Risk Behavior Survey for Students of Nursing College University of Baghdad

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Risk Behavior Survey For Students of Nursing College University of Baghdad This survey is about health behavior. It has been developed so you can tell us what you do that may affect your health. The information you give will be used to improve health education for young people like yourself. DO NOT write your name on this survey. The answers you give will be kept private. No one will know what you write. Answer the questions based on what you really do. Completing the survey is voluntary. Whether or not you answer the questions will not affect your grade in this class. If you are not comfortable answering a question, just leave it blank. The questions that ask about your background will be used only to describe the types of students completing this survey. The information will not be used to find out your name. No names will ever be reported. Make sure to read every question. Fill in the ovals completely. When you are finished, follow the instructions of the person giving you the survey. Thank you very much for your help. DIRECTIONS Make circle around correct answer. If you change your answer, erase your old answer completely. 1. How old are you? A. 18 years old or younger B. 19 years old C. 20 years old D. 21 years old E. 22 years old F. 23 years old G. 24 years old or older 2. What is your sex? A. Female B. Male 3. In what grade are you? A. 1st grade B. 2nd grade C. 3rd grade D. 4th grade E. postgraduate 4. How tall are you without your shoes on? Directions: Write your height in the shaded blank boxes. Fill in the matching oval below each number. Example Height | cm | 160-170 | 170-179 | 180-190 | 5. How much do you weigh without your shoes on? Directions: Write your weight in the shaded blank boxes. Fill in the matching oval below each number. Example Weight | Kg | 50-60 | 60-69 |

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