Field Name | Note
|
q1 | I feel sorry for other kids who don't have the things that I have |
q2 | When I see someone
being treated mean it bothers me |
q3 | I am a person who
cares about the feelings of others |
q4 | I have more good
times than bad times |
q5 | I believe more good
things than bad things will happen to me |
q6 | I start most days
thinking I will have a good day |
q7 | In general, I like
being the way I am |
q8 | Overall, I have a lot
to be proud of |
q9 | A lot of things about
me are good |
q10 | In most ways my life
is close to the way I would want it to be |
q11 | The things in my life
are excellent |
q12 | I am happy with my
life |
q13 | So far I have gotten
the important things I want in life |
q14 | If I could live my
life over, I would have it the same way |
q15 | I feel unhappy a lot
of the time |
q16 | I feel upset about
things |
q17 | I feel that I do
things wrong a lot |
q18 | I worry about what
other kids might be saying about me |
q19 | I worry a lot that
other people might not like me |
q20 | I worry about being
teased |
q21 | I cheered someone up
who was feeling sad |
q22 | I helped someone who
was being picked on |
q23 | I helped someone who
was hurt |
q24 | Are there adults who
are important to you at your school |
q24no | Number of adults
listed |
q25 | At school, a teacher
or another adult who really cares about me |
q26 | At school, a teacher
or another adult who believes that I will be a success |
q27 | At school, a teacher
or another adult who listens to me when I have something to say |
q28 | In
neighbourhood/community, an adult who really cares about me |
q29 | In
neighbourhood/community, an adult who believes that I will be a success |
q30 | In
neighbourhood/community, an adult who listens to me when I have something to
say |
q31 | Places in
neighbourhood/community provides programs for kids your age |
q32 | Safe places in your
neighbourhood/community where you feel comfortable to hang out with friends |
q33 | In home, a parent or
another adult who believes that I will be a success |
q34 | In home, a parent or
another adult who listens to me when I have something to say |
q35 | In home, a parent or
another adult who I can talk to about my problems |
q36 | I care about what my
parents (or guardians) think of me |
q37 | I feel part of a
group of friends that do things together |
q38 | I feel that I usually
fit in with other kids around me |
q39 | When I am with other
kids my age, I feel I belong |
q40 | I have at least one
really good friend I can talk to when something is bothering me |
q41 | I have a friend I can
tell everything to |
q42 | There is somebody my
age who really understands me |
q43 | I am certain I can
learn the skills taught in school this year |
q44 | If I have enough
time, I can do a good job on all my school work |
q45 | Even if the work in
school is hard, I can learn it |
q46 | Teachers and students
treat each other with respect in this school |
q47 | People care about
each other in this school |
q48 | Students in this
school help each other, even if they are not friends |
q49 | I feel like I belong
in this school |
q50 | I feel like I am
important to this school |
q51 | When I grow up, I
have goals and plans for the future |
q52a | Make friends |
q52b | Get good grades |
q52c | Learn new things |
q53 | Physical bullying |
q54 | Verbal bullying |
q55 | Social bullying |
q56 | Cyberbullying |
q57 | In general, how would
you describe your health |
q58_1 | No physical or health
condition that keeps you from doing things other kids your age do |
q58_2 | Yes, physical
disability |
q58_3 | Yes, long term
illness |
q58_4 | Yes, overweight |
q58_5 | Yes, something else |
q58_5tx | Yes, something else
(text) |
q59 | How do you rate your
body weight |
q60 | How often do you like
the way you look |
q61 | How often do you eat
breakfast |
q62 | How often do your
parents or other adult family members eat meals with you |
q63 | How often do you eat
food like pop, candy, potato chips, or something else |
q64 | How often do you get
a good night's sleep |
q65 | What time do you
usually go to bed during the weekdays |
q66_1 | By myself - On school
days, who are you usually with for most of the afternoon |
q66_2 | Friend(s) about my
age |
q66_3 | Mother (or step
mother, foster mother) |
q66_4 | Father (or step
father, foster father) |
q66_5 | Younger
brothers/sisters |
q66_6 | Older
brothers/sisters |
q66_7 | Other adult(s) |
q_66_8 | Other describe |
q_66_8tx | Other describe (text) |
q67a | After school until
6pm, go home |
q67b | After school until
6pm, stay at school to participate in after school activities |
q67c | After school until
6pm, go to an after school program/daycare |
q67d | After school until
6pm, go to a friend's house |
q67e | After school until
6pm, go to a park, playground, or community centre |
q67f | After school until
6pm, hang out at the mall or stores |
q67g | After school until
6pm, go someplace else, e.g., family member's home, or other places |
q68a | Educational lessons
or activities |
q68a_Day | Days spent -
educational lessons or activities |
q68b | Art or music lessons |
q68b_Day | Days spent - art or
music lessons |
q68c | Youth organizations |
q68c_Day | Days spent - youth
organizations |
q68d | Individual sports
with a coach or instructor |
q68d_Day | Days spent -
individual sports with a coach or instructor |
q68e | Team sports with a
coach or instructor |
q68e_Day | Days spent - team
sports with a coach or instructor |
q69a | Sports and/or
exercise for fun |
q69a_Day | Days spent - sports
and/or exercise for fun |
q69a_Time | Time spent - sports
and/or exercise for fun |
q69b | Homework |
q69b_Day | Days spent - homework |
q69b_Time | Time spent - homework |
q69c | Watch TV |
q69c_Day | Days spent - watch TV |
q69c_Time | Time spent - watch TV |
q69d | Play video or
computer games |
q69d_Day | Days spent - play
video or computer games |
q69d_Time | Time spent - play
video or computer games |
q69e | Instant Message |
q69e_Day | Days spent - Instant
Message |
q69e_Time | Time spent - Instant
Message |
q69f | Read for fun |
q69f_Day | Days Spent- Read for
fun |
q69f_Time | Time Spent - Read for
fun |
q69g | Household chores |
q69g_Day | Days spent -
household chores |
q69g_Time | Time spent -
household chores |
q69h | Practice a musical
instrument |
q69h_Day | Days spent - practice
a musical instrument |
q69h_Time | Time spent - practice
a musical instrument |
q69i | Arts & Crafts |
q69i_Day | Days spent - Arts
& Crafts |
q69i_Time | Time spent - Arts
& Crafts |
q69j | Hang out with friends |
q69j_Day | Days spent - hang out
with friends |
q69j_Time | Time spent - hang out
with friends |
q70 | Are you already doing
the activity you wish you could be doing from 3-6pm |
q70notx | If No - list one
activity wish to do (text) |
q70yestx | If Yes - activity
already doing that you wished for (text) |
q71_1 | Where would you like
this activity to be: School |
q71_2 | Where activity:
Community Centre |
q71_3 | Where activity: Home |
q71_4 | Where activity: Park
or Playground |
q71_5 | Where activity: Other |
q71_5tx | Where activity: Other
describe (text) |
q72_1 | Stops you from
participating in the activities that you want to participate in after school -
Have to go straight home after school |
q72_2 | It is too difficult
to get there |
q72_3 | The activity that I
want is not offered |
q72_4 | The schedule does not
fit the times that I can attend |
q74_5 | It's not safe for me
to go |
q74_6 | I have too much
homework to do |
q72_7 | My parents do not
approve |
q72_8 | It costs too much |
q72_9 | I need to take care
of brothers or sisters or do other things at home |
q72_10 | I am afraid I will
not be good enough in that activity |
q72_11 | I'm too busy |
q72_12 | I don't know what is
available |
q72_13 | None of my friends
are interested or want to go |
q72_14 | Other |
q72_14tx | Other, please
describe (text) |
