| Please
give us some information about yourself. |
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| Your sex
(circle one): |
female(1) male(2) |
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| Your ethnic
origin (circle one): |
African
American(1) |
Asian
American(2) |
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European
American(3) |
Hispanic
American(4) |
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Native
American(5) |
Other(7)____________ |
| Your age
(in years):__________ |
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| Your year
in college (circle one:) |
Freshman(3) |
Sophomore(4) |
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Junior(5) |
Senior(6) |
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Other(7)_____________ |
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| Your major:_________________________________________ |
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Please
turn the page and continue with the survey click
here for Form Page 1b
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