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                \chead{CS 6606 Questionnaire (cont.)}
                \cfoot{CONFIDENTIAL}
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\begin{document}
 \begin{center} CONFIDENTIAL \end{center}

 \begin{center}
   {\Large \bfseries
     Computer Science 6606 (Fall Term 2001)\\
     Class Questionnaire
   }
 \end{center}

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

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

     \\

     3.~E-mail \>\fillin                       \>4.~Phone \#  \>\fillin  \\
     \\

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

     6. 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
   
       \\ \\ \\ \\ \\ \\ \\


       \pushtabs
     7. \=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}

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

\newpage
  \noindent
    9. What do you expect to get from this class?
    \vfill

  \noindent
    10. How many hours a week do you plan to devote to this class?
    \\\\\

  \noindent
  \begin{tabbing}
    11. \=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
    12. Is there anything else you think I should know about you?\\
    \vfill
\end{document}
\end{document}
