3 minutes
To be eligible to participate in the Survey on Single Mothers Health Status, you must be a single mother who is 18 years of age or older.
How would you rate your overall health?
Have you been diagnosed with any chronic health conditions?
Do you have any mental health conditions?
Do you have any physical health conditions?
Do you have any health conditions that require you to take medication on a regular basis?
Do you have any health conditions that limit your ability to participate in physical activity?
Have you ever been pregnant?
Have you ever given birth?
How many times have you been pregnant?
How many times have you given birth?
How many children do you have?
Are you currently breastfeeding?
Have you ever breastfed?
For how long did you breastfeed each child?
Do you have any health insurance?
Do you have any form of dental insurance?
Do you have any form of vision insurance?
Do you have any form of mental health insurance?
Do you have any form of physical health insurance?
Do you have any form of prescription drug insurance?
Do you have any form of transportation to get to medical appointments?
Do you have any difficulty paying for your groceries?
Do you have any difficulty paying your rent or mortgage?
Do you have any difficulty paying your utility bills?