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Mirror-touch synaesthesia: the role of shared ... - UCL Discovery

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213<br />

Appendix<br />

(4) Do you experience <strong>touch</strong> sensations on your own body when you see <strong>the</strong>m on ano<strong>the</strong>r<br />

person’s body?<br />

Strongly disagree Disagree Nei<strong>the</strong>r agree nor disagree Agree Strongly agree<br />

(5) When experiencing <strong>touch</strong> to your own body do you experience visual sensations (i.e.<br />

colour)?<br />

Strongly disagree Disagree Nei<strong>the</strong>r agree nor disagree Agree Strongly agree<br />

(6) Do <strong>the</strong>se experiences have specific locations (e.g. on your body, on words or objects<br />

in <strong>the</strong> environment, in front <strong>of</strong> your eyes) or not (e.g. <strong>the</strong>y feel as if <strong>the</strong>y are in ‘your<br />

minds eye’)? Please describe.<br />

_____________________________________________________________________<br />

_____________________________________________________________________<br />

_____________________________________________________________________<br />

_____________________________________________________________________<br />

(7) To <strong>the</strong> best <strong>of</strong> your knowledge have you always had <strong>the</strong>se sensations?<br />

YES NO DON’T KNOW<br />

If YES – at what age did you realise that o<strong>the</strong>r people did not have <strong>the</strong> same<br />

sensations as you?<br />

_____________________________________________________________________<br />

If NO – at what age did <strong>the</strong>y arise and was <strong>the</strong>re a triggering incident?<br />

_____________________________________________________________________<br />

(8) Do <strong>the</strong> sensations that you have to particular things change over time or are <strong>the</strong>y fixed<br />

(e.g. if <strong>the</strong> word ‘book’ is green <strong>the</strong>n is it always green and always has been)?<br />

FIXED VARIABLE DON’T KNOW<br />

(9) On <strong>the</strong> next page please match <strong>the</strong> triggers on <strong>the</strong> left with synaes<strong>the</strong>tic experiences on<br />

<strong>the</strong> right. For instance, if you experience colours in response to numbers <strong>the</strong>n draw a<br />

line in between ‘numbers’ (left) and ‘colours’ (right).<br />

IMPORTANT: Please do not connect <strong>the</strong> same things (e.g. colours–colours) as this is assumed<br />

true <strong>of</strong> everyone. We also assume (without you having to indicate) that letters/ words etc. as<br />

experienced as shapes on a written page, and musical instruments/ voices/ spoken words as noise.<br />

Moreover, if you have no synaes<strong>the</strong>tic experiences <strong>the</strong>n <strong>the</strong>re is no need to connect any triggers<br />

with experiences.

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