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Korean

Depression in Korean Americans

About You

1. What is your race/ethnicity? *This question is required.

Please enter an 'other' value for this selection.

2. What is your gender? *This question is required.

3. How old are you? *This question is required.

4. What is your zip code? *This question is required. This question requires a valid number format.

5. I have lived in the United States for: *This question is required.

6. What is your highest level of education? *This question is required.

7. What is your current employment status? *This question is required.

8. What is your average yearly income?

8. I am very comfortable speaking English. *This question is required.

9. I am very comfortable speaking Korean. *This question is required.

9. For me, it is very important that my doctor is of Korean descent and speaks Korean. *This question is required.

9. Do you have health insurance? *This question is required.

10. If you do not have health insurance, why not (multiple choices can be selected)? *This question is required.

I am healthy and do not need health insurance.
I am no longer covered under my parents' health insurance.
Health insurance is too costly.
My work place does not provide health insurance.
The process of finding health insurance is too difficult.
I prefer to pay cash for health care, as needed.
I lost my job.
I am undocumented and do not qualify for health insurance subsidies or Medi-caid.
Other Please enter an 'other' value for this selection.

10. What is your marital status? *This question is required.