Oregon SHS Data Portal

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2025 Sample Questionnaires

OVERALL HEALTH

Would you say that in general your emotional and mental health is…
Would you say that in general your physical health is…

WELL-BEING

What things in your life help with your emotional and mental health? You can choose more than one. NOTE: 8^th & 11^th

TRUST

How much trust do you have in your family? NOTE: 8^th & 11^th
How much trust do you have in your neighbors? NOTE: 8^th & 11^th
How much trust do you have in schools? NOTE: 8^th & 11^th
How much trust do you have in health care? NOTE: 8^th & 11^th
How much trust do you have in police? NOTE: 8^th & 11^th
How much trust do you have in government? NOTE: 8^th & 11^th

POSITIVE YOUTH DEVELOPMENT

I can do most things if I try.
I can work out my problems.
There are people in my life who encourage me to do my best.
I believe that I can make a difference in my community.
PYD Benchmark.

SCHOOL CLIMATE, ABSENTEEISM AND BULLYING

There is at least one teacher or other adult in my school that really cares about me.
I feel safe at my school.
It is easy to talk with teachers and other adults at this school.
I am happy to be at this school.
I think the school welcomes and respects students of/from all races and ethnicities, cultures, religions, gender identities, sexual orientations or who have disabilities.
What kind of grades do you usually get in school?
In the past 30 days, have you missed any days of school?
During the past 12 months, have you ever been bullied on school property?
During the past 12 months, have you ever been bullied when you were not on school property?
During the past 12 months, have you ever been electronically bullied? Count being bullied through texting, Instagram, other social media, online gaming, or livestreaming.

ACCESS TO CARE

During the past year, did you have any physical health care needs that were not met? (Count any situation where you thought you should see a doctor, nurse, or other health professional.) NOTE: 8^th & 11^th
During the past year, did you have any emotional or mental health care needs that were not met? (Count any situation where you thought you should see a counselor, social worker, or other mental health professional.) NOTE: 8^th & 11^th
When did you last go to a doctor or nurse practitioner for a check-up when you were not sick or injured?
When did you last go to a dentist or dental hygienist for a check-up, exam, teeth cleaning, or other dental work?
Have you ever had a cavity? You can choose more than one.
During the past year, did you miss one or more hours of school due to any of the following reasons? You can choose more than one. NOTE: 11^th

MENTAL HEALTH

During the past 30 days, how often have you felt worried or stressed?
During the past year, 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?
During the past year, did you do something to purposely hurt yourself without wanting to die, such as cutting or burning yourself on purpose?
During the past year, did you ever consider attempting suicide?
During the past year, did you attempt suicide?
There is a teacher or some other adult in my school I feel safe going to if I need help.
How likely are you to go to this teacher or other adult in school if you need help?
Outside of school hours, there is a safe place or person I can go to if I need help.
How likely are you to go to this safe place or person outside of school if you need help?

COMPREHENSIVE SEX EDUCATION

During the last school year, were you taught in school about how to use a condom to prevent pregnancy or sexually transmitted infections, including HIV? NOTE: 8^th & 11^th
During the last school year, were you taught in school about how to use birth control methods or where to get birth control? NOTE: 8^th & 11^th
During the last school year, were you taught in school about healthy and respectful relationships?
(If taught in school about healthy and respectful relationships) Were LGBTQ2SIA+ identities included in any of your classroom instruction? NOTE: 8^th & 11^th

SEXUAL HEALTH, HEALTHY RELATIONSHIPS, DATING VIOLENCE AND SEXUAL VIOLENCE

Have you ever had sex or engaged in sexual behavior with another person? NOTE: 8^th & 11^th
(If ever had sex or engaged in sexual behavior) How old were you the first time you had sex or engaged in sexual behavior with another person? NOTE: 8^th & 11^th
(If ever had sex or engaged in sexual behavior) The last time you had sex or sexual contact, what method(s) did you or your partner use to prevent pregnancy or sexually transmitted infections? You can choose more than one. NOTE: 8^th & 11^th
Have you ever been pressured or forced to engage in sexual behavior when you did not want to? NOTE: 8^th & 11^th
During the past year, did someone you were dating, hooking up, hanging out or going out with ever physically hurt you? NOTE: 8^th & 11^th
During the past year, did someone you were dating, hooking up, hanging out or going out with ever purposely try to control you, manipulate you or hurt you mentally or emotionally? NOTE: 8^th & 11^th
Has someone you were dating, hooking up, hanging out or going out with ever used your phone, social media or other technology to control or monitor you or shame or embarrass you with something you shared privately? NOTE: 8^th & 11^th
Has anyone ever touched or grabbed you or made unwanted sexual comments about your body without your permission? NOTE: 8^th & 11^th
Have you ever witnessed someone at school being physically, emotionally or sexually harmed? NOTE: 8^th & 11^th
Has an adult ever physically hurt you? NOTE: 8^th & 11^th

FIREARM SAFETY

If you wanted to, how long would it take for you to get and use a gun without a parent or other adult's permission? NOTE: 11^th

SUBSTANCE USE

Have you ever had a drink of alcohol other than a few sips?
(If ever drank alcohol) How old were you when you had your first drink of alcohol other than a few sips?
(If ever drank alcohol) During the past 30 days, did you have at least one drink of alcohol?
(If drank alcohol during the past 30 days) During the past 30 days, did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours?
Have you ever used marijuana in any form?
How old were you when you tried marijuana for the first time?
(If ever tried marijuana) During the past 30 days, did you use marijuana?
(If used marijuana during the past 30 days) During the past 30 days, how did you use marijuana? You can choose more than one.
Have you ever used any vape, e-cigarettes or other tobacco products such as cigarettes, chewing tobacco, cigarillos, or hookah? NOTE: 8^th & 11^th
(If ever used any vape, e-cigarettes or other tobacco products) During the past 30 days, which products have you used? You can choose more than one. NOTE: 8^th & 11^th
In the past month, have you used any flavored tobacco or vaping product such as mint, fruit, coffee, candy, or other flavors? NOTE: 8^th & 11^th

DEMOGRAPHICS

What is your race or ethnicity? You can choose more than one.
(If Indigenous American, American Indian or Alaska Native chosen) Are you… You can choose more than one.
(If Asian chosen) Are you… You can choose more than one.
(If Black or African American chosen) Are you… You can choose more than one.
(If Hispanic or Latino/a/x chosen) Are you… You can choose more than one.
(If Native Hawaiian or Pacific Islander chosen) Are you… You can choose more than one.
(If Middle Eastern/North African/SWANA chosen) Are you… You can choose more than one.
(If White chosen) Are you… You can choose more than one.
(If more than one race/ethnicity chosen) Is there one you think of as your main racial or ethnic identity?
(If more than one race/ethnicity chosen and identifies as a single race) Which one do you think is your main racial or ethnic identity?
Are you an enrolled member of a tribe located in the state of Oregon?
What language or languages do you use at home? You can choose more than one.
During the past 30 days, where did you usually sleep?
Have you ever been placed in foster care or stayed in a group home?
In the past 30 days, how often were you hungry because there was not enough food at home?
Are you in a Special Education program, have a 504 plan, or an IEP (Individual Education Program)?
Are you deaf or do you have serious difficulty hearing?
Are you blind or do you have serious difficulty seeing, even when wearing glasses?
Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering or making decisions?
Do you have serious difficulty walking or climbing stairs?
Do you have difficulty dressing or bathing?
How tall are you without your shoes on? NOTE: 8^th & 11^th
How much do you weigh without your shoes on? NOTE: 8^th & 11^th
What is your gender identity? You can choose more than one.
Are you transgender?
What is your sexual orientation? You can choose more than one.
8^th/11^th grade disability recode.