| Name | 2021 Survey Question |
| X1 | How old are you? |
| X2 | What grade are you in? |
| X3 | Are you of Hispanic, Latino, or Spanish origin? |
| X4a | What is your race? White, Caucasian |
| X4b | What is your race? Black, African American |
| X4c | What is your race? American Indian or Alaska Native |
| X4d | What is your race? Asian Indian, Japanese, Native Hawaiian, Chinese, Korean, Guamanian or Chamorro, Filipino, Vietnamese, Samoan, Other Asian, Other Pacific Islander |
| X5 | Are you? (Gender question) |
| X6a | Think of where you live most of the time. Which of the following people live there with you? Mother |
| X6b | Think of where you live most of the time. Which of the following people live there with you? Stepmother |
| X6c | Think of where you live most of the time. Which of the following people live there with you? Foster mother |
| X6d | Think of where you live most of the time. Which of the following people live there with you? Grandmother |
| X6e | Think of where you live most of the time. Which of the following people live there with you? Aunt |
| X6f | Think of where you live most of the time. Which of the following people live there with you? Father |
| X6g | Think of where you live most of the time. Which of the following people live there with you? Stepfather |
| X6h | Think of where you live most of the time. Which of the following people live there with you? Foster father |
| X6i | Think of where you live most of the time. Which of the following people live there with you? Grandfather |
| X6j | Think of where you live most of the time. Which of the following people live there with you? Uncle |
| X6k | Think of where you live most of the time. Which of the following people live there with you? Other Adults |
| X6l | Think of where you live most of the time. Which of the following people live there with you? Older sister(s) |
| X6m | Think of where you live most of the time. Which of the following people live there with you? Younger sister(s) |
| X6n | Think of where you live most of the time. Which of the following people live there with you? Older stepsister(s) |
| X6o | Think of where you live most of the time. Which of the following people live there with you? Younger stepsister(s) |
| X6p | Think of where you live most of the time. Which of the following people live there with you? Older brother(s) |
| X6q | Think of where you live most of the time. Which of the following people live there with you? Younger brother(s) |
| X6r | Think of where you live most of the time. Which of the following people live there with you? Older stepbrother(s) |
| X6s | Think of where you live most of the time. Which of the following people live there with you? Younger stepbrother(s) |
| X6t | Think of where you live most of the time. Which of the following people live there with you? Other children |
| X7 | What is the language you use most often at home? |
| X8a | How wrong do your parents feel it would be for you to: Have one or two drinks of alcoholic beverage such as beer, wine, or hard liquor (vodka, whiskey, gin, or rum) nearly every day? |
| X8b | How wrong do your parents feel it would be for you to: Use prescription drugs not prescribed to you? |
| X9a | How many times in your lifetime have you had beer, wine, or hard liquor? |
| X9b | How many times in your lifetime have you used marijuana (pot, hash, cannabis, weed)? |
| X9c | How many times in your lifetime have you sniffed glue, breathed the contents of an aerosol spray can, or inhaled other gases or sprays in order to get high? |
| X9d | How many times in your lifetime have you used cocaine? |
| X9e | How many times in your lifetime have you used crack? |
| X9f | How many times in your lifetime have you used heroin? |
| X9g | How many times in your lifetime have you used hallucinogens (acid, LSD, shrooms)? |
| X9h | How many times in your lifetime have you used methamphetamine (meth, crystal meth, crank)? |
| X9i | How many times in your lifetime have you used Ecstasy or Molly? |
| X9j | How many times in your lifetime have you used metaclorazoles (such as Magenta Zip, Czoles)? |
| X9k | How many times in your lifetime have you performance enhancing drugs (such as steroids, human growth hormone) without a doctor telling you to take them? |
| X9l | How many times in your lifetime have you used prescription pain relievers without a doctor telling you to take them? |
| X9m | How many times in your lifetime have you used prescription tranquilizers without a doctor telling you to take them? |
| X9n | How many times in your lifetime have you used prescription stimulants without a doctor telling you to take them? |
| X9o | How many times in your lifetime have you used synthetic drugs (man-made drugs such as Bath Salts, K2, Spice, Mr. Smiley, Blaze)? |
| X9p | How many times in your lifetime have you used over-the-counter medicine (cough syrup, cold medicine, etc.) in order to get high? |
| X10a | How many times in the past 30 days have you had beer, wine, or hard liquor? |
| X10b | How many times in the past 30 days have you used marijuana (pot, hash, cannabis, weed)? |
| X10c | How many times in the past 30 days have you sniffed glue, breathed the contents of an aerosol spray can, or inhaled other gases or sprays in order to get high? |
| X10d | How many times in the past 30 days have you used cocaine? |
| X10e | How many times in the past 30 days have you used crack? |
| X10f | How many times in the past 30 days have you used heroin? |
| X10g | How many times in the past 30 days have you used hallucinogens (acid, LSD, shrooms)? |
| X10h | How many times in the past 30 days have you used methamphetamine (meth, crystal meth, crank)? |
| X10i | How many times in the past 30 days have you used Ecstasy or Molly? |
| X10j | How many times in the past 30 days have you used metaclorazoles (such as Magenta Zip, Czoles)? |
| X10k | How many times in the past 30 days have you used performance enhancing drugs (such as steroids, human growth hormone) without a doctor telling you to take them? |
| X10l | How many times in the past 30 days have you used prescription pain relievers without a doctor telling you to take them? |
| X10m | How many times in the past 30 days have you used prescription tranquilizers without a doctor telling you to take them? |
| X10n | How many times in the past 30 days have you used prescription stimulantswithout a doctor telling you to take them? |
| X10o | How many times in the past 30 days have you used synthetic drugs (man-made drugs such as Bath Salts, K2, Spice, Mr. Smiley, Blaze)? |
| X10p | How many times in the past 30 days have you used over-the-counter medicine (cough syrup, cold medicine, etc.) in order to get high? |
| X11 | Have you ever smoked cigarettes? |
| X12 | How frequently have you smoked cigarettes during the past 30 days? |
| X13 | Have you ever used smokeless tobacco (chew, snuff, plug, dipping tobacco, or chewing tobacco)? |
| X14 | How frequently have you used smokeless tobacco during the past 30 days? |
| X15 | How frequently have you used an electronic vapor product such as: E-cigarettes vapes vape pens e-cigars e-hookahs, hookah pens and mods during the past 30 days? |
| X16a | If you used an electronic vapor product such as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods during the past 12 months, with which substances did you use it? I did not vape |
| X16b | If you used an electronic vapor product such as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods during the past 12 months, with which substances did you use it? Just flavoring |
| X16c | If you used an electronic vapor product such as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods during the past 12 months, with which substances did you use it? Nicotine |
| X16d | If you used an electronic vapor product such as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods during the past 12 months, with which substances did you use it? Marijuana or hash oil |
| X16e | If you used an electronic vapor product such as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods during the past 12 months, with which substances did you use it? Other substances |
| X16f | If you used an electronic vapor product such as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods during the past 12 months, with which substances did you use it? I don't know |
| X17 | If you wanted to get prescription drugs not prescribed to you, how easy would it be for you to get some? |
| X18a | How do you feel about someone your age having one or two drinks of an alcoholic beverage (beer, wine, hard liquor) nearly every day? |
| X18b | How do you feel about someone your age smoking one or more packs of cigarettes a day? |
| X18c | How do you feel about someone your age using marijuana once a month or more? |
| X18d | How do you feel about someone your age using prescription drugs not prescribed to them? |
| X19 | How many times have you had five or more alcoholic drinks in a row? |
| X20a | How willing are you to try the drugs listed below before you are 21? These are not questions about current or past use of these drugs. ALCOHOL (beer, wine, coolers, hard liquor such as vodka, whiskey, gin, or rum) |
| X20b | How willing are you to try the drugs listed below before you are 21? These are not questions about current or past use of these drugs. MARIJUANA (pot, hash, cannabis, weed) |
| A1 | During the last four weeks, how many whole days of school have you missed because you skipped or cut? |
| A2 | How important do you think the things you are learning in school are going to be for your later life? |
| A3 | How interesting are most of your courses to you? |
| A4 | Putting them all together, what were your grades like last year? |
| A5 | How often do you feel that the school work you are assigned is meaningful and important? |
| A6a | Now thinking back over the past year in school, how often did you enjoy being in school? |
| A6b | Now thinking back over the past year in school, how often did you hate being in school? |
| A6c | Now thinking back over the past year in school, how often did you try to do best work in school? |
| A7 | Are most of your school grades better than the grades of most students in your class? |
| A8 | Teachers ask me to work on special classroom projects |
| A9 | There are lots of chances for students in my school to talk one-on-one with a teacher |
| A10 | I have lots of chances to be part of class discussions or activities |
| A11 | In my school, students have lots of chances to help decide things like class activities and rules |
| A12 | There are lots of chances for students in my school to get involved in sports, clubs, and other school activities outside of class |
| A13 | My teacher(s) notices when I am doing a good job and lets me know about it |
| A14 | I feel safe at my school |
| A15 | The school lets my parents know when I have done something well |
| A16 | My teachers praise me when I work hard in school |
| A17 | My neighbors notice when I am doing a good job and let me know |
| A18 | There are people in my neighborhood who are proud of me when I do something well |
| A19 | There are people in my neighborhood who encourage me to do my best |
| A20 | I like my neighborhood |
| A21 | I'd like to get out of my neighborhood |
| A22 | If I had to move, I would miss the neighborhood I now live in |
| A23a | How wrong do your friends feel it would be for YOU to have one or two drinks of an alcoholic beverage nearly every day? |
| A23b | How wrong do your friends feel it would be for YOU to use tobacco? |
| A23c | How wrong do your friends feel it would be for YOU to use marijuana? |
| A23d | How wrong do your friends feel it would be for YOU to use prescription drugs not prescribed to you? |
| A24a | How easy would it be for you to get any, if you wanted to get any, beer, wine, or hard liquor (for example, vodka, whiskey, gin, or rum)? |
| A24b | How easy would it be for you to get any, if you wanted to get any, cigarettes? |
| A24c | How easy would it be for you to get, if you wanted to get, a handgun? |
| A24d | How easy would it be for you to get, if you wanted to get, a drug like cocaine, LSD, or amphetamines? |
| A24e | How easy would it be for you to get any, if you wanted to get any, marijuana? |
| A25 | If a kid drank some beer, wine, or hard liquor (for example, vodka, whiskey, gin, or rum) in your neighborhood, would he or she be caught by the police? |
| A26 | If a kid used marijuana in your neighborhood, would he or she be caught by the police? |
| A27a | How wrong would most adults (over 21) in your neighborhood think it was for kids your age to drink alcohol? |
| A27b | How wrong would most adults (over 21) in your neighborhood think it was for kids your age to smoke cigarettes? |
| A27c | How wrong would most adults (over 21) in your neighborhood think it was for kids your age to use marijuana? |
| A28a | Have you ever belonged to a gang? |
| A28b | If you have ever belonged to a gang, did that gang have a name? |
| A29 | How old were you when you first belonged to a gang? |
| A30 | In the past 12 months, how many of your best friends have been a member of a gang? |
| B1 | My parents ask me what I think before most family decisions affecting me are made |
| B2 | If I had a personal problem, I could ask my mom or dad for help |
| B3 | My parents give me lots of chances to do fun things with them |
| B4 | My parents notice when I am doing a good job and let me know about it |
| B5 | How often do your parents tell you they're proud of you for something you've done? |
| B6a | Do you feel very close to your mother? |
| B6b | Do you feel very close to your father? |
| B7a | Do you share your thoughts and feelings with your mother? |
| B7b | Do you share your thoughts and feelings with your father? |
| B8a | Do you enjoy spending time with your mother? |
| B8b | Do you enjoy spending time with your father? |
| B9 | When I am not at home, one of my parents knows where I am and who I am with. |
| B10 | If you skipped school, would you be caught by your parents? |
| B11 | My parents ask if I've gotten my homework done. |
| B12 | Would your parents know if you did not come home on time? |
| B13 | The rules in my family are clear. |
| B14 | If you carried a handgun without your parents' permission, would you be caught by them? |
| B15 | People in my family often insult or yell at each other. |
| B16 | We argue about the same things in my family over and over. |
| B17 | People in my family have serious arguments. |
| B18 | If you drank some beer, wine, or hard liquor (such as vodka, whiskey, gin, or rum) without your parents' permission, would you be caught by them? |
| B19 | My family has clear rules about alcohol and drug use. |
| B20a | About how many adults (over 21) have you known personally who in the past year have: Gotten drunk or high? |
| B20b | About how many adults (over 21) have you known personally who in the past year have: Used marijuana, crack, cocaine, or other drugs? |
| B20c | About how many adults (over 21) have you known personally who in the past year have: Sold or dealt drugs? |
| B20d | About how many adults (over 21) have you known personally who in the past year have: Done other things that could get them in trouble with the police, like stealing, selling stolen goods, mugging or assaulting others, etc.? |
| B21a | How many of your brothers or sisters ever: Drank beer, wine or hard liquor (for example, vodka, whiskey or gin)? |
| B21b | How many of your brothers or sisters ever: Smoked cigarettes? |
| B21c | How many of your brothers or sisters ever: Used marijuana? |
| B21d | How many of your brothers or sisters ever: Took a handgun to school? |
| B21e | How many of your brothers or sisters ever: Been suspended or expelled from school? |
| B22 | Has anyone in your family ever had a severe alcohol or drug problem? |
| B23a | How wrong do your parents feel it would be for you to: Pick a fight with someone? |
| B23b | How wrong do your parents feel it would be for you to: Steal anything worth more than $5 |
| B23c | How wrong do your parents feel it would be for you to: Draw graffiti, or write things or draw pictures on buildings or other property (without the owner's permission)? |
| B23d | How wrong do your parents feel it would be for you to: Drink beer, wine or hard liquor (for example, vodka, whiskey, or gin) regularly? |
| B23e | How wrong do your parents feel it would be for you to: Smoke cigarettes? |
| B23f | How wrong do your parents feel it would be for you to: Use marijuana |
| B24a | How many times have you? Worried that food at home would run out before your family got money to buy more? |
| B24b | How many times have you? Skipped a meal because your family didn’t have enough money to buy food? |
| B25 | ONLINE ONLY. Please indicate your level of agreement with the following: Do you feel very close to your parent(s) or caregiver(s)? |
| B26 | ONLINE ONLY. Please indicate your level of agreement with the following: Do you enjoy spending time with your parent(s) or caregiver(s)? |
| B27 | ONLINE ONLY. Please indicate your level of agreement with the following: Do you share your thoughts and feelings with your parent(s) or caregiver(s)? |
| C1 | I like to see how much I can get away with. |
| C2 | I ignore the rules that get in my way. |
| C3 | I do the opposite of what people tell me, just to get them mad. |
| C4 | In the past 12 months, have you felt depressed or sad MOST days, even if you felt OK sometimes? |
| C5 | Sometimes I think that life is not worth it. |
| C6 | At times, I think I am no good at all. |
| C7 | All in all, I am inclined to think that I am a failure. |
| C8a | How much do you think people risk harming themselves if they take one or two drinks of an alcoholic beverage (beer, wine, hard liquor) nearly every day? |
| C8b | How much do you think people risk harming themselves if they take five or more drinks of an alcoholic beverage (beer, wine, hard liquor) once or twice a week? |
| C8c | How much do you think people risk harming themselves if they smoke one or more packs of cigarettes per day? |
| C8d | How much do you think people risk harming themselves if they try marijuana once or twice? |
| C8e | How much do you think people risk harming themselves if they use marijuana once or twice a week? |
| C8f | How much do you think people risk harming themselves if they use marijuana regularly? |
| C8g | How much do you think people risk harming themselves if they use prescription drugs that are not prescribed to them? |
| C9 | How often do you attend religious services or activities? |
| C10a | How wrong do you think it is for someone your age to stay away from school all day when their parents think they are at school? |
| C10b | How wrong do you think it is for someone your age to take a handgun to school? |
| C10c | How wrong do you think it is for someone your age to steal anything worth more than $5? |
| C10d | How wrong do you think it is for someone your age to pick a fight with someone? |
| C10e | How wrong do you think it is for someone your age to attack someone with the idea of seriously hurting them? |
| C10f | How wrong do you think it is for someone your age to drink beer, wine, or hard liquor (for example, vodka, whiskey, gin, or rum) regularly? |
| C10g | How wrong do you think it is for someone your age to smoke cigarettes? |
| C10h | How wrong do you think it is for someone your age to use LSD, cocaine, amphetamines or another illegal drug? |
| C10i | How wrong do you think it is for someone your age to use marijuana? |
| C11a | How many times have you done what feels good no matter what? |
| C11b | How many times have you done something dangerous because someone dared you to do it? |
| C11c | How many times have you done crazy things even if they are a little dangerous? |
| C12a | What are the chances you would be seen as cool if you: carried a handgun? |
| C12b | What are the chances you would be seen as cool if you: began drinking alcoholic beverages regularly, that is, at least once or twice a month? |
| C12c | What are the chances you would be seen as cool if you: smoked cigarettes? |
| C12d | What are the chances you would be seen as cool if you: used marijuana? |
| C13 | I think it is okay to take something without asking as long as you get away with it. |
| C14 | It is alright to beat people up if they start the fight. |
| C15 | I think sometimes it's okay to cheat at school. |
| C16 | It is important to be honest with your parents, even if they become upset or you get punished. |
| C17a | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Been arrested? |
| C17b | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Dropped out of school? |
| C17c | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Stolen or tried to steal a motor vehicle such as a car or motorcycle? |
| C17d | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Been suspended from school? |
| C17e | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Carried a handgun? |
| C17f | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Tried beer, wine, or hard liquor when their parents didn’t know about it? |
| C17g | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Smoked cigarettes? |
| C17h | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Sold illegal drugs? |
| C17i | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Used LSD, cocaine, amphetamines or another illegal drug? |
| C17j | Think of up to four of your best friends (the friends you feel closest to). In the past 12 months, how many of your best friends have: Used marijuana? |
| D1a | During the past 12 months, how often have you bet/gambled, even casually, for money or valuables in the following ways: Table games like poker or other card games, dice, backgammon, or dominoes |
| D1b | During the past 12 months, how often have you bet/gambled, even casually, for money or valuables in the following ways: Lottery (scratch cards, numbers, etc.) |
| D1c | During the past 12 months, how often have you bet/gambled, even casually, for money or valuables in the following ways: Sporting events or sports pools |
| D1d | During the past 12 months, how often have you bet/gambled, even casually, for money or valuables in the following ways: Online (Internet) gambling |
| D1e | During the past 12 months, how often have you bet/gambled, even casually, for money or valuables in the following ways: Personal skill games (such as pool, darts, coin tossing, video games) |
| D1f | During the past 12 months, how often have you bet/gambled, even casually, for money or valuables in the following ways: Bet/gambled in some other way |
| D2 | How many times (if any) have you, in your lifetime bet/gambled for money or anything of value? |
| D3 | In the past 30 days, have you bet/gambled for money or anything of value? |
| D4a | Have you ever felt the need to: Bet more and more money? |
| D4b | Have you ever felt the need to: Lie to important people (such as your family/ friends) about how much you gamble? |
| D5a | If you drank alcohol during the past 12 months, how did you usually get it? Did not drink any alcohol |
| D5b | If you drank alcohol during the past 12 months, how did you usually get it? Bought it in a store |
| D5c | If you drank alcohol during the past 12 months, how did you usually get it? Bought it at a restaurant, bar or club |
| D5d | If you drank alcohol during the past 12 months, how did you usually get it? Bought it at a public event such as a concert or sporting event |
| D5e | If you drank alcohol during the past 12 months, how did you usually get it? Gave someone money to buy it for me |
| D5f | If you drank alcohol during the past 12 months, how did you usually get it? Parents provided it to me |
| D5g | If you drank alcohol during the past 12 months, how did you usually get it? Friends' parents provided it to me |
| D5h | If you drank alcohol during the past 12 months, how did you usually get it? Friends, brothers, or sisters over 21 provided it to me |
| D5i | If you drank alcohol during the past 12 months, how did you usually get it? Friends, brothers, or sisters under 21 provided it to me |
| D5j | If you drank alcohol during the past 12 months, how did you usually get it? Other relatives (uncles, aunts, cousins, grandparents, etc.) provided it to me |
| D5k | If you drank alcohol during the past 12 months, how did you usually get it? Other source provided it to me |
| D5l | If you drank alcohol during the past 12 months, how did you usually get it? Took without permission, stole, or found it (my home, friend’s home, store, etc.) |
| D6a | If you used any prescription drugs without a prescription during the last 12 months, how did you get them? I did not take any prescription drugs without a doctor’s prescription |
| D6b | If you used any prescription drugs without a prescription during the last 12 months, how did you get them? Took them from a family member living in my home |
| D6c | If you used any prescription drugs without a prescription during the last 12 months, how did you get them? Took them from other relatives not living in my home |
| D6d | If you used any prescription drugs without a prescription during the last 12 months, how did you get them? Took them from someone not related to me |
| D6e | If you used any prescription drugs without a prescription during the last 12 months, how did you get them? A friend or family member gave them to me |
| D6f | If you used any prescription drugs without a prescription during the last 12 months, how did you get them? Bought them from someone |
| D6g | If you used any prescription drugs without a prescription during the last 12 months, how did you get them? Ordered them over the Internet |
| D7a | How often have you: Driven a motor vehicle while or shortly after drinking? |
| D7b | How often have you: Driven a motor vehicle while or shortly after using marijuana (pot, hash, cannabis, weed)? |
| D8 | On an average school night, how many hours of sleep do you get? |
| D9 | In the last two weeks, how often have you felt tired or sleepy during the day? |
| E1a | In the past 12 months, how often have you: Been threatened to be hit or beaten up on school property? |
| E1b | In the past 12 months, how often have you: Been attacked and hit by someone or beaten up on school property? |
| E1c | In the past 12 months, how often have you: Been threatened by someone with a weapon on school property? |
| E1d | In the past 12 months, how often have you: Been attacked by someone with a weapon on school property? |
| E2 | How many times in the past 12 months have you been offered, given, or sold an illegal drug on school property? |
| E3a | In the past 12 months, in which of the following activities did you participate? Organized community activities (such as scouting, 4H, service clubs, YMCA, etc) |
| E3b | In the past 12 months, in which of the following activities did you participate? Family supported activities or hobbies (such as dance, gymnastics, hiking, biking, skating, etc.) |
| E3c | In the past 12 months, in which of the following activities did you participate? School sponsored activities (such as sports, music, clubs, after school programs, etc.) |
| E3d | In the past 12 months, in which of the following activities did you participate? Faith-based activities (such as choir, youth group, mission, church leagues, etc) |
| E3e | In the past 12 months, in which of the following activities did you participate? Job, employed |
| E3f | In the past 12 months, in which of the following activities did you participate? Volunteer |
| E3g | In the past 12 months, in which of the following activities did you participate? Other activities |
| E3h | In the past 12 months, in which of the following activities did you participate? I do not participate |
| E4 | How many times in your lifetime have you: Brought a weapon (such as a handgun, knife, etc.) to school? |
| E5 | How many times in the last 30 days have you: Brought a weapon (such as a handgun, knife, etc.) to school? |
| E6a | How many times in the past 12 months have you: Attacked someone with the idea of seriously hurting them? |
| E6b | How many times in the past 12 months have you: Been arrested? |
| E6c | How many times in the past 12 months have you: Been drunk or high at school? |
| E6d | How many times in the past 12 months have you: Been suspended from school? |
| E6e | How many times in the past 12 months have you: Sold illegal drugs? |
| E6f | How many times in the past 12 months have you: Done anything to harm yourself (such as cutting, scraping, burning) as a way to relieve difficult feelings, or to communicate emotions that may be difficult to express verbally? |
| E7 | In the past 12 months, have you or your family lived in a shelter, hotel, motel, car, campground, or someone else's home, etc. due to loss of housing, lack of money, or did not have another place to stay? |
| E8 | In the past 12 months, did you ever live away from your parents or guardians because you were kicked out, ran away, or were abandoned? |
| E9a | How many times have you changed homes in the past 12 months? |
| E9b | How many times have you changed homes including the last 12 months, in the last three years? |
| F1a | During the past 12 months, have you been bullied through texting and/or social media? |
| F1b | Have you stayed home from school this year because you were worried about being bullied? |
| F1c | Do adults at your school stop bullying when they see/hear it or when a student tells them about it? |
| F1d | Please state whether you have been bullied during the past 12 months. |
| F1ea | If you have been bullied in any way in the past 12 months, where were you bullied? I was not bullied |
| F1eb | If you have been bullied in any way in the past 12 months, where were you bullied? On school property |
| F1ec | If you have been bullied in any way in the past 12 months, where were you bullied? At a school-sponsored event |
| F1ed | If you have been bullied in any way in the past 12 months, where were you bullied? While going to or from school |
| F1ee | If you have been bullied in any way in the past 12 months, where were you bullied? In the community |
| F1ef | If you have been bullied in any way in the past 12 months, where were you bullied? At home |
| F1fa | If you have been bullied in the past 12 months by other students, why were you bullied? I have not been made fun of by other students |
| F1fb | If you have been bullied in the past 12 months by other students, why were you bullied? I don’t know why |
| F1fc | If you have been bullied in the past 12 months by other students, why were you bullied? The color of my skin |
| F1fd | If you have been bullied in the past 12 months by other students, why were you bullied? My religion |
| F1fe | If you have been bullied in the past 12 months by other students, why were you bullied? My size (height, weight, etc.) |
| F1ff | If you have been bullied in the past 12 months by other students, why were you bullied? My accent |
| F1fg | If you have been bullied in the past 12 months by other students, why were you bullied? The country I was born in |
| F1fh | If you have been bullied in the past 12 months by other students, why were you bullied? The country my family (parents, grandparents) was born in |
| F1fi | If you have been bullied in the past 12 months by other students, why were you bullied? The way I look (clothing, hairstyle, etc.) |
| F1fj | If you have been bullied in the past 12 months by other students, why were you bullied? How much money my family has or does not have |
| F1fk | If you have been bullied in the past 12 months by other students, why were you bullied? My gender |
| F1fl | If you have been bullied in the past 12 months by other students, why were you bullied? My grades or school achievement |
| F1fm | If you have been bullied in the past 12 months by other students, why were you bullied? My social standing |
| F1fn | If you have been bullied in the past 12 months by other students, why were you bullied? Social conflict |
| F1fo | If you have been bullied in the past 12 months by other students, why were you bullied? My sexual-orientation |
| F1fp | If you have been bullied in the past 12 months by other students, why were you bullied? I have a disability (learning or physical disability) |
| F1fq | If you have been bullied in the past 12 months by other students, why were you bullied? Some other reason |
| F2a | If you were hurt or abused by another person in the past 12 months, how were you hurt or abused? Physical injury |
| F2b | If you were hurt or abused by another person in the past 12 months, how were you hurt or abused? Threats |
| F2c | If you were hurt or abused by another person in the past 12 months, how were you hurt or abused? Emotional abuse, insults, name-calling |
| F2d | If you were hurt or abused by another person in the past 12 months, how were you hurt or abused? Isolation from friends and family |
| F2e | If you were hurt or abused by another person in the past 12 months, how were you hurt or abused? Control of what you were wearing |
| F2f | If you were hurt or abused by another person in the past 12 months, how were you hurt or abused? Control with whom you socialized |
| F2g | If you were hurt or abused by another person in the past 12 months, how were you hurt or abused? Other injury or abuse |
| F3 | In the past 12 months, did anyone when using technology ever try to get you to talk online about sex, look at sexual pictures, or do something else sexual? |
| F4a | 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 activites? |
| F4b | Did you ever seriously consider attempting suicide? |
| F4c | Did you make a plan about how you would attempt suicide? |
| F4d | How many times did you actually attempt suicide? |
| F4e | 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? |
| F5 | In the past 12 months, have any of your friends or family members close to you died? |
| P1a | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) I or someone in my family was sick with COVID-19 or COVID-19 symptoms. |
| P1b | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) A family member or friend close to me died from COVIID-19. |
| P1c | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) One or more people living in my home lost their job. |
| P1d | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) I felt more anxious, nervous, worried, or angry than usual. |
| P1e | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) I felt more relaxed, comfortable, or rested than usual. |
| P1f | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) People in my home were arguing or physically fighting more than usual. |
| P1g | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) My family ate more meals together than usual. |
| P1h | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) My family shared more quality time together than usual (such as playing games, exercising, talking, watching movies/tv). |
| P1i | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) I learned a new hobby or skill (such as cooking, crafts, gardening, physical activities, outdoor activities, puzzles, new language). |
| P1j | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) I played more online games with others than usual. |
| P1k | Select all of the following that you experienced during the COVID-19 pandemic: (Please note that only students who took the survey online were offered these questions.) None of these. |
| P2 | During the 2020-2021 school year, I attended classes: |
| P3a | These questions ask about your experience when learning online during the past school year. I missed spending time at school, learning with other students in person. |
| P3b | These questions ask about your experience when learning online during the past school year. I missed spending time at school, learning with my teachers in person. |
| P3c | These questions ask about your experience when learning online during the past school year. When learning online I understood my teacher’s instructions. |
| P3d | These questions ask about your experience when learning online during the past school year. I stayed focused when doing online school work. |
| P3e | These questions ask about your experience when learning online during the past school year. My learning improved when my classes were taught online due to COVID-19. |
| P3f | These questions ask about your experience when learning online during the past school year. I had a quiet space that I was able to use when doing online school work. |
| P3g | These questions ask about your experience when learning online during the past school year. It was easy to use the online learning platform or website my school used for online classes. |
| P3h | These questions ask about your experience when learning online during the past school year. I had access to an internet connection in my home to participate in online learning. |
| P3i | These questions ask about your experience when learning online during the past school year. I had my own laptop, desktop computer, or other device for use for schoolwork . |
| Crlna_rs | Risk score - Low neighborhood attachment scale |
| Crlnd_rs | Risk score - Laws and norms favorable to drugs scale |
| Crpad_rs | Risk score - Perceived availability of drugs scale |
| Crpag_rs | Risk score - Perceived availability of handguns scale |
| Frpfm_rs | Risk score - Poor family management scale |
| Frfcn_rs | Risk score - High family conflict scale |
| Frfab_rs | Risk score - Family history of antisocial behavior scale |
| Frpfd_rs | Risk score - Parental attitudes favor drug use |
| Frpab_rs | Risk score - Parental attitudes favor antisocial behavior |
| Sracf_rs | Risk score - School academic failure scale |
| Srlcs_rs | Risk score - Low school commitment scale |
| Prreb_rs | Risk score - Peer-individual rebelliousness scale |
| Prata_rs | Risk score - Peer-individual attitudes favorable to antisocial behavior scale |
| Prfad_rs | Risk score - Peer-individual attitudes favorable to drug use scale |
| Prprd_rs | Risk score - Peer-individual perceived risk of drug use scale |
| Priap_rs | Risk score - Peer-individual antisocial peers scale |
| Prfud_rs | Risk score - Peer-individual peer's drug use scale |
| Prsns_rs | Risk score - Peer-individual sensation seeking scale |
| Prrai_rs | Risk score - Peer-individual rewards for antisocial involvement scale |
| Prgan_rs | Risk score - Peer-individual gang involvement scale |
| Omdep_rs | Risk score - Peer-individual depression scale |
| Cprpi_ps | Protective score - Community rewards for involvement scale |
| Fpatt_ps | Protective score - Family attachment scale |
| Fpopi_ps | Protective score - Family opportunities for involvement scale |
| Fprpi_ps | Protective score - Family rewards for involvement scale |
| Spopi_ps | Protective score - School opportunity for involvement scale |
| Sprpi_ps | Protective score - School rewards for prosocial involvement |
| Pprel_ps | Protective score - Peer-individual religiosity scale |
| Ppbmo_ps | Protective score - Peer-individual belief in moral order scale |