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2005
April
U
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] 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 us 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 [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Employment Status:
I have accepted a job.
I have not accepted a job and am searching.
I am not looking for a job.
Other
*
What level of post-secondary education are you enrolled?
Freshman
Sophmore
Junior
Senior
Masters
Doctorate
Certificate
Other
*
Gender?
Male
Female
*
Current personal income.
-- Select --
$0-$20,0000
$21,000-$40,000
$41,000-$60,000
Over $60,000
Forced by family, spouse or other
To get a job
To promote at current job
To change employers
To change career-optional
To change career due to lay off, etc
Self-fulfillment
Mandatory to keep current job
Other
Reason for pursuing post-secondary education.
*
Select ALL types of post-secondary schools attended.
2 year college/university
4 year college/university
Vocational
Technical college/institute
Adult Education Center
Other
*
How many children do you have?
0
1
2
3
4
5
6 or more
Other
Married
Single (Never Married)
Divorced/Legally Separated
Widowed
Domestic Partner
What is your current marital status?
What was your marital status at the time of your intial enrollment in post-secondary education?
List post secondary education dates and your age at the time of enrollment.
Please fill in the chart below.
From
To
Age
Reason For Leaving
*
Initial Entry
Re-entry
Re-entry
Re-entry
Re-entry
*
Where is financing coming from to attend post secondary education?
Personal
Employer
Grants
Scholarships
Loans
Military
Parents
*
What Percentage of Personal
-- Select --
none
0-20%
20-40%
40-60%
60-80%
80-100%
I don't know
*
What percentage of employer.
-- Select --
none
0-20%
20-40%
40-60%
60-80%
80-100%
I don't know
*
What percentage of Grants.
-- Select --
none
0-20%
20-40%
40-60%
60-80%
80-100%
I don't know
*
What percentages of Scholarships.
-- Select --
none
0-20%
20-40%
40-60%
60-80%
80-100%
I don't know
*
What percentage of Loans.
-- Select --
none
0-20%
20-40%
40-60%
60-80%
80-100%
I don't know
*
What Percentage of Military.
-- Select --
none
0-20%
20-40%
40-60%
60-80%
80-100%
I don't know
*
What percentage of parents.
-- Select --
none
0-20%
20-40%
40-60%
60-80%
80-100%
I don't know
Please contact
[email protected]
if you have any questions regarding this survey.
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