The Colorado School of
Mines Student Health Center & Insurance Survey SURVEY INSTRUCTIONS
Colorado School of Mines is using this survey to update a 1998 study about health care and insurance issues for CSM students. You may be one of 1,400 students randomly selected to participate in this survey. If you have been selected to participate in the survey, you may only complete the survey one time. If you received a letter or email message from Dr. Harold Cheuvront inviting you to participate in the survey, and you cannot access the survey using the last six digits of your Student Identification number (your Student I.D. # may be your Social Security number), please contact the consultant for CSM, Stephen L. Beckley at: beckley@slba.com. You may also contact Mr. Beckley by telephone at 303-790-1884. We expect the survey will take
you approximately 15 minutes to complete. The survey includes questions about your use of health care providers and ongoing health care conditions that require periodic treatment. You may preview the survey by using the Student Identification number: 123456. The only inquiries that you are required to answer are the demographic questions one through 15 pertaining to sex, age, ethnicity, country of citizenship, etc.; question 25 about health service usage in the past 12 months; and
question 39 about the type of health insurance you have. Questions 25 and 39 are mandatory because your answers will determine the next set of questions you are given. You may leave all other questions blank. When you click on the "submit" button at the bottom of each page, the survey software will call your attention to any questions you did not answer. You may the use the "back" button on your web browser to answer the question, or click on a "continue" button to bypass the question(s) you choose not to answer. If you inadvertently answer a question incorrectly, there is a button at the bottom of each page of the survey that allows you to clear all answers on that page. Thank you for participating in this important research effort for Colorado School of Mines. Best wishes for good health and success in your academic endeavors.
The Survey is now Closed.
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