| 1. | How sure are you about the educational program choice you indicated in item 8? | |
| A. Very sure B. Fairly sure |
C. Not sure | |
| 2. | Do you think you may have trouble with transportation to get to school on time? | |
| A. Yes B. Maybe |
C. No | |
| 3. | How will you travel to school? | |
| A. Walk B. Drive a car C. Ride with someone |
D. Bus E. Train | |
| 4. | Do you think you may have trouble with your current child or elderly care arrangement? | |
| A. Yes B. Maybe |
C. No | |
| 5. | Do you need information about financial aid? | |
| A. Yes B. Maybe |
C. No | |
| 6. | Do you have any concerns about your housing arrangements for the time you are in school? | |
| A. Yes B. Maybe |
C. No | |
| 7. | How would you rate your present study skills? | |
| A. Very strong B. Strong C. Average |
D. Weak E. Unsure | |
| 8. | How many hours per week will you be working while you are going to school? | |
| A. 0 B. 1-10 C. 11-20 |
D. 21-30 E. 31 or more | |
| 9. | How did you first learn about our school? | |
| A. High school counselor B. Friend C. Employer |
D. Website E. Advertisement | |
| 10. | What radio station do you listen to most often? | |
| A. WCBS B. WBBM C. KRLS |
D. KKRQ E. KOA | |
