HE_District - public use

Form Approved
OMB No: 0920-0445
Expiration Date: 11/30/2008
Health Education
District Questionnaire




Health Education
District Questionnaire

						Questions
Standards/Guidelines				1 - 7
Elementary School Instruction			8 - 18
Middle or Junior High School Instruction	19 - 30
Senior High School Instruction			31 - 42
Staffing and Staff Development			43 - 46
Collaboration					47 - 48
Promotion					49
Evaluation					50
Health Education Coordinator			51 - 60

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including 
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and 
completing and reviewing the collection of information.  An agency may not conduct or sponsor, and a person is not 
required to respond to a collection of information unless it displays a currently valid OMB control number.  Send 
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions 
for reducing this burden to: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, Mailstop D-74, 
Atlanta, GA  30333; Attention PRA (0920-0445).


NOTE:  THROUGHOUT THIS QUESTIONNAIRE, TEXT THAT APPEARS IN ALL 
CAPITAL LETTERS WILL NOT BE READ ALOUD TO RESPONDENTS.

THIS QUESTIONNAIRE WILL BE ADMINISTERED USING COMPUTER ASSISTED 
TELEPHONE INTERVIEW TECHNOLOGY.  THE INTERVIEWER WILL READ THE 
QUESTIONS ALOUD AND TYPE RESPONSES TO THE QUESTIONS INTO THE 
COMPUTER.  THE INTERVIEW PROGRAM WILL 1) DISPLAY THE CORRECT TENSE 
OF VERBS, 2) PROVIDE ALTERNATE ANSWERS TO QUESTIONS (E.G., NOT 
APPLICABLE, I DONT KNOW), 3) NAVIGATE COMPLEX SKIP PATTERNS, AND 4) 
PERFORM OTHER USEFUL FUNCTIONS. THE PROGRAMMING SPECIFICATIONS FOR 
THE INTERVIEW ARE NOT INCLUDED IN THIS PRINTED VERSION OF THE 
QUESTIONNAIRE.

1.	This questionnaire focuses on your districts policies and practices regarding health 
	education.

2.	When I use the word policy, I mean any law, rule, regulation, administrative order, or 
	similar kind of mandate issued by the local school board or other local agency with 
	authority over schools in your district.  I am most interested in what is required by the 
	district, not what is recommended or contained in non-binding guidance documents, 
	unless the question specifically asks about recommendations.

3.	If a district policy is worded in such a way that it requires schools to develop and adopt 
	their own policies on a given topic, for the purpose of this questionnaire please consider it 
	the same as a district-wide requirement.

4.	I recognize that the district may sometimes grant policy exceptions or waivers, but please 
	answer each question based on what is considered the general policy and standard 
	practice.

5.	Please do not consider school practices or policies when answering the questions.  We 
	will ask about school practices and policies when we collect information from schools 
	across the country.

The first questions ask about your districts standards or guidelines for teaching health education. 

These standards or guidelines might cover topics such as the goals and objectives of health 
education or expected student outcomes.

1.	Has your district adopted a policy stating that schools will follow any national, state, or 
	district health education standards or guidelines?  

	Yes	1-->SKIP TO Q3
	No	2

2.	Has your district adopted a policy encouraging schools to follow any national, state, or 
	district health education standards or guidelines?
	
	Yes	1
	No	2-->SKIP TO THE INTRODUCTION TO Q8

3.	Are these health education standards or guidelines based on the National Health 
	Education Standards?

	Yes	1
	No	2

The next questions ask about methods your district might use to improve school compliance with 
these health education standards or guidelines.

4.	To improve compliance with health education standards or guidelines, does your district 
	use staff development for health education teachers?
	
	Yes	1
     	No	2

5.	Does your district use written reports from schools to document compliance with health 
	education standards or guidelines?

	Yes	1
	No	2

6.	To improve compliance with health education standards or guidelines, does your district 
	use teacher evaluations or classroom monitoring?

	Yes	1
      	No	2

7.	To improve compliance with health education standards or guidelines, does your district 
	use teachers to mentor other teachers?

	Yes	1
      	No	2

Now Im going to ask you about elementary school instruction.

8.	Has your district adopted goals, objectives, or expected outcomes for elementary school 
	health education?

	Yes	1
	No	2-->SKIP TO THE INTRODUCTION TO Q10

The next questions ask about student outcomes.

9.	Do the goals and objectives adopted by your district for elementary school health 
	education specifically address

										Yes	No

	a.	Comprehending concepts related to health promotion and 
		disease prevention?						1	2
	b.	Accessing valid health information and health promoting 
		products and services?						1	2
	c.	Analyzing the influence of culture, media, technology, and 
		other factors on health?					1	2
	d.	Practicing health-enhancing behaviors and reducing health 
		risks?								1	2
	e.	Using interpersonal communication skills to enhance 
		health?								1	2
	f.	Using goal-setting and decision-making skills to enhance 
		health?								1	2
	g.	Advocating for personal, family, and community health?		1	2

The next questions ask about specific health topics.

10.	Has your district adopted a policy stating that elementary schools will teach about

										Yes	No

	a.	Alcohol or other drug use prevention?				1	2
	b.	Tobacco use prevention?						1	2
	c.	Nutrition and dietary behavior?					1	2
	d.	Physical activity and fitness, that is classroom instruction, 
		not a physical education period?				1	2
	e.	Pregnancy prevention?						1	2
	f.	HIV or human immunodeficiency virus prevention?			1	2

	g.	Other STD or sexually transmitted disease prevention?		1	2
	h.	Human sexuality?						1	2
	i.	Emotional and mental health?					1	2
	j.	Suicide prevention?						1	2
	k.	Violence prevention, for example bullying, fighting, 
		or homicide?							1	2
	l.	Injury prevention and safety?					1	2
	m.	Asthma awareness?						1	2
	n.	Foodborne illness prevention?					1	2

IF STUDENTS RECEIVE INSTRUCTION ON HUMAN SEXUALITY TOPICS (Q10E, Q10F, 
Q10G, OR Q10H IS YES), ANSWER Q11 AND Q12.  OTHERWISE, SKIP TO THE 
INTRODUCTION TO Q13.

11.	Has your district adopted a policy stating that elementary schools will notify parents or 
	guardians before students receive instruction on pregnancy prevention, HIV prevention, 
	other STD prevention, or human sexuality?

	Yes	1
      	No	2

12.	Has your district adopted a policy stating that elementary schools will allow parents or 
	guardians to exclude their children from receiving instruction on pregnancy prevention, 
	HIV prevention, other STD prevention, or human sexuality?

	Yes	1
	No	2

The next questions ask about curricula used by elementary schools for health education.  By 
curriculum, I mean a written course of study that generally describes what students will know 
and be able to do by the end of a single grade or multiple grades and for a particular subject area. 
It is often presented through a detailed set of directions, strategies, and materials to facilitate 
student learning and teaching of content.

13.	Does your district require or recommend that schools use one particular curriculum for 
	elementary school health education?
	
	Require			1
	Recommend		2
	Neither			3-->SKIP TO THE INTRODUCTION TO Q15

14.	Who developed that curriculum?
	MARK ALL THAT APPLY
	
	State education agency	1
	Other state agency	2
	School district		3
	Commercial company	4
	Academic institution	5
	State-level 
	  organization or 
	  coalition		6
	Other			7

The next questions ask about information and materials that your district may have provided for 
elementary school health education. 

15.	During the past two years, has your district provided

										Yes	No

	a.	A list of one or more recommended elementary 
		school health education curricula?				1	2
	b.	A list of one or more recommended elementary 
		school health education textbooks?				1	2
	c.	An elementary school health education curriculum?		1	2
	d.	A chart describing the scope and sequence of 
		instruction for elementary school health education?		1	2
	e.	Lesson plans or learning activities for elementary 
		school health education?					1	2
	f.	Plans for how to assess or evaluate students in 
		elementary school health education?				1	2

16.	Districts use many ways to describe how much health education students are required to 
	receive while in elementary school.  For example, districts may describe these 
	requirements in terms of minutes per week, hours per quarter, or hours per year. In your 
	district, are there specified time requirements for health education at the elementary 
	school level?

	Yes	1
      	No	2

The next questions ask about staffing for elementary school health education in your district.

17.	Has your district adopted a policy stating that newly hired staff who teach health 
	education at the elementary school level will have undergraduate or graduate training in 
	health education?

	Yes	1
      	No	2

18.	Has your district adopted a policy stating that newly hired staff who teach health eduation 
	at the elementary school level will be certified, licensed, or endorsed by the state to teach 
	health education?

	Yes			1
	No			2
	State does not offer 
	  certification, 
	  licensure, or 
	  endorsement to teach 
	  health education at 
	  the elementary 
	  school level		3


Now Im going to ask you about middle or junior high school instruction.

19.	Has your district adopted goals, objectives, or expected outcomes for middle or junior 
	high school health education?

	Yes	1
	No	2-->SKIP TO THE INTRODUCTION TO Q21

The next questions ask about student outcomes.

20.	Do the goals and objectives adopted by your district for middle or junior high school 
	health education specifically address
	
										Yes	No
	
	a.	Comprehending concepts related to health promotion and 
		disease prevention?						1	2
	b.	Accessing valid health information and health promoting 
		products and services?						1	2
	c.	Analyzing the influence of culture, media, technology, and 
		other factors on health?					1	2
	d.	Practicing health-enhancing behaviors and reducing health 
		risks?								1	2
	e.	Using interpersonal communication skills to enhance 
		health?								1	2
	f.	Using goal-setting and decision-making skills to enhance 
		health?								1	2
	g.	Advocating for personal, family, and community health?		1	2

The next questions ask about specific health topics.  

21.	Has your district adopted a policy stating that middle or junior high schools will teach 
	about
	
										Yes	No

	a.	Alcohol or other drug use prevention?				1	2
	b.	Tobacco use prevention?						1	2
	c.	Nutrition and dietary behavior?					1	2
	d.	Physical activity and fitness, that is classroom instruction, 
		not a physical education period?				1	2
	e.	Pregnancy prevention?						1	2
	f.	HIV or human immunodeficiency virus prevention?			1	2
	g.	Other STD or sexually transmitted disease prevention?		1	2
	h.	Human sexuality?						1	2
	i.	Emotional and mental health?					1	2
	j.	Suicide prevention?						1	2
	k.	Violence prevention, for example bullying, fighting, 
		or homicide?							1	2
	l.	Injury prevention and safety?					1	2
	m.	Asthma awareness?						1	2
	n.	Foodborne illness prevention?					1	2

IF STUDENTS RECEIVE INSTRUCTION ON HUMAN SEXUALITY TOPICS (Q21E, Q21F, 
Q21G, OR Q21H IS YES), ANSWER Q22 AND Q23.  OTHERWISE, SKIP TO THE 
INTRODUCTION TO Q24.

22.	Has your district adopted a policy stating that middle or junior high schools will notify 
	parents or guardians before students receive instruction on pregnancy prevention, HIV 
	prevention, other STD prevention, or human sexuality?

      	Yes	1
	No	2

23.	Has your district adopted a policy stating that middle or junior high schools will allow 
	parents or guardians to exclude their children from receiving instruction on pregnancy 
	prevention, HIV prevention, other STD prevention, or human sexuality?

	Yes	1
      	No	2
      
The next questions ask about curricula used by middle or junior high schools for health 
education.

24.	Does your district require or recommend that schools use one particular curriculum for 
	middle or junior high school health education?

	Require			1
	Recommend		2
	Neither			3-->SKIP TO THE 
                                  INTRODUCTION TO Q26

25.	Who developed that curriculum?
	MARK ALL THAT APPLY

	State education agency	1
	Other state agency	2
	School district	3
	Commercial company	4
	Academic institution	5
	State-level 
	  organization or 
	  coalition		6
	Other			7

The next questions ask about information and materials that your district may have provided for 
middle or junior high school health education. 

26.	During the past two years, has your district provided

										Yes	No

	a.	A list of one or more recommended middle or junior high 
		school health education curricula?				1	2
	b.	A list of one or more recommended middle or junior high 
		school health education textbooks?				1	2
	c.	A middle or junior high school health education 
		curriculum?							1	2
	d.	A chart describing the scope and sequence of 	
		instruction for middle or junior high school health 
		education?							1	2
	e.	Lesson plans or learning activities for middle or junior high 
		school health education?					1	2
	f.	Plans for how to assess or evaluate students in 
		middle or junior high school health education?			1	2

27.	Districts use many ways to describe how much health education students are required to 
	receive while in middle or junior high school.  For example, districts may describe these 
	requirements in terms of minutes per week, hours per quarter, or hours per year.  In your 
	district, are there specified time requirements for health education at the middle or junior 
	high school level?

	Yes	1
      	No	2

The next questions ask about staffing for middle or junior high school health education in your 
district.

28.	Has your district adopted a policy stating that newly hired staff who teach health 
	education at the middle or junior high school level will have undergraduate or graduate 
	training in health education?

	Yes	1
      	No	2

29.	Has your district adopted a policy stating that newly hired staff who teach health 
	education at the middle or junior high school level will be Certified Health Education 
	Specialists or CHES?

	Yes	1
      	No	2

30.	Has your district adopted a policy stating that newly hired staff who teach health 
	education at the middle or junior high school level will be certified, licensed, or endorsed 
	by the state to teach health education?  

	Yes			1
      	No			2
	State does not offer 
	  certification, 
	  licensure, or 
	  endorsement to teach 
	  health education at 
	  the middle/junior 
	  high school level	3

Next Im going to ask you about senior high school instruction.

31.	Has your district adopted goals, objectives, or expected outcomes for senior high school 
	health education?

	Yes	1
      	No	2-->SKIP TO THE INTRODUCTION TO Q33

The next questions ask about student outcomes.  

32.	Do the goals and objectives adopted by your district for senior high school health 
	education specifically address
	
										Yes	No

	a.	Comprehending concepts related to health promotion and 
		disease prevention?						1	2
	b.	Accessing valid health information and health promoting 
		products and services?						1	2
	c.	Analyzing the influence of culture, media, technology, and 
		other factors on health?					1	2
	d.	Practicing health-enhancing behaviors and reducing health 
		risks?								1	2
	e.	Using interpersonal communication skills to enhance 
		health?								1	2
	f.	Using goal-setting and decision-making skills to enhance 
		health?								1	2
	g.	Advocating for personal, family, and community health?		1	2

The next questions ask about specific health topics.  

33.	Has your district adopted a policy stating that senior high schools will teach about

										Yes	No

	a.	Alcohol or other drug use prevention?				1	2
	b.	Tobacco use prevention?						1	2
	c.	Nutrition and dietary behavior?					1	2
	d.	Physical activity and fitness, that is classroom instruction, 
		not a physical education period?				1	2
	e.	Pregnancy prevention?						1	2
	f.	HIV or human immunodeficiency virus prevention?			1	2
	g.	Other STD or sexually transmitted disease prevention?		1	2
	h.	Human sexuality?						1	2
	i.	Emotional and mental health?					1	2
	j.	Suicide prevention?						1	2
	k.	Violence prevention, for example bullying, fighting, 
		or homicide?							1	2
	l.	Injury prevention and safety?					1	2
	m.	Asthma awareness?						1	2
	n.	Foodborne illness prevention?					1	2

IF STUDENTS RECEIVE INSTRUCTION ON HUMAN SEXUALITY TOPICS (Q33E, Q33F, 
Q33G, OR Q33H IS YES), ANSWER Q34 AND Q35.  OTHERWISE, SKIP TO THE 
INTRODUCTION TO Q36.

34.	Has your district adopted a policy stating that senior high schools will notify parents or 
	guardians before students receive instruction on pregnancy prevention, HIV prevention, 
	other STD prevention, or human sexuality?

	Yes	1
      	No	2

35.	Has your district adopted a policy stating that senior high schools will allow parents or 
	guardians to exclude their children from receiving instruction on pregnancy prevention, 
	HIV prevention, other STD prevention, or human sexuality?

	Yes	1
      	No	2

The next questions ask about curricula used by senior high schools for health education.
	
36.	Does your district require or recommend that schools use one particular curriculum for 
	senior high school health education?

	Require			1
	Recommend		2
	Neither			3-->SKIP TO THE INTRODUCTION TO Q38


37.	Who developed that curriculum?  
	MARK ALL THAT APPLY

	State education agency	1
	Other state agency	2
	School district	3
	Commercial company	4
	Academic institution	5
	State-level 
	  organization or 
	  coalition		6
	Other			7
	
The next questions ask about information and materials that your district may have provided for 
senior high school health education. 

38.	During the past two years, has your district provided

										Yes	No

	a.	A list of one or more recommended senior high school 
		health education curricula?					1	2
	b.	A list of one or more recommended senior high school 
		health education textbooks?					1	2
	c.	A senior high school health education curriculum?		1	2
	d.	A chart describing the scope and sequence of 
		instruction for senior high school health education?		1	2
	e.	Lesson plans or learning activities for senior high school 
		health education?						1	2
	f.	Plans for how to assess or evaluate students in 
		senior high school health education?				1	2

39.	Districts use many ways to describe how much health education students are required to 
	receive while in senior high school.  For example, districts may describe these 
	requirements in terms of minutes per week, hours per quarter, or hours per year.  In your 
	district, are there specified time requirements for health education at the senior high 
	school level?

	Yes	1
      	No	2
      
The next questions ask about staffing for senior high school health education in your district.

40.	Has your district adopted a policy stating that newly hired staff who teach health 
	education at the senior high school level will have undergraduate or graduate training in 
	health education?  
	
	Yes	1
      	No	2

41.	Has your district adopted a policy stating that newly hired staff who teach health 
	education at the senior high school level will be Certified Health Education Specialists or 
	CHES?
	
	Yes	1
      	No	2

42.	Has your district adopted a policy stating that newly hired staff who teach health 
	education at the senior high school level will be certified, licensed, or endorsed by the 
	state to teach health education?

	Yes			1
      	No			2
	State does not offer 
	  certification, 
	  licensure or 
	  endorsement to teach 
	  health education at 
	  the senior high school 
	  level			3

43.	Has your district adopted a policy stating that those who teach health education will earn 
	continuing education credits on health education topics?
	
	Yes	1
      	No	2

44.	Has your district adopted a policy stating that each school will have someone to oversee 
	or coordinate health education at the school, for example, a lead health education 
	teacher?

	Yes	1
      	No	2

My next questions are about staff development for those who teach health education. This might 
include workshops, conferences, continuing education, graduate courses, or any other kind of in-
service.

45.	During the past two years, has your district provided funding for or offered staff 
	development to those who teach health education on
	
										Yes	No

	a.	Alcohol or other drug use prevention?				1	2
	b.	Tobacco use prevention?						1	2
	c.	Nutrition and dietary behavior?					1	2
	d.	Physical activity and fitness?					1	2
	e.	Pregnancy prevention?						1	2
	f.	HIV or human immunodeficiency virus prevention?			1	2
	g.	Other STD or sexually transmitted disease prevention?		1	2
	h.	Human sexuality?						1	2
	i.	Emotional and mental health?					1	2
	j.	Suicide prevention?						1	2
	k.	Violence prevention, for example bullying, fighting, 
		or homicide?							1	2
	l.	Injury prevention and safety?					1	2
	m.	Asthma awareness?						1	2
	n.	Foodborne illness prevention?					1	2

46.	During the past two years, has your district provided funding for or offered staff 
	development to those who teach health education on
	
										Yes	No
	a.	Teaching students with long-term physical, medical, or 
		cognitive disabilities?						1	2
	b.	Teaching students of various cultural backgrounds?		1	2
	c.	Teaching students with limited English proficiency?		1	2
	d.	Using interactive teaching methods, such as role plays or 
		cooperative group activities?					1	2
	e.	Encouraging family or community involvement?			1	2
	f.	Teaching skills for behavior change?				1	2
	g.	Using classroom management techniques, such as social 
		skills training, environmental modification, conflict 
		resolution and mediation, and behavior management?		1	2
	h.	Assessing or evaluating students in health education?		1	2

Now Im going to ask you about collaboration among health education staff and other staff in 
your district.

47a.	During the past 12 months, have district-level health education staff worked on health 
	education activities with district-level physical education staff?

	Yes			1
      	No			2
	District does not have 
	  district-level 
	  physical education 
	  staff			3

47b.	What about with district-level health services staff?
	
	Yes			1
      	No			2
	District does 
	  not have 
	  district-level health
	  services Staff	3

47c.	What about with district-level mental health or social services staff?

	Yes			1
      	No			2
	District does not have 
	  district-level mental 
	  health or social 
	  services staff	3

47d.	What about with district-level nutrition or food service staff?

	Yes			1
      	No			2
	District does not have 
	  district-level 
	  nutrition 
	or food service staff	3

47e.	What about with district-level general curriculum coordinators or supervisors?

	Yes			1
      	No			2
	District does not have 
	  district-level 
	  general curriculum 
	  coordinators or 
	  supervisors		3

48.	During the past 12 months, have district health education staff worked on health 
	education activities with staff or members from
	
										Yes	No
	
	a.	A local health department?					1	2
	b.	A local hospital?						1	2
	c.	A local mental health or social services agency?		1	2
	d.	A local law enforcement agency?					1	2
	e.	A local service club, such as the Rotary Club?			1	2
	f.	Local fire or emergency services?				1	2
	g.	A health organization, such as the American 
		Heart Association or the American Cancer 
		Society?							1	2
	h.	A local college or university?					1	2
	i.	A local business?						1	2

The next question asks about health education promotion that might occur in your district.

49.	During the past 12 months, has your district
	
										Yes	No

	a.	Provided families with information on school health 
		education?							1	2
	b.	Offered any health education for families?			1	2
	c.	Provided district or school personnelfor 
		example classroom teachers, administrators, or 
		school board memberswith information on 
		school health education?					1	2
	d.	Sought positive media attention for school health 
		education?							1	2

The next questions ask about different aspects of school health education that might have been 
evaluated during the past two years.

50.	During the past two years, have the following aspects of health education in your district 
	been evaluated?
	
										Yes	No	N/A
	
	a.	Health education policies					1	2	3
	b.	Health education curricula					1	2	3
	c.	Health education staff development or 
		in-service programs						1	2	3

51.	Currently, does someone in your district oversee or coordinate health education?

	Yes	1
	No	2-->That is the last question.  
		    Thank you very much for 
		    taking the time to complete 
		    this questionnaire.

52.	Are you this person?

	Yes	1
	No	2-->That is the last question.  
		    Thank you very much for 
		    taking the time to complete 
	      	    this questionnaire.

The last few questions ask about your educational background.

53.	Do you have an undergraduate degree?
	
	Yes	1
      	No	2-->SKIP TO Q59A

54.	What did you major in?
	MARK ALL THAT APPLY

	Health education	1
	Physical education	2
	Other education		3
	Kinesiology, exercise 
	  physiology, or 
	  exercise science	4
	Nursing			5
	Nutrition		6
	Public health		7
	Biology or other 
	  science		8
	Home economics or 
	  family and consumer 
	  science		9
	Other			10

55.	Did you have an undergraduate minor?

	Yes	1
      	No	2-->SKIP TO Q57

56.	What did you minor in?
	MARK ALL THAT APPLY

	Health education	1
	Physical education	2
	Other education		3
	Kinesiology, exercise 
	  physiology, or 
	  exercise science	4
	Nursing			5
	Nutrition		6
	Public health		7
	Biology or other 
	  science		8
	Home economics or 
	  family and consumer 
	  science		9
	Other			10

57.	Do you have a graduate degree?

	Yes	1
      	No	2-->SKIP TO Q59A


58.	In what area or areas?	
	MARK ALL THAT APPLY

	Health education	1
	Physical education	2
	Other education		3
	Kinesiology, exercise 
	  physiology, or 
	  exercise science	4
	Nursing			5
	Nutrition		6
	Public health		7
	Biology or other 
	  science		8
	Home economics or 
	  family and consumer 
	  science		9
	Other			10

59a.	Are you certified, licensed, or endorsed by the state to teach health education at the 
	elementary school level?

	Yes			1
      	No			2
	State does not offer 
	  certification, 
	  licensure, or 
	  endorsement to teach 
	  health education at 
	  the elementary school 
	  level			3

59b.	What about at the middle or junior high school level?
      
	Yes			1
      	No			2
	State does not offer 
	  certification, 
	  licensure, or 
	  endorsement to teach 
	  health education at 
	  the middle/junior high 
	  school level		3

59c.	What about at the senior high school level?

	Yes			1
      	No			2
	State does not offer 
	  certification, 
	  licensure, or 
	  endorsement to teach 
	  health education at 
	  the senior high school 
	  level			3

60.	Are you a Certified Health Education Specialist or CHES?

	Yes	1
      	No	2

Thank you very much for taking the time to participate in this study.

If you would like more information about this study or would like clarification of any questions 
in this survey, please call 800-287-1815.