|Page Two - Questions 1 through 4|
I suggest changing the response options for questions 1 and 2 to use a frequency scale: always, often, occasionally, rarely, never.
Also, there is a misplaced apostrophe in question 1, I dont' know
|Page Four - Demographics and Questions 7 through 10|
You might consider allowing for a multiracial option for question 10 although 'Other' could be used.
|Your Name||Anne Foster|
|Entry Date||October 1, 2020|