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DOCUMENTS


The Tentacle


November 24, 2014

CDC Questionnaire for Students Isnít Academic Ė Part 3

John W. Ashbury

Here’s are questions 79 through 99 on the CDC questionnaire for high school students.

79. During the past 7 days, how many times did you eat other vegetables? (Do not count green salad, potatoes, or carrots.)

A. I did not eat other vegetables during the past 7 days

B. 1 to 3 times during the past 7 days

C. 4 to 6 times during the past 7 days

D. 1 time per day

E. 2 times per day

F. 3 times per day

G. 4 or more times per day

 

80. During the past 7 days, how many times did you drink a can, bottle, or glass of soda or pop, such as Coke, Pepsi, or Sprite? (Do not count diet soda or diet pop.)

A. I did not drink soda or pop during the past 7 days

B. 1 to 3 times during the past 7 days

C. 4 to 6 times during the past 7 days

D. 1 time per day

E. 2 times per day

F. 3 times per day

G. 4 or more times per day

 

The next 4 questions ask about physical activity.

 

81. 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.)

A. 0 days

B. 1 day

C. 2 days

D. 3 days

E. 4 days

F. 5 days

G. 6 days

H. 7 days

 

82. On an average school day, how many hours do you watch TV?

A. I do not watch TV on an average school day

B. Less than 1 hour per day

C. 1 hour per day

D. 2 hours per day

E. 3 hours per day

F. 4 hours per day

G. 5 or more hours per day

 

83. On an average school day, how many hours do you play video or computer games or use a computer for something that is not school work? (Count time spent on things such as Xbox, PlayStation, an iPod, an iPad or other tablet, a smartphone, YouTube, Facebook or other social networking tools, and the Internet.)

A. I do not play video or computer games or use a computer for something that is not school work

B. Less than 1 hour per day

C. 1 hour per day

D. 2 hours per day

E. 3 hours per day

F. 4 hours per day

G. 5 or more hours per day

 

84. In an average week when you are in school, on how many days do you go to physical education (PE) classes?

A. 0 days

B. 1 day

C. 2 days

D. 3 days

E. 4 days

F. 5 days

 

The next 6 questions ask about other health-related topics.

 

85. Have you ever been tested for HIV, the virus that causes AIDS? (Do not count tests done if you donated blood.)

A. Yes

B. No

C. Not sure

 

86. When was the last time you saw a dentist for a check-up, exam, teeth cleaning, or other dental work?

A. During the past 12 months

B. Between 12 and 24 months ago

C. More than 24 months ago

D. Never

E. Not sure

 

87. Has a doctor or nurse ever told you that you have asthma?

A. Yes

B. No

C. Not sure

 

88. On an average school night, how many hours of sleep do you get?

A. 4 or less hours

B. 5 hours

C. 6 hours

D. 7 hours

E. 8 hours

F. 9 hours

G. 10 or more hours

 

89. Do you participate in any extracurricular activities at school such as sports, band, drama, clubs, or student government?

A. Yes

B. No

 

90. During the last school year, were you taught in any of your classes about the dangers of tobacco use?

A. Yes

B. No

C. Not sure

 

The next 2 questions ask about your attitudes and beliefs about tobacco use.

 

91. Do you think young people who smoke have more friends?

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not

 

92. Do you think smoking makes young people look cool or fit in?

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not

 

The next 2 questions ask about your attitudes and beliefs about drinking alcohol.

 

93. How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day?

A. Strongly approve

B. Somewhat approve

C. Neither approve nor disapprove

D. Somewhat disapprove

E. Strongly disapprove

 

94. How much do people risk harming themselves (physically and in other ways) if they have five or more drinks of alcohol (beer, wine, or liquor) once or twice a week?

A. No risk

B. Slight risk

C. Moderate risk

D. Great risk

 

The next 4 questions ask about whether adults are available to talk to you when you need to.

 

95. Outside of school, is there an adult you can talk to about things that are important to you?

A. Yes

B. No

 

96. Besides your parents, how many adults would you feel comfortable seeking help from if you had an important question affecting your life?

A. 0 adults

B. 1 adult

C. 2 adults

D. 3 adults

E. 4 adults

F. 5 or more adults

 

97. During the past 12 months, did you talk to a teacher or other adults in your school about a personal problem you had?

A. Yes

B. No

 

98. Do you agree or disagree that your teachers really care about you and give you a lot of encouragement?

A. Strongly agree

B. Agree

C. Not sure

D. Disagree

E. Strongly disagree

 

The next question asks about your grades.

 

99. During the past 12 months, how would you describe your grades in school?

A. Mostly A's

B. Mostly B's

C. Mostly C's

D. Mostly D's

E. Mostly F's

F. None of these grades

G. Not sure

 

This is the end of the survey.

Thank you very much for your help.

 

 



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