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Exit Survey
 
 
Sex
 
Male
 
Female
 
 
 
Age
 
Younger than 18
 
18 – 29
 
30 – 39
 
40 or older
 
 
 
Country of origin (please name it):
   
 
 
 
What is your marital status?
 
Single, never married
 
Married
 
Divorced
 
Windowed
 
Separated
 
Other
 
 
 
Which language (s) do you speak?
 
Mother tongue……….............................................................
 
Second language………........................................................
 
Other language (s)……….....................................................

 
 
 
What is your highest level of education?
 
Less than secondary school
 
Secondary school
 
Technical school
 
College diploma
 
Bachelor degree
 
Honours degree
 
Masters degree
 
Doctorate degree
 
Other (please specify)
 
 
 
Which of the following best describes your present employment situation (check all that apply)
 
Working full-time
 
Working part-time
 
Unemployed (looking for work)
 
Unemployed (not looking for work)
 
Full-time student
 
Other ( please specify)