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NU 631 Week 10 Assignment 1: Your EBP Demographics Tool REGIS NU 631 Week 10 Assignment 1 Your EBP Demographics Tool REGIS NU 631 Week 10 Assignment 1: Your EBP Demographics Tool REGIS Value: 100 points Due: Day 7 Grading Category: Assignments Overview As part of continuing your work on your EBP proposal, you create a demographics tool that you use to capture data on participants who will be part of your EBP project. Here is a Demographics Questionnaire (Word) example of a demographics tool section. Keep in mind that you should include only information that is important to include in data analysis and write-up. Asking extraneous questions is burdensome for participants; thus, your demographics questions need to be meaningful, relevant, and as brief as possible. Assignment Instructions Using a Word document, create a demographics tool that has a minimum of eight questions but a maximum of 20 questions. Please refer to the Grading Rubric for details on how this activity will be graded. To Submit Your Assignment: Select the Add Submissions button. Drag or upload your file to the File Picker. Select Save Changes. Demographic Questionnaire Are you male or female? Male Female   2. Do you consider yourself Hispanic or Latino/Latina?   Yes No What race do you consider yourself to be? Please select one or more of the following: White Black/African American 3. American Indian/Alaska Native Asian 5. Hawaiian Native/Pacific Islander Some other race (specify):  ___________________ What is your primary language? English Spanish 3. Some other language (specify): ______________ What is your date of birth? __ __ / __ __ / __ __ __ __ Mo Day Year 6. Which of the following educational credentials do you have (check all that apply): A high school diploma A GED certificate c. An Associate’s degree d. A technical credential or degree A Bachelor’s degree f. A Master’s degree g. Another advanced degree NU 631 Week 10 Assignment 1 Your EBP Demographics Tool REGIS Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:NU 631 Week 10 Assignment 1: Your EBP Demographics Tool REGIS What is your current employment status? Working for pay at a job or business 2. Looking for work, not currently employed 3. Not currently working and not looking for work (Specify): ________________ (Specify): ________________ 8. In 2006, what was your total family income from all sources? Was it: Less than $25,000, 2. $25,000 to $49,999, 3. $50,000 to $100,000, or More than $100.000? 9. What is your current marital status? Are you currently married or unmarried? Married (SKIP TO b) Unmarried (SKIP TO c) If married, are you and your spouse currently living together or living separately? Living together (SKIP OUT) Living separately (SKIP TO e) If not married, have you ever been married? Yes (SKIP TO d) No (SKIP TO e) Are you widowed or divorced? Widowed Divorced Are you currently living with a partner, boyfriend, or girlfriend as married? Yes No How many children do you have? (specify) ______ Biologic or adopted children ______ Step children ______ Foster children How many children with muscular dystrophy do you have? (specify) ______________________ How old is/are your child/children with muscular dystrophy? (specify) ______________________ At what age was your child with muscular dystrophy first assessed by a primary care provider? (specify) ______________________ How much of the care, roughly, do you provide to your child with muscular dystrophy? 0-24% 25-49% 50-74% 75-99% 100% 15. How would you rate your health? Excellent Very good Good 4. Fair 5. Poor Have you ever been diagnosed with one of the following disorders (select all that apply): Bipolar disorder 2. Schizophrenia 3. Dissociative Identity Disorder (Multiple Personality Disorder) Physical addiction (alcohol, drugs) None of the above Does anyone in your family or household have an illness or disability that demands a lot of your attention and makes it hard for you to work or go to school? Yes No   Order Now