Demographic Sheet
DEMOGRAPHICS SHEET
Please do not write your name on this form. It will be stored separately from any other information that you complete during this study and will not be linked with your responses in any way. The information will allow us to provide an accurate description of the sample.
For the following items, please select the one response that is most descriptive of you or fill in the blank as appropriate.
Gender: female male
Age: _____
Ethnicity:
Asian or Pacific Islander Asian Indian
Black/African American (non-Hispanic) Caucasian/White
Native American Latino/Hispanic Puerto Rican
More than one race (specify): ______________________
Major(s): _____________
Minor(s): _____________
Year in college:
First-year Sophomore Junior Senior
Additional categories - Refer to RPE application for instructions on when additional demographic variables are acceptable.
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