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Hellgate SPORT Questionnaire
Below is a series of questions that we hope you'll answer to the best of your ability. This is an anonymous questionnaire so, please, be as accurate as you can! Anyone who finishes the quiz will receive a $10 gift card!
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* Required
Email
*
Your email
What grade are you in currently?
*
Freshman
Sophomore
Junior
Senior
What sports or physical activities did you play in the last year? (Check all that apply)
*
Basketball
Biking
Baseball
Boxing
Cheer
Cross Country
Dance
Diving
Football
Golf
Horseback Riding
Running or Walking
Hiking
Skateboarding
Skiing/Snowboarding
Swimming
Surfing
Soccer (Futbol)
Tennis
Track
Volleyball
Badminton
Wrestling
Weight Lifting
Other:
Required
Do you participate in any physical activity for at least 30 minutes four or five times a week? For example, riding a bike, running, walking, swimming, or playing a sport for 30 minutes or more on most days.
*
Yes
No
Do your friends influence you to participate in regular physical activity?
*
Yes
No
Do you usually eat a healthy breakfast each morning? For example, cereal and low-fat milk, whole wheat toast, oatmeal, eggs, yogurt or fruit.
*
Yes
No
Do you usually sleep eight or more hours each night?
*
Yes
No
During the past 30 days, what is the greatest number of alcoholic drinks you had at any one time?
*
5 +
4
3
2
1
0
In the next year, how likely are you to get physical activity most days a week?
*
Not at all likely
1
2
3
4
5
Very likely
In the next year, how likely are you to get 8 or more hours a sleep most nights?
*
Not likely
1
2
3
4
5
Very likely
In the next year, how likely are you to eat a variety of healthy foods each day?
*
Not likely
1
2
3
4
5
Very likely
In the next year, how likely are you to drink any alcohol?
*
Not likely
1
2
3
4
5
Very likely
In the next year, how likely are you to smoke any cigarettes?
*
Not likely
1
2
3
4
5
Very likely
In the next year, how likely are you to use any marijuana?
*
Not likely
1
2
3
4
5
Very likely
In the next year, how likely are you to use any e-cigarettes?
*
Not likely
1
2
3
4
5
Very likely
In the next year, how likely are you to take action to reduce stress most days?
*
Not likely
1
2
3
4
5
Very likely
In the next year, how likely are you to use any other illegal drugs?
*
Not likely
1
2
3
4
5
Very likely
How many people your age drink any alcohol?
*
None
Some
Most
All
How many people your age smoke any cigarettes?
*
None
Some
Most
All
How many people your age use any marijuana?
*
None
Some
Most
All
How many people your age use any e-cigarettes?
*
None
Some
Most
All
How many people your age use any other illegal drugs?
*
None
Some
Most
All
If you used alcohol, would it harm your health or create healthy habits?
*
Yes
No
Maybe
If you used cigarettes, would they harm your health or create healthy habits?
*
Yes
No
Maybe
If you used marijuana, would it harm your health or create healthy habits?
*
Yes
No
Maybe
If you used e-cigarettes, would they harm your health or create healthy habits?
*
Yes
No
Maybe
If you used other illegal drugs, would they harm your health or create healthy habits?
*
Yes
No
Maybe
If your friends asked you to use these, how sure are you that you could stay away from using alcohol?
*
Very
1
2
3
4
5
Not
If your friends asked you to use these, how sure are you that you could stay away from smoking cigarettes?
*
Very
1
2
3
4
5
Not
If your friends asked you to use these, how sure are you that you could stay away from using marijuana?
*
Very
1
2
3
4
5
Not
If your friends asked you to use these, how sure are you that you could stay away from using e-cigarettes?
*
Very
1
2
3
4
5
Not
If your friends asked you to use these, how sure are you that you could stay away from using other illegal drugs?
*
Very
1
2
3
4
5
Not
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