Participant #________________
Demographic Information
1. In what month and year were you born? _________________ __________________
month year
2. What is the highest grade or year of school you have completed?
Less than high school
Completed high school
Some college, no degree (indicate area of study: ____________________________________)
Associate’s degree (AA/AS) (indicate area of study: __________________________________)
Bachelor’s Degree (BA/BS) (indicate area of study: __________________________________)
Post-Bach degree (indicate degree and area of study: ________________________________)
3. Are you male or female?
Male
Female
4. Are you of Hispanic, Latino, or Spanish origin?
Yes
No
5. What is your race? Choose one or more races.
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | roman314 |
File Modified | 0000-00-00 |
File Created | 2021-01-28 |