The Class of '57, Phillips Academy 50th Reunion Class Profile Questionnaire Instructions: Download this questionnaire from our reunion website: andoveralumni.net - click the "PA57 Reunion" icon and then the "Submit Data - Questionnaire" link. Answer the questions (either in your word processor or after printing out the blank form). When finished, post the completed questionnaire to: Stephen Trivers, 828 Boswell Lane, Kalamazoo, MI 49006. To preserve anonymity, no return address is needed. Overview: We'd like to include a profile of our classmates as we are now. Please take the 20 minutes or so needed to complete this questionnaire, so the profile is an accurate one. Results are confidential and anonymous: no one will be identified by name, and data will be used solely to compile a profile of our class for the reunion book. Thanks for your participation! Family 1. Marriage: (check all that apply) how many times married? ___never ___ 1 ___2 ___3 ___ more than 3 currently: ___ married ___ separated ___single/divorced ___single/widower or widow ___unmarried with significant other 2. Children: how many biological children, if any? ____ how many adopted children, if any? ____ how many stepchildren, if any? ____ Health 3. How would you characterize your overall health? ___excellent ___good ___fair ___poor 4. What diseases or other conditions limit your activities, if any? __________________________________________________________________ 5. Compared to the weight you would consider ideal for your physique and age, where are you today? ___ underweight ___right on target ___1-10 lbs over ___11-20 lbs over ___20-30 lbs over ___more than 30 lbs over 6. In 1957, compared to the weight you then considered ideal for your physique and age, where were you? ___ underweight ___right on target ___1-10 lbs over ___11-20 lbs over ___20-30 lbs over ___more than 30 lbs over 7. If you practice some form of diet regularly, describe it briefly: __________________________________________________________________ 8. In an average week, how many hours do you spend in some form of active exercise? ____________ 9. Please list the activities you engage in with some regularity (e.g. golfing, tennis, weightlifting, aerobic machines, running, walking, etc.) _________________________________________________________________ _________________________________________________________________ 10. In an average week, what is your daily tobacco consumption, if any? (list numbers as appropriate) ___none ___ cigarettes ___ cigars __ pipes __ other (identify: ______________ ) 11. In an average week in 1957, what was your daily tobacco consumption, if any? (list numbers as appropriate) ___none ___ cigarettes ___ cigars __ pipes __ other (identify: ______________ ) 12. In an average week, what is your daily alcohol consumption, if any? ("1 drink" = a cocktail, glass of wine, bottle of beer) ___none ___ occasional drink ___ 1 drink __2 drinks __3 drinks __ more than 3 Work 13. Career history and status: Original occupation: ____________________________________________ Latest full-time occupation: ___same _____________________________________________________________ Part-time occupations within last 10 years, if any: __________________________________________________________________ 14. Did you serve in the military? ___ yes ___ no If so, please identify service and duration: ___ Navy ___ Army ___ Air Force ___ Marines length of service: ___________ final rank when discharged: _______________ 15. Did you serve in any other government or private sector service organization for a year or more (Peace Corps, etc.)? ___ yes ___ no If so, identify organization ____________________ ; time served ____________; location(s) __________________________________________ 16. Your expected career status as of June 2007 ___actively at work __semi-active at work ___retired and busy ___retired and relaxed 17. Your level of financial security: ___sufficiently secure ___somewhat secure ___somewhat insecure ___other 18. If you had a chance to start over with what you now know, would you have chosen a different career? ___absolutely not ___probably not __probably yes ___absolutely yes If different, what? ____________________________________________________ Activities 19. In an average week, list any leisure-time activities in which you spend any significant time (e.g. reading, gardening, poker, singing, skiing, etc.) __________________________________________________________________ __________________________________________________________________ 20. In an average week, how many total hours do you spend in the following common activities? ___reading ___watching TV (excluding movies) ___ watching movies on TV ___listening to radio ___e-mail ___other computer use (excluding e-mail) 21. In an average month, how many times do you attend the following (outside your home)? ___movie ___theater ___class ___sporting event ___visiting family ___visiting friends 22. Travel: Over the past few years, describe the frequency of your travel experiences: day outings/year: ____________ trips with overnight stays in USA/year: ____________ trips outside USA/year: ____________ places you've visited in the past few years: ______________________________________________________________________________________________________________________________________ ___________________________________________________________________ 23. Check all the following that apply regarding your computer use, if any (check all that apply) Do you use a computer regularly? ___yes ___no My computer skills are: ___nonexistent ___rudimentary ___average ___strong ___poweruser Operating system: ___ Windows ___Macintosh ___other Types of programs I use often (e.g. word-processing, financial, web, etc): ___________________________________________________________________ 24. Reading habits: In the past years, I read ___fewer than 10 ___20 to 35 ___more than 35 books Of these, how many were ___ fiction ___nonfiction If possible, identify 1-3 books you've read within the past few years (can include classics) that you would strongly recommend to your classmates; ________________________________________________________________ ________________________________________________________________ 25. How involved are you in volunteer/service activities? ___deeply ___fairly often ___now and then ___rarely ___ not at all 26. If you are engaged in volunteer/service activities, who are the people you most want to help? _________________________________________________________________ Beliefs and Attitudes 27. If any political label fits you, which would you pick today? (check all that apply) ___ Republican ___ Democrat ___ Independent ____ ___ conservative ___ moderate ___liberal ___other (describe: __________________________ ) 28. In 1957, if any political label fitted you, which would you have identified? (check all that apply) ___ Republican ___ Democrat ___ Independent ____ ___ conservative ___ moderate ___liberal ___other (describe: __________________________ ) 29. Which presidential candidate did you vote for in the 2004 election? ____ George W. Bush ____John Kerry _____other 30. Which presidential candidate did you vote for in the 2000 election? ____ George W. Bush ____Al Gore _____other 31. How would you characterize your level of participation in politics in the past decade? (check all that apply) ___have run for elected office ___very actively involved ___somewhat actively involved ___ occasionally involved ___not involved 32. Are you an active member of some religious group? If so, please identify: ____ no ____yes (name(s): ______________________________________ ) 33. In 1957, were you an active member of some religious group? If so, please identify: ____ no ____yes (name(s): ______________________________________ ) 34. Do you have some other form of spiritual activity or belief outside of organized religion? ____yes _____no. If so, describe briefly if possible. __________________________________________________________________ __________________________________________________________________ 35. What do you consider the most significant problems our nation needs to resolve? __________________________________________________________________ __________________________________________________________________ 36. What do you consider the most significant problems for mankind in today's world? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Thoughts to share 37. Identify one resource, travel destination, insight, etc. that you've found particularly useful over the past decades, one that you think your classmates might also benefit from. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ The End. Thank you for participating!