Longwood University Therapeutic Recreation Program
Graduating Senior Survey
Instructions: Please place a check mark in front of the following items to select the most appropriate response.
DATE:
Section 1.
Demographics
1. Age
under 20
20 to 24
25-29
30 & over
2. Gender
Female
Male
3. Ethnicity/race
African American
Hispanic/Latino
Asian, Pacific Islanders
Caucasian
Other
4. Years in school (including community college)
4
5
6
6 or more
5. Changed majors?
No
Once
Twice
More than 2
Identify any major you had begun
6. Completed a minor
Yes
No
If yes, identify minor:
7. Place of residence
Section 2.
Future Plans
8. Do you intend to go to graduate school?
Yes
No
Undecided
If yes, which field of study?
9. Have you secured full-time employment post graduation?
Yes
No
If no, go to question 11. If yes, is is a TR position?
Yes
No
10. Which of the following settings best describe your position:
medical/hospital
community
supervisory
administration
Other (please describe)
11. Which of the following responsibilities describe your position? (check all that apply)
Supervisory
Administration
Entry level
Other
11a. Location of place of work:
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