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Demographic Survey for Intergroup Communication
The success of this course depends on the diversity of its students. Please share some of your demographic information with us so we can get a sense of who is in the course.
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Email
*
Your email
Are you enrolled in the course on axess?
Yes
No, but I would like to be put on the waitlist
Clear selection
What is your name? (as it appears in the Stanford directory)
Your answer
What is your student ID number?
Your answer
What words would you use to describe your gender, if applicable?
Woman
Man
Prefer to self-identify
If you selected "prefer to self-identify" for the previous question, you can use this space to tell us what word(s) you use to describe your gender
Your answer
What words would you use to describe your sexual orientation?
Straight
Queer
Prefer to self-identify
If you selected "prefer to self-identify" for the previous question, you can use this space to tell us what word(s) you use to describe your sexual orientation
Your answer
With which racial and/or ethnic categories do you identify? Check any that apply.
We are using the census categories, so please feel free to add your own if the terms do not describe you
American Indian or Alaskan Native
Asian
Black
Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Other:
What is your socioeconomic status?
Low income
Middle income
High income
Clear selection
With what religious system do you identify, if any?
Your answer
In which city have you lived the longest?
Your answer
How would you describe your political identity?
Democrat
Republican
Other:
Clear selection
Which term describes your place in your family's birth order?
Only child
Youngest child
Middle child
Oldest child
Clear selection
Send me a copy of my responses.
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