Health Literacy Demographics Questionnaire
Exit this survey
50%
*
1
. What Health Literacy Program are you from?
What Health Literacy Program are you from?
Adult Literacy League - Orlando
Literacy Volunteers of America - Key West
Literacy Volunteers of Lee County - Cape Coral
United Methodist Cooperative Ministries - Clearwater
Haitian-American Organization for Women - Homestead
Manatee Technical Institute - Bradenton
Palm Beach County Literacy Coalition - Delray Beach
Florida Community College in Jacksonville - Jacksonville
South Florida Community College - Avon Park
TECO-ALCO - Kissimmee
Other (please specify)
*
2
. How old are you?
How old are you?
*
3
. Are you
Please choose one:
Man (M)
Woman (F)
Are you Please choose one:
*
4
. What is your home country?
What is your home country?
*
5
. What language do you speak at home?
What language do you speak at home?
*
6
. What is the HIGHEST level of education you completed?
What is the HIGHEST level of education you completed?
Elementary Schoool
Middle School
High School
Associate Degree (2 Yrs University)
Bachelor's Degree (4 Yrs University)
Master's Degree
Doctoral/Professional Degree
Other (please specify)
*
7
. Did you work back in your home country?
Did you work back in your home country?
Yes
No
8
. If yes, what was your job in your home country?
If yes, what was your job in your home country?
Javascript is required for this site to function, please enable.