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Your age:
 
under 15
 
15
 
16
 
17
 
18+
 
 
 
Grade level:
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
 
 
On average, your grades look like:
 
Mostly A's
 
Mostly B's
 
Mostly C's
 
Mostly D's
 
 
Sexual Orientation:
1 Straight 2 3 Not sure/Questioning 4 5 Gay I'd prefer not to answer
I identify myself as:
 
 
 
What types of activities are you involved in? (Check all that apply)
 
Athletics (school/town/club)
 
Band/Orchestra
 
Band (rock/garage band)
 
Choir/Vocal Ensemble
 
Religious/Youth Group
 
Dance
 
Theater
 
Art (painting, pottery, etc.)
 
Student Government
 
Key Club/Community Service Club
 
National Honor Society
 
After-school job
 
Instrument Lessons
 
None of these
 
Other
 

 
 
 
Your friends are:
 
Mostly other guys
 
Both guys and girls
 
Mostly girls
 
 
It is better to have many friends than to have only a few friends:
Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
 
 
 
I have many friends, and all of them are my best friends:
Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree
 
 
 
I have many friends, but only one or two are "best friends"
Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree
 
 
 
I have only a few close friends, and all of them are best friends.
Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree
 
 
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