Health of the average American

How old are you?
18-24
25-34
35-44
45- or older
What is your gender?
Female
Male
Don't want to answer
Do you use drugs
Yes
No
Occasionally
Do you drink alcohol
Yes
No
Occasionally
How often do you get an annual check up with your doctor?
Once every 3 months
Once every 6 months
Once a year
Never
How often do you exercise weekly?
1-2 days
3-4 days
5-7 days
Never
Do you have any chronic disease?
Yes
No
I'm not sure
We are doing a project for our statistics class and would like you to take part. If you agree, you will be asked to answer 7 question's regarding health in a survey. It will take about __2___ minutes of your time. You may withdraw at any point. Your results will be anonymous. If you have any questions, _Suzanne Misner____ will be glad to answer them. Filling out and turning in the questionnaire constitutes informed consent. Thank you for helping
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Make your own Survey
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