Ontario Child Health Study - Youth 12-13 (self-complete on laptop) - 2014
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Introduction (INT)
- General Health (GEN)
- Self Esteem (SFE)
- Engagement in activities outside of school (AOS)
- Physical Activities - Youth (PAC)
- Sleep - Youth (SLP)
- Diet (EAD)
- Height and Weight - Youth (HWY)
- Feelings and Behaviours (FBC)
- Effects of Behaviour Problems (EBP)
- Emotional-Behavioural Problems - Need for Help (EBH)
- Smoking (SMK)
- Drugs (DRG)
- Alcohol (ALC)
- About Your Family (AYF)
- About School (ASC)
- School-based Activities (SBA)
- Missed School (MSC)
- Bullying (BUL)
- School Mental Health - Help (SMH)
- Social Relationships (SRL)
- Friendship Quality (FQU)
- Response to Provocation (RTP)
- Thank You - Youth (THY)
Introduction (INT)
Introduction (INT) - Question identifier:INT_R01
This study is being done with researchers at McMaster University in Hamilton. This questionnaire asks about you, your family, your friends, how you feel and what you like to do. Your answers will help the government to plan programs and services for young people like yourself. This is not a test and there are no right or wrong answers. Some questions may seem personal and some are about things not everybody does. Take your time and please be sure to answer each question based on what you really think. You can choose whether or not to fill out this questionnaire. If you need help with any questions, you may ask the interviewer.
Statistics Canada will keep your answers private.
Remember that the Kids Help Phone is available to help you at any time if you feel that you would like to talk to someone about a problem.
1-800-668-6868
Press <Enter> to continue.
General Health (GEN)
General Health (GEN) - Question identifier:GEN_Q01
First, we would like to ask you some questions about your health, how you feel, and activities you do in your free time.
In general, would you say your health is...?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Self Esteem (SFE)
Self Esteem (SFE) - Question identifier:SFE_Q01A
The following are statements people might use to describe themselves. For each one, please choose the answer that best describes how you feel.
In general, you like the way you are.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Self Esteem (SFE) - Question identifier:SFE_Q01B
Overall, you have a lot to be proud of.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Self Esteem (SFE) - Question identifier:SFE_Q01C
A lot of things about you are good.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Self Esteem (SFE) - Question identifier:SFE_Q01D
When you do something, you do it well.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Self Esteem (SFE) - Question identifier:SFE_Q01E
You like the way you look.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Engagement in activities outside of school (AOS)
Engagement in activities outside of school (AOS) - Question identifier:AOS_Q01A
The next few questions are about your interests and activities outside of school.
In the past 12 months, outside of school, how often have you:
...played sports or done physical activities without a coach or an instructor?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
Engagement in activities outside of school (AOS) - Question identifier:AOS_Q01B
In the past 12 months, outside of school, how often have you:
...played sports with a coach or instructor?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
Engagement in activities outside of school (AOS) - Question identifier:AOS_Q01C
In the past 12 months, outside of school, how often have you:
...taken lessons or instructions in music, art or other non-sport activities?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
Engagement in activities outside of school (AOS) - Question identifier:AOS_Q01D
In the past 12 months, outside of school, how often have you:
...taken part in any clubs, groups or community programs with leadership, such as Cubs, Scouts or church groups?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
Physical Activities - Youth (PAC)
Physical Activities - Youth (PAC) - Question identifier:PAC_Q01A
For these next two questions, add up all the time you spend on physical activity each day. Physical activity is any activity that increases your heart rate and makes you get out of breath some of the time. It can be done in sports, school activities, playing with friends, walking to school or playing active video games such as Wii Sports or Wii Fit. Please include both school and non-school activities.
Over the past seven days, on how many days were you physically active for a total of at least 60 minutes per day?
Min = 0; Max = 7
Physical Activities - Youth (PAC) - Question identifier:PAC_Q01B
Over a typical or usual week, on how many days are you physically active for a total of at least 60 minutes per day?
Min = 0; Max = 7
Physical Activities - Youth (PAC) - Question identifier:PAC_Q02
Over the past seven days, on average how many hours per day did you sit and watch TV, movies or videos, including on YouTube?
- 0: Less than 1 hour
- 1: 1 hour to less than 2 hours
- 2: 2 hours to less than 3 hours
- 3: 3 hours to less than 4 hours
- 4: 4 hours to less than 5 hours
- 5: 5 hours or more
- 6: I do not watch TV or videos.
Physical Activities - Youth (PAC) - Question identifier:PAC_Q03
Over the past seven days, on average, how many hours per day did you spend outside of school on a computer, laptop, tablet or smart-phone (working, playing games, e-mailing, chatting, surfing the Internet, etc.)?
Include Playstation, Nintendo DS or other portable video games. Exclude time reported in the previous question.
- 0: Less than 1 hour
- 1: 1 hour to less than 2 hours
- 2: 2 hours to less than 3 hours
- 3: 3 hours to less than 4 hours
- 4: 4 hours to less than 5 hours
- 5: 5 hours or more
- 6: I do not use these devices outside of school.
Sleep - Youth (SLP)
Sleep - Youth (SLP) - Question identifier:SLP_Q01A
The next few questions are about your usual or typical sleep in the past six months.
On weekdays when you go to school, what time do you usually go to bed?
Min = 0; Max = 24
Please enter the hour when you normally go to bed. For example, if you go to bed at 9:30pm, enter "9". The next question will ask for the minutes.
Sleep - Youth (SLP) - Question identifier:SLP_Q01B
On weekdays when you go to school, what time do you usually go to bed?
Min = 0; Max = 59
Please enter the minute when you normally go to bed. For example, if you go to bed at 9:30pm, enter "30".
Sleep - Youth (SLP) - Question identifier:SLP_Q01C
Is that PM or AM?
For example, if you go to bed at 9:30pm, select "PM".
- 1: AM
- 2: PM
Sleep - Youth (SLP) - Question identifier:SLP_Q02A
What time do you usually wake on school days?
Min = 0; Max = 24
Please enter the hour when you normally wake up. For example, if you wake up at 6:30am, enter "6". The next question will ask for the minutes.
Sleep - Youth (SLP) - Question identifier:SLP_Q02B
What time do you usually wake on school days?
Min = 0; Max = 59
Please enter the minute when you normally wake up. For example, if you wake up at 6:30am, enter "30".
Sleep - Youth (SLP) - Question identifier:SLP_Q02C
Is that PM or AM?
For example, if you wake up at 6:30am, select "AM".
- 1: AM
- 2: PM
Sleep - Youth (SLP) - Question identifier:SLP_Q03
The next few questions have to do with your usual sleep on most days, including both weekdays and weekends.
How long does it usually take you to fall asleep after you go to bed at night?
- 1: I fall asleep very quickly; less than 5 minutes
- 2: A few minutes; 5-10 minutes
- 3: A little while; 11-30 minutes
- 4: A long time; more than 30 minutes
Sleep - Youth (SLP) - Question identifier:SLP_Q04
After you have gone to sleep at night, how often do you usually wake up during the night?
- 1: Almost every night; 5-7 times/week
- 2: Several times a week; 1-4 times/week
- 3: Every now and then; 2-3 times/month
- 4: I almost never wake up during the night
- 5: Never
Sleep - Youth (SLP) - Question identifier:SLP_Q05
How long does it usually take you to go back to sleep after you wake up during the night?
- 1: I fall asleep very quickly; less than 5 minutes
- 2: A few minutes; 5-10 minutes
- 3: A little while; 11-30 minutes
- 4: A long time; more than 30 minutes
Sleep - Youth (SLP) - Question identifier:SLP_Q06A
How much sleep do you usually get during the night on school days? Do not include any time that you spend awake in bed.
Min = 0; Max = 24
Please enter the number of hours you sleep. For example, if you sleep for 8 hours and 30 minutes, enter "8". The next question will ask for the minutes.
Sleep - Youth (SLP) - Question identifier:SLP_Q06B
How much sleep do you usually get during the night on school days? Do not include any time that you spend awake in bed.
Min = 0; Max = 59
Please enter the minutes you sleep. For example, if you sleep for 8 hours and 30 minutes, enter "30".
Sleep - Youth (SLP) - Question identifier:SLP_Q07A
On weekends (or vacations) when you don't go to school, what time do you usually go to bed?
Min = 0; Max = 24
Please enter the hour when you normally go to bed. For example, if you go to bed at 9:30pm, enter "9". The next question will ask for the minutes.
Sleep - Youth (SLP) - Question identifier:SLP_Q07B
On weekends (or vacations) when you don't go to school, what time do you usually go to bed?
Min = 0; Max = 59
Please enter the minute when you normally go to bed. For example, if you go to bed at 9:30pm, enter "30".
Sleep - Youth (SLP) - Question identifier:SLP_Q07C
Is that PM or AM?
For example, if you go to bed at 9:30pm, select "PM".
- 1: AM
- 2: PM
Sleep - Youth (SLP) - Question identifier:SLP_Q08A
What time do you usually wake on weekends?
Min = 0; Max = 24
Please enter the hour when you normally wake up. For example, if you wake up at 6:30am, enter "6". The next question will ask for the minutes.
Sleep - Youth (SLP) - Question identifier:SLP_Q08B
What time do you usually wake on weekends?
Min = 0; Max = 59
Please enter the minute when you normally wake up. For example, if you wake up at 6:30am, enter "30".
Sleep - Youth (SLP) - Question identifier:SLP_Q08C
Is that PM or AM?
For example, if you wake up at 6:30am, select "AM".
- 1: AM
- 2: PM
Sleep - Youth (SLP) - Question identifier:SLP_Q09A
On the weekends, do you nap during the day?
- 1: Yes
- 2: No
Sleep - Youth (SLP) - Question identifier:SLP_Q09B
How long do you usually nap for?
Min = 0; Max = 9
Enter the number of hours you usually nap on weekends. For example, if you nap for 1 hour and 30 minutes, enter "1". The next question will ask for the minutes.
Sleep - Youth (SLP) - Question identifier:SLP_Q09C
How long do you usually nap for?
Min = 0; Max = 59
Enter the number of minutes you usually nap on weekends. For example, if you nap for 1 hour and 30 minutes, enter "30".
Sleep - Youth (SLP) - Question identifier:SLP_Q10A
How much sleep do you usually get during the night on weekends (or vacations)? Do not include any time that you spend awake in bed.
Min = 0; Max = 24
Please enter the number of hours you sleep at night on weekends or vacations. For example, if you sleep 8 hours and 30 minutes, enter "8". The next question will ask for the minutes.
Sleep - Youth (SLP) - Question identifier:SLP_Q10B
How much sleep do you usually get during the night on weekends (or vacations)? Do not include any time that you spend awake in bed.
Min = 0; Max = 59
Please enter the number of minutes you sleep at night on weekends or vacations. For example, if you sleep 8 hours and 30 minutes, enter "30".
Diet (EAD)
Diet (EAD) - Question identifier:EAD_Q01
Next are some questions about your diet. When answering these questions, please think about how many times, rather than how many portions.
During the past 24 hours, how many times did you:
...eat fast food (such as Taco Bell, McDonald's, KFC, Tim Hortons)?
- 0: Never (0 times)
- 1: 1 time
- 2: 2 times
- 3: 3 times
- 4: 4 times
- 5: 5 or more
Diet (EAD) - Question identifier:EAD_Q02
During the past 24 hours, how many times did you:
...drink milk or eat yogurt in any form, including in cereal?
- 0: Never (0 times)
- 1: 1 time
- 2: 2 times
- 3: 3 times
- 4: 4 times
- 5: 5 or more
Diet (EAD) - Question identifier:EAD_Q03
During the past 24 hours, how many times did you:
...drink a glass or can of sweetened pop or soda (like Coke or Pepsi), a sports drink (like Gatorade), or other sweetened drink (like Snapple)?
- 0: Never (0 times)
- 1: 1 time
- 2: 2 times
- 3: 3 times
- 4: 4 times
- 5: 5 or more
Diet (EAD) - Question identifier:EAD_Q04
During the past 24 hours, how many times did you:
...drink 100% fruit juices, such as orange, apple or grape? (Do not count punch, Kool-Aid, sports drinks (like Gatorade), and fruit flavoured drinks.)
- 0: Never (0 times)
- 1: 1 time
- 2: 2 times
- 3: 3 times
- 4: 4 times
- 5: 5 or more
Diet (EAD) - Question identifier:EAD_Q05
During the past 24 hours, how many times did you:
...eat french fries, potato chips or other fried potatoes?
- 0: Never (0 times)
- 1: 1 time
- 2: 2 times
- 3: 3 times
- 4: 4 times
- 5: 5 or more
Diet (EAD) - Question identifier:EAD_Q06
During the past 24 hours, how many times did you:
...eat raw or whole fruit? (Do not count fruit juice.)
- 0: Never (0 times)
- 1: 1 time
- 2: 2 times
- 3: 3 times
- 4: 4 times
- 5: 5 or more
Diet (EAD) - Question identifier:EAD_Q07
During the past 24 hours, how many times did you:
...eat vegetables? (e.g., green salads, green beans, carrots, or potatoes that are not fried.)
- 0: Never (0 times)
- 1: 1 time
- 2: 2 times
- 3: 3 times
- 4: 4 times
- 5: 5 or more
Height and Weight - Youth (HWY)
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01A
The next questions are about height and weight.
Do you know your height in feet and inches, or in centimetres?
- 1: Feet and inches
- 2: Centimetres
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01B
How tall are you without shoes on?
Min = 0; Max = 7
Please enter feet only. For example, if you are 5 feet and 1 inch tall, enter "5". The next question will ask for the inches.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01C
How tall are you without shoes on?
Min = 0; Max = 11
Please enter inches only, to the nearest inch. For example, if you are 5 feet and 1 inch tall, enter "1".
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01E
Please confirm your height without shoes on. Is it [HWY_Q01B/0]' [HWY_Q01C/0]"?
- 1: Yes
- 2: No
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01F
Please re-enter your height without shoes on.
Min = 0; Max = 7
Please enter feet only. For example, if you are 5 feet and 1 inch tall, enter "5". The next question will ask for the inches.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01G
Please re-enter your height without shoes on.
Min = 0; Max = 11
Please enter inches only, to the nearest inch. For example, if you are 5 feet and 1 inch tall, enter "1".
Height and Weight - Youth (HWY) - Question identifier:HWY_Q02A
How tall are you without shoes on?
Min = 40.0; Max = 244.0
Please enter your height in centimetres, to the nearest centimetre.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q02B
Please confirm your height without shoes on. Is it [HWY_Q02A] cm?
- 1: Yes
- 2: No
Height and Weight - Youth (HWY) - Question identifier:HWY_Q02C
Please re-enter your height without shoes on.
Min = 40.0; Max = 244.0
Please enter your height in centimetres, to the nearest centimetre.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q03A
The next questions are about your current weight.
Do you know your weight in pounds or kilograms?
- 1: Pounds
- 2: Kilograms
Height and Weight - Youth (HWY) - Question identifier:HWY_Q03B
What is your current weight in pounds without shoes on?
Min = 1; Max = 575
Please enter your weight in pounds, to the nearest pound.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q03D
Please confirm your current weight without shoes on. Is it [HWY_Q03B] lbs?
- 1: Yes
- 2: No
Height and Weight - Youth (HWY) - Question identifier:HWY_Q03E
Please re-enter your current weight without shoes on.
Min = 1; Max = 575
Please enter your weight in pounds, to the nearest pound.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q04A
What is your current weight without shoes on?
Min = 1; Max = 575
Please enter your weight in kilograms, to the nearest kilogram.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q04B
Please confirm your current weight without shoes on. Is it [HWY_Q04A] kg?
- 1: Yes
- 2: No
Height and Weight - Youth (HWY) - Question identifier:HWY_Q04C
Please re-enter your current weight without shoes on.
Min = 1; Max = 575
Please enter your weight in kilograms, to the nearest kilogram.
Height and Weight - Youth (HWY) - Question identifier:HWY_Q05
Do you consider yourself...?
- 1: Overweight
- 2: Underweight
- 3: Just about right
Feelings and Behaviours (FBC)
Feelings and Behaviours (FBC) - Question identifier:FBC_Q01
The next few questions describe some of the feelings and behaviours of children and young people. For each statement, please select the response that best describes you now, or in the past six months. You may select only one response.
I have trouble concentrating or paying attention.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q02
Please select the response that best describes you now, or in the past six months.
I have trouble sitting still.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q03
Please select the response that best describes you now, or in the past six months.
I cry a lot.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q04
Please select the response that best describes you now, or in the past six months.
I am mean to others.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q05
Please select the response that best describes you now, or in the past six months.
I am mean to animals.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q06
Please select the response that best describes you now, or in the past six months.
I deliberately try to hurt or kill myself.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q07
Please select the response that best describes you now, or in the past six months.
I destroy my own things.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q08
Please select the response that best describes you now, or in the past six months.
I destroy things belonging to others.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q09
Please select the response that best describes you now, or in the past six months.
I damage schools or other property.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q10
Please select the response that best describes you now, or in the past six months.
I disobey at school.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q11
Please select the response that best describes you now, or in the past six months.
I get in many fights.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q12
Please select the response that best describes you now, or in the past six months.
I act without stopping to think.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q13
Please select the response that best describes you now, or in the past six months.
I lie and cheat.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q14
Please select the response that best describes you now, or in the past six months.
I am nervous or tense.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q15
Please select the response that best describes you now, or in the past six months.
I am too fearful or anxious.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q16
Please select the response that best describes you now, or in the past six months.
I physically attack people.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q17
Please select the response that best describes you now, or in the past six months.
I run away from home.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q18
Please select the response that best describes you now, or in the past six months.
I set fires.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q19
Please select the response that best describes you now, or in the past six months.
I steal things at home.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q20
Please select the response that best describes you now, or in the past six months.
I steal things from places other than home.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q21
Please select the response that best describes you now, or in the past six months.
I think about killing myself.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q22
Please select the response that best describes you now, or in the past six months.
I threaten to hurt people.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q23
Please select the response that best describes you now, or in the past six months.
I cut classes or skip school.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q24
Please select the response that best describes you now, or in the past six months.
I am unhappy, sad or depressed.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q25
Please select the response that best describes you now, or in the past six months.
I worry a lot.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q26
Please select the response that best describes you now, or in the past six months.
I am not as happy as other children.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q27
Please select the response that best describes you now, or in the past six months.
I am easily distracted, have difficulty sticking to any activity.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q28
Please select the response that best describes you now, or in the past six months.
I have trouble enjoying myself.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q29
Please select the response that best describes you now, or in the past six months.
I have difficulty awaiting my turn in games or groups.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q30
Please select the response that best describes you now, or in the past six months.
I fidget.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q31
Please select the response that best describes you now, or in the past six months.
I am afraid of being alone.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q32
Please select the response that best describes you now, or in the past six months.
I have been physically cruel to others.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q33
Please select the response that best describes you now, or in the past six months.
I am angry and resentful.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q34
Please select the response that best describes you now, or in the past six months.
I am anxious or on edge.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q35
Please select the response that best describes you now, or in the past six months.
I can't stay seated when required to do so.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q36
Please select the response that best describes you now, or in the past six months.
I feel worthless or inferior.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q37
Please select the response that best describes you now, or in the past six months.
I am moody or irritable.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q38
Please select the response that best describes you now, or in the past six months.
I don't like to be with people I don't know well.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q39
Please select the response that best describes you now, or in the past six months.
I get no pleasure from usual activities.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q40
Please select the response that best describes you now, or in the past six months.
I lose my temper.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q41
Please select the response that best describes you now, or in the past six months.
I fail to finish things I start.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q42
Please select the response that best describes you now, or in the past six months.
I feel sick before separating from loved ones.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q43
Please select the response that best describes you now, or in the past six months.
I use weapons when fighting.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q44
Please select the response that best describes you now, or in the past six months.
When anxious, my mind goes blank.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q45
Please select the response that best describes you now, or in the past six months.
I get anxious about meeting new people.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q46
Please select the response that best describes you now, or in the past six months.
I have difficulty making decisions.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q47
Please select the response that best describes you now, or in the past six months.
I blame others for my own mistakes.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q48
Please select the response that best describes you now, or in the past six months.
I get overly upset when leaving loved ones.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q49
Please select the response that best describes you now, or in the past six months.
I feel that I have to be perfect.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q50
Please select the response that best describes you now, or in the past six months.
I repeat certain actions over and over.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q51
Please select the response that best describes you now, or in the past six months.
I worry that something bad will cause separation from loved ones.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q52
Please select the response that best describes you now, or in the past six months.
I have had a change in appetite.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q53
Please select the response that best describes you now, or in the past six months.
I am afraid of doing things in front of others.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q54
Please select the response that best describes you now, or in the past six months.
I am defiant and talk back to people.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q55
Please select the response that best describes you now, or in the past six months.
I am too concerned about being neat or clean.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q56
Please select the response that best describes you now, or in the past six months.
I can't get my mind off certain thoughts.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q57
Please select the response that best describes you now, or in the past six months.
I argue a lot with adults.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q58
Please select the response that best describes you now, or in the past six months.
I avoid school because of fear of separation from loved ones.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q59
Please select the response that best describes you now, or in the past six months.
I have trouble sleeping.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q60
Please select the response that best describes you now, or in the past six months.
I worry about doing better at things.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q61
Please select the response that best describes you now, or in the past six months.
I worry that something bad will happen to loved ones.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q62
Please select the response that best describes you now, or in the past six months.
I am easily annoyed by others.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q63
Please select the response that best describes you now, or in the past six months.
I have mugged people.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q64
Please select the response that best describes you now, or in the past six months.
I feel nervous with people I don't know well.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q65
Please select the response that best describes you now, or in the past six months.
I am scared to go to sleep without my parents being near.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q66
Please select the response that best describes you now, or in the past six months.
I avoid social situations.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q67
Please select the response that best describes you now, or in the past six months.
I have broken into someone else's house, building or car.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q68
Please select the response that best describes you now, or in the past six months.
When anxious, I have disturbed sleep.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q69
Please select the response that best describes you now, or in the past six months.
I get back at people.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q70
Please select the response that best describes you now, or in the past six months.
I am shy.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q71
Please select the response that best describes you now, or in the past six months.
I am afraid of making mistakes.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q72
Please select the response that best describes you now, or in the past six months.
I have nightmares about being separated from loved ones.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q73
Please select the response that best describes you now, or in the past six months.
I stay out at night despite being told not to.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q74
Please select the response that best describes you now, or in the past six months.
I make careless mistakes.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q75
Please select the response that best describes you now, or in the past six months.
I find it hard to stop worrying.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Feelings and Behaviours (FBC) - Question identifier:FBC_Q76
Please select the response that best describes you now, or in the past six months.
I feel overtired or lack energy.
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Effects of Behaviour Problems (EBP)
Effects of Behaviour Problems (EBP) - Question identifier:EBP_Q01
The next questions are about the problems you just identified. Please think about the problems of most concern to you.
Now or in the past six months, how much have these problems interfered with:
...how well you get along with the rest of the family?
- 1: Not at all
- 2: A little
- 3: Some
- 4: A lot
- 5: Extremely
Effects of Behaviour Problems (EBP) - Question identifier:EBP_Q02
Now or in the past six months, how much have these problems interfered with:
...making and keeping friends?
- 1: Not at all
- 2: A little
- 3: Some
- 4: A lot
- 5: Extremely
Effects of Behaviour Problems (EBP) - Question identifier:EBP_Q03
Now or in the past six months, how much have these problems interfered with:
...learning or school work?
- 1: Not at all
- 2: A little
- 3: Some
- 4: A lot
- 5: Extremely
Effects of Behaviour Problems (EBP) - Question identifier:EBP_Q04
Now or in the past six months, how much have these problems interfered with:
...playing, hobbies, sports or other leisure activities?
- 1: Not at all
- 2: A little
- 3: Some
- 4: A lot
- 5: Extremely
Emotional-Behavioural Problems - Need for Help (EBH)
Emotional-Behavioural Problems - Need for Help (EBH) - Question identifier:EBH_Q01
During the past six months, do you think that you have had any emotional or behavioural problems?
- 1: Yes
- 2: No
Emotional-Behavioural Problems - Need for Help (EBH) - Question identifier:EBH_Q02
During that time, did you tend to have more problems than other [boys/girls] of your age?
- 1: Yes
- 2: No
Emotional-Behavioural Problems - Need for Help (EBH) - Question identifier:EBH_Q03
Do you think that you need or needed any professional help with these problems?
- 1: Yes
- 2: No
Smoking (SMK)
Smoking (SMK) - Question identifier:SMK_Q01
The next few questions are about smoking. Some of the questions will apply to you even if you have not smoked. Please be as honest as you can. Your answers are private.
Have you tried or smoked cigarettes or cigars?
- 1: Yes, I tried or smoked cigarettes or cigars in the past six months.
- 2: Yes, I tried or smoked cigarettes or cigars but not in the past six months.
- 3: No, I have never tried or smoked any cigarettes or cigars.
Smoking (SMK) - Question identifier:SMK_Q02
In the past six months, have you smoked every day for a month or longer?
- 1: Yes
- 2: No
Smoking (SMK) - Question identifier:SMK_Q03
On average, how many cigarettes were you smoking a day during that period?
- 1: 1-4 cigarettes
- 2: 5-9 cigarettes
- 3: 10 or more cigarettes
Drugs (DRG)
Drugs (DRG) - Question identifier:DRG_Q01
The next few questions are about drugs. Some of the questions will apply to you even if you have not used drugs. Please be as honest as you can. Your answers are private.
Have you used cannabis or marijuana (pot/grass/hashish)?
- 1: Yes, I used cannabis or marijuana in the past six months.
- 2: Yes, I used cannabis or marijuana but not in the past six months.
- 3: No, I have never used cannabis or marijuana.
Drugs (DRG) - Question identifier:DRG_Q02
On average, how often do/did you use cannabis or marijuana (pot/grass/hashish)?
- 1: A few times
- 2: About once or twice a month
- 3: About 1 or 2 days a week
- 4: About 3 to 5 days a week
- 5: About 6 or 7 days a week
Drugs (DRG) - Question identifier:DRG_Q03
How old were you the first time you used cannabis or marijuana (pot/grass/hashish)?
Min = 0; Max = 18
Alcohol (ALC)
Alcohol (ALC) - Question identifier:ALC_R01A
The next questions are about drinking alcohol. When we say a "drink", we mean:
- One bottle or can of beer or a glass of draft
- One glass of wine or a wine cooler
- One drink or cocktail with one and a half ounces of liquor (rum, whisky, etc.)
Some of the questions will apply to you even if you have not had alcohol. Please be as honest as you can. Your answers are private.
Press <ENTER> to continue.
Alcohol (ALC) - Question identifier:ALC_Q01
In the past six months, how often did you drink alcohol?
- 01: I had a sip of alcohol to see what it's like
- 02: Once a month or less
- 03: 2 or 3 times a month
- 04: Once a week
- 05: 2 or 3 times a week
- 06: 4 or 5 times a week
- 07: Almost every day - 6 or 7 times a week
- 08: Drank, but not in the past 6 months
- 09: Never drank alcohol in lifetime
Alcohol (ALC) - Question identifier:ALC_Q02
How many times in the past four weeks have you had five or more drinks of alcohol on the same occasion?
- 1: Never
- 2: Once
- 3: 2 times
- 4: 3 times
- 5: 4 times
- 6: 5 or more times
Alcohol (ALC) - Question identifier:ALC_Q03
How many times in the past four weeks has drinking alcohol made you drunk (that is, you had so much to drink that you could not do what you wanted to do, or you threw up)?
- 1: Never
- 2: Once
- 3: 2 times
- 4: 3 times
- 5: 4 times
- 6: 5 or more times
About Your Family (AYF)
About Your Family (AYF) - Question identifier:AYF_Q01
These next questions are about your family.
During the past six months, how well have you gotten along with your [parent/parents]?
- 1: Very well, no problems
- 2: Quite well, hardly any problems
- 3: Pretty well, occasional problems
- 4: Not too well, frequent problems
- 5: Not well at all, constant problems
About Your Family (AYF) - Question identifier:AYF_Q02
During the past six months, how well have you gotten along with your [brother/brothers/brother and sister/brothers and sister/brothers and sisters/brother and sisters/sisters/sister]?
- 1: Very well, no problems
- 2: Quite well, hardly any problems
- 3: Pretty well, occational problems
- 4: Not too well, frequent problems
- 5: Not well at all, constant problems
About Your Family (AYF) - Question identifier:AYF_R03
For the next questions, think about PMK_NAME. How closely do each of the following statements describe the way PMK has acted toward you during the past six months.
Press <Enter> to continue.
About Your Family (AYF) - Question identifier:AYF_Q03A
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK enjoys doing things with me.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03B
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK cheers me up when I am sad.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03C
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK gives me a lot of care and attention.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03D
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK listens to my ideas and opinions.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03E
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK speaks of the good things I do.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03F
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK nags me about little things.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03G
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK gets angry and yells at me.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03H
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK threatens punishment more often than [he/she] uses it.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03I
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK keeps a rule or does not keep a rule depending upon [his/her] mood.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About Your Family (AYF) - Question identifier:AYF_Q03J
How closely does the following statement describe the way PMK has acted towards you during the past six months?
PMK says mean things to make me feel bad (e.g. sad, mad, guilty).
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
About School (ASC)
About School (ASC) - Question identifier:ASC_Q01
The next few questions are about your experiences at school.
Since September 2014, have you attended school for at least one month?
- 1: Yes
- 2: No
About School (ASC) - Question identifier:ASC_Q02A
Please indicate how much you agree or disagree with each of the following statements.
I feel close to people at my school.
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
About School (ASC) - Question identifier:ASC_Q02B
Please indicate how much you agree or disagree with each of the following statements.
I feel like I belong at my school.
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
About School (ASC) - Question identifier:ASC_Q02C
Please indicate how much you agree or disagree with each of the following statements.
I am happy to be at my school.
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
About School (ASC) - Question identifier:ASC_Q02D
Please indicate how much you agree or disagree with each of the following statements.
The teachers at my school treat students fairly.
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
About School (ASC) - Question identifier:ASC_Q02E
Please indicate how much you agree or disagree with each of the following statements.
I feel safe in my school.
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
About School (ASC) - Question identifier:ASC_Q03
How well have you gotten along with your teachers at school during the past six months?
- 1: Very well, no problems
- 2: Quite well, hardly any problems
- 3: Pretty well, occasional problems
- 4: Not too well, frequent problems
- 5: Not well at all, constant problems
- 6: I have not attended school in the past six months
About School (ASC) - Question identifier:ASC_Q04A
Based on your school work and your most recent report cards, how are you doing in the following subjects:
Language (reading, writing and oral communication)?
- 1: A (80 - 100)
- 2: B (70 - 79)
- 3: C (60 - 69)
- 4: D or lower (<60)
- 5: Not applicable
About School (ASC) - Question identifier:ASC_Q04B
Based on your school work and your most recent report cards, how are you doing in the following subjects:
Mathematics?
- 1: A (80 - 100)
- 2: B (70 - 79)
- 3: C (60 - 69)
- 4: D or lower (<60)
- 5: Not applicable
About School (ASC) - Question identifier:ASC_Q04C
How are you doing overall?
- 1: A (80 - 100)
- 2: B (70 - 79)
- 3: C (60 - 69)
- 4: D or lower (<60)
About School (ASC) - Question identifier:ASC_Q05
How far in school do you think you will get?
- 1: Complete primary/elementary school (e.g. grade 8)
- 2: Go to high school, but not graduate
- 3: Graduate from high school
- 4: Get a diploma or certificate from trade, technical or vocational school or business college
- 5: Graduate from a community college or other non-university certificate
- 6: Graduate from university
- 7: Graduate from law, medical or graduate school
- 9: DK
School-based Activities (SBA)
School-based Activities (SBA) - Question identifier:SBA_Q01
The next few questions are about school-based activities (activities other than those in class).
Since the beginning of the school year, how often have you:
...played sports or done physical activities without a coach or an instructor (e.g., softball at lunch)?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
School-based Activities (SBA) - Question identifier:SBA_Q02
Since the beginning of the school year, how often have you:
...played sports with a coach or instructor, other than for gym class (e.g., school teams)?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
School-based Activities (SBA) - Question identifier:SBA_Q03
Since the beginning of the school year, how often have you:
...taken part in dance, gymnastics, karate or other groups or lessons, other than in gym class?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
School-based Activities (SBA) - Question identifier:SBA_Q04
Since the beginning of the school year, how often have you:
...taken part in art, drama or music groups, clubs or lessons, outside of class?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
School-based Activities (SBA) - Question identifier:SBA_Q05
Since the beginning of the school year, how often have you:
...taken part in a school club or group such as yearbook club, photography club or student council?
- 1: Most days
- 2: A few times a week
- 3: About once a week
- 4: About once a month
- 5: Almost never
Missed School (MSC)
Missed School (MSC) - Question identifier:MSC_Q01
Since the beginning of this school year, about how many times have you skipped a day of school without permission?
- 1: Never
- 2: 1 or 2 times
- 3: 3 or 4 times
- 4: 5 or more times
- 9: DK
Missed School (MSC) - Question identifier:MSC_Q02
Since the beginning of this school year, how many times have you been suspended from school?
- 1: Never
- 2: 1 or 2 times
- 3: 3 or 4 times
- 4: 5 or more times
- 9: DK
Bullying (BUL)
Bullying (BUL) - Question identifier:BUL_Q01A
During this school year, how many times has any other student:
...made fun of you, called you names or insulted you?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01B
During this school year, how many times has any other student:
...spread rumours about you?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01C
During this school year, how many times has any other student:
...threatened you with harm?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01D
During this school year, how many times has any other student:
...pushed you, shoved you, tripped you, or spit on you?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01E
During this school year, how many times has any other student:
...tried to make you do things you did not want to do, for example, give them money or other things?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01F
During this school year, how many times has any other student:
...excluded you from activities on purpose?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01G
During this school year, how many times has any other student:
...destroyed your property on purpose?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01H
During this school year, how many times has any other student:
...posted hurtful information about you on the Internet, for example, on social networking sites like Twitter or Facebook?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01I
During this school year, how many times has any other student:
...threatened or insulted you through email, instant messaging, text messaging, or an online game (e.g., Second Life)?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q01J
During this school year, how many times has any other student:
...purposefully excluded you from an online community (e.g., a buddy list or friends list)?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q02A
During this school year, how many times has anyone called you an insulting or bad name at school having to do with:
...your race, religion, ethnic background or national origin?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q02B
During this school year, how many times has anyone called you an insulting or bad name at school having to do with:
...any disability you may have (e.g., physical, mental or developmental disabilities)?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
Bullying (BUL) - Question identifier:BUL_Q02C
During this school year, how many times has anyone called you an insulting or bad name at school having to do with:
...your sexual orientation (e.g., homosexual, bisexual, heterosexual or asexual)?
- 1: Never
- 2: Once or twice this school year
- 3: Once or twice this month
- 4: Once or twice this week
- 5: Almost every day
School Mental Health - Help (SMH)
School Mental Health - Help (SMH) - Question identifier:SMH_Q01
Since the beginning of the school year, did you receive any individual or group counselling or any other help at school for concerns regarding your mental health? Remember, mental health concerns refer to problems you might have with emotions, attention or behaviour, or with alcohol or drugs.
- 1: Yes
- 2: No
- 9: DK
School Mental Health - Help (SMH) - Question identifier:SMH_Q02
Overall, how would you rate the help you received?
- 1: Extremely helpful
- 2: Very helpful
- 3: Somewhat helpful
- 4: A little bit helpful
- 5: Not helpful
- 9: DK
Social Relationships (SRL)
Social Relationships (SRL) - Question identifier:SRL_Q01
The following questions ask about friendships.
About how many days a week do you do things with friends?
- 1: 1 day a week
- 2: 2-3 days a week
- 3: 4-5 days a week
- 4: 6-7 days a week
Social Relationships (SRL) - Question identifier:SRL_Q02
About how many close friends do you have? By "close friends", we mean people that you trust and confide in. They may be friends that you hang out with at school or outside school.
- 1: None
- 2: 1
- 3: 2 or 3
- 4: 4 or 5
- 5: 6 or more
Social Relationships (SRL) - Question identifier:SRL_Q03
During the past six months, how well have you gotten along with young people such as friends or classmates?
Mark all that apply.
- 1: Very well, no problems
- 2: Quite well, hardly any problems
- 3: Pretty well, occasional problems
- 4: Not too well, frequent problems
- 5: Not well at all, constant problems
Friendship Quality (FQU)
Friendship Quality (FQU) - Question identifier:FQU_Q01
Think about your best friend. Is this person male or female?
- 1: Male
- 2: Female
- 3: I don't have a best friend.
Friendship Quality (FQU) - Question identifier:FQU_Q02
How long has this person been your best friend?
- 1: Less than 1 month
- 2: 1 to 3 months
- 3: 4 to 12 months
- 4: More than 12 months
Friendship Quality (FQU) - Question identifier:FQU_Q03
About how many days a week do you hang out with this person outside of school, extracurricular activities or a job?
- 1: 0
- 2: 1 to 2
- 3: 3 to 4
- 4: More than 4
Friendship Quality (FQU) - Question identifier:FQU_R04
The following statements describe friendships. Please mark how much each statement describes your friendship with your best friend.
Press <Enter> to continue.
Friendship Quality (FQU) - Question identifier:FQU_Q04A
I can trust and rely upon my friend.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q04B
If other kids were bothering me, my friend would help me.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q04C
If I have a problem at home or at school, I can talk to my friend about it.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q04D
I very often count on my friend for help and comfort.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q04E
If somebody tried to say or do mean things to me, my friend would help me.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q04F
If there is something bothering me, I can tell my friend about it even if it is something I cannot tell other people.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q04G
Even if other people stopped liking me, my friend would still be my friend.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q04H
My friend would stick up for me if another kid was causing trouble.
- 1: False
- 2: Mostly false
- 3: Sometimes false / Sometimes true
- 4: Mostly true
- 5: True
Friendship Quality (FQU) - Question identifier:FQU_Q05A
Other than your best friend do you have anyone else in particular you can talk to about yourself or your problems?
- 1: Yes
- 2: No
Friendship Quality (FQU) - Question identifier:FQU_Q05B
Do you have anyone you can talk to about yourself or your problems?
- 1: Yes
- 2: No
Friendship Quality (FQU) - Question identifier:FQU_Q06
What is their relationship to you?
Mark all that apply.
- 01: Mother
- 02: Father
- 03: Stepmother
- 04: Stepfather
- 05: Brother
- 06: Sister
- 07: Grandparents
- 08: Other relative
- 09: A friend of the family
- 10: Parent's boyfriend / girlfriend
- 11: Teacher / Counsellor at school
- 12: Coach or leader (e.g., Scout, Guide or church leader)
- 13: Other (e.g., family doctor)
- 99: DK
Response to Provocation (RTP)
Response to Provocation (RTP) - Question identifier:RTP_R01A
We would like to remind you that all your answers are private.
Press <Enter> to continue.
Response to Provocation (RTP) - Question identifier:RTP_R01B
The following stories are about things that might happen to you at school. All of the characters in these stories are [girls/boys] in your grade. These [girls/boys] are in your class, and you see them around, but you don't know them very well. They are not your friends. Below each story is a list of things that you might say or do if that situation really happened. Read each story and pretend that it is actually happening to you. Then, check the box next to everything you would really say or do. It's okay to pick more than one response.
Press <Enter> to continue.
Response to Provocation (RTP) - Question identifier:RTP_Q01
You have just started walking home after school is over. You can see other students and teachers leaving for the day as well. You see a [girl/boy] in your class walking quickly towards you. The [girl/boy] looks really angry. [She/He] walks right up to you, and before you can say anything, [she/he] shoves you.
What would you do or say if this happened to you? Please check the box next to everything that you would really do or say.
Select all answers that apply to you.
- 01: Say "What's wrong with you?"
- 02: Tell the teacher what [she/he] did.
- 03: Tell all of my friends what [she/he] did so that they'll be mad at [her/him].
- 04: Never speak to [her/him] again.
- 05: Say "What did you do that for?"
- 06: Say something rude to [her/him].
- 07: Say "You should apologize."
- 08: Shove [her/him] back.
- 09: Not do anything and walk away.
- 10: I would do or say something else.
Response to Provocation (RTP) - Question identifier:RTP_Q02
You are on your way back to class after picking up something at the office for your teacher. You are just about to walk back into your classroom when you hear two [girls/boys] standing together at the back of the room, talking about you. You hear one [girl/boy] tell a story about something really mean that you did to you yesterday. You know you did not actually do what the [girl/boy] said. The other person is really shocked, and says that what you did was terrible, and that [she/he] is surprised that anyone wanted to be friends with you.
What would you do or say if this happened to you? Please check the box next to everything that you would really do or say.
Select all answers that apply to you.
- 01: Say "That's not true."
- 02: Tell lies about [her/him].
- 03: Would never speak to [her/him] again.
- 04: Tell the teacher that [she/he] said things about me that aren't true.
- 05: Yell at [her/him].
- 06: Go right up to [her/him] and shove [her/him].
- 07: Say "Why are you saying that?"
- 08: Say nothing and walk away.
- 09: Say "What's wrong with you?"
- 10: I would do or say something else.
Response to Provocation (RTP) - Question identifier:RTP_Q03
School has just ended for the day. You are standing by yourself waiting for the bus in the rain. There are some other students and a couple of teachers nearby. You are wearing a new pair of shoes that you just bought. You saved up for weeks to buy them because you liked them so much. As you wait, a [girl/boy] in your class comes over to you. [She/He] looks at your shoes, starts to laugh and says "Did you actually pay money for those?"
What would you do or say if this happened to you? Please check the box next to everything that you would really do or say.
Select all answers that apply to you.
- 01: Say "Shut up."
- 02: Say "I like these shoes."
- 03: Not say or do anything.
- 04: Say "Why are you being so mean?"
- 05: Tell the teacher [she/he] made fun of me.
- 06: Push [her/him].
- 07: Make fun of [her/his] clothes to other kids.
- 08: Say "Why are you making fun of me?"
- 09: Wouldn't speak to [her/him] ever again.
- 10: I would do or say something else.
Thank You - Youth (THY)
Thank You - Youth (THY) - Question identifier:THY_Q01
Your responses from this study will be combined with information from other surveys and from administrative data sources.
This includes information from the Ontario Ministry of Education about your education and information from the Ontario Ministry of Health and Long-Term Care about your use of health services.
Sharing your personal information, such as name, address, birth date and school name with the Ontario Ministries of Education and Health and Long-term Care will allow us to link your records. The ministries have agreed to keep this information strictly confidential and use it only for statistical purposes.
Do you agree to share your information with the Ontario Ministries of Education and Health and Long-term Care?
- 1: Yes
- 2: No
Thank You - Youth (THY) - Question identifier:THY_Q02
To avoid duplication of surveys, Statistics Canada has signed an agreement with the Ontario Ministry of Health and Long-Term Care to share the information that you provided in this questionnaire. It has agreed to keep your information confidential and use it only for statistical purposes. Do you agree to share your information with the Ontario Ministry of Health and Long-Term Care?
- 1: Yes
- 2: No
Thank You - Youth (THY) - Question identifier:THY_Q03
To avoid duplication of surveys, Statistics Canada has signed an agreement with McMaster University to share the information that you provided in this questionnaire. It has agreed to keep your information confidential and use it only for statistical purposes. Do you agree to share your information with McMaster University?
The personal identifiers (names, addresses, telephone numbers and health numbers) will not be provided to McMaster University.
- 1: Yes
- 2: No
Thank You - Youth (THY) - Question identifier:THY_R04
Thank you for completing this questionnaire. Please let the interviewer know that you have finished this part of the interview.
- Date modified: