Katrina: Race, Class, and Governmental Involvement Survey

Personal Information

1. Age:
        Under 18
        19-25
        26-30
        31-40
        41-50
        51-60
        61 +

2. Gender
Female
Male

3. General Residence - This should be the place that you spend the majority of your time, if you're a college student this will be the town in which you attend school:
        New England (ME, VT, NH, MA, RI, CT)
        Mid Atlantic (NY, PA, NJ, DE)
        East North Central (OH, MI, IN, IL, WI)
        West North Central (MN, IA, MO, KS, NE, SD, ND)
        South Atlantic (MD, WV, VA, NC, SC, GA, FL)
        East South Central (KY, TN, AL, MS, LA)
        West South Central (AR, OK, TX)
        North West (MT, WY, ID, OR, WA)
        South West (CO, NM, AZ, UT, NV, CA)
        Other (Alaska, Hawaii, Puerto Rico, Other US Territories)
        Do Not live in the USA

4. Race:
        African (American)
        Caucasian
        Native American
        Middle Eastern
        Latin American
        Pacific Islander
        Asian (American)
        Other

5. Sexual Preference:
        Heterosexual
        Homosexual
        Bisexual
        Other

6. Education:
        High School
        Some College
        In College
        College Graduate
        Grad/Professional School
        Post Grad (Doctorate)
        No Answer

7. Annual family Income - if you are a dependent this is the income of your guardians:
        Less than 30,000
        30,000-45,000
        45,000-60,000
        60,000-75,000
        75,000-100,000
        100,000-150,000
        150,000-250,000
        250,000 and higher
        No Answer

8. Religion:
        Agnostic
        Atheist
        Buddhist
        Catholic
        Christian - other
        Hindu
        Jewish
        Mormon
        Protestant
        Other
        Taoist
        Wiccan
        Scientologist
        No Answer

9. Political Views:
        Very Liberal
        Liberal
        Moderate
        Conservative
        Very Conservative
        Apathetic
        Libertarian
        Other
        No Answer

10. Marital Status:
        Single
        In a Relationship
        Married
        Divorced
        Other
        No Answer