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You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately 5 minutes to complete the questionnaire.


Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.


Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.


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Strongly Agree Agree Neutral Disagree Strongly Disagree
Males should be colser to their fathers than their mothers
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
When baby boys are born they are to be put in pink
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
A male is to work outside
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
When a baby girl is born you arre to put her in blue
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
Males are not to cry when hurt
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
A woman is work work inside
 
 
 
Additional Comments/Suggestions for improvement
   
 
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