Demographics
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15. How do you identify? (Select one or more responses).
2. How old are you?
3-5. Summary. Race/Ethnicity (Mutually Exclusive)
6. What is the language you use most often at home?
84. Do you think of yourself as...
16. A person's appearance, style, dress or the way they walk or talk may affect how people describe them. How do you see yourself?
17. A person's appearance, style, dress or the way they walk or talk may affect how people describe them. How do you think other people at school would describe you?
Family Affluence Scale (FAS)
14. Do you receive free or reduced price lunches at school?
Health Care Issues
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18. Would you say that in general your physical health is...
19. Would you say that in general your emotional and mental health is...
20. When did you last go to a doctor or nurse practitioner for a check-up or physical exam when you were not sick or injured?
21. During the past 12 months, did you have any physical health care needs that were not met? (Count any situation where you thought you should see a doctor, nurse, or other health professional.)
22. During the past 12 months, did you have any emotional or mental health care needs that were not met? (Count any situation where you thought you should see a counselor, social worker, or other mental health professional.)
23. In the past 12 months, have you visited an emergency room or urgent care clinic for a physical or mental health care need? (Select one or more responses).
24. When did you last go to a dentist or dental hygienist for a check-up, exam, teeth cleaning, or other dental work?
Resiliency and Engagement
25. I can do most things if I try.
26. There is at least one teacher or other adult in my school that really cares about me.
27. I volunteer to help others in my community.
28. I can work out my problems.
29. During the past 12 months, how would you describe your grades in school?
30. During the past 12 months, how many days of school did you miss for any reason?
31. During the past 12 months, how many days of school did you miss because of physical health reasons?
32. During the past 12 months, how many days of school did you miss because of emotional or mental health reasons?
33. During the past 12 months, how many days of school did you have unexcused absences (meaning you skipped or cut school)?
Summary: Meets the positive youth development benchmark.
Asthma
Current asthma prevalence
Nutrition
38. In the past 12 months, did you ever eat less than you felt you should because there wasn’t enough money to buy food?
39-44. Summary: Five-a-day measure: In the past 7 days, average servings per day where student reported consuming fruits or vegetables.
45. During the past 7 days, on how many days did you eat breakfast?
53. During the past 7 days, how many times did you drink a can, bottle, or glass of soda or pop, such as Coke, Pepsi, or Sprite? (Do not include diet soda or diet pop.)
54. During the past 7 days, how many times did you drink: Fruit-flavored beverages such as Kool-Aid, Sunny Delight, or Snapple? (Do not include 100% fruit juice).
55. During the past 7 days, how many times did you drink: Energy drinks such as Red Bull, Rockstar, or Monster? (Do not include diet or sugar-free energy drinks)
56. During the past 7 days, how many times did you drink: Sports drinks such as Gatorade or Powerade?
57. During the past 7 days, how many times did you drink: Flavored milk such as Chocolate or Strawberry milk? (Do not include plain milk).
58. During the past 7 days, how many times did you drink: Plain milk? (Include milk that you added to cereal).
59. During the past 7 days, how many times did you drink: Sweetened coffee or tea beverages such as Starbucks Frappuccino or an Arizona Iced Tea?
60. During the past 7 days, how many times did you drink: Plain water? (Include tap and bottled water).
68. During the past 7 days, how many times did you visit a convenience store such as Plaid Pantry, 7-Eleven, Circle K, a mini-mart, or a gas station store?
Sleep
46. On an average school night, how many hours of sleep do you get?
Physical Activity
47. During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day?
48. On how many of the past 7 days did you do exercises to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?
49. In an average week when you are in school, on how many days do you go to physical education (PE) classes?
50. During an average physical education (PE) class, how many minutes do you spend actually exercising or playing sports?
50.x. Among only those who took PE: During an average physical education (PE) class, how many minutes do you spend actually exercising or playing sports?
51. On an average school day, how many hours do you watch TV?
52. On an average school day, how many hours do you play video or computer games or use a computer for something that is not school work? (Include activities such as Xbox, Play Station, Nintendo DS, iPod touch, Facebook, and the Internet.)
61. In an average school week, on how many days do you use each of these forms of transportation to get to or from school? Walk
62. In an average school week, on how many days do you use each of these forms of transportation to get to or from school? Ride a bike
63. In an average school week, on how many days do you use each of these forms of transportation to get to or from school? Ride a skateboard, skates, or
scooter
64. In an average school week, on how many days do you use each of these forms of transportation to get to or from school? Ride a school bus
65. In an average school week, on how many days do you use each of these forms of transportation to get to or from school? Ride public transportation, including a city bus or light rail
66. In an average school week, on how many days do you use each of these forms of transportation to get to or from school? Ride in or drive a car or other
private vehicle (with only members of your family)
67. In an average school week, on how many days do you use each of these forms of transportation to get to or from school? Ride in a carpool (with people
other than your family)
Body Weight
Body Weight status as Measured by Body Mass Index (BMI): Weight to Height Ratios.
Mental Health
69. During the past 12 months, did you ever feel so sad or hopeless every day for two weeks or more in a row that you stopped doing some usual activities?
70. During the past 12 months, did you ever seriously consider attempting suicide?
71. During the past 12 months, how times did you actually attempt suicide?
Personal Safety
72. During the past 30 days, on how many days did you not go to school because you felt you would be unsafe at school or on your way to or from school?
73. During the past 12 months, how many times has someone threatened you with a weapon such as a gun, knife, or club on school property?
74. During the past 12 months, how many times were you in a physical fight on school property?
75. During the past 12 months, has anyone offered, sold or given you an illegal drug on school property?
Bullying
76. During the past 30 days, have you been bullied by someone using any kind of technology, such as through social media, cell phones, or video games?
77. During the past 30 days, have you ever been bullied at school (including any school events, or on the way to or from school) in relation to any of the following issues? This includes in-person and cyberbullying. (Select one or more responses.)
Gambling
81. Gambling involves betting anything of value (money, a watch, soda, etc.) on a game or event. Please check ALL the different types of gambling that you have bet on, if any, during the last 30 days.
82. During the last 12 months, have you ever felt that you would like to stop betting money but didn't think you could?
83. Bet or gambled more than you wanted to?
Sexual Behavior
85. Have you ever had sexual intercourse?
86. How old were you when you had sexual intercourse for the first time?
86.x. Among those who have ever had sex: How old were you when you had sexual intercourse for the first time?
87. During your life, with how many people have you had sexual intercourse?
87.x. Among those who have ever had sex: During your life, with how many people have you had sexual intercourse?
88. During the past 3 months, with how many people did you have sexual intercourse?
88.x. Among those who have ever had sex: Indicator for current sexual activity, defined as sexual intercourse during the past three months.
89. Did you drink alcohol or use drugs before you had sexual intercourse the last time?
89.x. Among those who have ever had sex: Did you drink alcohol or use drugs before you had sexual intercourse the last time?
90. The last time you had sexual intercourse, did you or your partner use a condom?
90.x. Among those who have ever had sex:The last time you had sexual intercourse, did you or your partner use a condom?
91. The last time you had sexual intercourse, what one method(s) did you or your partner use to prevent pregnancy? (Select all that apply)
91.x. Among those who have ever had sex: The last time you had sexual intercourse, what one method(s) did you or your partner use to prevent pregnancy? (Select all that apply)
Tobacco
Any cigarette use in past 30 days (includes menthol)
Any tobacco use in past 30 days (includes e-cigarettes)
92. During the past 30 days, on how many days did you smoke cigarettes?
93. During the past 30 days, on how many days did you smoke menthol cigarettes?
94. During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits, Copenhagen, Camel Snus, or Marlboro Snus?
95. During the past 30 days, on how many days did you smoke a little cigar, such as Swisher Sweets?
96. During the past 30 days, on how many days did you smoke a large cigar?
97. During the past 30 days, on how many days did you smoke tobacco in a Hookah, also known as a waterpipe?
98. During the past 30 days, on how many days did you use an e-cigarette or other vaping product?
99. Have you ever used any tobacco or vaping product with mint, fruit, coffee, candy, or other flavors? Exclude marijuana.
100. During the past 30 days, have you used any tobacco or vaping product with mint, fruit, coffee, candy, or other flavors? Exclude marijuana.
101. How old were you when you smoked a whole cigarette for the first time?
102. How old were you when you first used any form of tobacco or vaping product other than regular cigarettes? Exclude marijuana.
103. The very first time you used any tobacco or vaping product (including e-cigarettes), which type of product did you use?
106. During the past 30 days, from which of the following sources did you get tobacco or vaping products? (Select one or more responses.) (Under age 18)
106.x.Among those who used tobacco in the last 30 days: During the past 30 days, from which of the following sources did you get tobacco or vaping products? (Select one or more responses.) (Under age 18)
107. Does someone living in your house (other than you) smoke or vape tobacco?
108. During this school year, have you seen anyone smoking or vaping tobacco on school property?
109. During the past 30 days, have you seen an advertisement promoting tobacco or a vaping products: On a storefront or in a store?
110. Do you agree or disagree with the following statement: Cigarette companies deliberately advertise and promote cigarettes to encourage youth under 18 to smoke.
115. Do you think tobacco companies have been honest or dishonest with the public about the dangers of tobacco use?
131. If you wanted to get e-cigarettes or other vaping products, how easy would it be for you to get some?
Alcohol
112. How old were you when you had your first drink of alcohol other than a few sips?
113. During the past 30 days, on how many days did you have at least one drink of alcohol?
114. During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours?
115. During the past 30 days, what type of alcohol did you usually drink? (Select only one response.)
115.x. Among those who used alcohol in the last 30 days: During the past 30 days, what type of alcohol did you usually drink? (Select only one response.)
130. If you wanted to get some beer, wine or hard liquor (for example, vodka, whiskey or gin), how easy would it be for you to get some?
Marijuana and Prescription Drug Use
116. How old were you when you tried marijuana for the first time?
117. During the past 30 days, on how many days did you use marijuana or hashish (weed, hash, pot)?
117.x. Summary: During the past 30 days, on how many days did you use marijuana or hashish (weed, hash, pot)?
118. During the past 30 days, how many times did you use marijuana on school property?
119. During the past 30 days, if you used marijuana, how did you use it? (Select one or more responses)
119.x. Among those who used marijuana in the last 30 days: During the past 30 days, if you used marijuana, how did you usually use it? (Select one or more responses).
120. When you smoked marijuana during the past 30 days, did you ever mix it with tobacco? Either rolling with loose tobacco (spliff) or rolling marijuana in a tobacco blunt wrap.
121. When you used marijuana during the past 30 days, did you ever drink alcohol at the same time?
122. Does any adult living in your house use marijuana?
123. If one of your best friends offered you some marijuana, would you use it?
124. During the past 30 days, have you seen an advertisement for marijuana products or stores: In a magazine or newspaper?
125. During the past 30 days, have you seen an advertisement for marijuana products or stores: On a storefront?
126. During the past 30 days, have you seen an advertisement for marijuana products or stores: Online? On your cellphone, tablet, or computer (through email, websites, or social media)?
127. During the past 30 days, have you seen an advertisement for marijuana products or stores: On a billboard?
128. During the past 30 days, have you seen an advertisement for marijuana products or stores: On the sidewalk (like signs or people wearing or waving signs)?
132. If you wanted to get some marijuana, how easy would it be for you to get some?
129. During the past 30 days, how many times have you used prescription drugs (such as Oxycontin, Percocet, Vicodin, Codeine, Adderall, Ritalin, or Xanax) without a doctor's orders?
133. If you wanted to get prescription drugs not prescribed to you, how easy would it be for you to get some?
Perceived Risk
134. How much do you think people risk harming themselves (physically or in other ways) if they take one or two drinks of an alcoholic beverage (beer, wine, liquor) nearly every day?
135. How much do you think people risk harming themselves (physically or in other ways) if they have five or more drinks of an alcoholic beverage once or twice a week?
136. How much do you think people risk harming themselves (physically or in other ways) if they smoke one or more packs of cigarettes per day?
137. How much do you think people risk harming themselves (physically or in other ways) if they use e-cigarettes or other vaping products every day?
138. How much do you think people risk harming themselves (physically or in other ways) if they use marijuana regularly (at least once or twice a week)
139. How much do you think people risk harming themselves (physically or in other ways) if they use prescription drugs that are not prescribed to them?
Family Beliefs
140. How wrong do your parents feel it would be for you to drink beer, wine, or liquor (e.g., vodka, whiskey, or gin) regularly?
141. How wrong do your parents feel it would be for you to smoke cigarettes?
142. How wrong do your parents feel it would be for you to use e-cigarettes or other vaping products?
143. How wrong do your parents feel it would be for you to use smoke marijuana?
144. How wrong do your parents feel it would be for you to use prescription drugs not prescribed to you?
Peer Beliefs
145. How wrong do your friends feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day?
146. How wrong do your friends feel it would be for you to smoke cigarettes.
147. How wrong do your friends feel it would be for you to use an e-cigarette or other vaping product?
148. How wrong do your friends feel it would be for you to use marijuana?
149. How wrong do your friends feel it would be for you to use prescription drugs not prescribed to you?