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What year are you in School?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Grad Student
 
 
 
What is your major?
   
 
 
 
What is your Gender?
 
Male
 
Female
 
Prefer not to say
 
 
 
What is your Ethnicity?
 
White
 
African American
 
Hispanic
 
Asian American
 
Other
 
 
 
How would you descirbe your home town?
 
Urban
 
Suburban
 
Rural
 
 
 
What is your overall GPA?
 
3.5-4.0
 
3.0-3.4
 
2.5-2.9
 
2.0-2.4
 
1.5-1.9
 
 
 
Are your parents divorced? (If no skip to question 10)
 
Yes
 
No
 
 
 
How did the divorce affect you?
 
Positive
 
Slightly Positive
 
No Change
 
Slightly Negative
 
Negative
 
 
 
Whould you say you have high self esteem?
 
Strongly Agree
 
Agree
 
No Opinion
 
Disagree
 
Strongly Disagree
 
 
 
How likley are you to get married?
 
Very likely
 
Likely
 
No opinion
 
unlikely
 
Very unlikely