Please enter Age
Maritial Status? Single Married Divorced
CHL Status? Yes Not At This Time No
School Status? College Student Graduate Student Alumni High School Student Other
Days per week Carried?
Average Drinks per week? None 1 2-4 5-7 8+
Drug Use? Yes No
Average Trips to the range per month? Never 1 2-3 4+
Last weapon use type of non-sporting purposes? Never Used Defensive Offensive Other
If answered other than never, please explain
Last weapon use for sporting purposes? Never Used Range Hunting Competition Other
Weapons owned? None 1-3 4-7 8-10 11+ By clicking below you understand that the survey you submit is for a non-official SCCC survey, it is for a purely academic study, and that no personal information will be gathered or kept except for that which you are questioned about.