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Questionnaire A (English)
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* Indicates required question
CODE
*
Your answer
Gender
*
Male
Female
Year of birth
*
Choose
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Month of birth
*
Choose
Enero
Febrero
Marzo
Abril
Mayo
Junio
Julio
Agosto
Septiembre
Octubre
Noviembre
Diciembre
Age
*
Choose
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
32
Approximate weight in kilograms (kg)
*
Choose
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
Approximate height in centimeters (cm)
*
Choose
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
At the moment, I live with:
Mother and father
Mother only
Father only
Other relatives
Clear selection
Mother's marital status
Single
Married
Separated/divorced
Widow
Clear selection
Mother's level of education (check one)
No studies
Elementary
Secondary
Professional Training
University studies
I don't know
Clear selection
Mother's employment status (check one)
Not working
Part-time work
Full-time job
Retired
Clear selection
Mother's occupation (e.g., teacher)
Your answer
Father's marital status (check one)
Single
Married
Separated/divorced
Widower
Clear selection
Father's level of education (check one)
No studies
Elementary
Secondary
Professional Training
University studies
I don't know
Clear selection
Father's employment status (check one)
Not working
Part-time work
Full-time work
Retired
Clear selection
Father's occupation (e.g. plumber)
Your answer
Have you ever repeated a course?
Yes
No
Clear selection
Do you have your own bedroom at home?
Yes
No
Clear selection
Is there Internet access at home?
Yes
No
Clear selection
How many computers are there at home?
Choose
0
1
2
3
4
5
6
7
8
9
10
How many cars are at home?
Choose
0
1
2
3
4
5
6
7
8
9
10
Next
Clear form
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