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2013
July
S
Survey 1
Survey 1
0%
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Hello:
You are invited to participate in our survey. In this survey, approximately 200 people will be asked to complete a survey that asks questions about general health and online questions. It will take approximately 15 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Shiri Labi by email at the email address
[email protected]
.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
I Agree
What is your gender?
Female
Male
How old are you?
17-25
26-34
35-54
55-64
65 or over. Please specify _______________
Country (specify) ______________________
Which of the following best describes the area you live in?
Urban
Suburban
Rural
Other
Do you have children?
Yes
No
Please indicate your highest level of education you have completed.
Grammar School
High School or equivalent
Vocational/Technical School (2 year)
Some college
Bachelor Degree (BS)
Master's Degree (MS)
Doctoral (PHD)
Professional Degree (MD, JD, etc.)
Other
How comfortable do you feel using
computers
, in general?
Very comfortable
Somewhat comfortable
Neither comfortable nor uncomfortable
Somewhat uncomfortable
Very uncomfortable
How comfortable do you feel using the
Internet
?
Very comfortable
Somewhat comfortable
Neither comfortable nor uncomfortable
Somewhat uncomfortable
Very uncomfortable
How long have you been using the Internet (including email, social networks, information research, etc.)
Less than a year
1 to 3 years
4 to 6 years
7 years or more
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