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Safety & Violence |
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| Rarely/never wore seatbelt |
How often do you wear a seatbelt when riding in a car driven by someone else? 1: Never/Rarely; 2: Sometimes/Most of the time/Always |
| Drink & drive |
During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol? 1: 0 times; 2: 1+ time |
| Carry a weapon at school |
During the past 30 days, on how many days did you carry a weapon such as a gun, knife, or club on school property? 1: 0 days; 2: 1+ day |
| Not go to school due to feeling unsafe |
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? 1: 0 days; 2: 1+ day |
| Threatened or injured with weapon at school |
During the past 12 months, had someone threatened or injured you with a weapon such as a gun, knife, or club on school property? 1: Yes; 2: No |
| Property stolen/damaged |
During the past 12 months, how many times has someone stolen or deliberately damaged your property such as your car, clothing, or books on school property? 1: 0 times; 2: 1+ time |
| Fight at school |
During the past 12 months, how many times were you in a physical fight on school property? 1: 0 times; 2: 1+ time |
| Hit by boyfriend/girlfriend on purpose |
During the past 12 months, did your boyfriend or girlfriend ever hit, slap, or physically hurt you on purpose? 1: Yes; 2: No |
| Physically forced to have sex |
Have you ever been physically forced to have sexual intercourse when you did not want to? 1: Yes; 2: No |
| Not use condom |
The last time you had sexual intercourse, did you or your partner use a condom? 1: Yes; 2: No |
| Being bullied |
During the past 12 months, have you ever been bullied on school property? 1: Yes; 2: No |
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Mental Health |
| Felt sad/hopeless |
During the past 12 months, did you ever feel so sad or hopeless almost every day for 2 weeks or more in a row that you stopped doing some usual activities? 1: Yes; 2: No |
| Considered suicide |
During the past 12 months, did you ever seriously consider attempting suicide? 1: Yes; 2: No |
| Planned suicide |
During the past 12 months, did you make a plan about how you would attempt suicide? 1: Yes; 2: No |
| Attempted suicide |
During the past 12 months, how many times did you actually attempt suicide? 1: 0 times; 2: 1+ time |
| Suicide attempt treated by doctor/nurse |
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? 1: I did not attempt suicide during the past 12 months; 2: Yes; 3: No |
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Substance Use |
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| Current cigarette use |
During the past 30 days, on how many days did you smoke cigarettes on school property? 1: 0 days; 2: 1+ day |
| Current alcohol use |
During the past 30 days, on how many days did you have at least one drink of alcohol on school property? 1: 0 days; 2: 1+ day |
| Current marijuana use |
During the past 30 days, how many times did you use marijuana on school property? 1: 0 times; 2: 1+ times |
| Current cocaine use |
During the past 30 days, how many times did you use any form of cocaine, including powder, crack, or freebase? 1: 0 times; 2: 1+ times |
| Lifetime heroin use |
During your life, how many times have you used heroin (also called smack, junk, or China White)? 1: 0 times; 2: 1+ times |
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| Health Risk Behaviors |
Questions |
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| Lifetime methamphetamines use |
During your life, how many times have you used methamphetamines (also called speed, crystal, crank, or ice)? 1: 0 times; 2: 1+ times |
| Lifetime hallucinogenic drug use |
During your life, how many times have you used hallucinogenic drugs, such as LSD, acid, PCP, angel dust, mescaline, or mushrooms? 1: 0 times; 2: 1+ times |
| Lifetime ecstasy use |
During your life, how many times have you used ecstasy (also called MDMA)? 1: 0 times; 2: 1+ times |
| Lifetime steroid use |
During your life, how many times have you taken steroid pills or shots without a doctor's prescription? 1: 0 times; 2: 1+ time |
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Dieting & Physical Inactivity |
| Trying to lose weight |
Were you trying to lose weight? 1: Yes; 2: No |
| Fasted to lose weight |
During the past 30 days, did you go without eating for 24 hours or more (also called fasting) to lose weight or to keep from gaining weight? 1: Yes; 2: No |
| Diet pills to lose weight |
During the past 30 days, did you take any diet pills, powders, or liquids without a doctor's advice to lose weight or to keep from gaining weight? (Do not include meal replacement products such as Slim Fast.) 1: Yes; 2: No |
| Vomited to lose weight |
During the past 30 days, did you vomit or take laxatives to lose weight or to keep from gaining weight? 1: Yes; 2: No |
| Not eat breakfast |
During the past 7 days, on how many days did you eat breakfast? 1: 0-6 days; 2: 7 days |
| Played video/computer game |
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, PlayStation, Nintendo DS, iPod touch, Facebook, and the Internet.) 1: 0-2 hours per day; 2: 3+ hours per day |
| Not attend sports teams |
During the past 12 months, on how many sports teams did you play? (Count any teams run by your school or community groups.) 1: 0 team; 2: 1+ teams |