Sunday, September 5, 2010
Screening Information
The red fields are required.
1. Did you enroll in college or trade school for the first time since July 1, 2009?
Yes - skip to question 4 No - go to question 2
2. When were you previously enrolled, and for how long? [Open-ended response]
3. Was this enrollment before you completed high school?
Yes - go to question 4
No - Thank you for inquiring about this study, but you are not eligible to participate
Both before and after - Thank you for inquiring about this study, but you are not eligible to participate
4. What is the name of the school you are currently attending?
5. Since you completed high school, have you taken remedial or developmental courses to improve your basic skills, such as in mathematics, reading, writing, or studying?
Yes No
6. What is your age? Are you...
Under 18 - Thank you for inquiring about this study, but you are not eligible to participate.
18-20
21-24
25-29
30 or older
7. What is your gender?
Male Female
8. Do you (or your spouse) have any children whom you support financially?
Yes No
9. Are you working full-time?
Yes No
10. First Name
11. Last Name
12. What is the best phone number to reach you?
13. What is your email address?
14. What days of the weeks and times of day would you be available to attend a focus group? weekdays 9am-5pm
weekdays after 5pm
weekends 9am-5pm
weekends after 5pm
certain days-
How did you hear about this?