Youth Risk Behavior Survey Template

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2009 Arizona
Youth Risk Behavior Survey
This survey is about health behavior. It has been developed so you can
tell us what you do that may affect your health. The information you give
will be used to develop better health education for young people like
yourself.
DO NOT write your name on this survey. The answers you give will be
kept private. No one will know what you write. Answer the questions
based on what you really do.
Completing the survey is voluntary. Whether or not you answer the
questions will not affect your grade in this class. If you are not
comfortable answering a question, just leave it blank.
The questions that ask about your background will be used only to
describe the types of students completing this survey. The information
will not be used to find out your name. No names will ever be reported.
Make sure to read every question. Fill in the ovals completely. When
you are finished, follow the instructions of the person giving you the
survey.
Thank you very much for your help.

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Parent category: Life