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Exit Survey
 
 
Check your gender:
 
Male
 
Female

 
 
 
What is your Ethnicity? Check all that apply:
 
Caucasian
 
Bangladeshi
 
European
 
Southeastern Asian
 
Alaskan Native
 
Latino/Latina American
 
Nepalese
 
African American
 
Latino/Latina
 
Asian American
 
Native American
 
African
 
Hawaiian/Pacific Islander
 
Middle Eastern American
 
Asian Indian
 
MIddle Eastern
 
Mixed
 
Other
 

 
 
 
What is your age?
   
 
 
 
Fill in all of your current majors:
   
 
 
 
Fill in all of your current minors:
   
 
 
 
What is your current GPA (on a 1.0- 4.0 scale) ?
   
 
 
 
On the whole I am satisfied with myself.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
 
At times I think I am no good at all.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
 
I feel that I have a number of good qualities.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Disagree
 
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