Participant #________________
Demographic Information
1. In what month and year were you born? _________________ __________________
month year
2. What is the highest grade or year of school you have completed?
G Less than high school
G Completed high school
G Some college, no degree (indicate area of study: ____________________________________)
G Associate’s degree (AA/AS) (indicate area of study: __________________________________)
G Bachelor’s Degree (BA/BS) (indicate area of study: __________________________________)
G Post-Bach degree (indicate degree and area of study: ________________________________)
3. Are you male or female?
G Male
G Female
4. Are you of Hispanic, Latino, or Spanish origin?
G Yes
G No
5. What is your race? Choose one or more races.
G White
G Black or African American
G American Indian or Alaska Native
G Asian
G Native Hawaiian or Other Pacific Islander
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | roman314 |
| File Modified | 0000-00-00 |
| File Created | 2021-02-02 |