What is the highest level of school you have completed or the highest degree you have received?

Quantitative Analysis Student Survey

Please answer the following questions as honestly as possible. Do not place your name on the form so that your responses will remain completely private and anonymous.

1. What is the highest level of school you have completed or the highest degree you have received?

____ less than high school degree

____ High school degree or equivalent

____ some college but no degree

____ Associate degree

____ Bachelor degree

____ Graduate degree (e.g., MA, MBA, MD, PhD)

2. On average, how many cigarettes do you tend to smoke in a day?

_____ per day

3. On average, how many alcoholic drinks do you have in a week?

_____ per week

4. Have you ever been arrested?

____ no

____ yes

5. What is your current age?

_____ years old

6. What is your gender?

_____ male

_____ female

7. Are you Hispanic/Latino?

_____ no

_____ yes

8. What race do you most identify as? Please select only one.

_____ White

_____ Black/African American

_____ American Indian/Alaskan Native

_____ Asian

_____ Hawaiian/Pacific Islander

_____ Other

9. Do you support the legalization of marijuana for recreational use?

_____ no

_____ yes

10. Using the scale below, please indicate how much you support the death penalty.

Not at all supportive					Neutral					Extremely Supportive
0	1	2	3	4	5	6	7	8	9	10

11. Have you ever intentionally stolen something from a store?

_____ no

_____ yes

12. Which political party do you most closely affiliate?

_____ Republican

_____ Democrat

_____ Independent

_____ Other (e.g., Green Party, Libertarian, etc.)

Please indicate how much the following statements describe you as a person by circling the number associated with the appropriate response. Do not leave any statement unrated.

	Strongly disagree	Disagree	Neither disagree or agree	Agree	Strongly agree
13. I would like to explore strange places.	0	1	2	3	4
14. I get restless when I spend too much time at home.	0	1	2	3	4
15. I like to do frightening things.	0	1	2	3	4
16. I like wild parties.	0	1	2	3	4
17. I would like to take off on a trip with no pre-planned routes or timetables.	0	1	2	3	4
18. I prefer friends who are excitingly unpredictable.	0	1	2	3	4
19. I would like to try bungee jumping.	0	1	2	3	4
20. I would love to have new and exciting experiences, even if they are illegal.	0	1	2	3	4

	Not at all true	Somewhat true	Very true	Definitely true
21. I care about how well I do at school or work.	0	1	2	3
22. I feel bad or guilty when I do something wrong.	0	1	2	3
23. I do not care about being on time.	0	1	2	3
24. I am concerned about the feelings of others.	0	1	2	3
25. I do not care about doing things well.	0	1	2	3
26. I always try my best.	0	1	2	3
27. I apologize (“say I am sorry”) to persons I hurt.	0	1	2	3
28. I try not to hurt others’ feelings.	0	1	2	3
29. I work hard on everything I do.	0	1	2	3
30. I do things to make others feel good.	0	1	2	3

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