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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>: Residence/Special Demographics25 SURVEY PAGE: 25 of 26 pages You have completed 0 of 5 Items on this page1 What are your living arrangements?Parent's homeRent or share rentResidence hallFraternity/SororityPublic/Subsidized housingOwn a houseOther2 Please enter the 5-digit Zip Codenumber for the address where you arecurrently living.5digits3 Are you currently or have you ever served in the United States Armed Forces?YesNo4 Are you an Operation Iraqi Freedom <strong>and</strong>/or Operation Enduring Freedom Veteran?YesNoNot applicable-I have never served in the United States Armed Forces5 While serving in the United States Armed Forces how many deployments to Iraq orAfghanistan have you had?Not applicable-I have not served in the United States Armed ForcesI did not deploy to Iraq or Afganistan while serving in the Armed Forces1 deployment2 deployments3 deployments4 deployments5 or more deploymentsSUBMIT 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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