NATIONWIDE | College Students | January 2014 Question Title * 1. First Name: Question Title * 2. Last Name: Question Title * 3. What state do you currently reside? Question Title * 4. Phone Numbers: Day Phone: Eve Phone: Question Title * 5. What is your exact age? (digits only) Question Title * 6. Are you currently enrolled at a college/university and what best describes the type you are currently attending? No, I do not attend a college/university Yes, I attend a small college/university (Less than 5,000 students) Yes, I attend a mid-size college university (5,000 to 15,000 students) Yes, I attend a large college/university (More than 15,000 students) Question Title * 7. What year are you in college/university? I do not attend college/university Freshman Sophomore Junior Senior Question Title * 8. What is your current living situation at school? I do not attend college/university I live alone on campus (i.e. dormitory/other housing) I live alone off campus I live with my parents I live with a roommate(s) on campus I live with a roommate(s) off campus I live with my spouse/partner Question Title * 9. In order to ensure we are including a variety of people, which of the following best describes your ethnic background? Caucasian African American Hispanic Asian/Pacific Islander Other Next