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Tennessee Department of Health Youth Wellness Survey: Fall 2018

Tennessee Department of Health Youth Wellness Survey

Welcome to our Youth Wellness Survey. By answering a few questions about your health behaviors you can help the Department of Health improve health education programs in Tennessee. Here are a few things you should know before you begin:
  • The answers you give will be kept private. Your name will not be tied to any of your answers and will not affect your grade. So, please answer as honestly as possible!
  • Completing this study is voluntary. You may skip any questions you do not want to answer.  
  • The questions about your background will only be used to describe the types of students completing this survey. The information will not be used to find out your name.
  • When you are finished with the survey, press the “SUBMIT” button after the last question and follow the instructions of the person giving you the survey.
Thank you for helping the Department of Health by completing this important survey at your school!
For more information about this survey, you can contact Judi Knecht with the Tennessee Department of Health’s Division of Health Planning at 615-253-9979.
 
1. How old are you?
2. What is your sex?
3. In what grade are you?
4. Are you Hispanic or Latino?
5. What is your race? (Select one or more responses.)
6. How often do you wear a seat belt when riding in a car driven by someone else?
7. During the past 30 days, on how many days did you carry a weapon such as a gun, knife, or club?
8. During the past 30 days, on how many days did you not go to school because you felt you would be unsafe at school or on your way to or from school?
9. During the past 12 months, 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?
10. During the past 12 months, did you ever seriously consider attempting suicide?
11. Have you ever tried cigarette smoking, even one or two puffs?
12. During the past 30 days, on how many days did you smoke cigarettes?
The next 2 questions ask about the electronic vapor products, such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, eGo, and Halo. Electronic vapor products include e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens. 
13. Have you ever used an electronic vapor product?
14. During the past 30 days, on how many days did you use an electronic vapor product?
15. Have you used the electronic vapor product known as Juul? 
16. During the past 30 days, on how many days did you use Juul? 
The next question asks about other tobacco products. 
17. During the past 30 days, on how many days did you use chewing tobacco, snuff, dip, snus, or dissolvable tobacco products, such as Red Man, Levi Garrett, Beechnut, Skoal, Skoal Bandits, Copenhagen, Camel Snus, Marlboro Snus, General Snus, Ariva, Stonewall, or Camel Orbs? (Do not count any electronic vapor products.)
The next 2 questions ask about marijuana use. Marijuana also is called grass, pot, or weed.
18. During your life, how many times have you used marijuana?
19. During the past 30 days, how many times did you use marijuana?
The next 2 questions ask about other drugs.
20. During your life, how many times have you taken prescription pain medicine without a doctor's prescription or differently than how a doctor told you to use it? (Count drugs such as codeine, Vicodin, OxyContin, Hydrocodone, and Percocet.) Do not include use of Motrin, Advil, Tylenol, Aleve, aspirin, acetaminophen, or ibuprofen.
21. During the past 12 months, has anyone offered, sold, or given you an illegal drug on school property?
The next 3 questions ask about food you ate or drank during the past 7 days. Think about all the meals and snacks you had from the time you got up until you went to bed. Be sure to include food you ate at home, at school, at restaurants, or anywhere else.
22. During the past 7 days, how many times did you eat fruit? (Do not count fruit juice.)
23. During the past 7 days, how many times did you eat other vegetables? (Do not count green salad, potatoes, or carrots.)
24. During the past 7 days, how many times did you eat green salad?
25. During the past 7 days, how many times did you eat carrots? 
26. During the past 7 days, how many times did you drink a can, bottle, or glass of soda or pop, such as Coke, Pepsi, or Sprite? (Do not count diet soda or diet pop.)
The next 2 questions ask about physical activity. 
27. 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.)
28. On an average school day, how many hours do you play video or computer games or use a computer for something that is not school work? (Count time spent on things such as online gaming, Xbox, PlayStation, an iPad or tablet, a smartphone, texting, YouTube, Instagram, Facebook, SnapChat, or other social media.)
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