Sample Survey

Urban area (Minneapolis, St. Paul, Milwaukee, Chicago)

Suburban area(Burnsville, Blaine, Minnetonka, Stillwater, Brookfield, Shorewood, Palatine or Evanston)

Towns (Cannon Falls, Sparta, New Prague, Kellogg, Winona)

Rural area (populations less then 3,000)

Related templates and questionnaires

QuestionPro in your language

Awards & certificates

The Experience Journal


Gender Male Female Age 18-19 20-21 22-23 24-Older Race Caucasian African American Hispanic Asian/Pacific Islander Native American Other Year in college First Year Second Year Third Year Fourth Year Fifth Year or Beyond Location: Are you from a- Urban area (Minneapolis, St. Paul, Milwaukee, Chicago) Suburban area(Burnsville, Blaine, Minnetonka, Stillwater, Brookfield, Shorewood, Palatine or Evanston) Towns (Cannon Falls, Sparta, New Prague, Kellogg, Winona) Rural area (populations less then 3,000) Do you socialize with people from (mark all that apply) Urban areas Suburban areas Towns Rural areas You socialize with people you met predominantly Before you came to college In your first year of college Second year of college Third year of college Fourth or after years of college Where do you socialize? Bars Friends House House Parties Campus Events Other How often do you socialize? One Night A Week Two Nights a Week Three Nights a Week Four Nights a Week Five or More Nights a Week What predominantly influences you to socialize? Drinking Friends Hobbies It is the "cool thing to do" Other Do you identify yourself as? Some who normally starts conversation with others Starts conversation with others in select groups Responds when others start conversations with you Generally keeps to themselves How do you normally meet new friends? Through other friends Through work Through Classes Through Facebook / MySpace Through Online Chat (AOL, MSN, Yahoo In the dorms Other What is the main reason your last friendship ended? Did not see each other often Differing beliefs Got in a fight Both have new group of friends Other How many weekends a month do you go home? Zero One Two Three Four If you go home how do you predominantly get home? Drive By Yourself Drive with friend Find ride on ride board Picked up by parents Other When you go home why do you usually go home? Work Hang out with friends Family functions/ Holiday Time away from school setting Significant other at home Other How often do you go to a friends home? Every weekend Every other weekend Once a month Once a year Never How long does it take you to drive to the nearest City while at home? Live in City 5-10 minutes 11-25 minutes 26-40 minutes 41 minutes and over Do you socialize with predominately? Male Female How many significant others have you had while in college? One Two Three Four Five or More What where/ are your significant others social backgrounds similar to your social background (Urban, Suburban, Town, Rural)? None Some About Half More then half All Do you live? On campus dormitories (main campus) On east or west campus Off campus Do you drive at least 15 miles to campus while living on your own With parents Have previous members of your family or community attended WSU? No Yes Family members Yes community members Yes Both How many students from your graduating class attended WSU? 0 1-10 11-20 21-49 50- plus Do you consider yourself to be? Prejudiced toward all other cultures Prejudiced toward some other cultures Bias toward your own culture Not prejudiced or bias Are members of your family? Prejudiced toward all other cultures Prejudiced toward some other cultures Bias toward your own culture Not prejudiced or bias Are members of the community you grew up in? Prejudiced toward all other cultures Prejudiced toward some other cultures Bias toward your own culture Not prejudiced or bias Did you live in the dorms Yes No How many roommates did you have while living in the dorm 0 1 2 3 4+ Where they from? (mark all that apply) Urban Suburban Town Rural Did you become friends with your roommates friends? All Half Less then half None Other than your roommates how many friends did you make in the dorms? 0 1-5 6-10 11-20 21- more How many of your friends from the dorm not including your roommates are from a similar social background (Urban, Suburban, Town, Rural)? None Some About Half More then Half All What is the average number of students in your WSU classes? 10-25 26-40 41-65 66- + How many friendships have you obtained throughout your college experience by meeting in class? 0 1-5 6-10 11-25 26- more How many credits on average do you take in a semester? 3-9 9-12 12-16 16- more Of the friends you make in the classroom how many have similar social background ( Urban, Suburban, Town, Rural)? None Some About Half More then Half All Where do you travel with friends (mark all that apply)? Tropical locations (spring break) Metropolitan Areas (Minneapolis, Milwaukee, Chicago) Cabins, Lake homes Outdoor activity areas (Ski resorts, water parks) Gambling activities Other How often do you travel with friends? Never Once a year 2-11 times a year Once a month More then once a month How many friends do you usually travel with? 1-3 4-6 7-10 11 or more How many social organizations do you belong to on campus? 0 1 2 3 4 or more If you are part of social organizations which are you apart of? Athletics Intramural Athletics Greek Department clubs (History, Criminal Justice, Nursing) International Clubs Ethnic Clubs Political Clubs (Democratic, Republican) Other What is your level of participation in these clubs? Hold an office Member who attends all meetings Member who attends more then half the meetings Member who seldom attends meetings Does not attend meetings at all How many friendships have you formed due to participation in campus social organizations? 0 1-5 6-10 11-25 26- or more How many of your friends from social organizations on campus are from a similar social background (Urban, Suburban, Town, Rural)? None Some About half Less then half All How many social organizations do you belong to off campus? 0 1 2 3 4 or more What off campus clubs do you belong to? Religious clubs Political Clubs YMCA/ Rec/Bar sports leagues Masons Veterans Clubs Other What is your level of participation in these clubs? Hold an office Member who attends all meetings Member who attends more then half the meetings Member who attends half the meetings Member who seldom attends meetings Member who never attends meetings How many friendships have you formed due to your participation is social organizations off campus? 0 1-5 6-10 11-25 26 or more How many of your friends from social organizations on campus are from a similar social background (Urban, Suburban, Town, Rural)? None Some About Half Less then Half All