Student Sociological Department Survey

1.

What is your Race?

Caucasian

Black-American

Asian

Phillipian

Other

2.

What is your Gender?

Male

Female

3.

Do you or have you used Alcohol?

Yes

No

4.

If Yes, What are your reasons for using Alcohol?

Social Drinking

Daily Drinking

Binge Drinking

Occasional Drinking Approximately 4 times a month.

Experimental once or twice a year

Other

My academic efforts and schoolwork causes this level of stress for me

My job causes this level of stress for me

My family causes me this level of stress

My daily financial situation causes me to have this amount of stress

9.

As a child were you a witness to any child abuse?

yes

no

10.

As a child were you ever a victim of child abuse?

Yes

No, if no please skip the next question.

11.

Did it seem as though the abuse was caused from one of the following?

Stress from Work

Stress from Family

Stress from Money

Alcoholic Influences

Discipline Nature

12.

Did you ever discuss these issues of abuse with your parents?

Yes

No

13.

Did you ever discuss these issues with your friends?

Yes

No

14.

Did you ever seek help from the law or from a social assistance agency?

Yes

No

15.

Were there ever-visual signs of abuse?

Yes

No

16.

Which of these do you believe is tolerable disciplinary actions by a parent?

17.

As a parent, would you use abusive measures to discipline a child?

Yes

No