Demographic Tool
1. What is your gender?
Male
Female
2. What is your age?
18-29 years old
30-49years old
50-64 years old
65 years and over
3. What is the highest level of education you have completed?
some high school
high school graduate
some college
trade/technical/vocational training
college graduate
some postgraduate work
post graduate degree
4. If you are in college/ university what level are you at
Freshmen
Junior
Sophomore
Senior
5. What is your religious preference?
Roman Catholic
Jewish
an Orthodox church such as the Greek or Russian Orthodox Church
Christian Scientist
Protestant
Seventh-Day Adventist
Mormon
Muslim
Something else (please specify)
6. 12. Are you now employed full-time, part-time, not employed, or retired?
full time
part time
not employed
retired
7. 13. Including yourself, how many people live within your household?
8. 14. Are there any children under the age of eighteen years currently living in
your household?
Yes
No
9. 15. What is your marital status?
single/never been married
married
separated
divorced
widowed
10.
Class status :
__Freshman
__Sophomore
__Junior
__Senior
__Graduate student __Professional student __Continuing education student
__Agriculture & Life Sciences
__Architecture and Landscape Architecture
__ Colleges of Letters, Arts and Sciences/Undecided __Education
__ Eller College of Management
__Engineering
__Fine Arts
__Humanities
__Medicine
__ Nursing
__Pharmacy
__ Public Health
__Science
__Social & Behavioral Sciences
How many hours do you work for pay OFF campus?
__ None
__ 1-10 hours/week
__ 11-20 hours/week
__ 21-30 hours/week
__ More than 30 hours/week
How many hours do you work for pay ON campus?
__ None
__ 1-10 hours/week
__ 11-20 hours/week
__ 21-30 hours/week
__ More than 30 hours/week