Race Relations Survey

Demographics

Please answer completely and honestly.

1. What is your gender?
Male
Female

2. What is your ethnic background?
        White
        Black
        Native American
        Asian
        Hispanic
        Mixed
        Other

3. If Mixed or Other, please specify.

4. What is your Religion?
        Catholic
        Protestant
        Methodist
        Baptist
        Lutheran
        Episcopal
        Presbyterian
        Mormon
        Muslim
        Jewish
        Hindu
        Buddhist
        Agnostic
        Atheist
        Other

5. If Other, please specify.

6. What is your age?
        15 or under
        16-20
        21-24
        25-30
        31-40
        41-50
        50 or over

7. What is your political affiliation?
        Republican
        Democrat
        Independent
        Other

8. If Other, please specify.

9. What is your sexual preference?
        Heterosexual
        Homosexual
        Bisexual

10. What is your marital status?
        Single
        In a Relationship
        Married

11. What is your employment status?
        Full Time Job
        Part Time Job
        Unemployed
        Full Time Student
        Part Time Student

12. What type of High School did you attend?
        Public
        Private
        Parochial
        Home Schooled
        Other

13. If Other, please specify.

14. What percentage of students in your HS were white?
        0% - 20%
        21% - 40%
        41% - 60%
        61% - 80%
        81% - 100%

15. What type of community were you raised in?
        Urban
        Suburban
        Rural
        Military Base
        Other

16. If Other, please specify.

17. What is your highest level of education completed?
        Did Not Graduate HS
        HS Graduate
        Some College
        College Graduate
        Some Graduate School
        Advanced Degree

18. What is your socio-economic status?
        Poor
        Working Class
        Middle Class
        Upper Middle Class
        Rich
        Ruling Class