Math Jam Pre-Program Questionnaire for Students

About You

We want to learn more about you and your goals in Math Jam. Your feedback will help us make the program better and fit your needs!

1. What is your First Name?

2. What is your Last Name?

3. What is your Age group? Required Question

4. What is your Gender? Required Question

	Female
	Male

5. What is your Ethnicity/Race? Required Question

6. What is your major?

7. Are you the first in your family to attend college? Required Question

	Yes
	No

8. What is your main reason for participating in Math Jam? Required Question

33%

Survey Software powered by SurveyGizmo

	American Indian or other Native American
	Asian, Asian American or Pacific Islander
	Native Hawaiian
	Black or African American, Non-Hispanic
	White, Non-Hispanic
	Hispanic, Latino, Spanish
	Other