Statistics Survey

If someone has already asked you to complete this form this semester and
you have done so, please do NOT complete it again.  Otherwise, please
record the following information about yourself.  Your name will not be
associated with this data, but you may feel free to skip any item which
you do not feel comfortable answering.  Thank you for participating.


 1) Sex (circle one):    Male      Female  

 2) Year in school (circle one):  Fr  So  Jr  Sr  Other

 3) cumulative GPA: ________

4a) height (in inches): __________  4b) pulse rate: __________

 5) How many children are in your family (including yourself and all
    siblings)?  Where do you rank (1=oldest, 2=second child, etc)?

     children: _______    rank: _________

 6) How much money did you spend on your last haircut?  $__________

 7) Choose a random number in the range from 1 to 20: __________ 

 8) How many speeding tickets have you received in your life?  _______ 

 9) How many CDs do you own? __________

10) Do you smoke? (circle one):  Yes    No

11) How many hours did you sleep last night? (Write 6.5 for 6 1/2): ________

12) Are you left or right handed? (circle one):  Left  Right

     Same question for your mother:  Left  Right

     Same question for your father:  Left  Right

13) The region where you are from is primarily:  Urban   Suburban   Rural

14) Do you live on campus?  (circle one):  Yes    No

15) How many cups of coffee did you drink yesterday?  ______

16) Use a calendar to figure out on which day of the week your
    birthday will fall in 2004.  Which day?  (Circle one):

        Mon   Tues   Wed   Thurs   Fri   Sat   Sun

17) If your birthday in 2004 is on ANY DAY OTHER THAN a Tuesday,
    please answer the following question truthfully.  If it falls
    on Tues., please just answer "yes", even if this is not true.

     As of today, are you at least 20 years old? (circle one)  Yes    No