Alternative tools for improving CRP cost-effectiveness, Part II

OMB Control Number 0536-0070, expires 06/30/2016

Attachment D

Questionnaire

Questionnaire

(OMB Control # 0536-0070, Expiration date 11/30/2014)

1. What is your ID# for this experiment? _____________

2. Are you: ___ male or ____ female

3. What rank (year) are you at UMD? _______

4. What is your cumulative GPA? _________

5. What was the highest score you obtained on your ACT __________ or SAT ___________?

6. What is the zip-code of the home you lived in in high school? _________

Strongly Strongly Agree Disagree

7. The procedures followed in the

experiments preserved your anonymity 1 2 3 4 5

8. The instructions for the experiments were clear and

easy to follow 1 2 3 4 5

9. I enjoy participating in experiments like the ones

today regardless of the amount of money I make 1 2 3 4 5

2