AUXILLIARY QUESTIONNAIRE

Your co-operation is solicited in filling out and returning your answers to the few questions below. These were not asked on the original questionnaire but inquiries from Drs. as to the distribution of our readers in these categories have come up and we would like to be able to provide answers.

Since it is not possible to correlate these replies with those to the original questionnaire, and because we now have many more readers, a couple of questions are repeated in order that they will tie in to the answers to the new questions. I ask your patience and co-operation in helping to gather these statistics. No name is necessary so please be frank.

Age

Did you return the original questionnaire?

Highest school level attained

Academic degrees, if any

Yes

No

What type of work do you do? (please be specific in this as no identification can be made--no name or code number is asked for. I do not want to know the company you work for, but I do want to know the specific type of job you do, i.e. Hotel Clerk, bookkeeper, chemist, etc. If general work like sell- ing, please give the type of selling done, i.e. men's wear, automobiles, electronic supplies, etc..

Religious affiliation: If you are not active in any church now, please enter the religion you were brought up in or that your parents attended.

tant".

Please give denomination not just "Protes-

Thank you for your help,

Virginia