National Roster of Professional Women Questionnaire, 1971, page 3

          -3-

12. Husband's gross yearly income
Less than $5,000
$5,000—9,999 1
$l0,000—l4,999 2
$l5,000—l9,999 3
$20,000~29,999 4
$30,000—39,999 5
$40,000 or more 6

13. Check all degrees received. - Year
AA
Bachelor's
Master's
Ph.D.
Ed.D.
M.D. or D.D.S.
LL.B., J.D.
Other doctorate
Other

14. Institution of highest degree
Name - State

15. Field of specialization of your highest degree. *See listing and
write in code (SPECIALITIES LIST)
Code Number

16. What do you consider your present discipline. *See listing and
write in code (SPECIALITIES LIST)
Code Number

17. Present employment.
A. Title or position (Circle one)
Post doctoral fellow 1
Lecturer, teacher, instructor 2
Assistant Professor 3
Associate Professor 4
Full Professor 5
Academic Administrator 5
Research Associate 7
Research Director 8
Consultant 9
Counselor 10
Other 11