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  2. 2015
  3. October
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  5. CSU System-wide Food and Housing Security Survey
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Questions marked with an * are required Exit Survey
 
 
CSU Student Food and Housing Security Study
Informed Consent
You have been asked to participate in a research study by completing an online survey. The purpose of the study is to identify the prevalence of food and housing security in CSU college students and and how it shapes academic performance. We hope the data from this survey will help the California State University develop more supportive services for food and housing security. The survey will take 10-15 minutes to complete. There are no benefits or risks to you participating. Your participation is voluntary and you can quit at any time. All responses are confidential and no identifying information will be used. The data collected will remain in a password protected computer.

For more information you may contact the Primary Investigator, Jen Maguire at [email protected] or (707) 826-4565.If you have any concerns with this study contact the chair of the Institutional Review Board for the Protection of Human Subjects, Dr. Ethan Gahtan, at [email protected] or (707) 826-4545.If you have questions about your rights as a participant, report them to the Humboldt State University, Dean of Research, Dr. Rhea Williamson, at [email protected] or (707) 826-5169.

Please print this for your records.
 
 
* If you agree to voluntarily participate in this research as described, please begin the electronic survey.
 
Have read and understand the information provided, agree to participate in the survey, and verify that I am 18 years of age or older.
 
 
 
I. Demographics
 
 
 
How old are you?
   
 
 
What gender do you identify with?
 
Trans
 
Woman
 
Man
 
 
How would you describe yourself? Mark all that apply
 
Native American or American Indian
 
Black, Afro-Caribbean, or African American
 
Asian or Pacific Islander
 
South Asian
 
Middle Eastern or West Asian
 
White or Euro-American
 
European
 
Latino/a, Central American, or South American
 
Other
 

 
 
How long have you been student at this campus?
 
Less than 1 year
 
1 year
 
2 years
 
3 years
 
4 years
 
5+ years
 
 
Are you:
Yes No
Transfer student
1st generation college-student
International student
EOP (Educational Opportunity Program)
ESL (English as a Second Language)
Veteran
Active Duty
Graduate student
A parent or caring for minor children (under the age of 18)?
 
 
Which CSU do you attend?
 
California State University, Bakersfield
 
California State University Channel Islands
 
California State University, Chico
 
California State University, Dominguez Hills
 
California State University, East Bay
 
California State University, Fresno
 
California State University, Fullerton
 
Humboldt State University
 
California State University, Long Beach
 
California State University, Los Angeles
 
California Maritime Academy
 
California State University, Monterey Bay
 
California State University, Northridge
 
California State Polytechnic University, Pomona
 
California State University, Sacramento
 
California State University, San Bernardino
 
San Diego State University
 
San Francisco State University
 
San José State University
 
California Polytechnic State University, San Luis Obispo
 
California State University San Marcos
 
Sonoma State University
 
California State University, Stanislaus
 
 
Yes No
Are you a distance learning student?
Do you live on campus?
Do you spend more than 6 hours per day on campus?