Youth Risk Behavior Survey Template - 2003 Page 3
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216.
How tall are you without your shoes on?
Directions: Write your height in the shaded blank boxes. Fill in the matching oval below each number.
Example
Height
Height
Feet
Inches
Feet
Inches
5
7
3
0
3
0
4
1
4
1
5
2
5
2
6
3
6
3
7
4
7
4
5
5
6
6
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8
8
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10
11
11
7.
How much do you weigh without your shoes on?
Directions: Write your weight in the shaded blank boxes. Fill in the matching oval below each number.
Example
Weight
Weight
Pounds
Pounds
1
5
2
0
0
0
0
0
0
1
1
1
1
1
1
2
2
2
2
2
2
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2003 YRBS
3
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