Appendix B – Student Survey
Identification Number ________
Please answer the following questions to the best of your ability. If you would prefer not to answer any particular questions, just leave them blank.
(1) What is your gender? (Circle one)
Male Female
Other (Please explain):
___________________________________________________________
(2) Are you employed at least part time? (Circle one)
Yes No
(3) If you answered “Yes” to Question 2, then describe your work on the lines below, including the number of hours you work per week. If you answered “No,” then skip to Question 4.
_________________________________________________________________
_________________________________________________________________
(4) What is your current marital status? (Circle one)
Single and never married Single and divorced Single and a widow or widower
Married Cohabitate (live with a partner but not married)
(5) In what year were you born? ___________
(6) How many people currently live in your home, including yourself? ___________
(7) How many children under the age of 5 currently live in your home? ___________
(8) How would you describe your religion and the extent to which you practice it?
________________________________________________________________
________________________________________________________________
(9) How would you describe your ethnicity? _______________________________
__________________________________________________________________
(10) What is your current academic status? (Circle only one). If you are a graduate student, circle Graduate Student and skip to Question 11.
Freshman Sophomore Junior Senior Graduate Student
Other (Please explain):
__________________________________________________________
(11) Have you declared a major? _________
If “yes,” what is your major? ______________________________
If “no,” are you leaning toward choosing a major? ________ If “yes,” what major is it?
___________________________________________________________________
(12) Have you taken any previous economics courses over the course of your entire academic career? _______
If “yes,” how many? __________
(13) What is your current cumulative grade point average (GPA)? ____________
(14) What type of employment do you see yourself pursuing after you graduate from the university? You can answer “I don’t know” if you are uncertain.
__________________________________________________________________
__________________________________________________________________
(15) On a scale from 1 to 5, with 1 corresponding to “Very Pessimistic” and 5 corresponding to “Very Optimistic,” how do you feel about the direction your life is currently heading? (Circle one number).
(16) If you could be granted one wish in life, what would it be?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
(17) If you were offered the following bet, would you take it?
We flip a fair coin. If it comes up “heads” we pay you $10. If it comes up “tails” you pay us $15.
Yes, I’ll take the bet. No, I won’t take the bet. Sorry, but I never bet.
(18) If instead you were offered the following bet, would you take it?
We flip a fair coin. If it comes up “heads” we pay you $10. If it comes up “tails” you pay us $10.
Yes, I’ll take the bet. No, I won’t take the bet. Sorry, but I never bet.
Thank you for participating in this survey!
Media Attributions
- Figure 1 (Appendix B) © Arthur Caplan is licensed under a CC BY (Attribution) license