college health survey - Depression Discrimination (e.g.,...

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Directions Please select the most serious outcome for each item below. Within the last 12 months, have any of the following affected your academic performance? Significant disruption in thesis, dissertation, research, or practicum work Received an incomplete or dropped the course Received a lower grade in the course Received a lower grade on an exam or important project I have experienced this issue but my academics have not been affected This did not happen to me/not applicable Alcohol use Allergies Anxiety Assault (physical)
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Assault (verbal) Attention Deficit and Hyperactivity Disorder (ADHD) Cold/Flu/Sore Throat Concern for a troubled friend or family member Chronic health problem or serious illness (e.g., diabetes, asthma, cancer)
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Chronic pain Death of a friend or family member
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Unformatted text preview: Depression Discrimination (e.g., homophobia, racism, sexism) Drug Use Eating disorder/problem Finances Gambling Homesickness Injury (fracture, sprain, strain, cut) Internet use/computer games Learning disability Participation in extracurricular activities (e.g., campus clubs, organizations, athletics) Pregnancy (yours or your partners) Relationship difficulties Roommate difficulties Sexually transmitted disease/infection (STD/I) Sinus Infection/Ear Infection/Bronchitis/Strep throat Sleep difficulties Stress Work Other (please specify) STOP- From the above list select the top three conditions or behaviors that are affecting your academic performance. You will need them to complete the assignment given on the next page....
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college health survey - Depression Discrimination (e.g.,...

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