Satisfaction with current health status
Happy with personal life last month
Concerned about your health
Full of interesting things
Cholesterol level checked in past five years
Blood pressure checked in past two years
Blood pressure normal
Ever regularly smoked cigarettes or used tobacco
Age first started to use tobacco
Smoke or use tobacco now
Type of tobacco smoked
Frequency of Smoking (Amt/day)
Past 2 Weeks: How Many Times 5+ Drinks
Number of Drinks Typically Consumed at Party
Number of Drinks Others Have a Parties
Ever Injure Self Because of Drinking
Ever Injure Anyone Else Because of Your Drinking
Rode in a car driven by someone who had been drinking
Drove after having three or more drinks
Ever tried marijuana?
Past month, times used marijuana
Ever tried cocaine or crack
Past month, times used cocaine or crack
Ever tried hallucinogens
Past month, times used hallucinogens
Ever tried amphetamines-cat 3 added 98
Past month, times used amphetamines/other drugs
Ever tried heroin, opium, or other narcotics
Past month, times used narcotics
Use herbal remedies
Inform care provider about herbal remedies use
Intercollegiate athletics
Handling the stress
Past year, sought counseling for stress
Experienced negative treatment past year
Treated negatively because of
Sex
Marital status
Ever engaged in sexual intercourse
Age first engage in sexual intercourse
Number of sexual partners last year
Had sex under influence of drugs, alcohol
How often had sex under influence of drugs, alcohol
Alcohol, drug make poor choice on contraception, safe sex
Last sexual intercourse, contraceptive used
Contraceptive method used no None and combined cats in 98
Ever had sexually transmitted disease
Sexually transmitted diseases(1)
Sexually transmitted diseases(2)
Sexually transmitted diseases(3)
Sexually transmitted diseases(4)
Ever been/gotten someone pregnant
Pregnancies intended or accidental
Pregnancies while student at the UO
Past year, forced to have sex
Alcohol/Drugs Involved with Sexual Abuse
Sexual orientation
Had a Pap smear test in past 3 years
Why not had PAP smear test
Past month, days sick enough to miss class/work
Considered/dropped out due to health problems
Considered/dropped out due to medical expenses
Ever seriously thought about suicide
Past 12 months, ever seriously consider suicide
Past 12 months, made suicide attempts
Times used SHC past year
Health improve because of your visit
Use services again if needed
Why not used SHC past year
SHC can improve services
Cost of SHC compared to other health services
Currently covered by health insurance
Who pays your health insurance
Often found unable to afford needed health care
All UO students be required to have health insurance
Prefer increase in prepaid/increased charges
Willing to pay $25 per term more for cost of care not available at HC
Know the health center is open on weekends
Agree with extending Health Center services
Extend services, unmarried partners of UO students
Extend services, children of UO students
Extend services, UO faculty
Extend services, UO staff
Extend services, UO alumni
Extend services, students of other schools
Ever seen health center web page
Making appointments by using Health Center Web page
Class status
Age
Member of a fraternity or sorority
Race
International student
Financial aid
Pell grant
Credit hours enrolled this term
Currently working for pay
Number of children in household
Number of Children Dependent on R
Most stressful experience past year
Most serious health-related issue
Personal major health concern
How health center can improve services
Major