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Hello:
You are invited to participate in my survey [Perceptions of Science]. In this survey, you will be asked to complete questions about [your views about science]. It will take approximately [ten] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for me to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Ashley Lewis] at [281-286-1609] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now.
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| 3. Current Level of Education: |
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| 4. Current Annual Household Income: |
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| How would you describe yourself? |
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| Science courses already completed (Please select all that apply): |
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| Science courses you plan to complete(Please select all that apply): |
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| I can become a scientist: |
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| Science benefits society: |
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| I generally have negative feelings toward science: |
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| Scientists do not belong to my race/ ethnicity: |
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| Do you believe that you are recieving the best science instruction available? |
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| Do you believe that the science instructors are giving 100% toward educating you? |
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| Do you believe that you will be adequately prepared for an occupation in science? |
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| Will you consider becoming a scientist? |
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| Do you participate in science projects at any place other than school? |
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| Do you read any literature dealing with science on a regular basis? |
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| Does anyone in your immediate family work in the field of science? |
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| Do you have a role model? |
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| If you answered yes to question above, please indicate who that person is and what occupation that person holds. | | |
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