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Media and Culture Survey
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1.
What is your grade/education level?
(Required.)
Sr.
Jr.
Sophomore
Freshman
High school grad
College grad
Middle school
Other (please specify)
2.
What school do/did you attend?
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3.
What is your ethnicity?
(Required.)
Hispanic/Latinx
Indigenous American
White
African American
Asian American
Other (please specify)
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4.
What culture(s) do you most closely identify with?
(Required.)
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5.
What types of Media do you use daily?
(Required.)
Social Media (Snapchat, TikTok, Instagram, etc..)
Television
Print Marketing (newspaper, magazines, banners, etc..)
Books
Radio
Web/Search browser
None of the above
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6.
How much would you say that Media has an effect on your values?
(Required.)
Very
A good amount
A bit
Not at all
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7.
How much would you say that Media has an effect on your
culture's
values?
(Required.)
Very
A good amount
A bit
Not at all
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8.
Would you say that Media has had an impact on your opinions, norms, values, or beliefs?
(Required.)
Yes
No
Indifferent
9.
How has Media impacted you? (optional)