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Thank you for your completion of this survey.  There are 35 statements, and you are asked to rate your level of agreement or disagreement with each.  It should take around 10 minutes.  Feel free to ask questions as you go. 

The statements relate to a range of health topics, including personal habits and your experience with healthcare professionals.  Some questions will feel relevant to you, while others will not.  Your answers are confidential and will only be shared with the BehaveCare team. 


 
 
Strongly Disagree Disagree Neutral Agree Strongly Agree
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Strongly Disagree Disagree Neutral Agree Strongly Agree
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Strongly Disagree Disagree Neutral Agree Strongly Agree
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Strongly Disagree Disagree Neutral Agree Strongly Agree
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Column 1 Column 2
* Strongly disagree
* Disagree
* Neutral
* Agree
* Strongly Agree
 
 
Column 1 Column 2
* Strongly disagree
* Disagree
* Neutral
* Agree
* Strongly Agree
 
 
Column 1 Column 2
* Strongly disagree
* Disagree
* Neutral
* Agree
* Strongly Agree
 
 
Column 1 Column 2
* Strongly disagree
* Disagree
* Neutral
* Agree
* Strongly Agree
 
 
Column 1 Column 2
* Strongly disagree
* Disagree
* Neutral
* Agree
* Strongly Agree