SECTION: Health Care Coverage and Utilization Survey Entry ...
SECTION: Health Care Coverage and Utilization Survey Entry ...
SECTION: Health Care Coverage and Utilization Survey Entry ...
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<strong>Survey</strong> <strong>Entry</strong> - 2011 College Student <strong>Health</strong> <strong>Survey</strong>http://internetstudy.cbsol.com/<strong>Survey</strong>/B<strong>Survey</strong>.asp<strong>SECTION</strong>: Demographic Information22 SURVEY PAGE: 22 of 26 pages You have completed 0 of 4 Items on this page6 What is your relationship status?SingleMarried/Domestic partnerSeparatedWidowedDivorcedEngaged/Committed dating relationship7 Which of the following terms best describes you?HeterosexualGay/LesbianBisexualUnsure8 What is your grade point average? (A=4.00, B=3.00,etc.)** Enter your GPA as 3 numbers (4.00, 3.25. 2.50, 2.96, etc.)**3digits.9 Do you have any of the following:**(Select all that apply)**I have no disability or impairmentAttention deficit/hyperactivity disorderDeaf, hard-of-hearing, or deaf blindLearning disability (formally assessed)Mobility impairmentPsychiatric disorderSystemic disability (diabetes mellitus, multiple sclerosis, etc.)Traumatic brain injuryVisual impairment (not corrected by contacts or eyeglasses)OtherSUBMIT RESPONSES - Updates will be saved. You will be taken to the ANSWER REVIEW PAGE.1 of 2 5/10/11 3:05 PM
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