Possible Futures Survey- Form B: Required Information ( © H. Lips, 2000) |
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Please give us some information about yourself. | ||
Your sex (circle one): | female(1) male(2) | |
Your ethnic origin (circle one): | African American(1) | Asian American(2) |
European American(3) | Hispanic American(4) | |
Native American(5) | Other(7)____________ | |
Your age (in years):__________ | ||
Your year in college (circle one:) | Freshman(3) | Sophomore(4) |
Junior(5) | Senior(6) | |
Other(7)_____________ | ||
Your major:_________________________________________ | ||
Please
turn the page and continue with the survey click
here for Form Page 1b
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