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  1. Surveys
  2. 2012
  3. April
  4. P
  5. Pet Onwership
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Hello:
You are invited to participate in our survey PET THERAPY. In this survey, approximately 50 people will be asked to complete a survey. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
Q1. In general would you say your health is…
 
1. excellent
 
2. very good
 
3. Good
 
4. Fair
 
5. Poor
 
 
 
Q2. Compared to one year ago, how would you rate your health in general now? Would you say it is…
 
1. much better now than one year ago
 
2. somewhat better now than one year ago
 
3. about the same as one year ago
 
4. somewhat worse now than one year ago
 
5. much worse now that one year ago
 
 
 
Q3. First vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. Does your health now limit you a lot, limit you a little, or not limit you at all?
Is that because of your health?
 
1. Yes, limited a lot
 
2. Yes, limited a little
 
3. No, not limited a t all
 
 
 
Q4. …moderate activities , such as moving table, pushing a vacuum cleaner, bowling, or playing golf. Does your health now limit you a lot, limit you a little, or not limit you at all?
Is that because of your health?
 
1. Yes, limited a lot
 
2. Yes, limited a little
 
3. No, not limited at all
 
 
 
Q5. …lifting or carrying groceries. Does your health now limit you a lot, limit you a little, or not limit you at all?
Is that because of you health?
 
1. Yes, limited a lot
 
2. Yes, limited a little
 
3. No, not limited at all
 
 
 
Q6. …climbing several flights of stairs. Does your health now limit you a lot, limit you a little, or not limit you at all? Is that because of your health?
 
1. Yes, limited a lot
 
2. Yes, limited a little
 
3. No, not limited at all
 
 
 
Q7. …climbing one flight of stairs. Does you health now limit you a lot, limit you a little, or not limit you at all? Is that because of your health?
 
1. Yes, limited a lot
 
2. Yes, limited a little
 
3. No, not limited at all
 
 
 
Q8. …bending, kneeling, or stooping. Does you health now limit you a lot, limit you a little, or not limit you at all?
 
1. Yes, limited a lot
 
2. Yes, limited a little
 
3. No, not limited at all
 
 
 
Q9. …walking more than a mile. Does your health now limit you a lot, limit you a little, or not limit you at all? Is that because of your health?
 
1. Yes, limited a lot
 
2. Yes, limited a little
 
3. No, not limited at all
 
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