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Space Exploration Survey Paul Head
Thank you for taking time to complete this survey. Your participation is completely on a voluntary basis. This survey is entirely confidential, and your individual identity will not be made public.
Please indicate your level of agreement on the following items. Place a checkmark next to the number you so chose, one per item only.
1 = Strongly Disagree 2 = Disagree 3 = Not Sure 4 = Agree 5 = Strongly Agree
1. Government funds should continue to be used for space exploration. 1□ 2□ 3□ 4□ 5□
2. Funding towards space exploration has been used efficiently in the past. 1□ 2□ 3□ 4□ 5□
3. The Space program places technological advancement ahead of celestial dreams. 1□ 2□ 3□ 4□ 5□
4. The Space program has made great contributions to how we live today. 1□ 2□ 3□ 4□ 5□
5. Space exploration is a government funded, independently operated, field of study. 1□ 2□ 3□ 4□ 5□
6. Space exploration would be a justified reason to raise taxes a small percent. 1□ 2□ 3□ 4□ 5□ » Explain below why you chose your answer for #6. _______________________________________________________________ _______________________________________________________________
7. Age: ___ YEARS
8. Gender: □ Male □ Female □ Undisclosed
9. Political Party Affiliation: □ Democrat □ Republican □ Independent □ Other: _____________
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Abortion Survey Corrine Clark This survey is designed to find out your position on the abortion issue. This survey is strictly voluntary. You are under no obligation to fill out any of it. Under no circumstances will your identity be made public on any of your responses. Directions: Please circle ONLY ONE answer for each question unless otherwise stated.1. Abortion should be banned regardless of any and all circumstances. NO! NO no ? yes YES YES!
2. The reason(s) I believe the way I do about an abortion ban as indicated in question #1 is (are): _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Directions: Check ONLY ONE of the following 3. When do you believe a fetus has a soul? __At conception __At birth __At some time between conception and birth
4. FEMALES ONLY ANSWER! (circle one) Have you ever had an abortion? Yes No If not, would you have an abortion for any reason (i.e. unwanted pregnancy, rape, etc.)? Yes No
5. MALES ONLY ANSWER! (circle one) Have you ever encouraged and/or paid for an abortion for a spouse or significant other? Yes No If not, would you encourage and/or pay for an abortion for a spouse or significant other? Yes No
6. How many abortions are performed in the U.S. each year (in raw numbers)? __________________
7. What conditions, if any, must be met in order for an abortion to be illegal under federal law in the U.S.?
Directions: Please check all of the options that apply to your beliefs. 8. I believe that abortion is acceptable in the case(s) of: ___rape ___incest ___unwanted pregnancies ___any circumstance ___other
Demographic questions 1. What is your age in years? ____ 2. What is your sex? Male___ Female___
3. Please check your race. ___European American (white) ___African American ___Native American ___Pacific Islander/Alaskan Native ___Hispanic American/Latino ___Asian American ___Other_________
4. Please check your political affiliation. ___Republican ___Democrat ___Other_________ ___Independent/Non-Affiliated
5. Please check your religious affiliation. ___Roman Catholic ___Protestant ___Judaism ___Other______ ___I have no religious affiliation. |