a basic demographic questionnaire

USJF JUDO Study I
1. How old are you? _________ years
2. What is your sex/gender? ___ Female ___ Male
3. What is your race/ethnicity?
___ White ___ Asian ___ Hispanic/Latino
___ Black ___ Other
4. Which City/State/Zip do you live in? __________ _______________ ____________
City State Zip Code
5. How long have you played JUDO? _______ year(s) ________ month(s)
6. What is your Belt Color in JUDO? ____________________
7. How many hours PER DAY do you currently spend PARTICIPATING in or practicing
JUDO?
Days
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Total Minutes
8. Please check the highest level of tournament in which you have competed, if any.
___ None ___ Local level ___ Regional level
___ National level ___ International Level
9. What grade are you in school? _____ grade
10. If you are above 7 th grade, what is your GPA? _________
If you are under 7 th grade, what is your average grade in school (A, B, C, D, or F): _____
11. Please answer how good you are in:
Not at all Somewhat Moderately Very Much
Math 1 2 3 4
Reading 1 2 3 4
Music 1 2 3 4
Sports 1 2 3 4
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USJF JUDO Study I
12. Please answer where you would be if all classmates are graded from the worst to the
best in:
One Average One
Of the Worst
Of the Best
Math 1 2 3 4 5
Reading 1 2 3 4 5
Music 1 2 3 4 5
Sports 1 2 3 4 5
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