HPHD-New Student Spr08 Rev1

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	University of Wisconsin - Stevens Point School of Health Promotion and Human Development New Student Survey

You are being asked to complete this survey because you are entering one of the majors (Dietetics, FCS, or HPW) in HPHD. Your opinions on this survey will be used to make changes to the program to better meet the needs of our students. Therefore, we ask that you take this survey seriously and answer thoughtfully. This survey information will be held in strict confidence. Your efforts are appreciated.

	SECTION I: Demographic Information

1.	Name (Last, First)

2.	Current Address

3.	City, State, Zip

4.	Birthdate -- Format: MM/DD/YYYY

5.	Email Address

6.	Phone Number -- Format: ###-###-####

7.	Student ID

8.	Parents' Name, Address, City, State, and Zip

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