Welcome and thank you for taking the time to give us your valuable input! This survey will take you approximately 15 minutes to complete and will include four sections: general health status, lifestyle, health care access and attitudes, and demographics. When you are done with the survey, you will have the option to be entered into a raffle (through a different webpage) for a chance to win 1 of 50 $10 Target gift cards. This survey is COMPLETELY CONFIDENTIAL. Your name and contact information will not be collected in the survey. If you have any questions about the survey, please contact Kamala Puram at 952-237-1489 or kpuram@gmail.com or Dr. Melissa Kwon at 612-625-8540 or mkwon@umn.edu. To get additional information about this health survey, please visit our website at www.sewa-aifw.org.

Thank you again for your participation!

Participation in this research is voluntary. You are free to decline to participate in this research study, or to withdraw your participation at any point, without penalty.

* 1. If you are 18 years of age or older, by selecting “I ACCEPT,” you are agreeing to participate in this confidential survey.

4% of survey complete.