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1999 Youth Risk Behavior Survey

Warning:  This survey asks questions that may be considered highly offensive.  It has been designed for 9th graders and up, although it has been used for 7th & 8th graders.  If you are offended by questions about personal sexual activities, and personal drug, alcohol, and tobacco use, please do not take this survey.

    This survey is about health behavior. It has been developed by the Centers for Disease Control so you can tell us what you do that may affect your health. Since this is a voluntary, online survey, its results cannot be extended to the the general population of youth.  However, the data do accurately reflect the responses of those participating in the survey.

    The answers you give will be kept private. In fact, there is no way to tell who sent in answers to this survey.  No data is queried or kept about IP addresses or any identifying information outside the questions asked within the survey.  No one will know what you report. The only information that is stored is the information you can see by clicking on the View Results button.

    Completing the survey is voluntary. So is the decision to answer any question.  If you are not comfortable answering a question, just leave it blank.

    The questions that ask about your background will be used only to describe the types of students completing this survey. The information will not be used to find out your name. No names will ever be collected or reported.

    Make sure to read every question.  Answer the questions based on what you really do.

Thank you very much for your help.

 

1999 Youth Risk
Behavior Survey

from the Centers for Disease Control.
1. How old are you?
12 years old or younger
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old or older

Next
2. What is your sex?
Female
Male

Next
3. In what grade are you?
9th grade
10th grade
11th grade
12th grade
Ungraded or other grade

Next
4. How do you describe yourself? (Select one or more responses.)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White

Next
5. How tall are you without your shoes on? Please follow the format 5'3":
Height:

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6. How much do you weigh, in pounds, without your shoes on? Please follow the format 96 (just numbers, no symbols):
lbs:

Next
A. The next 5 questions ask about personal safety.
7. When you rode a motorcycle during the past 12 months, how often did you wear a helmet?
I did not ride a motorcycle during the past 12 months
Never wore a helmet
Rarely wore a helmet
Sometimes wore a helmet
Most of the time wore a helmet
Always wore a helmet

Next
8. When you rode a bicycle during the past 12 months, how often did you wear a helmet?
I did not ride a bicycle during the past 12 months
Never wore a helmet
Rarely wore a helmet
Sometimes wore a helmet
Most of the time wore a helmet
Always wore a helmet

Next
9. How often do you wear a seat belt when riding in a car driven by someone else?
Never
Rarely
Sometimes
Most of the time
Always

Next
10. During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol?
0 times
1 time
2 or 3 times
4 or 5 times
6 or more times

Next
11. During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol?
0 times
1 time
2 or 3 times
4 or 5 times
6 or more times

Next
B. The next 10 questions ask about violence-related behaviors.
12. During the past 30 days, on how many days did you carry a weapon such as a gun, knife, or club?
0 days
1 day
2 or 3 days
4 or 5 days
6 or more days

Next
13. During the past 30 days, on how many days did you carry a gun?
0 days
1 day
2 or 3 days
4 or 5 days
6 or more days

Next
14. During the past 30 days, on how many days did you carry a weapon such as a gun, knife, or club on school property?
0 days
1 day
2 or 3 days
4 or 5 days
6 or more days

Next
15. During the past 30 days, on how many days did you not go to school because you felt you would be unsafe at school or on your way to or from school?
0 days
1 day
2 or 3 days
4 or 5 days
6 or more days

Next
16. During the past 12 months, how many times has someone threatened or injured you with a weapon such as a gun, knife, or club on school property?
0 times
1 time
2 or 3 times
4 or 5 times
6 or 7 times
8 or 9 times
10 or 11 times
12 or more times

Next
17. During the past 12 months, how many times were you in a physical fight?
0 times
1 time
2 or 3 times
4 or 5 times
6 or 7 times
8 or 9 times
10 or 11 times
12 or more times

Next
18. During the past 12 months, how many times were you in a physical fight in which you were injured and had to be treated by a doctor or nurse?
0 times
1 time
2 or 3 times
4 or 5 times
6 or more times

Next
19. During the past 12 months, how many times were you in a physical fight on school property?
0 times
1 time
2 or 3 times
4 or 5 times
6 or 7 times
8 or 9 times
10 or 11 times
12 or more times

Next
20. During the past 12 months, did your boyfriend or girlfriend ever hit, slap, or physically hurt you on purpose?
Yes
No

Next
21. Have you ever been forced to have sexual intercourse when you did not want to?
Yes
No

Next
C. The next 5 questions ask about sad feelings and attempted suicide. Sometimes people feel so depressed about the future that they may consider attempting suicide, that is, taking some action to end their own life.
22. During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities.
Yes
No

Next
23. During the past 12 months, did you ever seriously consider attempting suicide?
Yes
No

Next
24. During the past 12 months, did you make a plan about how you would attempt suicide?
Yes
No

Next
25. During the past 12 months, how many times did you actually attempt suicide?
0 times
1 time
2 or 3 times
4 or 5 times
6 or more times

Next
26. If you attempted suicide during the past 12 months, did any attempt result in an injury, poisoning, or overdose that had to be treated by a doctor or nurse?
I did not attempt suicide during the past 12 months
Yes
No

Next
D. The next 12 questions ask about tobacco use.
27. Have you ever tried cigarette smoking, even one or two puffs?
Yes
No

Next
28. How old were you when you smoked a whole cigarette for the first time?
I have never smoked a whole cigarette
8 years old or younger
9 or 10 years old
11 or 12 years old
13 or 14 years old
15 or 16 years old
17 years old or older

Next
29. During the past 30 days, on how many days did you smoke cigarettes?
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
All 30 days

Next
30. During the past 30 days, on the days you smoked, how many cigarettes did you smoke per day?
I did not smoke cigarettes during the past 30 days
Less than 1 cigarette per day
1 cigarette per day
2 to 5 cigarettes per day
6 to 10 cigarettes per day
11 to 20 cigarettes per day
More than 20 cigarettes per day

Next
31. During the past 30 days, how did you usually get your own cigarettes? (Select only one response.)
I did not smoke cigarettes during the past 30 days
I bought them in a store such as a convenience store, supermarket, or gas station
I bought them from a vending machine
I gave someone else money to buy them for me
I borrowed them from someone else
I stole them
I got them some other way

Next
32. When you bought cigarettes in a store during the past 30 days, were you ever asked to show proof of age?
I did not buy cigarettes in a stole during the past 30 days
Yes
No

Next
33. During the past 30 days, on how many days did you smoke cigarettes on school property?
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
All 30 days

Next
34. Have you ever smoked cigarettes regularly, that is, at least one cigarette every day for 30 days?
Yes
No

Next
35. Have you ever tried to quit smoking cigarettes?
Yes
No

Next
36. During the past 30 days, on how many days did you use chewing tobacco or snuff, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits, or Copenhagen?
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
All 30 days

Next
37. During the past 30 days, on how many days did you use chewing tobacco or snuff on school property?
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
All 30 days

Next
38. During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
All 30 days

Next
E. The next 5 questions ask about drinking alcohol. This includes drinking beer, wine, wine coolers, and liquor such as rum, gin, vodka, or whiskey. For these questions, drinking alcohol does not include drinking a few sips of wine for religious purposes.
39. During your life, on how many days have you had at least one drink of alcohol?
0 days
1 or 2 days
3 to 9 days
10 to 19 days
20 to 39 days
40 to 99 days
100 or more days

Next
40. How old were you when you had your first drink of alcohol other than a few sips?
I have never had a drink of alcohol other than a few sips
8 years old or younger
9 or 10 years old
11 or 12 years old
13 or 14 years old
15 or 16 years old
17 years old or older

Next
41. During the past 30 days, on how many days did you have at least one drink of alcohol?
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
All 30 days

Next
42. During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours?
0 days
1 day
2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 or more days

Next
43. During the past 30 days, on how many days did you have at least one drink of alcohol on school property?
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
All 30 days

Next
F. The next 4 questions ask about marijuana use. Marijuana also is called grass or pot.
44. During your life, how many times have you used marijuana?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 to 99 times
100 or more times

Next
45. How old were you when you tried marijuana for the first time?
I have never tried marijuana
8 years old or younger
9 or 10 years old
11 or 12 years old
13 or 14 years old
15 or 16 years old
17 years old or older

Next
46. During the past 30 days, how many times did you use marijuana?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times

Next
47. During the past 30 days, how many times did you use marijuana on school property?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
G. The next 9 questions ask about cocaine and other drugs.
48. During your life, how many times have you used any form of cocaine, including powder, crack, or freebase?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
49. During the past 30 days, how many times did you use any form of cocaine, including powder, crack, or freebase?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
50. During your life, how many times have you sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
51. During the past 30 days, how many times have you sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
52. During your life, how many times have you used heroin (also called smack, junk, or China White)?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
53. During your life, how many times have you used methamphetamines (also called speed, crystal, crank, or ice)?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
54. During your life, how many times have you taken steroid pills or shots without a doctor’s prescription?
0 times
1 or 2 times
3 to 9 times
10 to 19 times
20 to 39 times
40 or more times


Next
55. During your life, how many times have you used a needle to inject any illegal drug into your body?
0 times
1 time
2 or more times


Next
56. During the past 12 months, has anyone offered, sold, or given you an illegal drug on school property?
Yes
No


Next
H. The next 8 questions ask about sexual behavior.
57. Have you ever had sexual intercourse?
Yes
No


Next
58. How old were you when you had sexual intercourse for the first time?
I have never had sexual intercourse
11 years old or younger
12 years old
13 years old
14 years old
15 years old
16 years old
17 years old or older


Next
59. During your life, with how many people have you had sexual intercourse?
I have never had sexual intercourse
1 person
2 people
3 people
4 people
5 people
6 or more people


Next
60. During the past 3 months, with how many people did you have sexual intercourse?
I have never had sexual intercourse
I have had sexual intercourse, but not during the past 3 months
1 person
2 people
3 people
4 people
5 people
6 or more people


Next
61. Did you drink alcohol or use drugs before you had sexual intercourse the last time?
I have never had sexual intercourse
Yes
No


Next
62. The last time you had sexual intercourse, did you or your partner use a condom?
I have never had sexual intercourse
Yes
No


Next
63. The last time you had sexual intercourse, what one method did you or your partner use to prevent pregnancy? (Select only one response.)
I have never had sexual intercourse
No method was used to prevent pregnancy
Birth control pills
Condoms
Depo-Provera (injectable birth control)
Withdrawal
Some other method
Not sure


Next
64. How many times have you been pregnant or gotten someone pregnant?
0 times
1 time
2 or more times
Not sure


Next
I. The next 7 questions ask about body weight.
65. How do you describe your weight?
Very underweight
Slightly underweight
About the right weight
Slightly overweight
Very overweight


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66. Which of the following are you trying to do about your weight?
Lose weight
Gain weight
Stay the same weight
I am not trying to do anything about my weight


Next
67. During the past 30 days, did you exercise to lose weight or to keep from gaining weight?
Yes
No


Next
68. During the past 30 days, did you eat less food, fewer calories, or foods low in fat to lose weight or to keep from gaining weight?
Yes
No


Next
69. During the past 30 days, did you go without eating for 24 hours or more (also called fasting) to lose weight or to keep from gaining weight?
Yes
No


Next
70. During the past 30 days, did you take any diet pills, powders, or liquids without a doctor’s advice to lose weight or to keep from gaining weight? (Do not include meal replacement products such as Slim Fast.)
Yes
No


Next
71. During the past 30 days, did you vomit or take laxatives to lose weight or to keep from gaining weight?
Yes
No


Next
J. The next 7 questions ask about food you ate or drank during the past 7 days. Think about all the meals and snacks you had from the time you got up until you went to bed. Be sure to include food you ate at home, at school, at restaurants, or anywhere else.
72. During the past 7 days, how many times did you drink 100% fruit juices such as orange juice, apple juice, or grape juice? (Do not count punch, Kool-Aid, sports drinks, or other fruit-flavored drinks.)
I did not drink 100% fruit juice during the past 7 days
1 to 3 times during the past 7 days
4 to 6 times during the past 7 days
1 time per day
2 times per day
3 times per day
4 or more times per day


Next
73. During the past 7 days, how many times did you eat fruit? (Do not count fruit juice.)
I did not eat fruit during the past 7 days
1 to 3 times during the past 7 days
4 to 6 times during the past 7 days
1 time per day
2 times per day
3 times per day
4 or more times per day


Next
74. During the past 7 days, how many times did you eat green salad?
I did not eat green salad during the past 7 days
1 to 3 times during the past 7 days
4 to 6 times during the past 7 days
1 time per day
2 times per day
3 times per day
4 or more times per day


Next
75. During the past 7 days, how many times did you eat potatoes? (Do not count french fries, fried potatoes, or potato chips.)
I did not eat potatoes during the past 7 days
1 to 3 times during the past 7 days
4 to 6 times during the past 7 days
1 time per day
2 times per day
3 times per day
4 or more times per day


Next
76. During the past 7 days, how many times did you eat carrots?
I did not eat carrots during the past 7 days
1 to 3 times during the past 7 days
4 to 6 times during the past 7 days
1 time per day
2 times per day
3 times per day
4 or more times per day


Next
77. During the past 7 days, how many times did you eat other vegetables? (Do not count green salad, potatoes, or carrots.)
I did not eat other vegetables during the past 7 days
1 to 3 times during the past 7 days
4 to 6 times during the past 7 days
1 time per day
2 times per day
3 times per day
4 or more times per day


Next
78. During the past 7 days, how many glasses of milk did you drink? (Include the milk you drank in a glass or cup, from a carton, or with cereal. Count the half pint of milk served at school as equal to one glass.)
I did not drink milk during the past 7 days
1 to 3 glasses during the past 7 days
4 to 6 glasses during the past 7 days
1 glass per day
2 glasses per day
3 glasses per day
4 or more glasses per day


Next
K. The next 8 questions ask about physical activity.
79. On how many of the past 7 days did you exercise or participate in physical activity for at least 20 minutes that made you sweat and breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities?
0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days


Next
80. On how many of the past 7 days did you participate in physical activity for at least 30 minutes that did not make you sweat or breathe hard, such as fast walking, slow bicycling, skating, pushing a lawn mower, or mopping floors?
0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days


Next
81. On how many of the past 7 days did you do exercises to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?
0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days


Next
82. On an average school day, how many hours do you watch TV?
I do not watch TV on an average school day
Less than 1 hour per day
1 hour per day
2 hours per day
3 hours per day
4 hours per day
5 or more hours per day


Next
83. In an average week when you are in school, on how many days do you go to physical education (PE) classes?
0 days
1 day
2 days
3 days
4 days
5 days


Next
84. During an average physical education (PE) class, how many minutes do you spend actually exercising or playing sports?
I do not take PE
Less than 10 minutes
10 to 20 minutes
21 to 30 minutes
More than 30 minutes


Next
85. During the past 12 months, on how many sports teams did you play? (Include any teams run by your school or community groups.)
0 teams
1 team
2 teams
3 or more teams


Next
86. During the past 12 months, how many times were you injured while exercising, playing sports, or being physically active and had to be treated by a doctor or nurse?
0 times
1 time
2 times
3 times
4 times
5 or more times


Last question
The next question asks about AIDS education.
87. Have you ever been taught about AIDS or HIV infection in school?
Yes
No
Not sure


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