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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Email *
What grade are you in currently? *
What sports or physical activities did you play in the last year? (Check all that apply) *
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. *
Do your friends influence you to participate in regular physical activity? *
Do you usually eat a healthy breakfast each morning? For example, cereal and low-fat milk, whole wheat toast, oatmeal, eggs, yogurt or fruit. *
Do you usually sleep eight or more hours each night? *
During the past 30 days, what is the greatest number of alcoholic drinks you had at any one time? *
In the next year, how likely are you to get physical activity most days a week? *
Not at all likely
Very likely
In the next year, how likely are you to get 8 or more hours a sleep most nights? *
Not likely
Very likely
In the next year, how likely are you to eat a variety of healthy foods each day? *
Not likely
Very likely
In the next year, how likely are you to drink any alcohol? *
Not likely
Very likely
In the next year, how likely are you to smoke any cigarettes? *
Not likely
Very likely
In the next year, how likely are you to use any marijuana? *
Not likely
Very likely
In the next year, how likely are you to use any e-cigarettes? *
Not likely
Very likely
In the next year, how likely are you to take action to reduce stress most days? *
Not likely
Very likely
In the next year, how likely are you to use any other illegal drugs? *
Not likely
Very likely
How many people your age drink any alcohol? *
How many people your age smoke any cigarettes? *
How many people your age use any marijuana? *
How many people your age use any e-cigarettes? *
How many people your age use any other illegal drugs? *
If you used alcohol, would it harm your health or create healthy habits? *
If you used cigarettes, would they harm your health or create healthy habits? *
If you used marijuana, would it harm your health or create healthy habits? *
If you used e-cigarettes, would they harm your health or create healthy habits? *
If you used other illegal drugs, would they harm your health or create healthy habits? *
If your friends asked you to use these, how sure are you that you could stay away from using alcohol? *
Very
Not
If your friends asked you to use these, how sure are you that you could stay away from smoking cigarettes? *
Very
Not
If your friends asked you to use these, how sure are you that you could stay away from using marijuana? *
Very
Not
If your friends asked you to use these, how sure are you that you could stay away from using e-cigarettes? *
Very
Not
If your friends asked you to use these, how sure are you that you could stay away from using other illegal drugs? *
Very
Not
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This form was created inside of Missoula County Public Schools. Report Abuse