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Section 1: General Awareness about Artificial Intelligence
- Have you heard of the term “Artificial Intelligence” before?
☐ Yes
☐ No
- How would you define artificial intelligence in your own words?
- Where did you first learn about AI?
☐ School or University
☐ Internet or Social Media
☐ Movies or Television
☐ Workplace
☐ Friends or Family
☐ Other: ___________________________________________
- How familiar are you with AI technologies?
(Rate on a scale of 1–10, where 1 = Not familiar and 10 = Very familiar)
1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐ 8 ☐ 9 ☐ 10 ☐
- Do you use any AI-powered tools or applications in your daily life?
☐ Yes ☐ No
If yes, please specify:
Section 2: Perception and Attitude Toward Artificial Intelligence
- What is your overall perception of artificial intelligence?
☐ Positive ☐ Negative ☐ Neutral
Explain: ___________________________________________
- Do you think AI will have a greater positive or negative impact on society?
☐ Mostly positive ☐ Mostly negative ☐ Both equally ☐ Not sure
Why? ___________________________________________
- Do you believe AI will create more jobs or replace existing ones?
☐ Create more jobs ☐ Replace existing jobs ☐ Both equally ☐ Not sure
Explain: ___________________________________________
- How comfortable are you with AI systems making decisions that affect humans (e.g., healthcare, finance)?
☐ Very comfortable ☐ Somewhat comfortable ☐ Neutral ☐ Uncomfortable ☐ Very uncomfortable
Reason: ___________________________________________
- What emotions come to mind when you think of AI?
☐ Excitement ☐ Curiosity ☐ Fear ☐ Hope ☐ Confusion ☐ Other: ___________
Explain: ___________________________________________
Section 3: Knowledge and Understanding of AI
- Do you understand the difference between AI, Machine Learning, and Deep Learning?
☐ Yes ☐ Somewhat ☐ No
- Can you identify examples of AI in daily life?
☐ Yes ☐ No
Examples: ___________________________________________
- How confident are you in your understanding of how AI works?
☐ Very confident ☐ Somewhat confident ☐ Neutral ☐ Not confident
- Do you think most people understand how AI affects their lives?
☐ Yes ☐ No ☐ Unsure
- Have you ever taken part in an AI-related course, seminar, or workshop?
☐ Yes ☐ No
Section 4: Use of AI in Daily Life
- Which AI applications do you use most?
☐ Voice assistants ☐ Chatbots ☐ Smart home devices ☐ E-commerce recommendations ☐ AI writing tools ☐ None
- How often do you use AI tools?
☐ Daily ☐ Weekly ☐ Occasionally ☐ Rarely ☐ Never
- Do AI tools make your daily life easier?
☐ Strongly agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly disagree
- Would you trust AI to perform personal tasks (e.g., banking, driving, scheduling)?
☐ Yes ☐ No ☐ Not sure
- What is the biggest benefit of AI in daily life?
☐ Convenience ☐ Accuracy ☐ Time-saving ☐ Innovation ☐ Other: ___________
Section 5: AI in the Workplace
- Does your job or organization use AI technologies?
☐ Yes ☐ No
- How has AI impacted productivity at work?
☐ Greatly improved ☐ Slightly improved ☐ No change ☐ Reduced
- Are you concerned AI might replace your job in the future?
☐ Yes ☐ No ☐ Not sure
- Do you think AI will create new job opportunities?
☐ Yes ☐ No ☐ Maybe
- How prepared are you to adapt to an AI-driven workplace?
☐ Very prepared ☐ Somewhat prepared ☐ Neutral ☐ Not prepared
Section 6: Ethics and Privacy
- Are you concerned about how AI collects personal data?
☐ Yes ☐ No ☐ Not sure
- Do you believe AI systems can be biased?
☐ Yes ☐ No ☐ Not sure
- Should AI algorithms be transparent and explainable?
☐ Strongly agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly disagree
- Who should be responsible for AI errors or harm?
☐ Developers ☐ Companies ☐ Users ☐ Governments ☐ Other: ___________
- Should governments regulate AI more strictly?
☐ Yes ☐ No ☐ Not sure
Section 7: AI in Education
- Have you used AI-based learning tools?
☐ Yes ☐ No
- Do you think AI improves personalized learning?
☐ Strongly agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly disagree
- Should AI replace teachers for certain tasks?
☐ Yes ☐ No ☐ Partially
- How do you feel about students using AI for homework or projects?
☐ Supportive ☐ Neutral ☐ Opposed
- Should AI literacy be mandatory in schools/universities?
☐ Yes ☐ No ☐ Not sure
Section 8: AI in Healthcare
- Would you trust AI to help diagnose medical conditions?
☐ Yes ☐ No ☐ Not sure
- Can AI reduce human error in healthcare?
☐ Strongly agree ☐ Agree ☐ Neutral ☐ Disagree
- Would you feel comfortable with AI-assisted surgeries?
☐ Very comfortable ☐ Somewhat comfortable ☐ Neutral ☐ Uncomfortable
- Should patients be informed when AI is used in treatment?
☐ Yes ☐ No ☐ Not sure
- Can AI make healthcare more affordable?
☐ Yes ☐ No ☐ Not sure
Section 9: AI and Society
- Will AI help solve global issues (e.g., climate change, poverty)?
☐ Yes ☐ No ☐ Not sure
- Has AI affected how people communicate and interact?
☐ Yes ☐ No ☐ Unsure
- Should AI be used in government or policy-making?
☐ Yes ☐ No ☐ Not sure
- Can AI influence elections or media opinions?
☐ Yes ☐ No ☐ Not sure
- Should AI systems follow a global code of ethics?
☐ Yes ☐ No ☐ Not sure
- Have you used or seen AI tools that create art, music, or writing?
☐ Yes ☐ No
- Do you consider AI-generated art creative?
☐ Yes ☐ No ☐ Not sure
- Should AI-generated works be copyrighted?
☐ Yes ☐ No ☐ Not sure
- Do you prefer content created by humans or AI?
☐ Always human ☐ No preference ☐ Always AI
- Do you trust AI-written news?
☐ Fully ☐ Partly ☐ Neutral ☐ Distrust
Section 11: Future Expectations
- Where do you see AI in 10 years?
☐ Integrated in all sectors ☐ Limited use ☐ Early development ☐ Unsure
- Will AI ever reach human-level intelligence?
☐ Yes ☐ No ☐ Possibly
- Should AI have rights or ethical status?
☐ Yes ☐ No ☐ Not sure
- Which sectors will AI impact most?
☐ Healthcare ☐ Education ☐ Finance ☐ Industry ☐ Media
- Are you optimistic or concerned about AI’s future?
☐ Very optimistic ☐ Somewhat optimistic ☐ Concerned
Section 12: Automation and Control
- Should AI make life-or-death decisions (e.g., self-driving cars)?
☐ Yes ☐ No ☐ Depends
- Who should control critical AI systems?
☐ Humans ☐ AI with oversight ☐ Shared ☐ Fully autonomous
- Can humans maintain control over AI in the long term?
☐ Yes ☐ No ☐ Not sure
- Should military or surveillance AI be restricted by law?
☐ Yes ☐ No ☐ Not sure
- What concerns you most about AI?
☐ Job loss ☐ Privacy ☐ Ethics ☐ Security ☐ Other: ___________
Section 13: Personal Opinions
- Would you feel comfortable working with AI systems?
☐ Yes ☐ No ☐ Not sure
- Have you interacted with AI chatbots (e.g., ChatGPT, Siri)?
☐ Yes ☐ No
- How was your experience?
☐ Very helpful ☐ Neutral ☐ Unhelpful
- Does AI make people too dependent on technology?
☐ Strongly agree ☐ Agree ☐ Neutral ☐ Disagree
- What excites you most about AI’s future?
Section 14: Government and Regulation
- Should governments invest more in AI research?
☐ Yes ☐ No ☐ Not sure
- Who should regulate AI?
☐ Governments ☐ Tech companies ☐ Global bodies ☐ Joint effort
- Will AI widen or reduce inequality globally?
☐ Widen ☐ Reduce ☐ No effect ☐ Not sure
- Should AI require ethical certification before use?
☐ Yes ☐ No ☐ Not sure
- How confident are you in AI being used responsibly?
☐ Very confident ☐ Somewhat ☐ Neutral ☐ Not confident
- Age Group:
☐ Under 18 ☐ 18–25 ☐ 26–35 ☐ 36–45 ☐ 46–55 ☐ 56+
- Gender:
☐ Male ☐ Female ☐ Prefer not to say ☐ Other: ___________
- Educational Level:
☐ Secondary ☐ Bachelor’s ☐ Master’s ☐ Doctorate ☐ Other
- Occupation:
☐ Student ☐ Academic (Professor / Lecturer / Researcher) ☐ IT / Engineer ☐ Healthcare ☐ Business ☐ Other: ___________
- How frequently do you use technology?
☐ Constantly ☐ Several times a day ☐ Once daily ☐ Occasionally ☐ Rarely
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