Statistics Survey Fall 2008

Last name of respondent:
Is your worksheet labeled (at the top) “Worksheet 1A” or “Worksheet 1B”?: 1A, 1B

Nationality:

U.S. citizen
Citizen of Canada or Mexico
Citizen of another country (not listed already)

1. 1. Number of states visited:
2. 2. Answer to question about "seeing a play": Yes, No
3. 3. Answer to question about familiar expression: Surprising, Not Surprising
4. 4. Program you advocate for disease outbreak: Program A, Program B
5. 5. Answer to question about January Series speakers: I Agree, I Disagree
6. 6. Last name starts with “D”, “V” or “W” (Remember to follow the special instructions!): Yes, No