Arizona Youth Risk Behavior Survey Template Page 4
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1416.
During the past 30 days, on how
20.
During the past 12 months, how
many days did you carry a gun on
many times were you in a physical
school property?
fight?
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 7 times
F.
8 or 9 times
17.
During the past 30 days, on how
G.
10 or 11 times
many days did you not go to school
H.
12 or more times
because you felt you would be
unsafe at school or on your way to or
21.
During the past 12 months, how
from school?
many times were you in a physical
fight on school property?
A.
0 days
B.
1 day
A.
0 times
C.
2 or 3 days
B.
1 time
D.
4 or 5 days
C.
2 or 3 times
E.
6 or more days
D.
4 or 5 times
E.
6 or 7 times
18.
How often do you feel safe and
F.
8 or 9 times
secure at school?
G.
10 or 11 times
A.
Never
H.
12 or more times
B.
Rarely
C.
Sometimes
22.
During the past 12 months, did your
D.
Most of the time
boyfriend or girlfriend ever hit, slap,
E.
Always
or physically hurt you on purpose?
A.
Yes
19.
During the past 12 months, how
B.
No
many times has someone threatened
or injured you with a weapon such as
23.
Have you ever been physically
a gun, knife, or club on school
forced to have sexual intercourse
property?
when you did not want to?
A.
0 times
A.
Yes
B.
1 time
B.
No
C.
2 or 3 times
D.
4 or 5 times
E.
6 or 7 times
F.
8 or 9 times
G.
10 or 11 times
H.
12 or more times
-4-
2013 Arizona YRBS
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