Statistics Data Collection

This is a comprehensive questionnaire as an attempt to compile a large enough database for carrying out statistical tests.

Thank you for taking the time to answer this survey.

Please answer as truthfully as possible so we can have more representative results.
Please select your grade. 

请选择你的年级

Grade 11
Grade 12
Gender:

性别：

male
female
prefer not to say
Which month are you born in? 

出生月份？

January
February
March
April
May
June
July
August
September
October
November
December
Which year are you born in? 

出生年份？

    ____________
Which province/country is your family from? 

祖籍 / 来自哪个国家？

    ____________
How many siblings do you have (not including yourself)? 你有多少兄弟姐妹？（不计入自己）
    ____________
Which city are you in right now? 

你身处哪座城市？

    ____________
Are you still in lockdown? 

你还在封禁中吗？

Yes
No
How many days were you / have you been in lockdown since February 2022?

自2022年2月份，你被封禁了几天？

    ____________
What time do you usually sleep on weekdays?

你在上课日通常几点睡觉？

    ____________
What time do you usually wake up on weekends?

你在周末通常几点起床？

    ____________
Do you have monolids or double eyelids?

你是单眼皮或是双眼皮？

Monolids (单眼皮)
Double eyelids (双眼皮)
One of each (一单一双)
Do you wear corrective lens? [glasses and contacts]

你是否佩戴矫正性眼镜？这包括传统和隐形眼镜

Yes
No
What is the power of your corrective lens?

你的眼镜度数？

    ____________
Can you roll your tongue?

你能卷舌吗？

Yes
No
Can you raise one side of your eyebrow?

你能单边抬起眉毛吗？

Yes
No
Do you have earlobes?

你是否拥有耳垂？

Yes
No
Do you have any tattoo(s)?

你有纹身吗？

Yes
No
How many tattoos do you have?

你有多少纹身？

    ____________
Do you have any ear piercing(s)?

你有耳洞吗？

Yes
No
How many ear piercing(s) do you have?

你有多少耳洞？

    ____________
How many offer letters did you receive? (answer N/A if you are in G11)

你收到了多少份录取通知书？（11年纪生回答N/A）

    ____________
What will your college major be?

未来本科专业？

    ____________
Which country will you go to for college/university?

你将前往哪个国家就读本科？

    ____________
How many math courses did you take this school year?

你本学年在校内加入了多少数学类课程？

0
1
2
3
How many AP courses did you take in school this year?

你本学年在校内加入了多少AP课程？

0
1
2
3
4
5
6
7
Which do you prefer?

你更倾向于

English
Mathematics
Please rate your experience in KCISEC. 

请为你的康桥生活打分。

选项1 ★ ★ ★ ★ ★
Which do you prefer?

你更倾向于

Cat
Dog
Which do you prefer?

你更倾向于

Black
White
How many countries have you been to?

你曾前往多少国家？

    ____________
How many musical instruments can you play?

你会多少种乐器？

0
1
2
3
4
5
5
What musical instruments can you play?

你会哪些乐器？

    ____________
What is your preferred music genre?

你最喜爱的音乐类型？

    ____________
What do you like to do when you’re free? (besides sleeping and eating)

空闲时，你最想做的事情？（睡觉和吃饭除外）

    ____________
What did 7-year-old you want to be when your grow up?

七岁的你想长大干成什么？

    ____________
Where do you prefer to eat at when in school?

你更倾向于学校的哪个餐厅？

Cafeteria 1
Cafeteria 2
Name your favorite fast-food chain.

你最喜欢的快餐连锁店？

    ____________
Can you accept eating pizza with pineapple topping?

你能接受有菠萝的披萨吗？

Yes
No
What level of sugar (in %) do you prefer when ordering milk tea?

你点奶茶的时候会选几分甜？

    ____________
How do you prefer your jellied bean curd?

你更倾向于哪种口味的豆腐脑？

Sweet (甜口)
Savory (咸口)
Are you allergic to any food item?

你是否对某些食物有过敏反应？

Yes
No
What food allergy do you have?

你对哪种食物过敏？

    ____________
Do you have the habit of eating breakfast?

你有吃早餐的习惯吗？

Yes
No
When you eat cereal, do you put milk first or cereal first?

你吃麦片的时候是先放牛奶还是先放麦片？

Milk
Cereal
Which electronic device(s) do you own? (you may select more than one)

你有哪些电子设备？（可多选）

Desktop
Laptop
Tablet
What is the brand of your laptop?

你的电脑是什么牌子的？

    ____________
What is the brand of your cellphone?

你的手机是什么牌子的？

    ____________
What is the default language on your laptop?

你电脑默认的系统语言是什么？

Chinese
English
Others:
What is the default language on your cellphone?

你手机默认的系统语言是什么？

Chinese
English
Others:
Which search engine do you usually use? (not browser)

你通常使用哪些搜索引擎？（不是游览器）

    ____________
Which of the following describes you?

你符合以下哪些描述？

I tend to charge my phone whenever possible. 我的手机随时都在充电。
I tend to charge my phone when the battery is low. 我的手机在快没电时才会充电。
I tend to find my phone out of battery when I need to use it. 我的手机在要用的时候才发现没电了。
Which graphing calculator(s) do you have? (you may select more than one)

你有下述哪几种图形计算器？（可多选）

Don’t have one
TI-84 plus
TI-84 CE
TI-Nspire
Casio fx-9750GII
Others:
How many hours in a day do you spend on your phone on average?

每日手机使用时长（小时）？

    ____________
What is your GPA in

以下时候的GPA

semester 1? 第一学期    ____________
semester 2? 第二学期    ____________
How much money do you spend in a week on food delivery

以下时候，你平均一周会花多少钱在外卖上？

before lockdown? 封禁前    ____________
during lockdown? 封禁时    ____________
How many hours do you sleep on a weekday

以下时候，你平均上课日睡几小时？

before online learning? 网课前    ____________
during online learning? 网课时    ____________
How many hours do you spend in front of your computer each day

以下时候，你平均每日会对着电脑多少小时？

before online learning? 网课前    ____________
during online learning? 网课时    ____________
How many hours do you spend exercising each week

以下时候，你平均每周运动多少小时？

before lockdown? 封禁前    ____________
during lockdown? 封禁中    ____________
How many meals in a week do you eat with your family

以下时候，你平均和家人共餐几次？

before lockdown? 封禁前    ____________
during lockdown? 封禁中    ____________
How many boyfriends/girlfriends have you had?

你有过几个男朋友/女朋友？

0
1
2
3
3
Prefer not to say 不想回答
Do you want to get married?

你想结婚吗？

Yes
No
Maybe
Which country do you want to get married in?

你想在哪个国家结婚？

    ____________
Do you wear clothes when you sleep?

你睡觉时会穿衣服吗？

Yes
No
Prefer not to say 不想回答
Have you ever skipped class? (you are in school but you deliberately not go to a specific class)

你逃过课吗?(你在学校，但你故意不去一个特定的班级)

Yes
No
Prefer not to say 不想回答
Have you ever skipped school? (you don’t go to school for no obvious reason)

你曾经没有理由的不来上学吗？

Yes
No
Prefer not to say 不想回答
Have you ever faked taking NAT to skip online lessons?

你曾经用做核酸（但实际上没有做）为借口翘课吗？

Yes
No
Prefer not to say 不想回答
Have you ever played games during online class?

你可曾边上网课,边打游戏吗？

Yes
No
Prefer not to say 不想回答
Have you ever been to a nightclub?

你去过夜店吗？

Yes
No
Prefer not to say 不想回答
Have you ever tried hurting yourself?

你曾经试图伤害过自己吗？

Yes
No
Prefer not to say 不想回答

相关模板

更多免费模板

70题 | 被引用0次

模板修改
使用此模板创建