Question 5 and 6

Date________________

1. Are you employed?

[ ]Yes

[ ]No

2. If employed, how many hours per week do you work? ______________

3. How many hours of sleep do you get at night?_________________

4. How much time do you spend on homework?_____________________

5. Have you taken property from another without their permission?

[ ] None at all

[ ] 1 to 2 times

[ ] 3-5 times

[ ] 6 or more times

6. Have you destroyed the property of another?

[ ] None at all

[ ] 1 to 2 times

[ ] 3-5 times

[ ] 6 or more times

7. Do you belong to an athletic club or team on campus?

[ ]Yes

[ ]No

8. Do you belong to a sorority on campus?

[ ]Yes

[ ]No

9. Are you a member of an honor society?

[ ]Yes

[ ]No

10. Do you belong to a social club on campus?

[ ]Yes

[ ]No

11. Do you commute to campus?

[ ]Yes

[ ]No

12. Do you live on campus?

[ ]Yes

[ ]No

13. Do you live with your parents?

[ ]Yes

[ ]No

14. Have any of your family members been incarcerated in prison or jail?

[ ] Yes

[ ] No

If yes, please fill out the following table:

15. Was your mother or father incarcerated in prison or jail during your childhood?

[ ] Yes

[ ] No

16. Do you consume alcohol on campus?

[ ]Yes

[ ]No

17. Do you consume alcohol off campus?

[ ]Yes

[ ]No

18. Do you use illegal drugs on campus?

[ ]Yes

[ ]No

19. Do you use illegal drugs off campus?

[ ]Yes

[ ]No

For each of the following, check one box that describes your personality.

Strongly Agree Disagree Strongly

Agree Disagree

1. I often act on the spur of the [ ] [ ] [ ] [ ]

moment without stopping to think.

2. I devote much thought and [ ] [ ] [ ] [ ]

effort to preparing for the future.

3. I often do whatever brings [ ] [ ] [ ] [ ]

me pleasure here and now,

even at the cost of some distant goal.

Strongly Agree Disagree Strongly

Agree Disagree

4. I am more concerned with [ ] [ ] [ ] [ ]

what happens to me in the

long run rather than the short run.

5. I frequently try to seek out projects [ ] [ ] [ ] [ ]

that I know will be difficult.

6. When things get complicated, [ ] [ ] [ ] [ ]

I tend to quit or withdraw.

7. The things in life that are easiest to [ ] [ ] [ ] [ ]

do bring me the most pleasure.

8. I like really hard tasks that stretch [ ] [ ] [ ] [ ]

my abilities to the limit.

9. I feel little need to test myself [ ] [ ] [ ] [ ]

every now and then by doing

something a little risky.

10. Sometimes I will take a risk just [ ] [ ] [ ] [ ]

for the fun of it.

11. I find no excitement in doing [ ] [ ] [ ] [ ]

things for which I might get in trouble.

12. Excitement and adventure are [ ] [ ] [ ] [ ]

more important to me than security.

13. If I had a choice, I would almost [ ] [ ] [ ] [ ]

always rather do something

mental than something physical.

14. I almost always feel better when [ ] [ ] [ ] [ ]

I am on the move than when I

am sitting and thinking.

15. I like to read or contemplate ideas [ ] [ ] [ ] [ ]

More than I like to get out and do things.

16. I seem to have more energy and a [ ] [ ] [ ] [ ]

greater need for activity than most

other people my age.

17. I try to look out for others first, [ ] [ ] [ ] [ ]

even if it means making things

difficult for myself.

18. I’m very sympathetic to other people [ ] [ ] [ ] [ ]

when they are having problems.

Strongly Agree Disagree Strongly

Agree Disagree

19. If things I do upset people, it’s their [ ] [ ] [ ] [ ]

problem not mine.

20. I will try to get the things I want even [ ] [ ] [ ] [ ]

when I know it’s causing problems

for other people.

21. I don’t lose my temper very easily. [ ] [ ] [ ] [ ]

22. Often, when I’m angry at people I

feel more like hurting them than [ ] [ ] [ ] [ ]

talking to them about why I am angry.

23. When I’m really angry, other people [ ] [ ] [ ] [ ]

better stay away from me.

24. When I have a serious disagreement [ ] [ ] [ ] [ ]

with someone, I can usually talk

calmly about it without getting upset.

For each of the following, check one box that describes your personality.

Strongly Agree Disagree Strongly

Agree Disagree

1. I want to be the kind of person [ ] [ ] [ ] [ ]

my mother is.

2. I want to be the kind of person [ ] [ ] [ ] [ ]

my father is.

3. My parents would stick by me if [ ] [ ] [ ] [ ]

I got into trouble.

4. I want to be the kind of person most [ ] [ ] [ ] [ ]

of my friends are.

5. I respect the opinions of most of [ ] [ ] [ ] [ ]

my friends.

6. I feel like I can talk to my parents [ ] [ ] [ ] [ ]

about anything.

7. My parents always trust me. [ ] [ ] [ ] [ ]

8. My parents always praise me [ ] [ ] [ ] [ ]

when I do well.

Strongly Agree Disagree Strongly

Agree Disagree

9. I dedicate a lot of my time to [ ] [ ] [ ] [ ]

homework and studying.

10. I enjoy going to class. [ ] [ ] [ ] [ ]

11. I participate in class discussions. [ ] [ ] [ ] [ ]

12. I try hard in school. [ ] [ ] [ ] [ ]

13. Getting good grades is important [ ] [ ] [ ] [ ]

to me.

14. Education is important to me. [ ] [ ] [ ] [ ]

15. I spend time on homework

and/or class projects [ ] [ ] [ ] [ ]

outside of class.

16. I spend time studying for exams [ ] [ ] [ ] [ ]

and quizzes.

17. I spend time attending extracurricular [ ] [ ] [ ] [ ]

activities.

18. Laws are usually beneficial to society. [ ] [ ] [ ] [ ]

19. I try my hardest to always [ ] [ ] [ ] [ ]

follow the law.

20. I know NDM’s rules and they are fair. [ ] [ ] [ ] [ ]

21. If I break NDM’s rules, I will be punished. [ ] [ ] [ ] [ ]

22. I know my home state’s laws and [ ] [ ] [ ] [ ]

they are fair.

23. If I break my home state’s laws, I will [ ] [ ] [ ] [ ]

be punished

Perceptions of Police Officers

Strongly Agree Neither Agree Disagree Strongly

Agree Nor Disagree Disagree

1. Police officers are friendly [ ] [ ] [ ] [ ] [ ]

2. Police officers protect me [ ] [ ] [ ] [ ] [ ]

3. Police officers treat all [ ] [ ] [ ] [ ] [ ]

people fairly

4. I like the police [ ] [ ] [ ] [ ] [ ]

Strongly Agree Neither Agree Disagree Strongly

Agree Nor Disagree Disagree

5. The police are good people [ ] [ ] [ ] [ ] [ ]

6. The police do not discriminate [ ] [ ] [ ] [ ] [ ]

7. The police provide safety [ ] [ ] [ ] [ ] [ ]

8. The police are helpful [ ] [ ] [ ] [ ] [ ]

9. The police are trustworthy [ ] [ ] [ ] [ ] [ ]

10. The police are reliable [ ] [ ] [ ] [ ] [ ]

11. Police officers are unbiased [ ] [ ] [ ] [ ] [ ]

12. Police officers care about [ ] [ ] [ ] [ ] [ ]

my community

Demographic Information

1. Gender

[ ]Male

[ ]Female

2. Age __________

3. Race

[ ]Caucasian

[ ]African America

[ ]Asian

[ ]Hispanic

[ ]Middle Eastern Descent

[ ]Biracial

[ ]Other__________________________

4. Class Standing

[ ]Freshman

[ ]Sophomore

[ ]Junior

[ ]Senior

[ ]Graduate

5. GPA__________________________

6. Area of Study

[ ]Social Science

[ ]Business/Communication Arts

[ ]Science/Math

[ ]Humanities/Fine Arts

7. Are you a full-time student?

[ ]Yes

[ ]No

8. Are you concerned about paying for school next semester?

[ ]Yes

[ ]No

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