A. INFORMATION ABOUT YOURSELF (S3, 2011)





HISPS3 A1 Are you Hispanic?

0 No

1 Yes

-9 Missing




A1A If yes, are you? 

 

0 Not checked

1 Checked

Missing HISPMS3


HISPAS3 a  Mexican

HISPBS3 b  Puerto Rican

HISPCS3 c  Cuban

HISPDS3 d  Spanish

HISPES3  e  From another Hispanic or Latino group: HISPXS3

 



A2 What is your race? (Please circle numbers for one or more races to show  what you consider yourself to be.)

 

0 Not checked

1 Checked

Missing RACEMS3

 

RACE1S3 White

RACE2S3 Black, African American

RACE3S3 American Indian or Alaskan Native

            What is your primary tribe? RAC3XS3

RACE4S3 Asian (what group?-RAC4XS3)

RACE5S3 Pacific Islander (what group?-RAC5XS3)

RACE6S3 Other (please specify-RAC6XS3)

 



A3 What is your birth date?


                Month BRTMS3/Day BTHDS3/Year
BTHYS3



SEXS3 A4 Are you male or female?


0 Female 

1 Male

-9 Missing




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B. School (S3, 2011)