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  1. Surveys
  2. 2013
  3. October
  4. P
  5. Preconception Health
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Exit Survey
 
 
Hello:
You are invited to participate in our survey. In this survey, all SDSU students will be asked to complete a survey that asks questions about preconception health. It will take approximately 1 minute 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 information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Mandy Younie at [email protected]

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
What is your age?
 
18-20
 
21-25
 
26-30
 
30-45
 
 
 
What is your current marital status?
 
Single, never married
 
Married
 
Separated
 
Divorced
 
In a relationship
 
 
 
Do you consider yourself:
 
White
 
African American
 
Hispanic
 
Asian or Pacific Islander
 
Other
 
 
 
 
Have you ever been pregnant?
 
Yes
 
No
 
 
 
If you answered "yes" to the previous question, were your previous pregnancies planned?
 
Yes
 
No
 
Sometimes/some were planned
 
 
 
Have you heard of preconception health: the importance of improving your health before getting pregnant?
 
Yes
 
No
 
Don't know
 
 
 
What do you think is the effect of improving the health of the woman before getting pregnant?
 
Has a good effect on the pregnancy
 
Has no effect on the pregnancy
 
Has a bad effect on the pregnancy
 
I don't know the effect
 
 
 
How interested are you in receiving preconception health information, now or in the future?
 
Very interested
 
Somewhat interested
 
Unsure
 
Not interested at all
 
 
 
Since becoming sexually active, have you done any of the following? (Select all that apply.)
 
Been checked for sexually transmitted infections
 
Visited your doctor regularly
 
Received hepatitis B and rubella vaccines
 
Prevented unwanted pregnancy through use of contraception and/or abstinence
 
Quit smoking, drinking, and/or using drugs
 
Started taking folic acid regularly
 
Lowered your stress
 
Avoided exposure to chemicals and other harmful substances
 
Maintained a balanced diet and healthy weight
 
Exercised regularly
 
Thought about when you would like to become pregnant