Page 1

In this first section of the survey, we will be asking questions that help us to learn a little more about you. Please answer these items to the best of your ability.

 What is your age?
  years

 What is your gender?
 Woman
 Man
 Transgender (Male to Female)
 Transgender (Female to Male)
 Other, please identify:
 No Response

 What year in school are you?
 1st year, college/university (freshman)
 2nd year, college/university (sophomore)
 3rd year, college/university (junior)
 4th year, college/university (senior)
 5th year, college/university (senior)
 Graduate student
 I am not currently a college or graduate student.
 No response

 What school do you attend?
 

 Which of the following do you feel best describes your race or ethnicity?
 American Indian or Alaska Native
 Asian or Asian-American
 Black or African-American
 Native Hawaiian or Other Pacific Islander
 White or Caucasian
 Multi-racial, please specify:
 Other, please identify:
 No Response

 Are you Hispanic or Latino?
 Yes
 No
 No Response

 Which of these commonly used terms would you use to describe your sexual orientation?
 Heterosexual/Straight
 Bisexual
 Lesbian/Homosexual/Gay
 Questionaing,or uncertain
 Asexual (I have never experienced sexual attraction to others)
  Other, please specify:
 No Response

 Which of the following best describes your current relationship status?
 Single, not married or currently partnered
 Married, living with spouse
 Married, not living with spouse
 Partnered, living with partner
 Partnered, not living with partner
 Separated
 Divorced
 Widowed
 Other, please specify:
 No Response