Arizona Youth Risk Behavior Survey Template Page 3
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148.
During the past 12 months, how
12.
During the past 30 days, how many
would you describe your grades in
times did you drive a car or other
school?
vehicle when you had been
A.
Mostly A's
drinking alcohol?
B.
Mostly B's
A.
I did not drive a car or other
C.
Mostly C's
vehicle during the past 30
D.
Mostly D's
days
E.
Mostly F's
B.
0 times
F.
None of these grades
C.
1 time
G.
Not sure
D.
2 or 3 times
E.
4 or 5 times
The next 4 questions ask about safety.
F.
6 or more times
9.
When you rode a bicycle during the
The next 11 questions ask about violence-
past 12 months, how often did you
related behaviors.
wear a helmet?
A.
I did not ride a bicycle during
13.
During the past 30 days, on how
the past 12 months
many days did you carry a weapon
B.
Never wore a helmet
such as a gun, knife, or club?
C.
Rarely wore a helmet
A.
0 days
D.
Sometimes wore a helmet
B.
1 day
E.
Most of the time wore a
C.
2 or 3 days
helmet
D.
4 or 5 days
F.
Always wore a helmet
E.
6 or more days
10.
How often do you wear a seat belt
14.
During the past 30 days, on how
when riding in a car driven by
many days did you carry a gun?
someone else?
A.
0 days
A.
Never
B.
1 day
B.
Rarely
C.
2 or 3 days
C.
Sometimes
D.
4 or 5 days
D.
Most of the time
E.
6 or more days
E.
Always
15.
During the past 30 days, on how
11.
During the past 30 days, how many
many days did you carry a weapon
times did you ride in a car or other
such as a gun, knife, or club on
vehicle driven by a friend who had
school property?
been drinking alcohol?
A.
0 days
A.
0 times
B.
1 day
B.
1 time
C.
2 or 3 days
C.
2 or 3 times
D.
4 or 5 days
D.
4 or 5 times
E.
6 or more days
E.
6 or more times
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2013 Arizona YRBS
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Parent category: Life