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What is your mother tongue (language spoken at home)? |
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How fluent are you in English? |
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| Which city in India do you live in? | | |
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| What is your caste? (optional) | | |
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| What is your Major/Academic field of study? | | |
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| What is the name of your college/university? | | |
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What year are you in college? |
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What is the highest education level your parents have completed? (choose 1 for your mother and 1 for your father)
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What income level would you consider your family to be: |
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Part 1: Perceptions of Parental Beliefs |
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DIRECTIONS: PLEASE READ Rate your level of agreement or disagreement with each statement based on what you think your parents believe ranging from Strongly Disagree to Strongly Agree. |
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MY PARENTS BELIEVE THAT... |
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MY PARENTS BELIEVE THAT... |
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Part 2: Perceptions of Parental Behaviors |
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DIRECTIONS: PLEASE READ Rate the frequency that your parents have done each of these behaviors ranging from Never to Almost Always. |
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Part 3: Personal Academic Beliefs Scale |
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DIRECTIONS: PLEASE READ Rate your personal level of agreement or disagreement with each statement ranging from Strongly Disagree to Strongly Agree. |
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DIRECTIONS: Below is a list of the ways you might have felt or behaved. Please rate how often you have felt this way during the past week. |
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DIRECTIONS: Rate your level of agreement with each statement ranging from Strongly Disagree to Strongly Agree. |
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Please rate your level of agreement with the following statements:
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Part 6: Reasons for Living |
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How important to you is this reason for NOT committing suicide?
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DURING THE PAST 6 MONTHS... |
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DIRECTIONS: Please rate your level of agreement with the following statements ranging from Strongly Disagree to Strongly Agree. |
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Please rate your level of agreement with the following statements:
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| Was there anything about the way you answered the survey that we should know? (optional) | | |
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| Comments/Suggestions (optional): | | |
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