CAB Acceptance Survey
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1
. Are you male or female?
Are you male or female?
Male
Female
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2
. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?
Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?
White
Black or African-American
American Indian or Alaskan Native
Asian
Native Hawaiian or other Pacific Islander
From multiple races
Some other race (please specify)
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3
. What school do you attend?
What school do you attend?
Forsyth Technical Community College
Piedmont Baptist College
Salem College
University of North Carolina School of the Arts
Wake Forest University
Winston-Salem State University
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4
. What is your zip code at your school residence in the Winston-Salem area?
What is your zip code at your school residence in the Winston-Salem area?
ZIP:
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5
. Please agree or disagree with the following statement: I feel I have to modify who I am to be fully accepted on my campus.
Please agree or disagree with the following statement: I feel I have to modify who I am to be fully accepted on my campus.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
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6
. How inviting is your campus culture to new and diverse ideas?
How inviting is your campus culture to new and diverse ideas?
Not inviting
Slightly inviting
Moderately inviting
Very inviting
Extremely inviting
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7
. Please agree or disagree with the following statement: Sexual orientation is a barrier to general acceptance on campus.
Please agree or disagree with the following statement: Sexual orientation is a barrier to general acceptance on campus.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
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8
. Please agree or disagree with the following statement: Race is a barrier to general acceptance on campus.
Please agree or disagree with the following statement: Race is a barrier to general acceptance on campus.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
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9
. How aware are you of campus resources available to you when you feel unaccepted or victimized?
How aware are you of campus resources available to you when you feel unaccepted or victimized?
Not aware
Slightly aware
Moderately aware
Very aware
Extremely aware
10
. Please share any additional comments you have regarding diversity on your campus.
Please share any additional comments you have regarding diversity on your campus.
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