Please answer the following questions. Do not put your name on this sheet. Skip any questions
that you feel uncomfortable answering. These data are being collected to learn more about
students who take Stat 101 and will be used to form a database that can be used for examples,
homework and laboratory assignments.
1. What is your age? ______
2. What is your gender (M = male, F = female)? ______
3. What is your height (recorded in inches)? ______
4. Aside from the time in lecture and lab, how many hours a week, on average, do you
expect to spend studying and completing assignments for this course? ______
5. Do you smoke cigarettes (Y = yes, N = no)? ______
6. How many different people have you dated in the last 30 days? ______
7. When is premarital sex wrong? (1 = Always Wrong, 2 = Almost Always Wrong, 3 =
Sometimes Wrong, 4 = Not Wrong at All) ______
8. Did you drink alcohol at any time during last weekend (Y = yes, N = no)? ______
If you answered no to question 7, skip to question 9.
9. During last weekend did you engage in binge drinking (4 or more drinks in a 2 hour
period for females/5 or more drinks in a 2 hour period for males) (Y = yes, N = no)?
______
10. What was your high school GPA (based on a 4.0 scale)? ______
11. What is your current college cumulative GPA (based on a 4.0 scale)? ______
12. What is the distance from your home town to Ames in miles? ______
13. How many minutes each day, on average, do you spend browsing the Internet? ______
14. How many minutes each day, on average, do you watch TV? ______
15. How many hours each week, on average, do you participate in sports or have other
physical activity? ______
16. How many times a week, on average, do you read a daily newspaper? ______
17. Do you consider yourself a vegetarian (Y = yes, N = no)? ______
18. How would you rate yourself politically? (1 = very liberal, 2 = liberal, 3 = slightly liberal,
4 = moderate, 5 = slightly conservative, 6 = conservative, 7 = very conservative) ______
19. What is your political affiliation? (D = Democrat, I = Independent, R = Republican)
______
20. What is your religion? (C = Catholic, J = Jewish, P = Protestant, N = None, O = Other
(please specify)) ________________