Ontario Child Health Study - Youth 14-17 (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)
- Eating Problems (EAP)
- 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)
- Risky Behaviour - Steroids (RBS)
- Safety (SAF)
- Sexual Behaviour & Dating Violence (SBD)
- Self-harm and Suicidal Behaviour (SHS)
- Rare Experiences (REX)
- Exposure to maltreatment (EMA)
- Service Use - General Health Care Setting (GHS)
- Specialized mental health and addiction services (SMA)
- About Your Family (AYF)
- About Your Family - Harsh Parenting (AYH)
- About School (ASC)
- School-based Activities (SBA)
- Missed School (MSC)
- Bullying (BUL)
- School Mental Health - Help (SMH)
- School mental health - hypothetical (SMT)
- Social Relationships (SRL)
- Social Relationships - Cultural Groups (SRC)
- Friendship Quality (FQU)
- Civic Activities (CIV)
- 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
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
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
Sleep - Youth (SLP) - Question identifier:SLP_Q01C
Is that PM or AM?
- 1: AM
- 2: PM
Sleep - Youth (SLP) - Question identifier:SLP_Q02A
What time do you usually wake on school days?
Min = 0; Max = 24
Sleep - Youth (SLP) - Question identifier:SLP_Q02B
What time do you usually wake on school days?
Min = 0; Max = 59
Sleep - Youth (SLP) - Question identifier:SLP_Q02C
Is that PM or 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
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
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
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
Sleep - Youth (SLP) - Question identifier:SLP_Q07C
Is that PM or AM?
- 1: AM
- 2: PM
Sleep - Youth (SLP) - Question identifier:SLP_Q08A
What time do you usually wake on weekends?
Min = 0; Max = 24
Sleep - Youth (SLP) - Question identifier:SLP_Q08B
What time do you usually wake on weekends?
Min = 0; Max = 59
Sleep - Youth (SLP) - Question identifier:SLP_Q08C
Is that PM or 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
Sleep - Youth (SLP) - Question identifier:SLP_Q09C
How long do you usually nap for?
Min = 0; Max = 59
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
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
Eating Problems (EAP)
Eating Problems (EAP) - Question identifier:EAP_Q01A
The following questions are about your eating behaviours in the past four weeks. Please select the response that best describes your behaviours in the past four weeks. If you can't remember exactly how often you did something, that's ok, just give an answer as close as possible to what you think you did.
In the past four weeks, how often did you eat in secret? Eating in secret is when you eat at certain times or places, so that no one can see you eating or no one knows you are eating (One example is eating in a bathroom).
- 0: Never
- 1: A few times in the past month
- 2: Once a week
- 3: 2 to 4 times every week
- 4: Almost every day
Eating Problems (EAP) - Question identifier:EAP_Q01B
In the past four weeks, how often did you avoid eating, or refuse to eat?
- 0: Never
- 1: A few times in the past month
- 2: Once a week
- 3: 2 to 4 times every week
- 4: Almost every day
Eating Problems (EAP) - Question identifier:EAP_Q01C
In the past four weeks, how often did you take laxatives?
Laxatives are foods or pills that make you have to go to the bathroom.
- 0: Never
- 1: A few times in the past month
- 2: Once a week
- 3: 2 to 4 times every week
- 4: Almost every day
Eating Problems (EAP) - Question identifier:EAP_Q01D
In the past four weeks, how often did you tell other people (like your parents, for example) that you had already eaten when you really had not?
- 0: Never
- 1: A few times in the past month
- 2: Once a week
- 3: 2 to 4 times every week
- 4: Almost every day
Eating Problems (EAP) - Question identifier:EAP_Q01E
In the past four weeks, how often did you stuff yourself with food and feel like you could not stop?
- 0: Never
- 1: A few times in the past month
- 2: Once a week
- 3: 2 to 4 times every week
- 4: Almost every day
Eating Problems (EAP) - Question identifier:EAP_Q01F
In the past four weeks, how often did you skip two or more meals a day by choice?
- 0: Never
- 1: A few times in the past month
- 2: Once a week
- 3: 2 to 4 times every week
- 4: Almost every day
Eating Problems (EAP) - Question identifier:EAP_Q01G
In the past four weeks, how often did you vomit (throw up) on purpose after eating?
- 0: Never
- 1: A few times in the past month
- 2: Once a week
- 3: 2 to 4 times every week
- 4: Almost every day
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
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01C
How tall are you without shoes on?
Min = 0; Max = 11
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
Height and Weight - Youth (HWY) - Question identifier:HWY_Q01G
Please re-enter your height without shoes on.
Min = 0; Max = 11
Height and Weight - Youth (HWY) - Question identifier:HWY_Q02A
How tall are you without shoes on?
Min = 40.0; Max = 244.0
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
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
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
Height and Weight - Youth (HWY) - Question identifier:HWY_Q04A
What is your current weight without shoes on?
Min = 1; Max = 575
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
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.
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
Risky Behaviour - Steroids (RBS)
Risky Behaviour - Steroids (RBS) - Question identifier:RBS_Q01
The next few questions ask about use of different types of prescription and illicit drugs. Some questions may not apply to you, but please be as honest as you can. Your answers are private.
Have you used any of the following drugs in the past six months:
- 1: Hallucinogens (like LSD, acid, magic mushrooms, "mesc" or PCP ("Angel Dust"), etc.)
- 2: Glue or solvents (such as paint thinner, gasoline, etc.)
- 3: Drugs without a prescription or advice from a doctor: downers (seconal, Amytal, etc.); stimulants ("uppers", "Beans", "Christmas Trees", "Black Beauties", diet pills, etc.); tranquilizers (Valium, Librium, Serax, "5/10s", etc.)
- 4: Other drugs like ecstasy, crack, cocaine, heroin or speed
- 5: None
Risky Behaviour - Steroids (RBS) - Question identifier:RBS_Q02
In the past six months, how often did you use pain relief pills (such as Percocet, Percodan, Tylenol#3, Demerol, Oxyneo, Oxycontin, codeine) without a prescription or without a doctor telling you to take them? (We do not mean regular Tylenol, Advil, or Aspirin that anyone can buy in a drugstore.)
- 1: 1 or 2 times
- 2: 3 to 5 times
- 3: 6 to 9 times
- 4: 10 or more times
- 5: Used without a prescription but not in the past six months
- 6: Never used without a prescription in lifetime
- 7: Don't know what these pain relief pills are
Risky Behaviour - Steroids (RBS) - Question identifier:RBS_Q03
In the past six months, how often did you use medicine that is usually used to help students who are hyperactive or have problems concentrating in school (e.g., medicine to treat a problem called attention deficit hyperactivity disorder such as Ritalin, Concerta, Adderall, Dexedrine) without a prescription or without a doctor telling you to take it?
- 1: 1 or 2 times
- 2: 3 to 5 times
- 3: 6 to 9 times
- 4: 10 or more times
- 5: Used without a prescription but not in the last six months
- 6: Never used without a prescription in lifetime
- 7: Don't know what this medicine is
Risky Behaviour - Steroids (RBS) - Question identifier:RBS_Q04
In the past six months, have you used steroids, body builders/performance builders (e.g., testosterone and other androgens, durabolin, growth hormones, etc.) to increase your performance in some sport or activity, or to change your physical appearance?
- 1: Yes
- 2: No
Safety (SAF)
Safety (SAF) - Question identifier:SAF_Q01
The following questions ask about safety and taking risks.
How often do you wear a seat belt when riding in a car driven by someone else?
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Most of the time
- 5: Always
Safety (SAF) - Question identifier:SAF_Q02
During the past four weeks, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol or using drugs?
- 1: I did not ride in a car in the last four weeks.
- 2: 0 times
- 3: 1 time
- 4: 2 or 3 times
- 5: 4 or more times
Safety (SAF) - Question identifier:SAF_Q03
Do you have a driver's license?
- 1: Yes, a level one graduated license (G1).
- 2: Yes, a level two graduated license (G2).
- 3: Yes, a full graduated license (G).
- 4: No, I do not have a driver's license.
Safety (SAF) - Question identifier:SAF_Q04
Did you ever take or are you currently taking a driver's education course with both in-class and on-road training?
- 1: No
- 2: Yes, I am currently taking a course.
- 3: Yes, I have already taken a course.
Safety (SAF) - Question identifier:SAF_Q05
During the past four weeks, how many times did you drive a car or other vehicle when you had been drinking alcohol or using drugs?
- 1: I did not drive a car or other vehicle during the past 4 weeks.
- 2: 0 times
- 3: 1 time
- 4: 2 or 3 times
- 5: 4 or more times
Safety (SAF) - Question identifier:SAF_Q06
During the past four weeks, on how many days did you text or e-mail while driving a car or other vehicle?
- 1: I did not drive a car or other vehicle during the past 4 weeks.
- 2: 0 days
- 3: 1 or 2 days
- 4: 3 to 5 days
- 5: 6 or more days
Safety (SAF) - Question identifier:SAF_Q07
In the past 12 months, how often were you in a car accident involving any kind of injury to you or to another person or damage to the vehicle, while you were driving?
- 1: Never
- 2: Once
- 3: 2 times
- 4: 3 or more times
Safety (SAF) - Question identifier:SAF_Q08
In the past 12 months, have you ever driven a snowmobile, motor boat, Sea-doo, or all-terrain vehicle (ATV) when you had been drinking alcohol or using drugs?
- 1: I did not drive a snowmobile, motor boat, Sea-doo, or ATV in the last 12 months.
- 2: Yes
- 3: No
Sexual Behaviour & Dating Violence (SBD)
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q01
Have you ever had consensual sexual intercourse - sexual intercourse that you agreed to, as opposed to an experience that you were forced into against your will?
- 1: Yes
- 2: No
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q02A
How old were you when you first had consensual sexual intercourse?
Min = 0; Max = 18
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q02B
Please confirm, how old were you when you first had consensual sexual intercourse?
Min = 0; Max = 18
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q03
The first time you had consensual sexual intercourse, did you or your partner use a condom?
- 1: Yes
- 2: No
- 9: DK
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q04
How many different consensual sexual partners have you ever had?
Min = 1; Max = 99
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q05
In the past 12 months, have you had consensual sexual intercourse?
- 1: Yes
- 2: No
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q06
What kinds of birth control or protection against sexually transmitted diseases do you and/or your partner use?
- 01: Condoms
- 02: Birth control pills
- 03: Birth control injection (e.g., Depo-Provera, 'the shot')
- 04: Diaphragm
- 05: Spermicide (e.g., foam, jelly, film)
- 06: Withdrawal (pull-out)
- 07: Emergency contraception ('the morning after pill', 'Plan B')
- 08: Other
- 09: None
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q07
Have you ever been told (by a doctor or nurse) that you have a sexually transmitted infection (STI/STD)?
- 1: Yes
- 2: No
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q08
Have you ever sent sexual pictures of yourself to someone else over the Internet or by text (e.g. "sexting")?
- 1: No, never
- 2: Yes, more than 12 months ago
- 3: Yes, once in the last 12 months
- 4: Yes, more than once in the last 12 months
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q09
Has someone ever sent you sexual pictures of themselves over the Internet or by text (e.g. "sexting")?
- 1: No, never
- 2: Yes, more than 12 months ago
- 3: Yes, once in the last 12 months
- 4: Yes, more than once in the last 12 months
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q10
Has someone you were dating or going out with ever physically hurt you on purpose? (Count such things as being hit, slammed into something, or injured with an object or weapon.)
- 1: No, never
- 2: Yes, more than 12 months ago
- 3: Yes, once in the last 12 months
- 4: Yes, more than once in the last 12 months
Sexual Behaviour & Dating Violence (SBD) - Question identifier:SBD_Q11
Has someone you were dating or going out with ever forced you to do sexual things that you did not want to do? (Count such things as kissing, touching, or being physically forced to have sexual intercourse.)
- 1: No, never
- 2: Yes, more than 12 months ago
- 3: Yes, once in the last 12 months
- 4: Yes, more than once in the last 12 months
Self-harm and Suicidal Behaviour (SHS)
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_R01
Some of the following questions might be hard for you to answer. If you feel like you need support, we encourage you to talk to your family doctor or nurse, or use the resource sheet that we left at your house.
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q01
Sometimes people deliberately harm themselves but they do not mean to take their life. In the past 12 months, did you ever deliberately harm yourself but not mean to take your life?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q03
In the past 12 months, did you ever visit an Internet website which described different ways to harm yourself?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q04
In the past 12 months, how many times did you actually harm yourself but not mean to take your life?
- 1: Once
- 2: More than once
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q05
Which of the following behaviours best describe what you did most recently to harm yourself?
- 1: Self-cutting or scratching
- 2: Hitting yourself
- 3: Burning yourself
- 4: Ingesting a medication in excess of the prescribed dose or generally recognized therapeutic dose
- 5: Ingesting a recreational or illicit drug or alcohol as a means to harm yourself
- 6: Ingesting a non-digestible substance or object
- 7: Something else
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q06
In the past 12 months, did you tell any of the following people that you harmed yourself?
- 01: Parent or other family member
- 02: Friend or partner
- 03: Teacher or other adult at school
- 04: Doctor, nurse or mental health professional (e.g., psychologist, social worker or counsellor)
- 05: Someone on a phone helpline or crisis hotline
- 06: Someone on the Internet
- 07: A minister, priest, rabbi, imam, or other spiritual leader
- 08: Naturopath, herbalist or alternative practitioner
- 09: I told someone else
- 10: None
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q07
In the past 12 months, did you ever look for help on the Internet to stop harming yourself?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q08
In the past 12 months, did you ever visit an Internet website which described different ways to harm yourself?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q09
In the past 12 months, did any of your friends deliberately harm themselves but not mean to take their life?
- 1: Yes
- 2: No
- 9: DK
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q10
In the past 12 months, did you ever seriously consider taking your own life or killing yourself?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q11
In the past 12 months, did you ever tell any of the following people that you were seriously considering taking your own life or killing yourself?
- 01: Parent or other family member
- 02: Friend or partner
- 03: Teacher or other adult at school
- 04: Doctor, nurse or mental health professional (e.g., psychologist, social worker or counsellor)
- 05: Someone on a phone helpline or crisis hotline
- 06: Someone on the Internet
- 07: A minister, priest, rabbi, imam, or other spiritual leader
- 08: Naturopath, herbalist or alternative practitioner
- 09: I told someone else
- 10: None
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q12
In the past 12 months, did you ever look for help on the Internet for ways to stop thinking about taking your own life?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q13
In the past 12 months, did you ever visit an Internet website which described different ways to take your own life or kill yourself?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q14
In the past 12 months, did you make a plan about how you would take your own life or kill yourself?
- 1: Yes
- 2: No
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q15
How many times did you actually try to take your own life or kill yourself?
- 1: Never
- 2: Once
- 3: More than once
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q16
Has anyone that you know personally died by suicide?
- 1: Yes, within the last year
- 2: Yes, more than a year ago
- 3: No, never
Self-harm and Suicidal Behaviour (SHS) - Question identifier:SHS_Q17
Has anyone in your school died by suicide?
- 1: Yes, within the last year
- 2: Yes, more than a year ago
- 3: No, never
- 9: DK
Rare Experiences (REX)
Rare Experiences (REX) - Question identifier:REX_Q01A
A lot of young people have had stressful or traumatic experiences in their lifetime. Have you ever had any of the following experiences:
... a head injury with loss of consciousness?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01B
Have you ever had any of the following experiences:
... a head injury with symptoms of concussion such as headache, feeling dizzy, faint or disoriented?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01C
Have you ever had any of the following experiences:
...a burn or poisoning requiring being admitted to hospital overnight?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01D
Have you ever had any of the following experiences:
...a serious accident requiring being admitted to hospital overnight?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01E
Have you ever had any of the following experiences:
... the death of a parent or sibling?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01F
Have you ever had any of the following experiences:
...the separation or divorce of a parent?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01G
Have you ever had any of the following experiences:
...a painful break-up with a boyfriend / girlfriend?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01H
Have you ever had any of the following experiences:
...a pregnancy or abortion?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01I
Have you ever had any of the following experiences:
...telling others you are gay, lesbian, bisexual or transgender?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01J
Have you ever had any of the following experiences:
...seeing or speaking to someone from a child protection agency about difficulties at home?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01K
Have you ever had any of the following experiences:
...being placed in care overnight at a foster home or group home by the Children's Aid Society?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01L
Have you ever had any of the following experiences:
...being in trouble with the law?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01M
Have you ever had any of the following experiences:
...been arrested by the police?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01N
Have you ever had any of the following experiences:
...gone to Juvenile Court for something you might have done?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01O
Have you ever had any of the following experiences:
...been in a detention centre, prison or jail for something you might have done?
- 1: Yes
- 2: No
- 9: DK
Rare Experiences (REX) - Question identifier:REX_Q01P
Have you ever had any of the following experiences:
...been an overnight patient in a hospital or other setting for problems with your emotions, attention or behaviours or use of drugs or alcohol?
- 1: Yes
- 2: No
- 9: DK
Exposure to maltreatment (EMA)
Exposure to maltreatment (EMA) - Question identifier:EMA_R01
The next few questions are about things that may have happened to you in your school, in your neighbourhood or in your family at any time while growing up. Your responses are important whether or not you have had any of these experiences. Your answers are private.
Exposure to maltreatment (EMA) - Question identifier:EMA_Q01A
How many times did an adult:
...slap you on the face, head or ears or hit or spank you with something hard to hurt you?
- 1: Never
- 2: 1-2 times
- 3: 3-5 times
- 4: 6-10 times
- 5: More than 10 times
Exposure to maltreatment (EMA) - Question identifier:EMA_Q01B
How many times did an adult:
...push, grab, shove or throw something at you to hurt you?
- 1: Never
- 2: 1-2 times
- 3: 3-5 times
- 4: 6-10 times
- 5: More than 10 times
Exposure to maltreatment (EMA) - Question identifier:EMA_Q01C
How many times did an adult:
...kick, bite, punch, choke, burn or physically attack you in some way?
- 1: Never
- 2: 1-2 times
- 3: 3-5 times
- 4: 6-10 times
- 5: More than 10 times
Exposure to maltreatment (EMA) - Question identifier:EMA_Q01D
How many times did an adult:
...force you or attempt to force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?
- 1: Never
- 2: 1-2 times
- 3: 3-5 times
- 4: 6-10 times
- 5: More than 10 times
Exposure to maltreatment (EMA) - Question identifier:EMA_Q01E
How many times did an adult:
...touch you against your will in any sexual way? By this, I mean anything from unwanted touching or grabbing, to kissing or fondling.
- 1: Never
- 2: 1-2 times
- 3: 3-5 times
- 4: 6-10 times
- 5: More than 10 times
Service Use - General Health Care Setting (GHS)
Service Use - General Health Care Setting (GHS) - Question identifier:GHS_Q01A
In the past six months, did you see or talk to anyone from the following places about any concerns you may have had about your mental health:
...a family doctor or pediatrician's office?
- 1: Yes
- 2: No
- 9: DK
Service Use - General Health Care Setting (GHS) - Question identifier:GHS_Q01B
In the past six months, did you see or talk to anyone from the following places about any concerns you may have had about your mental health:
...a walk-in clinic?
- 1: Yes
- 2: No
- 9: DK
Service Use - General Health Care Setting (GHS) - Question identifier:GHS_Q01C
In the past six months, did you see or talk to anyone from the following places about any concerns you may have had about your mental health:
...an urgent care clinic or emergency room?
- 1: Yes
- 2: No
- 9: DK
Service Use - General Health Care Setting (GHS) - Question identifier:GHS_Q01D
In the past six months, did you see or talk to anyone from the following places about any concerns you may have had about your mental health:
...a regular or general hospital?
- 1: Yes
- 2: No
- 9: DK
Service Use - General Health Care Setting (GHS) - Question identifier:GHS_Q02
To what extent do you feel that the [responses/response] of the people at [these places/this place] to your mental health concerns [were/was] helpful?
- 1: Extremely helpful
- 2: Very helpful
- 3: Somewhat helpful
- 4: A little bit helpful
- 5: Not helpful
Specialized mental health and addiction services (SMA)
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q01
The next questions ask about professional sources of help and information.
In the past six months, did you see or talk to anyone from any agency that provides mental health or addiction services for children or adolescents?
- 1: Yes
- 2: No
- 9: DK
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q02
To what extent do you feel that the responses of the people at this place or these places to your mental health concerns were helpful?
- 1: Extremely helpful
- 2: Very helpful
- 3: Somewhat helpful
- 4: A little bit helpful
- 5: Not helpful
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q03
In the past six months, have you seen a psychiatrist, a psychologist, a social worker or some other type of counsellor because of concerns about your mental health? Please include any providers you would have seen inside or outside the places mentioned before.
- 1: Yes
- 2: No
- 9: DK
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q04
To what extent do you feel that the responses of these people to your mental health concerns were helpful?
- 1: Extremely helpful
- 2: Very helpful
- 3: Somewhat helpful
- 4: A little bit helpful
- 5: Not helpful
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q05
The next questions ask about sources of help and information adolescents may turn to, other than seeking professional help.
In the past six months, have you ever obtained help or advice from the following people or places due to 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.
- 01: Parent or other family member
- 02: Friend or partner
- 03: Teacher or other adult at school
- 04: Someone on a phone helpline or crisis hotline
- 05: Someone on the Internet
- 06: A minister, priest, rabbi, imam, or other spiritual leader
- 07: Naturopath, herbalist or alternative practitioner
- 08: Someone else
- 09: None
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q06
In the past six months, was there ever a time when you felt you might need professional help for mental health concerns (i.e., problems with emotions, attention, behaviours, or use of drugs or alcohol) but you did not seek help?
- 1: Yes
- 2: No
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q07
What are the reasons you did not seek help?
- 01: I thought I could manage it myself
- 02: I didn't know where to get help
- 03: I never got around to it (e.g., too busy)
- 04: It would have been too hard to schedule
- 05: I tried but the wait was too long
- 06: I didn't think professional help would do any good
- 07: It was going to cost too much
- 08: Getting there was a problem
- 09: I was afraid of what others would think of me
- 10: My parent refused to go
- 11: Other - Specify
Specialized mental health and addiction services (SMA) - Question identifier:SMA_Q08
What was the main reason you did not seek help?
- 01: I thought I could manage it myself
- 02: I didn't know where to get help
- 03: I never got around to it (e.g., too busy)
- 04: It would have been too hard to schedule
- 05: I tried but the wait was too long
- 06: I didn't think professional help would do any good
- 07: It was going to cost too much
- 08: Getting there was a problem
- 09: I was afraid of what others would think of me
- 10: My parent refused to go
- 11: Other - Specify
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.
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 Your Family - Harsh Parenting (AYH)
About Your Family - Harsh Parenting (AYH) - Question identifier:AYH_R01
The next few questions are about things that may have happened to you at any time while growing up. Your responses are important whether or not you have had any of these experiences. Your answers are private.
About Your Family - Harsh Parenting (AYH) - Question identifier:AYH_Q01A
Think about your parents and other caregivers. How many times:
...did they spank you with their hand on your bottom (bum), or slap you on your hand?
- 1: Never
- 2: 1 or 2 times
- 3: 3 to 5 times
- 4: 6 to 10 times
- 5: More than 10 times
About Your Family - Harsh Parenting (AYH) - Question identifier:AYH_Q01B
Think about your parents and other caregivers. How many times:
...did they say things that really hurt your feelings or made you feel like you were not wanted or loved?
- 1: Never
- 2: 1 or 2 times
- 3: 3 to 5 times
- 4: 6 to 10 times
- 5: More than 10 times
About Your Family - Harsh Parenting (AYH) - Question identifier:AYH_Q01C
Think about your parents and other caregivers. How many times:
...did they not take care of your basic needs, such as keeping you clean or providing food or clothing?
- 1: Never
- 2: 1 or 2 times
- 3: 3 to 5 times
- 4: 6 to 10 times
- 5: More than 10 times
About Your Family - Harsh Parenting (AYH) - Question identifier:AYH_Q01D
Think about your parents and other caregivers. How many times:
...did you see or hear any of them say hurtful or mean things to each other or to another adult in your home?
- 1: Never
- 2: 1 or 2 times
- 3: 3 to 5 times
- 4: 6 to 10 times
- 5: More than 10 times
About Your Family - Harsh Parenting (AYH) - Question identifier:AYH_Q01E
Think about your parents and other caregivers. How many times:
...did you see or hear any of them hit each other or another adult in your home?
- 1: Never
- 2: 1 or 2 times
- 3: 3 to 5 times
- 4: 6 to 10 times
- 5: More than 10 times
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
School mental health - hypothetical (SMT)
School mental health - hypothetical (SMT) - Question identifier:SMT_Q01
If you felt that you needed help for concerns regarding your mental health, would you see or speak to a school social worker, psychologist, nurse, teacher or other staff person at the school about these problems?
- 1: Yes
- 2: No
- 9: DK
School mental health - hypothetical (SMT) - Question identifier:SMT_Q02
Why would you not see or speak to someone from school if you needed help for concerns with your mental health?
- 1: Concern about what others would think of me
- 2: Lack of trust in these people - word would get out
- 3: Prefer to handle the problem myself
- 4: Don't think these people would be able to help
- 5: Wouldn't know who to approach
- 6: It would be too embarrassing
- 7: Other
- 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?
- 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
Social Relationships - Cultural Groups (SRC)
Social Relationships - Cultural Groups (SRC) - Question identifier:SRC_Q01
Which group or groups best describe the racial or cultural background of your friends?
- 01: White
- 02: East Asian (e.g., Chinese, Japanese, Korean)
- 03: Southeast Asian (e.g., Burmese, Filipino, Vietnamese, Thai)
- 04: South Asian (e.g., Afghan, Bangladeshi, Indian, Pakistani, Sri Lankan)
- 05: West Asian (e.g., Iraqi, Syrian, Lebanese)
- 06: Arabic
- 07: Black
- 08: Latin American
- 09: Aboriginal / Native (e.g., North American Indian, Métis, or Inuit / Eskimo)
- 10: Other - Specify
- 99: DK
Social Relationships - Cultural Groups (SRC) - Question identifier:SRC_Q02
Which racial or cultural groups describe you the best?
- 01: White
- 02: East Asian (e.g., Chinese, Japanese, Korean)
- 03: Southeast Asian (e.g., Burmese, Filipino, Vietnamese, Thai)
- 04: South Asian (e.g., Afghan, Bangladeshi, Indian, Pakistani, Sri Lankan)
- 05: West Asian (e.g., Iraqi, Syrian, Lebanese)
- 06: Arabic
- 07: Black
- 08: Latin American
- 09: Aboriginal / Native (e.g., North American Indian, Métis, or Inuit / Eskimo)
- 10: Other - Specify
- 99: DK
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.
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?
- 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
Civic Activities (CIV)
Civic Activities (CIV) - Question identifier:CIV_Q01A
In the past 12 months, have you volunteered or helped without pay (excluding chores around the house and 40 hours community service required at school) by:
...supporting a cause (e.g., a food bank, environmental group, political group)?
- 1: Yes
- 2: No
Civic Activities (CIV) - Question identifier:CIV_Q01B
In the past 12 months, have you volunteered or helped without pay (excluding chores around the house and 40 hours community service required at school) by:
...fund raising (e.g., for a charity)?
- 1: Yes
- 2: No
Civic Activities (CIV) - Question identifier:CIV_Q01C
In the past 12 months, have you volunteered or helped without pay (excluding chores around the house and 40 hours community service required at school) by:
...helping in your community (e.g., hospital volunteering, work in a community organization or coaching)?
- 1: Yes
- 2: No
Civic Activities (CIV) - Question identifier:CIV_Q01D
In the past 12 months, have you volunteered or helped without pay (excluding chores around the house and 40 hours community service required at school) by:
...helping neighbours or relatives (e.g., cutting grass, babysitting or shovelling snow)?
- 1: Yes
- 2: No
Civic Activities (CIV) - Question identifier:CIV_Q01E
In the past 12 months, have you volunteered or helped without pay (excluding chores around the house and 40 hours community service required at school) by:
...doing another volunteer activity?
- 1: Yes
- 2: No
Civic Activities (CIV) - Question identifier:CIV_Q02
During the past 12 months, how often have you volunteered or helped without pay?
- 1: Everyday
- 2: A few times a week
- 3: Once a week
- 4: A few times a month
- 5: Once a month
- 6: Less than once a month
Civic Activities (CIV) - Question identifier:CIV_Q03
Are you currently doing any paid or unpaid work (e.g., work in your family's business or farm, a co-op program or work placement organized by your school, odd jobs, or at a job or business for pay (or profit), like working at a store or restaurant or running your own business)?
- 1: Yes
- 2: No
Civic Activities (CIV) - Question identifier:CIV_Q04A
Now, think of all the jobs you do in an average school week. How many hours in total do you usually work:
...Monday to Friday?
Min = 0.0; Max = 120.0
Civic Activities (CIV) - Question identifier:CIV_Q04B
Now, think of all the jobs you do in an average school week. How many hours in total do you usually work:
...Saturday and Sunday?
Min = 0.0; Max = 48.0
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?
- 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: