Survey Data Sheet for:
_______________________ (school)
_______________________ (country)

DIRECTIONS: Print this page and use to collect responses; fax results to The Ellis School at 1-412-661-3979.

Level of Awareness:
 TOPIC  1=nothing  2=little 3=some 4=much
 1. "new" Europe        
 2. Africa        
 3. East Asia        
 4. nuclear weapons        
 5. human rights        
 6. terrorism        
7. technology        

Information Sources:
 TOPIC 1=school 2=home 3=TV 4=radio 5=print 6=web 7=friends 8=none
 1. "new" Europe                
 2. Africa                
 3. East Asia                
 4. nuclear weapons                
 5. human rights                
 6. terrorism                
 7. technology                

Level of Concern: 
 TOPIC  1=not at all  2=not very 3=somewhat 4=very
 15. "new" Europe        
 16. Africa        
 17. East Asia        
 18. nuclear weapons        
 19. human rights        
 20. terrorism        
21. technology