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Exit Survey
 
 
Are you Male of Female?
 
Male
 
Female
 
Other
 
 
 
How old are you?
 
16-21
 
22-26
 
23-31
 
31+
 
 
 
Race?
 
White
 
Black
 
Asian
 
Hispanic
 
Native
 
Other
 
 
 
Religion?
 
Protestant
 
Catholic
 
Christian
 
Judaism
 
Islam
 
Buddhism
 
Hindu
 
Native American
 
Non
 
Other

 
 
 
Parents Divorced?
 
Yes
 
no
 
 
 
Do you own pets or used to own pets?
 
Yes
 
No
 
 
 
Family died?
 
Yes
 
No
 
 
 
U.S. Born?
 
Yes
 
No
 
 
 
If no where?
 
Europe
 
Africa
 
Asia
 
Australia
 
S A
 
AMERICA BBY
 
Other
 
 
 
What are you afraid of?
 
Snakes
 
Bugs
 
Dogs
 
Heights
 
Flying in a plane
 
Dark
 
$$$
 
People
 
Speaking
 
Rejection
 
Fails
 
Losing loved one
 
Death