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Tennessee Department of Health Youth Wellness Survey: Fall 2020

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 gender?
3. What grade are you in?
4. Are you Hispanic or Latino?
5. What is your race? (Select one or more responses.)
The next question is about violence related behaviors.
 
6. 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?
The next 2 questions ask about sad feelings and  attempted suicide. Sometimes people feel so depressed about the future that they may consider attempting suicide, that is taking some action to end their own life.
 
7. 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?
8. During the past 12 months, did you ever seriously consider attempting suicide?
The next 2 questions are about cigarette smoking.
 
9. Have you ever tried cigarette smoking, even one or two puffs?
10. During the past 30 days, on how many days did you smoke cigarettes?
The next 2 questions ask about electronic vapor products, such as JUUL, SMOK, Suorin, Vuse, and blu. Electronic vapor products include e-cigarettes, vapes, vaping pens, e-cigars, e-hookahs, hookah pens, and mods. 
11. Have you ever used an electronic vapor product?
12. During the past 30 days, on how many days did you use an electronic vapor product?
The next question asks about prescription drugs.
13. During your life, how many times have you taken a prescription drug (Count drugs such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctor's prescription?
The next 5 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.
14. During the past 7 days, how many times did you eat fruit? (Do not count fruit juice.)
15. During the past 7 days, how many times did you eat green salad?
16. During the past 7 days, how many times did you eat carrots
17. During the past 7 days, how many times did you eat other vegetables? (Do not count green salad, potatoes, or carrots.)
18. 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 question asks about physical activity. 
19. 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.)