We are in the process of working to understand how social determinants of health (factors such as where people are born, live, grow up, and work) affect health outcomes in adult life. We are trying to include as diverse a sample as possible in our study and would like to extend an invitation to you and your contacts to participate in our study. It is only a 1-time survey that takes about 1 - 2 hours to complete (we offer the survey in Spanish and English). Individuals who participate must be at least 21 years old. The information that we learn from the study will help us to be able to determine which factors have a greater impact on health outcomes like quality of life, blood pressure, weight, etc. We are trying to improve the health of immigrants by understanding how the challenges they face impact their health and the processes we need to put in place to improve the care they receive. We also recognize that time is very valuable so we are offering our participants a $25 gift card to Wal-Mart for completing the survey. I have attached our currently approved flyer. Please let me know if you have any questions or concerns.