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Hello:

Please take a few minutes of your time to complete this short survey. Your time and consideration is greatly appreciated!
 
 
Are you and African American male?
 
yes
 
no
 
Other
 
 
 
Did you graduate from high school?
 
Yes
 
no
 
If no, explain why
 
 
 
If so, how would you describe your high school experience?
 
Satisfactory
 
Unsatisfactory
 
Other
 
 
 
Did peer pressure affect your ability to make good grades or graduate high school?
 
yes
 
no
 
explain
 
 
 
Do you feel your teachers were fair when it came to discipline?
 
Always
 
Sometimes
 
Never
 
why or why not
 
 
 
Were you ever expelled from school?
 
Never
 
1-2 times
 
3-4 times
 
Other
 
 
 
Did you participate in extracurricular activities?
 
never
 
on occasion
 
always
 
why or why not
 
 
 
Did you have a support system in high school?
 
Mom
 
Dad
 
Teacher
 
Other, please list
 
 
 
Did you grow up in a two parent home?
 
yes
 
no
 
Other
 
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