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2022 - FALL - 2ND HALF -UWP Student Survey
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* Indicates required question
Email
*
Your email
FIRST NAME
*
Your answer
MIDDLE INITIAL
Your answer
LAST NAME
*
Your answer
CELL PHONE NUMBER
*
Your answer
SEX
*
Choose
MALE
FEMALE
YEAR OF BIRTH
*
Choose
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
MONTH OF BIRTH
*
Choose
January
February
March
April
May
June
July
August
September
October
November
December
DAY
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AGE
*
Your answer
HOW TALL ARE YOU? - FEET & INCHES
*
Choose
4’0″
4’1″
4’2″
4’3″
4’4″
4’5″
4’6″
4’7″
4’8″
4’9″
4’10”
4’11”
5’0″
5’1″
5’2″
5’3″
5’4″
5’5″
5’6″
5’7″
5’8″
5’9″
5’10”
5’11”
6’0″
6’1″
6’2″
6’3″
6’4″
6’5″
6’6″
6’7″
6’8″
6’9″
6’10”
6’11”
7’0″
7’1″
7’2″
WEIGHT IN LBS
*
Your answer
SHOE SIZE
*
Choose
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12
13
14
15
16
DO YOU INTEND TO FINISH THE SCUBA CERTIFICATION DIVES
*
Yes
No
Maybe
IF SO, WHAT TIME FRAME IS BEST?
FALL 2023
SPRING BREAK 2023
SPRING AFTER GRADUATION 2023
SUMMER 2023
ON A TRIP OF MY OWN
Other:
COMMENTS OR CONCERNS?
Your answer
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