Arizona Youth Risk Behavior Survey Template Page 12
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1481.
During your life, from whom did you
86.
During the past 30 days, did you
receive the most information about
take any diet pills, powders, or
sexual activity? (Select only one
liquids without a doctor's advice to
response.)
lose weight or to keep from gaining
A.
Your parents
weight? (Do not count meal
B.
A brother or sister
replacement products such as Slim
C.
Another family member
Fast.)
D.
Your friends
A.
Yes
E.
A health teacher, school
B.
No
nurse, counselor, or some
87.
During the past 30 days, did you
other adult at school
vomit or take laxatives to lose
F.
The media, including
weight or to keep from gaining
television, movies, the
weight?
Internet, magazines, and
A.
Yes
books
B.
No
82.
Which of the following best
The next 5 questions ask about food you
describes you?
ate or drank during the past 7 days.
A.
Heterosexual (straight)
Think about all the meals and snacks you
B.
Gay or lesbian
had from the time you got up until you
C.
Bisexual
went to bed. Be sure to include food you
D.
Not sure
ate at home, at school, at restaurants, or
anywhere else.
The next 5 questions ask about body
88.
During the past 7 days, how many
weight.
times did you eat fruit or drink
100% fruit juice? (Do not count
83.
How do you describe your weight?
punch, sports drinks, energy drinks,
A.
Very underweight
or other fruit-flavored drinks.)
B.
Slightly underweight
A.
I did not eat fruit or drink
C.
About the right weight
100% fruit juice during the
D.
Slightly overweight
past 7 days
E.
Very overweight
B.
1 to 3 times during the past 7
days
84.
Which of the following are you
C.
4 to 6 times during the past 7
trying to do about your weight?
days
A.
Lose weight
D.
1 time per day
B.
Gain weight
E.
2 times per day
Stay the same weight
C.
F.
3 times per day
D.
I am not trying to do
G.
4 or more times per day
anything about my weight
85.
During the past 30 days, did you go
without eating for 24 hours or
more (also called fasting) to lose
weight or to keep from gaining
weight?
A.
Yes
B.
No
-12-
2013 Arizona YRBS
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