You are on page 1of 1

Questionnaire:

Part I:

1. Please Mark check (/) your gender and circled your age below.
( Butangi sin tsek (/) kun nano am imo kasarian dikan lipuyuki kun ngani na grupo im edad sa
ilarom )
Male (Lalaki) Female (Babaye)

0-17 yrs. Old 18-24 25-34 35-44 45-54 55-64 65-74


75 and older

2. Please circle the highest degree you have received/ level of school you have completed.
( Lipuyuki an lebel na imo naabot sa pag eskwela )
Elementary Level High School Level Some College/No Degree
College with a degree Masters Doctoral degree (such as PhD)
Professional Degree (such as JD, MD)

3. Please mark check your Socio-Economic Status provided below.


( Butangi sin tsek (/) kun pira an imo kita sa sulod sin sayo katuig )

High – (26,000 and up)


Average – (16,000-25,000)
Below Average – (6,000 – 15,000)
Low – (5,000 and below)

Part II:

You might also like