Background Questionnaire

Please answer all of the following questions as they describe you.

1. Gender (circle one): Female Male	8. Please report an estimate of your family’s combined annual income: A. Under $20,000 B. Between $20,000 and $40,000 C. Between $40,000 and $70,000 D. Between $70,000 and $100,000 E. Between $100,000 and $150,000 F. Greater than $150,000
2. Age ______	9. Please circle one of the following to indicate your primary ethnic identity: A. African American B. Asian American C. White, non-Hispanic D. White, Hispanic E. Middle Eastern F. Other: __________________
3. Religion (circle ONE): A. Christian/Catholic B. Christian/Non-Catholic C. Jewish D. Muslim E. Other _____________	10. If you are married or not, please indicate the age that you believe is best for you to get married. _____ Years old.
4. What kind of area were you raised in? A. rural B. small town C. suburban D. urban	11. If you are married or not, please indicate the age at marriage that you believe would be best for your spouse (if and when you do get married). _____ Years old.
5. Political orientation: A. very conservative B. conservative C. moderate D. liberal E. very liberal	12. Please indicate the optimal number of children you would like to have during your lifetime. _______
6. Sexual orientation: A. primarily heterosexual B. primarily bisexual C. primarily homosexual D. Other _________________	13. Please indicate how many biological and adopted children you have. A. Biological Children ________ B. Adopted Children ________
7. Marital status of parents: A. Married B. Separated C. Divorced D. Never married	14. Please rate your general attitude toward a woman’s right to have an abortion on the following scale (circle one): very opposed neutral very in favor 1 2 3 4 5