STA 101May 16, 2002
2002: Summer Session I
Class Survey
1. Class/Year: ______
2. Gender: Male ______Female ______
3. Do you live on campus? Yes ______No ______
If yes, which dorm? ______
4. Do you belong to a fraternity/sorority? Yes______No ______
If no, do you planning on becoming a member or a fraternity/sorority while at Duke?
Yes ______No ______
5. Was Duke your first choice for college? Yes ______No ______
If yes, did you apply for early admissions? Yes ______No ______
6. How many cups of coffee did you drink yesterday? ______
7. How many hours on average do you sleep at night? ______
Approximately how many times have you stayed up all night completing/studying for homework/exams while at Duke? ______
During high school? ______
8. Classify your major or intended major according to the following divisions:
Sciences ______Humanities ______Social Sciences ______Other ______
9. Do you read the Chronicle? Yes ______No ______
If yes, how many times per week? ______
What is your favorite section? ______
10. Indicate your political views according to the following scale by circling the most appropriate number:
Liberal Conservative
0 1 2 3 4 5 6 7 8 9 10
11. Estimate your family's yearly income (check the appropriate).
Below $40,000 ______
Between $40,000 and $60,000 ______
Between $60,000 and $100,000 ______
Above $100,000 ______
12. Are you an only child? Yes _____ No ______
If no, what is your placement in your sibling ordering? ______of ______children
13. What is your height in inches? ______
Estimate the heights of your mother ______and father ______.
14.What is your natural hair color?
Black ______brown ______blond ______red______other ______
Have you ever dyed your hair? Yes ______No ______
15. What color are your eyes?
Black ______brown ______blue ______green ______other ______
16. What type of high school did you attended?
Public ______private ______other ______
17. Do you smoke cigarettes (tobacco)? Yes ______No ______
If yes, occasionally ______or regularly ______?
18. Is the region where you are from primarily urban______suburban______rural____?
19. Where do you consider home? US ______International ______
If international, which country? ______
IfUS, which region? NE ___ SE ___ NW ___ SE ___ Midwest ___ Plains ____
20. On average, how many alcoholic drinks do you have per week? ______
21. Do you think you can tell the difference between Pepsi and Coke? Yes ____ No ____
22. Estimate the number of CD's you own? ______
23. Do you have any pets? Yes ______No ______
If yes, what kind? ______
If yes, do you consider him/her as part of the family? ______
24. Are you right _____ or left _____ handed? Answer the same question for your parents.
Mother: right _____ left ______don’t know ______.
Father: right ______left _____ don’t know ______.
25. How much did you spend on your last haircut (including tip)? $______
26. What is your cumulative GPA? ______
If not sure, give your best estimate ______.
27. How much do you exercise per week (hours)? ______
28. On average, how many hours of television do you watch per week? ______
29. On average, how many hours per week do you devote to a class in your major? _____
Non-major class? ______
30. Which genre of movie do you prefer? ______
31. Are you currently in a relationship? Yes ______No ______
If yes, how long have you been in the relationship (months) ? ______
32. How do you categorize you religious affiliation (i.e. Duke was originally affiliated with the Methodist church)? ______No affiliation ____ Atheist ___
33. Which question on this survey is the most interesting to you? ______Least? ______
34. Write a question you would be interested seeing on this survey?
Page 1