*7 38AY
· HIGH GEAR/AUGUST 1977Hom
PAGE 12
ALICE FAYE CARMEN MIRANDA IN BUSBY BERKELEY'S
THE GANG'S ALL HERE IN TECHNICOLOR®
A 20TH CENTURY-FOX PICTURE A SPILKER RE-RELEASE
BACK BY POPULAR DEMAND
With
Otto Preminger's "LAURA"
AUGUST 17-20 ONLY
ՈՂՈՐ
cinema
The New Mayfield Repertory Cinema 12300 Mayfield Road
229-3875
Ample free parking one block up the hill.
416 Are you presently seeing a doctor about these symptoms? 1-Yes 2-No
417 What is your feelings about the quality of medical care given by doctors you've seen? 1-Excellent 2-Good 3-Fair 4-Poor 418 What is your opinion about the quality of medical care given by doctors in general? 1-Excellent 2-Good 3-Fair 4-Poor
SECTION 5. Sexual Orientation. Place the NUMBER of the appropriate response in the blank in front of the question.
501
·
Do you think of yourself now as: 1-Exclusively homosexual
2-Predominantly homosexual, only insignificantly heterosexual 3-Predominantly homosexual, but significantly heterosexual 4-Equally homosexual and heterosexual
5-Predominantly heterosexual, but significantly homosexual 6-Predominantly heterosexual, only insignificantly homosexual 7-Exclusively heterosexual
IF YOU ANSWERED 6 or 7, PLEASE SKIP TO SECTION 7. IF YOU ANSWERED 1, 2, 3, 4 or 5, PLEASE CONTINUE TO SECTION 6.
SECTION 6. This section deals with your feelings about homosexuality and about other people's feelings toward homosexuality. Choose the NUMBER of the appropriate response and place it in the blank in front of each question. Please answer every question.
601 I don't care who knows about my homosexuality.
1Strongly agree 2-Agree 3-Disagree 4-Strongly disagree 602 There is nothing immoral about homosexuality. 1-Strongly agree 2-Agree 3-Disagree 4-Strongly disagree 603 I wish I were not homosexual.
1-Strongly agree 2-Agree 3-Disagree 4-Strongly disagree 604 How many people are likely to end relationships if they know someone is homosexual? 1-Most 2-Many 3-Few 4-None 605 How do you think most people feel about homosexuals? 1-Love 2-Like 3-Accepting 4-Tolerant 5-Dislike 6-Disgust 606 Do you worry about the possible exposure of your homosexuality?
1-A great deal 2-Some 3-A little 4-Not at all
607How popular are you among heterosexuals? 1-Quite popular 2Reasonably popular 3-Not very popular 4-Not popular at all 608 How popular are you among homosexuals? 1-Quite popular 2Reasonably popular 3-Not very popular 4-Not popular at all 609 How long have you considered yourself homosexual? 1-Less than a year 2-1 to 3 years 3-4 to 6 years 4-7 to 9 years 5-10 or more 610 How many of your friends are homosexual? 1-All 2-Most -Many 4-Some 5-None
611 How much of your leisure time do you spend with homosexuals?
1-All 2-Most 3-Many 4-Some 5-None
How do you think each of the following persons would react (or has reacted) to find out that you are homosexual? Use the following scale to indicate your answer:
1Accepting your answer:
2Tolerant but not accepting.
3Intolerant but not rejecting
4Rejecting
Choose the NUMBER of the appropriate response and place it in the blank in front of the person.
612
Best heterosexual friend of same sex
613 Most other heterosexual friends of same sex
614 Best heterosexual friend of opposite sex
615 Most other heterosexual friends of opposite sex One of my high school or college teachers Dentist
616
617
618
Male physician
619 Female physician
620 Psychiatrist or psychologist
·
621 Lawyer
622 Religious person (minister, prient, rabbi, etc.)
SECTION 7. If you have any personal experiences with doctors, either positive or negative, which you would like to describe, please do so on another sheet of paper and mail it in with the questionnaire. Please do not identify the doctor by name. We are also interested in any comments you might have about the questionnaire. Again, thank you very much for your help.