BASICS Initial Survey
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1. Demographics

20%

Please Take 10-15 minutes to fill out this brief initial survey. This information is used to assist your first BASICS session.

1. Please answer the following demographic questions:

Please answer the following demographic questions: Name left on BASICS Voicemail (this was not your full name- if you forgot, leave this blank)
Sex:
Age (in years):

2. Are you a member of a...

	Yes	No
Fraternity	*Are you a member of a... Fraternity Yes	Fraternity No
Sorority	Sorority Yes	Sorority No
College Athletic team?	College Athletic team? Yes	College Athletic team? No

3. Class Standing:

Class Standing: Freshman

Sophomore

Junior

Senior

Graduate Student

Other

4. Where do you live?

Where do you live? Residential hall on-campus

Sorority or Fraternity House

Off-Campus Residence

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