating face processing and impaiments of face recognition?