Statistics 480 - Homework 1 - Sample Questionnaires

STAT 101 Student Questionnaire

Answer each of the following by filling in the blank or circling your choice. Be honest, your answers are anonymous so DO NOT put your name on this paper.


My sex is:    male     female

My age is:  ____________

My height is: ____________ cm

I live:  on campus  off campus





STAT 101 Student Questionnaire 001

Answer each of the following by filling in the blank or circling your choice. Be honest, your answers are anonymous so DO NOT put your name on this paper.


My sex is:    male  XX female

My age is:  ____19______

My height is: __167.64____ cm

I live: XX on campus    off campus

STAT 101 Student Questionnaire 002

Answer each of the following by filling in the blank or circling your choice. Be honest, your answers are anonymous so DO NOT put your name on this paper.


My sex is:    male    XX female

My age is:  ____20______

My height is: ____172_____ cm

I live:  on campus   XX off campus


STAT 101 Student Questionnaire 003

Answer each of the following by filling in the blank or circling your choice. Be honest, your answers are anonymous so DO NOT put your name on this paper.

  • How many miles is it from your home town to Ames? If your home town is Ames, put zero. ________0______

  • Did you consume alcoholic beverages between 5 pm Friday, September 11, 1998 and 11 pm Sunday, September 13, 1998?

                       yes            XX no
    

  • If the election for governor of Iowa were held today, for whom would you vote?

      XX Jim Ross Lightfoot       Tom Vilsack       Don't know
    

  • At any time between 5 pm Friday, September 11, 1998 and 11 pm Sunday, September 13, 1998 did you ``binge drink'' (drink 5 alcoholic beverages in a row for men, 4 alcoholic beverages in a row for women)?

                       yes            XX no
    

  • The number of credit hours I am taking this semester is ____16____


My sex is:    male     XX female

My age is:  ____29______

My height is: ____68.5_____ cm

I live:  on campus    XX off campus