Hypothesis Testing/Research Survey

Please carefully read the following hypothesis in order to complete the survey

[ENTER CLEAR STATEMENT OF YOUR HYPOTHESIS]

1. Please rate your agreement with the hypothesis on a scale of 1-5 where (1) means "strongly disagree" and (5) means "strongly agree."

Strongly Disagree		Neutral		Strongly Agree
*Please rate your agreement with the hypothesis on a scale of 1-5 where (1) means "strongly disagree" and (5) means "strongly agree." Strongly Disagree		Neutral		Strongly Agree

2. How familiar are you with the hypothesis or its overall subject? Check all that apply.

How familiar are you with the hypothesis or its overall subject? Check all that apply. Direct experience/first hand knowledge

Have closely followed debate/discussion on the subject

Somewhat familiar with various opinions on the subject

Not familiar with the subject

Not familiar with debate/opinions on the subject

3. Do you think that your position regarding the hypothesis is:

Do you think that your position regarding the hypothesis is: That of the majority

A minority opinion

Or that positions regarding the hypothesis are evenly divided

Don't know

4. How do you think others with backgrounds like yours would feel about the stated hypothesis? For each description area, please indicate an answer using a 1-5 scale where (1) is "Strongly disagree" and (5) is "Strongly agree."

	Strongly Disagree		No Opinion/Neutral		Strongly Agree
Those in same age group	*How do you think others with backgrounds like yours would feel about the stated hypothesis? For each description area, please indicate an answer using a 1-5 scale where (1) is "Strongly disagree" and (5) is "Strongly agree." Those in same age group Strongly Disagree	Those in same age group	Those in same age group No Opinion/Neutral	Those in same age group	Those in same age group Strongly Agree
Same gender	Same gender Strongly Disagree	Same gender	Same gender No Opinion/Neutral	Same gender	Same gender Strongly Agree
Same marital status	Same marital status Strongly Disagree	Same marital status	Same marital status No Opinion/Neutral	Same marital status	Same marital status Strongly Agree
Same income level	Same income level Strongly Disagree	Same income level	Same income level No Opinion/Neutral	Same income level	Same income level Strongly Agree
Same ethnic identity	Same ethnic identity Strongly Disagree	Same ethnic identity	Same ethnic identity No Opinion/Neutral	Same ethnic identity	Same ethnic identity Strongly Agree
Same educational level	Same educational level Strongly Disagree	Same educational level	Same educational level No Opinion/Neutral	Same educational level	Same educational level Strongly Agree
All of the above	All of the above Strongly Disagree	All of the above	All of the above No Opinion/Neutral	All of the above	All of the above Strongly Agree

5. What do you think most influences opinion regarding the hypothesis?

What do you think most influences opinion regarding the hypothesis?

6. Which of the following influenced your opinion on the hypothesis? Please check all that apply.

Which of the following influenced your opinion on the hypothesis? Please check all that apply. [Enter Factor A]

[Enter Factor B]

[Enter Factor C]

[Enter Factor D...]

Other, please specify

7. Has your opinion on this hypothesis or its subject changed? Please indicate when:

Has your opinion on this hypothesis or its subject changed? Please indicate when: Within last two years

Within last three to five years

Over five years ago

Opinion has not changed

8. If your position has changed, what factors influenced that change?

If your position has changed, what factors influenced that change?