2003/2004 School Year
Viewing Options:
Demographics
View topic tables
1. What gender are you?
3. How old are you?
4. Are you Hispanic or Latino?
5. Which one or more of the following would you say is your race group?
Health Care Issues
View topic tables
9. When was the last time you saw a doctor or nurse practitioner for a check up or physical exam when you were not sick or injured?
10. During the past 12 months, where did you usually go to meet your health care needs?
11. During the past 12 months, did you have any of the following health care needs?
12. During the past 12 months, did you have any of the following health care needs that were NOT met?
13. When was the last time you saw a dentist or dental hygienist for a check up, exam, teeth cleaning, or other dental work?
14. Have you ever had a cavity that you know of?
15. Did you brush your teeth in the past 24 hours?
Tobacco, Alcohol and Other Drugs
View topic tables
16. During the past 30 days, on how many days did you smoke cigarettes?
17. During the past 30 days, on the days you smoked, how many cigarettes did you smoke per day?
18. During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip?
19. During the past 30 days, on how many days did you smoke cigarettes on school property?
20. During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip on school property
21b-h. What did you do to quit using tobacco?
22. On how many occasions (if any) have you had beer or wine (non-religious) or hard liquor to drink during the past 30 days?
23. 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?
24. During the past 30 days, on how many days did you have at least one drink of alcohol on school property?
25. During the past 30 days, on how many days did you have at least one drink of alcohol at a party?
26. During the past 30 days, on how many times did you use marijuana?
27. During the past 30 days, on how many times did you use marijuana on school property?
28. On how many occasions (if any) during the past 30 days have you:
a. Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high?
b. Used prescription drugs (without a doctor's order) to get high?
c. Used stimulants (amphetamines, meth, crystal, speed, crank)?
d. Used cocaine or "crack" cocaine?
e. Used heroin or other opiates or narcotics?
f. Used Ecstasy or MDMA?
g. Used LSD or other hallucinogens or psychedelics?
(Summary variable) Illicit drug use in the past 30 days, excluding tobacco and alcohol?
(Summary variable) Illicit drug use in the past 30 days, excluding tobacco, alcohol, marijuana, inhalants and prescription drugs?
First Use and Future Intentions
View topic tables
29. How old were you when you first:
a. Smoked a whole cigarette?
b. Had more than a sip or two of beer, wine, or hard liquor?
c. Began drinking alcoholic beverages regularly; ie, at least once or twice a month?
d. Tried marijuana or hashish?
e. Tried to sniff or inhale gases, sprays, or glue in order to get high?
f. Got suspended from school?
g. Got arrested?
h. Attacked someone with the idea of seriously hurting them?
i. Carried a handgun?
30. Sometimes we don't know what we will do as adults, but we may have an idea
Please tell us how true these statements may be for you as an adult:
a. When I am an adult, I will smoke cigarettes
b. When I am an adult, I will drink beer, wine, or liquor
c. When I am an adult, I will smoke marijuana
Nutrition and Physical Activity
View topic tables
Body Weight status as Measured by Body Mass Index (BMI): Weight to Height Ratios
(Summary variable) Five-a-day measure:
In the past 7 days, average servings per day where student reported consuming fruits or vegetables.
31. During the past 7 days, on how many days did you drink 100% fruit juices?
32. During the past 7 days, on how many days did you eat fruit?
33. During the past 7 days, on how many days did you eat green salad?
34. During the past 7 days, on how many days did you eat potatoes? (Does not include French fries, fried potatoes or potato chips)
35. During the past 7 days, on how many days did you eat carrots?
36. During the past 7 days, on how many days did you eat other vegetables?
37. During the past 7 days, on how many days did you eat breakfast?
38. Vigorous exercise: On how many of the past 7 days did you exercise/participate in physical activity for at least 20 minutes that made you sweat and breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling or fast dancing?
39. Moderate exercise: On how many of the past 7 days did you exercise/participate in physical activity for at least 30 minutes that did not make you sweat and breathe hard, such as fast walking, slow bicycling, skating or pushing a lawn mower?
Sexual Behavior
View topic tables
40. Have you ever had sexual intercourse?
41. How old were you when you had sexual intercourse for the first time?
42. During your life, with how many people have you had sexual intercourse?
43. During the past 3 months, with how many people did you have sexual intercourse?
43x. Among those who have ever had sex: Indicator for current sexual activity, defined as sexual behavior during the past three months
44. Did you drink alcohol or use drugs before you had sexual intercourse the last time?
44x. Among those who have ever had sex: Did you drink alcohol or use drugs before you had sexual intercourse the last time?
45. The last time you had sexual intercourse, did you or your partner use a condom?
45x. Among those who have ever had sex: The last time you had sexual intercourse, did you or your partner use a condom?
46. The last time you had sexual intercourse, what one method did you or your partner use to prevent pregnancy?
46x. Among those who have ever had sex: The last time you had sexual intercourse, did you or your partner use a method to prevent pregnancy?
47. When did you first go to a medical office or clinic to get a method for preventing pregnancy?
48. During the last 12 months, have you ever been taught about AIDS or HIV infection in school?
Personal Beliefs
View topic tables
49. How true is this statement for you:
a. I can say no to activities that I think are wrong?
b. I can work out my problems?
c. At school, I help decide things like class activities or rules?
d. I am part of clubs, sports teams, church/temple or other group activities away from school?
e. I try to understand how other people feel/think?
f. I help make decisions with my family?
g. I work to make my community a better place?
h. I can do most things if I try?
i. I feel bad when someone gets their feelings hurt?
j. I volunteer on a regular basis to help others in my community?
50. How wrong do you think it is for someone your age to:
a. Smoke cigarettes?
b. Drink beer, wine, or hard liquor regularly?
c. Smoke marijuana?
d. Use LSD, cocaine, amphetamines, or another illegal drug?
e. Take a handgun to school?
f. Steal anything worth more than $10?
g. Pick a fight with someone?
h. Attack someone with the idea of seriously hurting them?
i. Stay away from school all day when their parents think they are at school?
51. How much do think people risk harming themselves (physically or in other ways) if they:
a. Smoke one or more packs of cigarettes per day?
b. Try marijuana once or twice?
c. Smoke marijuana regularly?
d. Take one or two drinks of an alcoholic beverage nearly every day?
Peers
View topic tables
52. Think of your four best friends: In the past 12 months, how many of your best friends have:
a.
b. Tried beer, wine or hard liquor?
c. Used marijuana?
d. Used LSD, cocaine, amphetamines, or other illegal drugs?
e. Carried a handgun?
f. Been members of a gang?
g. Dropped out of school?
h. Been suspended from school?
i. Sold illegal drugs?
j. Stolen or tried to steal a motor vehicle such as a car or motorcycle?
k. Been arrested?
Mood
View topic tables
53. During the past 30 days, how much of the time have you:
a. Been a very nervous person?
b. Felt calm and peaceful?
c. Felt downhearted and blue?
d. Been a happy person?
e. Felt so down in the dumps that nothing could cheer you up?
54. During the past week, how often did you:
a. Not feel like eating, or your appetite was poor?
b. Feel depressed?
c. Feel sad?
d. Feel you could not get going or had low energy?
55. During the past 12 months, did you ever seriously consider attempting suicide?
56. During the past 12 months, on how times did you actually attempt suicide?
57. If you attempted suicide during the past 12 months, did any attempt result in an injury, poisoning, or overdose that had to be treated by a doctor or nurse?
57x. Amongst only those who attempted suicide during the past 12 months: Did any attempt result in an injury, poisoning, or overdose that had to be treated by a doctor or nurse?
Unwanted Behavior, Harassment, Threats
View topic tables
58. During the past 12 months, did your boyfriend or girlfriend ever hit, slap, or physically hurt you on purpose?
59. Have you ever been physically forced to have sexual intercourse when you did not want to?
60. During your life, has any adult ever intentionally hit or physically hurt you?
61. During your life, has any adult ever had sexual contact with you?
62x. During the past 12 months, have you ever been harassed at school or on the way to or from school?
62. What type of harassment?
63. In the past 30 days, how many times did a student call you names, swear at you, or say mean things to you?
64. During the past 30 days, how many times did you not go to school because you felt you would be unsafe at school or on your way to or from school?
65. During the past 12 months, how many times have the following happened on school property?
a. Someone threatened you with a weapon such as a gun, knife, or club?
b. Someone injured you with a weapon?
c. You were in a physical fight?
d. Someone took money or things directly from you by using force, a weapon, or threats?
e. Someone deliberately damaged your property?
Harmful Behavior
View topic tables
66. During the past 12 months, how many times have you:
a. Been in a physical fight?
b. Gambled?
c. Carried a handgun?
d. Sold illegal drugs?
e. Stolen or tried to steal a motor vehicle such as a car or motorcycle?
f. Been arrested?
g. Attacked someone with the idea of seriously hurting them?
h. Been drunk or high at school?
i. Taken a handgun to school?
j. Been suspended from school?
67. Have you ever belonged to a gang?
68. If you have ever belonged to a gang, did that gang have a name?
iv.
69. How old were you when you first belonged to a gang?
70a. During the past 30 days, on how many days did you carry a weapon other than a gun (such as a knife, club) on school property?
70b. During the past 30 days, on how many days did you carry a gun as a weapon on school property?
71. If you wanted to get a handgun, how easy would it be for you to get one?
Health Conditions
View topic tables
72. Are you limited in any way in any activities because of any physical, mental or emotional condition?
73. Is your condition: physical; learning; emotional; not sure?
74. Do you now have any condition that requires you to use special equipment, such as a cane, a wheelchair, a special bed, or a special telephone?
75. Because of a physical, learning or emotional condition that you have had for at least a year, do you have any of the following limitations?
76. During the past 12 months, have you had an episode of asthma or an asthma attack?
77. Has a doctor, nurse, or other health professional ever told you that you have asthma?
78. Do you still have asthma?
79. During the past 30 days, how many days of school did you miss because of your asthma?
80. During the past 30 days, how many nights did symptoms of asthma make it difficult for you to stay asleep?
General Safety
View topic tables
81. When you rode a bicycle during the past 12 months, how often did you wear a helmet?
81x. Amongst only those who rode a bicycle during the past 12 months: how often did you wear a helmet?
82. How often do you wear a seat belt when riding in a car driven by someone else?
Tobacco Prevention
View topic tables
83. Is there a rule against tobacco in your school?
84. During the past 12 months, have you seen teachers or staff smoke on school property?
85. During the past 12 months, how often have your parent(s) talked to you about not smoking cigarettes or using chewing tobacco?
86. If one of your best friends were to offer you a cigarette, would you smoke it?
87. At any time during the next year, do you think you will smoke a cigarette?
88. Does someone living in your house (other than you) smoke cigarettes?
89. Do you want to stop smoking cigarettes completely?
90. During the past 12 months:
a. Did you have any school lessons about tobacco use?
b. When you had lessons, how often did you practice different ways to say "no" to tobacco offers during any class at school (eg, in role plays)?
c. Did a student from middle or high school come to your class to talk about tobacco use?
d. Did a guest speaker (eg, a nurse or someone form your community) talk to your class about tobacco use?
e. Did you discuss the reason why people your age smoke during any of your classes?
f. Did you discuss how many people your age smoke during any of your classes?
g. Did you discuss the effects of cigarette smoking on your body during any of your classes?
h. Did you discuss the effects of second-hand smoke during any of your classes?
Access to Tobacco and Alcohol
View topic tables
92. During the past 30 days, how many times did you get tobacco from:
a. Grocery stores?
b. Vending machines?
c. Convenience stores (such as 7-Eleven)?
d. Drug stores?
e. Gas stations?
f. Friends older than 18?
g. Friends under 18?
h. Home, taking them without permission?
i. A parent?
j. A brother or sister?
k. The Internet?
l. People selling tobacco on the street?
93. During the past 30 days, how many times did you get alcohol from: 113
a. Grocery stores?
b. Convenience stores (such as 7-Eleven)?
c. Gas stations?
d. Friends 21 or older?
e. Friends under 21?
f. Home, taking them without permission?
g. A parent?
h. A brother or sister?
i. The Internet?
j. Asking a stranger to buy it for me?
k. A liquor store?
l. A bar/night club or restaurant?
94. If you wanted to get some beer, wine or hard liquor, how easy would it be to get some?
95. If you wanted to get some tobacco, how easy would it be to get some?
96. If you wanted to get some marijuana, how easy would it be to get some?
97. If you wanted to get a drug like cocaine, LSD, or amphetamines, how easy would it be for you to get some?
Family and Other Community Influences
View topic tables
98a. When I am not at home, one of my parents knows where I am and who I am with?
98b. In my home, there is a parent or some other adult who always me to do my best?
98c. If a kid drank some beer, wine or hard liquor (eg, vodka, whiskey, or gin) in your neighborhood, would he or she be caught by the police?
99. How wrong do your parents feel it would be for you to:
a. Drink beer, wine or hard liquor regularly?
b. Smoke cigarettes?
c. Smoke marijuana?
d. Steal anything worth more than $10?
e. Draw graffiti, or write things or draw pictures on buildings or other property (without the owner's permission)?
f. Pick a fight with someone?
100. Outside of my home and school, there is an adult who:
a. Tells me when I do a good job?
b. Always wants me to do my best?
c. Believes that I will be a success?
101. How wrong would most adults in your neighborhood think it was for kids your age to:
a. Smoke cigarettes?
b. Drink alcohol?
c. Smoke marijuana?
102. When you are scared, worried, or concerned about yourself or your friends, is there a caring adult you can talk to?
103. If at least one of your parents knew that you had used tobacco, how likely is it that they would discipline you in some way?
School Questions
View topic tables
104. Describe how you feel about this statement:
a. In my school, students have lots of chances to help decide things like class activities and rules
b. There are lots of chances for students in my school to talk with a teacher one-on-one
c. Teachers ask me to work on special classroom projects
d. There are lots of chance for students in my school to get involved in sports, clubs, and other school activities outside of class
e. I have lots of chances to be part of class discussions or activities
f. My teachers notice when I am doing a good job
g. The school lets my parents know when I have done something well
105. At my school, there is a teacher or some other adult who:
a. Tells me when I do a good job
b. Listens to me when I have something to say
c. Believes that I will be a success
106. Putting them all together, what were your grades like last year?
107. Are your grades better than the grades of most students in your class?
Additional Alcohol Questions
View topic tables
108. In the last 12 months, how often have you:
a. Missed school or class because of drinking alcohol?
b. Gotten sick to your stomach because of drinking alcohol
c. Not been able to remember what happened while you were drinking alcohol?
d. Later regretted something you did while drinking alcohol?
e. Worried that you drank alcohol too much or too often?
109. During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol?
110. During the past 30 days, how many times did you ride in a car or other vehicle with a teenage driver who had been drinking alcohol?
111. In your opinion, how likely or unlikely is it that if you were to drink 3 or 4 whole drinks of an alcoholic beverage would you:
a. Feel relaxed?
b. Get into trouble with police?
c. Feel more confident or sure of yourself?
d. Harm your health?
e. Feel happy?
f. Have a hangover?
g. Have an easier time expressing your feelings?
h. Do something you will regret?
i. Feel sick to your stomach?
j. Feel out of control?
k. Get into fights?
l. Feel good?
m. Have an easier time talking to people?
n. Have a lot of fun?
o. Feel sad?