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                \chead{CS 4163 Questionnaire (cont.)}
                \cfoot{CONFIDENTIAL}
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\begin{document}
 \begin{center} CONFIDENTIAL \end{center}

 \begin{center}
   {\Large \bfseries
     Computer Science 4163 (Summer Term 2002)\\
     Class Questionnaire
   }
 \end{center}

  \begin{tabbing}
     1.~Name \=XXXXXXXXXXXXXXXXXXXXXXXXX \=2.~Dal ID\# \=\hrulefill \kill

     1.~Name \>\fillin                         \>2.~Dal ID\# \>\fillin \\
     \\

     3.~Class Year (circle: 3, 4, or Grad)
                                               \>\>4.~Hometown  \>\fillin  \\
     \\

     5.~Major \>\fillin                        \>6.~Minor     \>\fillin  \\
     \\

     7.~E-mail \>\fillin                       \>8.~Phone \#  \>\fillin  \\
     \\

     \pushtabs
     9.~\=Are you working outside of school?  $\Box$ no / $\Box$ part-time / $\Box$ full-time\\
        \>Where?\\
     \\
     \poptabs

     10. \=Please choose a four-digit number (\emph{other than} the
         last four digits of your government issued identification \\
         \>number or last four digits of your student ID\#) that I can use to
         identify you anonymously when posting grades:\\\\
         \>\rule{.75cm}{\s}~\rule{.75cm}{\s}~\rule{.75cm}{\s}~\rule{.75cm}{\s}
     \\\\

     11. Please tell me about your background:\\\\

       \pushtabs
       How\= much \emph{experience} have you had with XXXX\=\kill

       How much \emph{experience} have you had with\\
        \>
           software design               \> none / a little / some / a lot \\
        \>
           user interface development    \> none / a little / some / a lot \\
        \>
          user interface evaluation      \> none / a little / some / a lot \\
        \>
           computer graphics             \> none / a little / some / a lot \\
        \>
           cognitive psychology          \> none / a little / some / a lot \\
        \>
           programming with GUI builders \> none / a little / some / a lot \\
        \>
           statistics                    \> none / a little / some / a lot \\
        \>
           statistical packages          \> none / a little / some / a lot \\
       \poptabs
   
       \\ \\ \\ \\

       Did you take CS~4161 (User Interface Design)?  
       $\Box${}no \hfill $\Box${}yes in \fillin
       \\ \\
       \pushtabs

     12. \=Are there people in this class that you would either like
           to work with or not work with?  Who are they?\\
         \>(These answers are confidential.)
       \poptabs
  \end{tabbing}

  \begin{tabular}{p{.45\textwidth}|p{.45\textwidth}}
  I'd like to work with \ldots & I don't want to work with \ldots \\
                               \hline
                               & \\
                               & \\
                               & \\
                               & \\
                               & \\
                               & \\
                               & \\
  \end{tabular}

\newpage

  \noindent
    13. Why do you want to take this course?
    \vfill

  \noindent
    \begin{tabular}{@{}ll}
    14.& What do you expect to learn by taking this course?\\
       & Also: How do you expect to improve yourself by taking this course?
    \end{tabular}
    \vfill

  \noindent
    15. How many hours a week (outside of lectures) do you plan to devote
        to this course?
    \\\\\

  \noindent
  \begin{tabbing}
    16. \=Please indicate briefly what your employment aspirations are
         (following graduation from university).\\
        \>Also: What past work experience you may have had in user
          interfaces design, testing, and related areas?\\
        \\ \\ \\ \\ \\ \\
  \end{tabbing}

  \noindent
    17. Is there anything else you think I should know about you?\\
    \vfill
\end{document}
