Thank you for taking part in this survey!

This is not a test. There are no right or wrong answers. The survey is anonymous, which means it does not have your name or any identifying information.  Your answers will remain secret.  They will be seen only by our research team and will not be read by anyone connected with your school or your home.

Some questions may seem similar to each other but they are each a little different. All of the questions in the survey are important and have their own purpose. We ask that you read each question carefully and answer the best you can.

If you don’t find an answer that fits exactly, select the one that makes the most sense. Please answer all questions truthfully. 

Instructions:

Please read each question carefully and mark your answer by selecting the button next to the answer you choose.  Make sure to mark only one answer for each question unless it says you can mark more than one.  

For those questions with NO!, no, yes, or YES! options:
Mark the big NO! if you think the statement is definitely not true for you.
Mark the little no if you think the statement is mostly not true for you.
Mark the little yes if you think the statement is mostly true for you.
Mark the big YES! if you think the statement is definitely true for you.

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* 1. In which of the following neighborhoods do you live?

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* 2. What school do you attend?

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* 3. What grade are you in?

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* 4. How old are you?

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* 5. Are you...

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* 6. What is your race or origin? (Select one or more boxes)

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* 7. Please describe your race(s) or origin(s).  (For example, German, Irish, African American, Somalian, Haitian, Mexican, Puerto Rican, Navajo, Mayan, Asian Indian, Chinese, Native Hawaiian, Guamanian, etc.)

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* 8. Please choose the ONE answer that BEST describes what you consider yourself to be.

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* 9. Think of where you live most of the time. Which best describes your living situation? (Select only one option)

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* 10. Which of the following people live there with you? Choose all that apply.

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* 11. Which of the following best describes your family situation?

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* 12. What is the language you use the most at home?

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* 13. Have you ever spent time in foster care?

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* 14. Have you ever spent time in a juvenile detention center ('juvy') or a juvenile or adult correctional center?

The next questions ask about your experiences at school.

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* 15. Putting them all together, what were your grades like last year?

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* 16. Are your school grades better than the grades of most students in your class?

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* 17. Have you ever been held back a year in school (repeated a grade)?

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* 18. How many times in the past year (12 months) have you been suspended or expelled from school?

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* 19. During the last four weeks, how many whole days of school have you missed...

  None 1 day 2 days 3 days 4-5 days 6-10 days 11 or more days
a. ...because of illness or injury?
b. ...because you skipped or “cut”?

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* 20. Select the best response.

  NO! no yes YES!
a. In my school, students have lots of chances to help decide things like class activities and rules.
b. Teachers ask me to work on special classroom projects.
c. There are lots of chances for students in my school to get involved in sports, clubs, or other school activities outside of class.
d. There are lots of chances for students in my school to talk with a teacher one-on-one.
e. There are lots of chances to be part of class discussions or activities.
f. My teachers notice when I am doing a good job and let me know about it.
g. I feel safe at my school.
h. The school lets my parents (or caregivers) know when I have done something well.
i. My teachers praise me when I work hard in school.

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* 21. How often do you feel that the schoolwork you are assigned is meaningful and important?

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* 22. How interesting are most of your school subjects to you?

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* 23. How important do you think the things you are learning in school are going to be for your later life?

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* 24. Now, thinking back over the past year in school...

  Never Seldom Sometimes Often Almost Always
a. ...how often did you enjoy being in school?
b. ...how often did you hate being in school?
c. ...how often did you try to do your best work in school?
The next group of questions asks about your FOUR best friends (the friends you feel closest to).

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* 25. In the past year (12 months), how many of your best friends have...

  None of my friends 1 of my friends 2 of my friends 3 of my friends 4 of my friends
a. ...participated in clubs, organizations or activities at school?
b. ...made a commitment to stay drug-free?
c. ...regularly attended religious services?
d. ...tried to do well in school?
e. ...been suspended from school?
f. ...dropped out of school?
g. ...smoked cigarettes?
h. ...tried beer, wine or hard liquor (for example, vodka, whiskey or gin) when their parents didn't know about it?
i. ...used marijuana?
j. ...used LSD, cocaine, amphetamines or other illegal drugs?
k. ...sold illegal drugs?
l. ...carried a handgun?
m. ...stolen or tried to steal a motor vehicle such as a car or motorcycle?
n. ...been arrested?
o. ...been members of a gang?

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* 26. In the past year (12 months), how many of your best friends have liked school?

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* 27. How many friends do you have who you can talk to about your problems?

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* 28. How many friends do you have who would help you when you need it?

The next questions ask about your feelings and experiences in other parts of your life.

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* 29. How old were you when you first...

  Never 10 or younger 11 12 13 14 15 16 17 or older
a. ...smoked a cigarette, even just a puff?
b. ...had more than a sip or two of beer, wine or hard liquor (for example, vodka, whiskey or gin)?
c. ...began drinking alcoholic beverages regularly, that is, at least once or twice a month?
d. ...smoked marijuana?
e. ...got suspended from school?
f. ...got arrested?
g. ...carried a handgun?
h. ...attacked someone with the idea of seriously hurting them?

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* 30. Select the best response

  Very false Somewhat false Somewhat true Very true
a. I like to see how much I can get away with (for example, do things I'm not supposed to do without getting caught).
b. I ignore rules that get in my way.
c. I do the opposite of what people tell me, just to get them mad.

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* 31. Select the best response.

  NO! no yes YES!
a. It is all right to beat up people if they start the fight.
b. I think sometimes it is okay to cheat at school.
c. It is important to be honest with your parents (or caregivers), even if they become upset or you get punished.
d. I think it is okay to take something without asking if you can get away with it.

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* 32. How many times in the past year (12 months) have you...

  Never 1-2 times 3-5 times 6-9 times 10-19 times 20-29 times 30-39 times 40+ times
a. ...participated in clubs, organizations or activities at school?
b. ...done extra work on your own for school?
c. ...volunteered to do community service?
d. ...carried a handgun?
e. ...sold illegal drugs?
f. ...stolen or tried to steal a motor vehicle such as a car or motorcycle?
g. ...been arrested?
h. ...attacked someone with the idea of seriously hurting them?
i. ...been drunk or high at school?
j. ...stolen something worth more than $5?
k. ...purposely damaged or destroyed property that did not belong to you (not counting family property)?
l. ...taken something from a store without paying for it?

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* 33. Have you ever belonged to a gang?

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* 34. If you have ever belonged to a gang, did the gang have a name?

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* 35. What are the chances you would be seen as cool if you...

  No or very little chance Little chance Some chance Pretty good chance Very good chance
a. ...worked hard at school?
b. ...defended someone who was being verbally abused at school (for example, tried to protect someone when others were saying mean things to them or about them)?
c. ...regularly volunteered to do community service?

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* 36. How much do you think people risk harming themselves (physically or in other ways) if they...

  No risk Slight risk Moderate risk Great risk
a. ...smoke one or more packs of cigarettes per day?
b. ...try marijuana once or twice?
c. ...smoke marijuana regularly?
d. ...take one or two drinks of an alcoholic beverage (beer, wine, or liquor) nearly every day?

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* 37. On a scale of 1 to 5, where 1 = Not true at all and 5 = Very true, please rate how true each of the following statements are for you.

  1 Not true at all 2 3 Somewhat true 4 5 Very true
a. I'm certain I can master the skills taught in class this year.
b. I'm certain I can figure out how to do the most difficult class work.
c. I can do almost all the work in class if I don't give up.
d. Even if the work is hard, I can learn it.
e. I can do even the hardest work in class if I try.
For the next group of questions, think about how things have been for you over the PAST YEAR (12 months).

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* 38. A student or group of kids...

  A lot Several times Once or twice Never
a. ...pushed, shoved, tripped or picked a fight with me.
b. ...teased and said mean things to me.
c. ...spread rumors or told lies about me.
d. ...told lies or made fun of me using the internet or a cell phone (for example, email, instant messaging, text messaging, or websites).

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* 39. Select the best response.

  Not true Somewhat true Certainly true
a. I get a lot of headaches, stomach aches or sickness.
b. I worry a lot.
c. I am often unhappy, depressed or tearful.
d. I am nervous in new situations. I easily lose confidence.
e. I have many fears, I am easily scared.

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* 40. Select the best response.

  NO! no yes YES!
a. I know how to relax when I feel tense.
b. I am always able to keep my feelings under control.
c. I know how to calm down when I am feeling nervous.
d. I control my temper when people are angry with me.
Continue to think about how things have been for you over the PAST YEAR (12 months).

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* 41. Select the best response.

  Not true Somewhat true Certainly true
a. I get very angry and often lose my temper.
b. I usually do as I am told.
c. I fight a lot. I can make other people do what I want.
d. I am often accused of lying or cheating.
e. I take things that are not mine from home, school or elsewhere.

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* 42. Select the best response.

  Not true Somewhat true Certainly true
a. I try to be nice to other people. I care about their feelings.
b. I usually share with others.
c. I am helpful if someone is hurt, upset or feeling ill.
d. I am kind to younger children.
e. I often volunteer to help others (parents, teachers, children).
These questions ask about health problems you might have had at any time in your life.

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* 43. Have you ever had...

  Yes No
a. ...asthma?
b. ...diabetes?
c. ...ADD or ADHD (Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder)?

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* 44. During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day? (Add up all the time you spent in any kind of physical activity that increased your heart rate and made you breathe hard some of the time).

The next questions ask about your experiences with tobacco, alcohol and other drugs. Remember, your answers are confidential. Please pay close attention to the time frame of the questions. They ask about the past year, the past month, or the past two weeks.

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* 45. How frequently have you smoked cigarettes during the past year (12 months)? (Count regular tobacco cigarettes, but not electronic cigarettes or vaping)

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* 46. How frequently have you smoked cigarettes during the past month (30 days)? (Count regular tobacco cigarettes, but not electronic cigarettes or vaping)

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* 47. On how many occasions (if any) have you used electronic cigarettes or e-cigarettes (“Vapes”), such as Ruyan or NJOY, during the past year (12 months)?

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* 48. On how many days (if any) have you used electronic cigarettes or e-cigarettes (“Vapes”), such as Ruyan or NJOY, during the past month (30 days)?

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* 49. On how many occasions (if any) have you had beer, wine, or hard liquor during the past year (12 months)?

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* 50. On how many occasions (if any) have you had beer, wine, or hard liquor during the past month (30 days)?

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* 51. Think back over the last two weeks. How many times have you had five or more alcoholic drinks in a row?

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* 52. Select the best response.

  0 occasions 1-2 occasions 3-5 occasions 6-9 occasions 10-19 occasions 20-29 occasions 30-39 occasions 40 or more occasions
a. On how many occasions (if any) have you used marijuana in the past year (12 months)?
b. On how many occasions (if any) have you used marijuana in the past month (30 days)?