Sign Up for the CHB Survey

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If you have any questions or would like to sign your school up for the 2004 College Health Behavior survey, please complete the following form and someone on our staff will contact you to further discuss the process and answer any questions you may have…

CONTACT INFO
NAME
TITLE
EMAIL
PHONE
FAX
MAILING ADDRESS
CITY
STATE
ZIP CODE

SCHOOL INFO
NAME
ATHLETIC CONFERENCE
TOTAL FULL-TIME STUDENT ENROLLMENT
FIRST DAY OF SPRING SEMESTER (2004)
FIRST DAY OF SPRING BREAK (2004)
FIRST DAY OF FINAL EXAMS

For further information, or if this form does not work, please contact us by email at chb@hsph.harvard.edu or by phone at 617-384-8926.

CHB Main Page

What is CHB?

What Does it Cost to Participate?