Surveys 2014 November D Demographics

Demographics Demographics Survey

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Age       Age:       Sex:   Male   Female   Other         Race:   Caucasian (Non-Hispanic/Latino)   Hispanic/Latino   African American   Asian   Middle Eastern   Native American   Other         Parents' marital status during childhood/adolescence   Single parent   Married   Divorced (not remarried)   Divorced (remarried)   Stepfamily   Other         How many siblings do you have?       Which number of child are you? (birth order)       Do you currently or have you in the past had a sibling with a chronic illness? *Chronic illness is being defined as "physical or mental conditions, that affect the daily functioning of individuals for longer than three months a year, or for a duration of hospitalization longer than one month" (cerebral palsy, chronic renal insufficiency, epilepsy, Down’s syndrome (and other chromosomal abnormalities), cystic fibrosis, heart conditions, cancer, juvenile arthritis, asthma, dermatitis (including severe eczema and psoriasis), leukemia and various types of anemia)   Yes   No       Gender of chronically ill sibling   Male   Female   N/A   Other         What number is your chronically ill sibling (birth order)?