“…One of the largest issues in the satisfaction literature appears to be the high levels, or “ceiling effect” of satisfaction reported by respondents (Attkisson & Zwick, 1982; Godley et al, 1998; Larsen et al, 1979; Lebow, 1982; Young et al, 1995). Ratings with satisfaction measures are typically high, with 70% to 80% getting maximal scores (Essex et al, 1981; Riley et al, 2005). To improve variability, some items on the PEAS were explicitly designed to be more extreme than others.…”