Arizona Youth Risk Behavior Survey Template Page 5
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14The next 5 questions ask about bullying.
28.
During the past 12 months, how
frequently has someone stolen or
Bullying is when 1 or more students tease,
threaten, spread rumors about, hit, shove,
deliberately damaged your property
or hurt another student over and over
such as your car, clothing, or books
on school property?
again. It is not bullying when 2 students
of about the same strength or power
A.
Never
argue or fight or tease each other in a
B.
Once or twice
friendly way.
C.
Monthly
D.
Weekly
24.
During the past 12 months, how
E.
Daily
frequently have you been harassed or
bullied on school property?
The next question asks about hurting
A.
Never
yourself on purpose.
B.
Once or twice
C.
Monthly
29.
During the past 12 months, how
D.
Weekly
many times did you do something to
E.
Daily
purposely hurt yourself without
wanting to die, such as cutting or
25.
During the past 12 months, how
burning yourself on purpose?
frequently have you harassed or
A.
0 times
bullied someone else on school
B.
1 time
property?
C.
2 or 3 times
A.
Never
D.
4 or 5 times
B.
Once or twice
E.
6 or more times
C.
Monthly
D.
Weekly
The next 5 questions ask about sad
E.
Daily
feelings and attempted suicide. Sometimes
people feel so depressed about the future
26.
During the past 12 months, how
that they may consider attempting
frequently have you been
suicide, that is, taking some action to end
electronically bullied, such as
their own life.
through e-mail, chat rooms, instant
messaging, web sites, or text
30.
During the past 12 months, did you
messaging?
ever feel so sad or hopeless almost
A.
Never
every day for two weeks or more in
B.
Once or twice
a row that you stopped doing some
C.
Monthly
usual activities?
D.
Weekly
A.
Yes
E.
Daily
B.
No
27.
During the past 12 months, how
31.
During the past 12 months, did you
frequently have you electronically
ever seriously consider attempting
bullied someone else, such as
suicide?
through e-mail, chat rooms, instant
A.
Yes
messaging, web sites, or text
B.
No
messaging?
A.
Never
32.
During the past 12 months, did you
B.
Once or twice
make a plan about how you would
C.
Monthly
attempt suicide?
D.
Weekly
A.
Yes
E.
Daily
B.
No
-5-
2013 Arizona YRBS
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