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2017
March
D
Demographic Questionnaire for Study
Demographic Questionnaire for Study
0%
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When were you born?
Gender
Male
Female
Your ethnic and racial background
African-American, Black
Chinese
Filipino
Korean
Hispanic or Latimo
Mexican
More than one race
Unknown or not reported
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*
Where were you born (city/region, country)
Are you a United States citizen?
Yes
No
Decline to answer
Are you a native English speaker
Yes
No
Decline to answer
If NO, how long have you been speaking English? (years)
1-3
4-6
7-9
10-12
13+
In terms of education and income, would you describe your parents as:
Upper class
Upper-Middle class
Middle class
Lower-middle class
Working class
Decline to answer
Which grade/class level best decribes you?
Freshman
Sophomore
Junior
Senior
Do you have siblings? If YES, how many?
0
1-3
4-6
7-9
9+
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