Georgia Student Health Survey II (GSHS II)
Students FY06 :: Grades 6-8

 
Instructions
 
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VIII
 
IX
 
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XII
 
XIII
 
XIV
   

Instructions


This survey is designed to collect information about a variety of topics including alcohol, tobacco, and other drugs; school violence; school climate; and nutrition. You must answer every question in each section before you can continue. Once you complete a section, you are not allowed to return. The survey is completely anonymous, so please answer all questions honestly. Thank you for your participation.


Personal Information

Female
Male
Black or African American
Hispanic or Latino
White or Caucasian
Asian or Pacific Islander
Other
6th
8th

School Climate

Always
Sometimes
Not at all
Always
Sometimes
Not at all
Always
Sometimes
Not at all
Always
Sometimes
Not at all
. Always
Sometimes
Not at all
Always
Sometimes
Not at all
Always
Sometimes
Not at all
Always
Sometimes
Not at all
Always
Sometimes
Not at all

Within the past 30 days I have used…

0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day
0 days
1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days
every day

It is easy to get.…

Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy
Cannot Get
Somewhat Easy
Very Easy

I started using ____ when I was…

Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older
Never Used
8 years old or younger
9 years old, 10 years old
11 years old
12 years old
13 years old
14 years old or older

I think the following are harmful to my health.

Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful
Very harmful
Somewhat harmful
Not harmful

Adults in my life would disapprove if I used…

Always
Maybe
Not really
Always
Maybe
Not really
Always
Maybe
Not really
Always
Maybe
Not really

My friends would disapprove if I used…

Always
Maybe
Not really
Always
Maybe
Not really
Always
Maybe
Not really
Always
Maybe
Not really

Where do your friends usually use ____?

(You may mark more than one response for each question)
Do Not Use
At Home
At School
In a Car
Friend’s House
Other
Do Not Use
At Home
At School
In a Car
Friend’s House
Other
Do Not Use
At Home
At School
In a Car
Friend’s House
Other
Do Not Use
At Home
At School
In a Car
Friend’s House
Other

When do your friends usually use ____?

(You may mark more than one response for each question)
Do Not Use
On the Way to School
During School
On the Way Home From School
Week Nights
Weekends
Do Not Use
On the Way to School
During School
On the Way Home From School
Week Nights
Weekends
Do Not Use
On the Way to School
During School
On the Way Home From School
Week Nights
Weekends
Do Not Use
On the Way to School
During School
On the Way Home From School
Week Nights
Weekends

During the past 30 days I…

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Nutrition Information

Always
Sometimes
Never
Always
Sometimes
Never
Always
Sometimes
Never
Always
Sometimes
Never
Always
Sometimes
Never
Always
Sometimes
Never
Always
Sometimes
Never
Always
Sometimes
Never

Student Information

Yes
No
Yes
No
Yes
No
Always
Sometimes
Not at all
I have not thought about dropping out of school
Boring school work
Family reasons
Being bullied
Other
I do not watch TV on an average school day
Less than l hour per day
l hour per day
2-3 hours per day
4-5 hours per day
6 or more hours per day
I do not spend any time on the computer on an average school day
Less than l hour per day
2-3 hours per day
4-5 hours per day
6 or more hours per day
Always
Sometimes
Not at all
Yes
No
Yes
No
Yes
No
0 times
1-2 times
3-5 times
6 times or more
Always
Sometimes
Never
Always
Sometimes
Never

Student Information Continued

Yes
No
Always
Sometimes
Not really very safe
No, it’s dangerous
Yes
No
Yes
No
Always
Sometimes
Not really
Yes
No

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