Street Football For All - Survey

Street Football For All - Survey - Age 12 and Over

The purpose of the survey is to look at the lifestyle choices that young people make who attend Street Games for All.

Please be assured that all information provided is treated with the strictest confidence. No one will be able to identify who has completed the questionnaire.

1. Are you a boy or a girl?

Are you a boy or a girl? Boy

Girl

2. What year were you born?

What year were you born? 1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

3. Here is a list of things that teenagers sometimes do in their free time, when they aren’t at school. What about you?

Please click onto the button on each line to tell us how often you do each of these activities?

When I’m not at school I…………….

	Every Day	Most Days	Weekly	Less Often	Never
See my friends	Here is a list of things that teenagers sometimes do in their free time, when they aren’t at school. What about you? Please click onto the button on each line to tell us how often you do each of these activities? When I’m not at school I……………. See my friends Every Day	Most Days	Weekly	Less Often	Never
Listen to music	Listen to music Every Day	Most Days	Weekly	Less Often	Never
Watch films/DVD’s	Watch films/DVD’s Every Day	Most Days	Weekly	Less Often	Never
Play computer games	Play computer games Every Day	Most Days	Weekly	Less Often	Never
Look around the shops	Look around the shops Every Day	Most Days	Weekly	Less Often	Never
Read comics or magazines	Read comics or magazines Every Day	Most Days	Weekly	Less Often	Never
Read books	Read books Every Day	Most Days	Weekly	Less Often	Never
Go to watch sports matches	Go to watch sports matches Every Day	Most Days	Weekly	Less Often	Never
Do a sport e.g. football, swimming	Do a sport e.g. football, swimming Every Day	Most Days	Weekly	Less Often	Never
Go to the cinema	Go to the cinema Every Day	Most Days	Weekly	Less Often	Never
Hang around the street	Hang around the street Every Day	Most Days	Weekly	Less Often	Never
Do a hobby, art or play a musical	Do a hobby, art or play a musical Every Day	Most Days	Weekly	Less Often	Never
instrument	instrument Every Day	Most Days	Weekly	Less Often	Never
Go to a friend’s house	Go to a friend’s house Every Day	Most Days	Weekly	Less Often	Never
Go to concerts or gigs	Go to concerts or gigs Every Day	Most Days	Weekly	Less Often	Never
Go to the church, mosque or temple	Go to the church, mosque or temple Every Day	Most Days	Weekly	Less Often	Never
Helping other people/voluntary work	Helping other people/voluntary work Every Day	Most Days	Weekly	Less Often	Never
Do nothing	Do nothing Every Day	Most Days	Weekly	Less Often	Never

4. Have you actively taken part in any of these groups, clubs or organisations during the last 12 months?
You can click onto more than one option.

Have you actively taken part in any of these groups, clubs or organisations during the last 12 months? You can click onto more than one option. Youth groups (e.g. scouts, guides, youth clubs)

Drama, arts, music or singing groups (including evening classes)

Sports clubs, gyms, exercise or dance groups

Computer clubs/groups

None of these

Don’t know

5. Do you smoke cigarettes?

Do you smoke cigarettes? Yes

6. Please read the statements carefully and click onto the button that best describes you.

Please read the statements carefully and click onto the button that best describes you. I have never smoked

I have only ever tried smoking once

I used to smoke sometimes but I never smoke a cigarette now

I sometimes smoke cigarettes now but I don’t smoke as many

as one a week

I usually smoke between one and six cigarettes a week

I usually smoke more than six cigarettes a week

7. Have you ever had a proper alcoholic drink – a whole drink, not just a sip?
Please don’t count drinks labelled low alcohol.

Have you ever had a proper alcoholic drink – a whole drink, not just a sip? Please don’t count drinks labelled low alcohol. Yes

8. Have you ever been offered any of the following drugs?
You can click onto as many of the options as you need to.

	Yes	No
Cannabis, (Marijuana, Dope, Hash, Blow, Joints)	Have you ever been offered any of the following drugs? You can click onto as many of the options as you need to. Cannabis, (Marijuana, Dope, Hash, Blow, Joints) Yes	No
Gas, Glue or other solvents (Tipp-Ex, Lighter Fuel, Aerosols) – To inhale or sniff	Gas, Glue or other solvents (Tipp-Ex, Lighter Fuel, Aerosols) – To inhale or sniff Yes	No
Amphetamines (Speed, Whizz, Sulph)	Amphetamines (Speed, Whizz, Sulph) Yes	No
LSD (Acid, Tabs, Trips)	LSD (Acid, Tabs, Trips) Yes	No
Ecstasy (‘E’, Eccies, XTC)	Ecstasy (‘E’, Eccies, XTC) Yes	No
Semeron (Sems, Semmies)	Semeron (Sems, Semmies) Yes	No
Poppers (Amyl Nitrates, Liquid Gold, Rush)	Poppers (Amyl Nitrates, Liquid Gold, Rush) Yes	No
Tranquilisers (Downers, Jellies, Valium, Temazepam, Eggs)	Tranquilisers (Downers, Jellies, Valium, Temazepam, Eggs) Yes	No
Heroin (Smack, Skag, Gear, ‘H’)	Heroin (Smack, Skag, Gear, ‘H’) Yes	No
Magic Mushrooms (Shrooms)	Magic Mushrooms (Shrooms) Yes	No
Methadone (Linctus, Physeptone, Meth)	Methadone (Linctus, Physeptone, Meth) Yes	No
Crack (Rock, Stone)	Crack (Rock, Stone) Yes	No
Cocaine (Coke, Charlie, ‘C’)	Cocaine (Coke, Charlie, ‘C’) Yes	No
Anabolic Steroids (Roids)	Anabolic Steroids (Roids) Yes	No
Other drugs that would not be given to you by a doctor or chemist	Other drugs that would not be given to you by a doctor or chemist Yes	No

If other please explain

9. When was the last time you ever used or took any of the following?

Please make sure that you click onto one box on each line.

	In the last month	In the last year	More than a year ago	Never
Cannabis, (Marijuana, Dope, Hash, Blow, Joints)	When was the last time you ever used or took any of the following? Please make sure that you click onto one box on each line. Cannabis, (Marijuana, Dope, Hash, Blow, Joints) In the last month	In the last year	More than a year ago	Never
Gas, Glue or other solvents (Tipp-Ex, Lighter Fuel, Aerosols) – To inhale or sniff	Gas, Glue or other solvents (Tipp-Ex, Lighter Fuel, Aerosols) – To inhale or sniff In the last month	In the last year	More than a year ago	Never
Amphetamines (Speed, Whizz, Sulph)	Amphetamines (Speed, Whizz, Sulph) In the last month	In the last year	More than a year ago	Never
LSD (Acid, Tabs, Trips)	LSD (Acid, Tabs, Trips) In the last month	In the last year	More than a year ago	Never
Ecstasy (‘E’, Eccies, XTC)	Ecstasy (‘E’, Eccies, XTC) In the last month	In the last year	More than a year ago	Never
Semeron (Sems, Semmies)	Semeron (Sems, Semmies) In the last month	In the last year	More than a year ago	Never
Poppers (Amyl Nitrates, Liquid Gold, Rush)	Poppers (Amyl Nitrates, Liquid Gold, Rush) In the last month	In the last year	More than a year ago	Never
Tranquilisers (Downers, Jellies, Valium, Temazepam, Eggs)	Tranquilisers (Downers, Jellies, Valium, Temazepam, Eggs) In the last month	In the last year	More than a year ago	Never
Heroin (Smack, Skag, Gear, ‘H’)	Heroin (Smack, Skag, Gear, ‘H’) In the last month	In the last year	More than a year ago	Never
Magic Mushrooms (Shrooms)	Magic Mushrooms (Shrooms) In the last month	In the last year	More than a year ago	Never
Methadone (Linctus, Physeptone, Meth)	Methadone (Linctus, Physeptone, Meth) In the last month	In the last year	More than a year ago	Never
Crack (Rock, Stone)	Crack (Rock, Stone) In the last month	In the last year	More than a year ago	Never
Cocaine (Coke, Charlie, ‘C’)	Cocaine (Coke, Charlie, ‘C’) In the last month	In the last year	More than a year ago	Never
Anabolic Steroids (Roids)	Anabolic Steroids (Roids) In the last month	In the last year	More than a year ago	Never
Other drugs that would not be given to you by a doctor or chemist	Other drugs that would not be given to you by a doctor or chemist In the last month	In the last year	More than a year ago	Never

If other please explain

10. Please read the statement about drugs and click onto one button on each line to tell us whether you agree or disagree.

	Agree	Disagree	Don't know
Taking drugs is exciting	Please read the statement about drugs and click onto one button on each line to tell us whether you agree or disagree. Taking drugs is exciting Agree	Disagree	Don't know
People my age who take drugs need help and advice	People my age who take drugs need help and advice Agree	Disagree	Don't know
People who take drugs are stupid	People who take drugs are stupid Agree	Disagree	Don't know
All people who sell drugs should be punished	All people who sell drugs should be punished Agree	Disagree	Don't know

1. Street Games Questionnaire

1. Are you a boy or a girl?

2. What year were you born?

3. Here is a list of things that teenagers sometimes do in their free time, when they aren’t at school. What about you?Please click onto the button on each line to tell us how often you do each of these activities? When I’m not at school I…………….

4. Have you actively taken part in any of these groups, clubs or organisations during the last 12 months?You can click onto more than one option.