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Hello:
You are invited to participate in our survey . Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. 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 Janaye Bates or Jessica Sanka at (616-706-2810) (231-343-9881) or by email at the email address specified below.
[email protected]
[email protected]

Thank you very much for your time and support.
 
 
 
What is your age?
   
 
 
 
What is your Gender?
 
Male
 
Female
 
 
 
Which of these best describes your family?
 
Both biological parents are together
 
Divorced family
 
Blended family (step-parents/step-siblings)
 
Single parent
 
Other
 
 
 
Are you a student?
   
 
 
 
Are you currently taking any medication?
 
Yes
 
No
 
 
 
If yes to the prior, what medication are you taking?
   
 
 
 
What is your highest level of education?
 
High school diploma
 
Some college education
 
Associates degree
 
Bachelors Degree
 
Master's Degree
 
PH.D
 
Other
 
 
 
How would you explain your relationship with your parents?
 
I have a great relationship with my parents
 
I am mostly satisfied with my relationship with my parents
 
I try to avoid my parents
 
I have an unsatisfactory relationship with my parents
 
Other
 
 
 
Do you suffer from any of the following?
 
Depression
 
Anxiety
 
Difficulties with attention
 
Bipolar Disorder
 
Does not apply to me