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Exit Survey
 
 
Age/Gender:
   
 
 
Race: White/ African American/ Latino/ Asian/ Native American/ Pacific Islander American/ Other
   
 
 
What is your current socio-economic status? [lower/middle/upper class]
   
 
 
What type of community do you currently live in?
 
Large urban city
 
Small city
 
Suburb
 
Small town
 
Rural community
 
City/ State
 

 
 
 
What is your highest level of education?
 
High School Diploma
 
Some College
 
2-4 year College Degree
 
Some Graduate School
 
Masters Degree
 
Technical School
 
Area of Study:
 

 
 
 
How do you fund your education?
 
Scholarships
 
Loans
 
Grants
 
Out-of-pocket

 
 
 
Living arrangements?
 
On Campus
 
Off Campus (Alone)
 
Off Campus (With Roommates)
 
With Family
 
 
 
Work Status?
 
Full-Time
 
Part-Time
 
Intern/ Volunteer
 
Unemployed

 
 
 
What was your most recent annual Income?

 
 
 
Please rank the following in order of expense, from greatest (1) to least (6):
Housing/ Bills
Personal Care
Education
Transportation
Entertainment
Food
 
Thank You!