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Exit Survey
 
 
Gender
 
Male
 
Female
 
Other
 
 
 
 
Age Range
 
18 or younger
 
19-24
 
25-30
 
31-40
 
41 or Older
 
 
 
Year in college
 
1st
 
2nd
 
3rd
 
4th
 
5th or more
 
 
 
Major?
   
 
 
 
Ethnicity
 
White/Caucasian
 
African or African-Canadian
 
Asian
 
Hispanic/Latino
 
Other
 
 
 
 
Do you smoke cigarettes or drink alcohol?
 
Yes
 
No
 
Other
 
 
 
 
If you answered yes to #6, are you of age to participate legally?
 
N/a
 
Yes
 
No
 
Other
 
 
 
 
Do you smoke marijuana?
 
Yes
 
No
 
Other
 
 
 
 
If you answered yes to #8, how often?
 
N/a
 
Every year
 
Every month
 
Every week
 
Every day
 
Other
 
 
 
 
Do you use illegal drugs besides marijuana?
 
Yes
 
No
 
Other