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2015
October
C
CSU System-wide Food and Housing Security Survey
CSU System-wide Food and Housing Security Survey
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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?
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