|  | Table II. Activity Survey | Page 7 | 
| ACTIVITY SURVEY | your name ______ _______ | 
Have you been involved in the last month in any of the following activities that could be considered as a "peace activity?" do not include activities more than a month ago.
|   | 
| 1. | Went to a march or demonstration against nuclear war or related theme |   | 
| 2. | Went to a march or demonstration against a particular war (e.g. in Central America) |   | 
| 3. | Attended a meeting concerned with nuclear war or a particular war |   | 
| 4. | Went to a concert dedicated to peace |   | 
| 5. | Wrote a letter, telegram, or made a phone call to lobby for a peace issue |   | 
| 6. | Signed a petition against nuclear war or a particular war |   | 
| 7. | Took part in a solidarity action such as collecting materials for war victims |   | 
| 8. | Helped plan activities such as those listed here |   | 
| 9. | Took part in organizations that engage on a regular basis in activities such as those listed here |   | 
| 10. | Took part in other activities that could be considered peace activities. List them below. |   | 
| a . ___________________________ |   | 
| b . ___________________________ |   | 
| c . ___________________________ |   | 
| d . ___________________________ |   | 
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