Oregon SHS Data Portal

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2024 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…

CLIMATE CHANGE

How confident are you that climate change is or is not happening? NOTE: 11^th
How often do you feel emotionally stressed (for example: helpless, frustrated or sad) about the future because of climate change? NOTE: 11^th
In the past 12 months, have your feelings about climate change negatively affected your daily life (for example: ability to focus or contrate, sleep, eat, have fun, enjoy relationships)? NOTE: 11^th

SOCIAL MEDIA

How often do you check your phone when you're not in school? NOTE: 8^th & 11^th
Do you think social media (Instagram or TikTok) makes each of the following better or worse? 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.
There is at least one teacher or other adult in my school that really cares about me.
Would you say that in general your emotional and mental health is… NOTE: ALSO IN OVERALL HEALTH.
Would you say that in general your physical health is… NOTE: ALSO IN OVERALL HEALTH.
PYD Benchmark.

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 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?
What language or languages do you use at home? You can choose more than one.
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.
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?
6th grade disability recode.
8th/11th grade disability recode.
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?
What’s your grade?

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.
In my classes I am often distracted from doing schoolwork because other students are misbehaving, for example, talking or fighting.
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 30 days, have you been bullied by another student using any kind of technology, such as texting, the Internet or apps (messaging, social media, games, livestreaming, etc.)?
During the past 30 days, have you ever been bullied AT SCHOOL (including any school events)? This includes in-person bullying and bullying through technology such as texting, the Internet or apps (messaging, social media, games, livestreaming, etc.).

MENTAL HEALTH

During the past 30 days, how often have you 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?

HEALTHY BODY

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.)
During the past 7 days, how many times did you eat fruit? (Do not count fruit juice.)
During the past 7 days, how many times did you eat vegetables?
During the past 7 days how many times did you drink soda or pop, such as Coke, Pepsi, or Sprite? (Do not include diet soda or diet pop)
Five-a-day calculated variables

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
What things in your life help with your emotional and mental health? You can choose more than one. 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

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
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) Thinking about the education you received during the last school year about healthy and respectful relationships, were LGBTQ2SIA+ (lesbian, gay, bisexual, transgender, queer, two-spirit, intersex or asexual) identities included in any of your classroom instruction? 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? For example, slapped or shoved you, threw something at you or physically prevented you from doing something, such as leaving? 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? For example, told you who you could and could not spend time with or what you could or could not wear, humiliated or insulted you in front of others, or tried to control you via social media? 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? Have you ever been pressured or forced to engage in sexual acts when you did not want to? 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? For example, slapped or shoved you, threw something at you or physically prevented you from leaving when you felt unsafe? NOTE: 8^th & 11^th

INJURY PREVENTION

During the past 30 days, did you drive a car or other vehicle when you had been drinking alcohol, using marijuana or using drugs such as cocaine, ecstasy, LSD, shrooms, heroin or meth?
During the past 30 days, did you ride in a car or other vehicle driven by a teenager who had been drinking alcohol, using marijuana or using drugs such as cocaine, ecstasy, LSD, shrooms, heroin or meth?
During the past 30 days, did you use ear buds or text, use the Internet or apps (messaging, social media, games, livestreaming, etc.) on a cellphone or Smartwatch while driving a car or other vehicle?

GAMBLING

Gambling, or betting, involves the risking of something of value (money, a watch, a soda, etc.) on a game or event in order to win money or something of value. Please choose ALL the types of gambling that you have done in the last 3 months.
(If gambled or bet in the past 3 months) During the last 3 months, how often have you…Skipped hanging out with friends or family who do not gamble or bet to hang out with friends or family who do gamble or bet? NOTE: 11^th
(If gambled or bet in the past 3 months) During the last 3 months, how often have you… Felt that you might have a problem with gambling or betting? NOTE: 11^th
(If gambled or bet in the past 3 months) During the last 3 months, how often have you… Hidden your gambling or betting from your parents, other family members or teachers? NOTE: 11^th

SUBSTANCE USE AND DRUG-FREE COMMUNITIES (DFC)

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, if you used marijuana, how did you use it? You can choose more than one.
Have you ever used prescriptions opioid drugs such as Oxycontin, Percocet, Vicodin or Codeine without a doctor’s orders or differently than how a doctor told you to use it?
(If ever used prescriptions opioid drugs) During the past 30 days, did you use prescription opioid drugs such as Oxycontin, Percocet, Vicodin, or Codeine without a doctor’s orders or differently than how a doctor told you to use it?
Have you ever used any drugs such as cocaine, ecstasy, LSD, shrooms (mushrooms that make you high), heroin, fentanyl or meth?
(If ever used any drugs such as cocaine, ecstasy, LSD, shrooms) During the past 30 days, have you used any drugs such as cocaine, ecstasy, LSD, shrooms, heroin, fentanyl or meth?
Have you ever used any vape, cigarettes or chewing tobacco products? NOTE: 6^th
Have you ever used any vape, e-cigarettes or other tobacco products such cigarettes, chewing tobacco, cigarillos, or hookah? NOTE: 8^th & 11^th
(If ever used any vape, cigarettes or other chewing tobacco products)one During the past 30 days, which products have you used? You can choose more than one. NOTE: 6^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 seen advertising promoting tobacco or a vaping products at a store, on billboards, or online? NOTE: 11^th
(If smoked cigarettes in the past month) In the past month, have you smoked menthol cigarettes? NOTE: 11^th
(If used tobacco products during the past month) The very first time you used any tobacco or vaping product, which type of product did you use? NOTE: 11^th
(If used tobacco products during the past month) In the past month, have you used any flavored tobacco or vaping product such as mint, fruit, coffee, candy, or other flavors? Exclude marijuana. NOTE: 8^th & 11^th
(If used tobacco products during the past month) In the past month, where did you get your tobacco or vaping products? NOTE: 8^th & 11^th
How much do you think people risk harming themselves (physically or in other ways) if they… Have five or more drinks of an alcoholic beverage once or twice a week?
How much do you think people risk harming themselves (physically or in other ways) if they… Smoke one or more packs of cigarettes per day?
How much do you think people risk harming themselves (physically or in other ways) if they… Use e-cigarettes or other vaping products, such as Juul?
How much do you think people risk harming themselves (physically or in other ways) if they… Use marijuana regularly (once or twice a week)
How much do you think people risk harming themselves (physically or in other ways) if they… Use prescription drugs that are not prescribed to them?
How wrong do your parents feel it would be for you to… Have one or two drinks of an alcoholic beverage nearly every day?
How wrong do your parents feel it would be for you to… Smoke cigarettes?
How wrong do your parents feel it would be for you to… Use marijuana?
How wrong do your parents feel it would be for you to… Use prescription drugs not prescribed to you?
How wrong do your friends feel it would be for you to … Have one or two drinks of an alcoholic beverage nearly every day?
How wrong do your friends feel it would be for you to … Smoke cigarettes?
How wrong do your friends feel it would be for you to … Use marijuana?
How wrong do your friends feel it would be for you to … Use prescription drugs not prescribed to you?
If you wanted to, how easy would it be for you to get… Beer, wine or hard liquor (for example, vodka, whiskey or gin)?
If you wanted to, how easy would it be for you to get… Cigarettes?
If you wanted to, how easy would it be for you to get… E-cigarettes or other vaping products, such as Juul?
If you wanted to, how easy would it be for you to get… Marijuana?
If you wanted to, how easy would it be for you to get… Prescription drugs not prescribed to you?
If you wanted to, how easy would it be for you to get… Shrooms (mushrooms that make you high) or psilocybin?
If you wanted to, how easy would it be for you to get… Other drugs such as cocaine, ecstasy, LSD, heroin, fentanyl or meth?
If you wanted to, how easy would it be for you to get… A loaded gun without a parent or other adult’s permission?
There is a place or person I can go to if I need help with substance use problems for me or someone I care about. NOTE: 11^th