Dear Student:

A randomly selected population of students from each of the public institutions listed on the left is being invited to participate in a national survey pertaining to health care and insurance concerns. This research effort will allow your university/school to obtain important benchmark information from its peer institutions.

You may only access the survey one time. If you received a letter or email message inviting you to participate in the survey, and you cannot access the survey using the six digit access code, please contact the survey manager listed at the left of this message.

We expect the survey will take you less than eight minutes to complete. The survey includes questions about your use of health care providers and recent health care conditions that required treatment. You may preview the survey by using the pseudo student identification number of 123456. The only inquiries that you are required to answer are the demographic questions 1 through 14 (pertaining to sex, age, ethnicity, country of citizenship, etc.), question 23 (number of visits to the student health service in the past 12 months), and question 34 ("What is the source of your health insurance coverage?"). You may leave any other question blank. When you click on the "submit" button at the bottom of each page, the survey program will call your attention to any questions you did not answer. You may then 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.

We are doing everything possible to assure the confidentiality of the survey participants' responses. Although we have taken appropriate steps relative to survey data confidentiality, such as using a secure server, there is no way to provide an absolute assurance that data transmitted over the Internet will remain secure.

The survey includes questions about health insurance coverage and the use of health care services. Questions regarding health insurance may cause anxiety or other concerns if you do not presently have health insurance coverage and questions regarding use of health care services may trouble persons currently using health care services. If you are anxious or troubled by any such questions, you may disregard this survey or merely leave these questions blank. All survey responses are provided anonymously and individual responses are kept confidential.

Thank you for participating in this important research effort pertaining to health care and insurance matters.