Pre Survey

Basic Information

Basic information

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your Student ID number? (optional)

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* 4. What is your date of birth?

Date of birth

Date

Question Title

* 5. What is your race/ethnicity?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Native Hawaiian or other Pacific Islander

White or Caucasian

Decline to State

Other (please specify)

Question Title

* 6. Which school do you attend?

Russell Westbrook Why Not? Middle School

Russell Westbrook Why Not? High School

Manual Arts Senior High

John Muir Middle

West Adams Preparatory High

CRCD Academy

Crenshaw Science, Technology, Engineering, Math and Medicine Magnet

Susan Miller Dorsey Senior High

John C. Fremont Senior High

Augustus F. Hawkins High A Critical Design and Gaming

Augustus F. Hawkins High B Community Health Advocates

Augustus F. Hawkins High C Responsible Indigenous Social Entrepreneurship

Orthopaedic Hospital

Santee Education Complex

Synergy Quantum Academy

Other (please specify)

Question Title

* 7. What is your current grade level?

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12