Global School-based Student Health Survey (GSHS)
2007 Argentina
GSHS Questionnaire
For more information:
www.cdc.gov/gshs or
www.who.int/chp/gshs/en/
2007 ARGENTINA GLOBAL SCHOOL-BASED STUDENT HEALTH SURVEY
This survey is about your health and the things you do that may affect your health.
Students like you all over your country are doing this survey. Students in many other
countries around the world also are doing this survey. The information you give will be
used to develop better health programs for young people like yourself.
DO NOT write your name on this survey or the answer sheet. The answers you give
will be kept private. No one will know how you answer. Answer the questions based on
what you really know or do. There are no right or wrong answers.
Completing the survey is voluntary. Your grade or mark in this class will not be affected
whether or not you answer the questions. If you do not want to answer a question, just
leave it blank.
Make sure to read every question. Fill in the circles on your answer sheet that match
your answer. Use only the pencil you are given. When you are done, do what the
person who is giving you the survey says to do.
Here is an example of how to fill in the circles:
Fill in the circles like this
Not like this
or
Survey
1. Do fish live in water?
A. Yes
B. No
Answer sheet
1.
A
B
C
D
E
F
G
H
Thank you very much for your help.
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
2
1.
How old are you?
The next 3 questions ask about your height,
weight, and going hungry.
2.
A.
11 years old or younger
B.
12 years old
4.
How tall are you without your shoes on? ON
C. 13 years old
THE ANSWER SHEET, WRITE YOUR HEIGHT
D. 14 years old
IN THE SHADED BOXES AT THE TOP OF THE
E.
15 years old
GRID. THEN FILL IN THE OVAL BELOW EACH
F.
16 years old or older
NUMBER.
Example
What is your sex?
Height (cm)
3.
A.
Male
B.
Female
1
0
5
3
0
0
1
1
2
2
In what class are you?
2
A.
1er media or 8vo EGB
3
B.
2do media or 9no EGB
4
C. 3ero media or 1ro polimodal
4
5
9
6
6
7
7
8
8
9
9
I do not know
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
1
5. How much do you weigh without your shoes on?
The next question asks about fruits you might eat.
ON THE ANSWER SHEET, WRITE YOUR WEIGHT
IN THE SHADED BOXES AT THE TOP OF THE
7.
During the past 30 days, how many times per day
GRID. THEN FILL IN THE OVAL BELOW EACH
did you usually eat fruit, such as apples,
NUMBER.
bananas, oranges, or tangerines?
Example
A.
I did not eat fruit during the past 30 days
Weight (kg)
B.
Less than one time per day
0
5
C. 1 time per day
2
0
0
1
1
1
2
2
D. 2 times per day
E.
3 times per day
F.
4 times per day
G. 5 or more times per day
3
3
4
4
The next question asks about vegetables you
5
might eat such as lettuce, tomato, carrots and
6
6
calabash. Please, note that cereals and roots
7
7
such as potatoes and yucca are NOT vegetables.
8
8
9
9
8.
During the past 30 days, how many times per day
did you usually eat vegetables?
9
I do not know
A.
I did not eat vegetables during the past 30
During the past 30 days, how often did you go
B.
Less than one time per day
hungry because there was not enough food in
C. 1 time per day
your home?
D. 2 times per day
days
6.
E.
3 times per day
A.
Never
F.
4 times per day
B.
Rarely
G. 5 or more times per day
C. Sometimes
D. Most of the time
The next 2 questions ask about soft drinks and
E.
fast food restaurants.
Always
9.
During the past 30 days, how many times per day
did you usually drink carbonated soft drinks, such
as Coca Cola, Pepsi, Sprite, or Fanta?
A.
I did not drink carbonated soft drinks during
B.
Less than one time per day
the past 30 days
C. 1 time per day
D. 2 times per day
E.
3 times per day
F.
4 times per day
G. 5 or more times per day
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
2
10. During the past 7 days, on how many days did
you eat at a fast food restaurant such as
14. During the past 30 days, how often did you wash
your hands after using the toilet or latrine?
McDonalds or Burger King?
A.
Never
A.
0 days
B.
Rarely
B.
1 day
C. Sometimes
C. 2 days
D.
Most of the time
D. 3 days
E.
Always
E.
4 days
F.
5 days
G. 6 days
15. During the past 30 days, how often did you use
soap when washing your hands?
H. 7 days
A.
Never
The next 5 questions ask about personal health
B.
Rarely
activities.
C. Sometimes
11. During the past 30 days, how many times per
D.
Most of the time
E.
Always
day did you usually clean or brush your teeth?
The next question asks about clean drinking
A.
I did not clean or brush my teeth during the
B.
Less than 1 time per day
water.
past 30 days
C. 1 time per day
16. Is there a source of clean water for drinking at
school?
D. 2 times per day
E.
3 times per day
A.
Yes
F.
4 or more times per day
B.
No
12. When was the last time you saw a dentist for a
check-up, exam, teeth cleaning, or other dental
work?
A.
During the past 12 months
B.
Between 12 and 24 months ago
C. More than 24 months ago
D. Never
E.
I do not know
13. During the past 30 days, how often did you wash
your hands before eating?
A.
Never
B.
Rarely
C. Sometimes
D.
Most of the time
E.
Always
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
3
The next question asks about physical attacks. A
physical attack occurs when one or more people
19. During the past 12 months, how many times were
you seriously injured?
hit or strike someone, or when one or more
people hurt another person with a weapon (such
A.
0 times
as a stick, knife, or gun). It is not a physical attack
B.
1 time
when two students of about the same strength or
C. 2 or 3 times
power choose to fight each other.
D. 4 or 5 times
17. During the past 12 months, how many times were
you physically attacked?
E.
6 or 7 times
F.
8 or 9 times
G. 10 or 11 times
H. 12 or more times
A.
0 times
B.
1 time
20. During the past 12 months, what were you
C. 2 or 3 times
doing when the most serious injury happened to
D. 4 or 5 times
you?
E.
6 or 7 times
F.
8 or 9 times
A.
I was not seriously injured during the past 12
B.
Playing or training for a sport
months
G. 10 or 11 times
H. 12 or more times
C. Walking or running, but not as part of playing
The next question asks about physical fights. A
or training for a sport
physical fight occurs when two or more students
D. Riding a bicycle, scooter, horse
of about the same strength or power choose to
E.
fight each other.
vehicle
F.
Doing any paid or unpaid work, including
housework, yard work, or cooking
18. During the past 12 months, how many times were
you in a physical fight?
Riding or driving in a car or other motor
G. Nothing
H. Something else
A.
0 times
B.
1 time
21. During the past 12 months, what was the major
C. 2 or 3 times
cause of the most serious injury that happened
D. 4 or 5 times
to you?
E.
6 or 7 times
F.
8 or 9 times
A.
H. 12 or more times
I was not seriously injured during the past 12
months
G. 10 or 11 times
B.
I was in a motor vehicle accident or hit by a
motor vehicle
The next 5 questions ask about the most serious
C. I fell
injury that happened to you during the past 12
D. Something fell on me or hit me
months. An injury is serious when it makes you
E.
I was fighting with someone
miss at least one full day of usual activities (such
F.
I was attacked, assaulted, or abused by
as school, sports, or a job) or requires treatment
by a doctor or nurse.
someone
G. I was in a fire or too near a flame or
something hot
H. Something else caused my injury
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
4
22. During the past 12 months, how did the most
25. During the past 30 days, how were you bullied
serious injury happen to you?
most often?
A.
I was not seriously injured during the past 12
A.
I was not bullied during the past 30 days
months
B.
I was hit, kicked, pushed, shoved around, or
B.
locked indoors
I hurt myself by accident
C. Someone else hurt me by accident
D.
I hurt myself on purpose
E.
Someone else hurt me on purpose
C. I was made fun of because of my race or
color
D. I was made fun of because of my religion
E.
23. During the past 12 months, what was the most
serious injury that happened to you?
I was made fun of with sexual jokes,
comments, or gestures
F.
I was left out of activities on purpose or
completely ignored
A.
I was not seriously injured during the past 12
B.
I had a broken bone or a dislocated joint
G. I was made fun of because of how my body
or face looks
months
H. I was bullied in some other way
C. I had a cut, puncture, or stab wound
D. I had a concussion or other head or neck
injury, was knocked out, or could not breathe
E.
I had a gunshot wound
F.
I had a bad burn
The next question asks about the use of seat belts
and riding in a vehicle driven by someone else.
26. During the past 30 days, how often did you use a
G. I lost all or part of a foot, leg, hand, or arm
seat belt when riding in a car or other motor
H. Something else happened to me
vehicle driven by someone else?
The next 2 questions ask about bullying. Bullying
A.
occurs when a student or group of students say
I did not ride in a motor vehicle driven by
someone else
or do bad and unpleasant things to another
B.
student. It is also bullying when a student is
C. Rarely
teased a lot in an unpleasant way or when a
D. Sometimes
student is left out of things on purpose. It is not
E.
Most of the times
bullying when two students of about the same
F.
Always
Never
strength or power argue or fight or when teasing
is done in a friendly and fun way.
The next 6 questions ask about your feelings and
friendships.
24. During the past 30 days, on how many days were
you bullied?
27. During the past 12 months, how often have you
felt lonely?
A.
0 days
B.
1 or 2 days
A.
Never
C. 3 to 5 days
B.
Rarely
D. 6 to 9 days
C. Sometimes
E.
10 to 19 days
D.
Most of the time
F.
20 to 29 days
E.
Always
G. All 30 days
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
5
28. During the past 12 months, how often have you
been so worried about something that you could
The next 14 questions ask about cigarette and
other tobacco use.
not sleep at night?
33. How old were you when you first tried a cigarette?
A.
Never
B.
Rarely
A.
I have never smoked cigarettes
C. Sometimes
B.
7 years old or younger
D.
Most of the time
C. 8 or 9 years old
E.
Always
D. 10 or 11 years old
29. During the past 12 months, did you ever feel so
sad or hopeless almost every day for two weeks
E.
12 or 13 years old
F.
14 or 15 years old
G. 16 years old or older
or more in a row that you stopped doing your
usual activities?
34. During the past 30 days, on how many days did
you smoke cigarettes?
A.
Yes
B.
No
30. During the past 12 months, did you ever
seriously consider attempting suicide?
A.
0 days
B.
1 or 2 days
C. 3 to 5 days
D. 6 to 9 days
E.
10 to 19 days
A.
Yes
F.
20 to 29 days
B.
No
G. All 30 days
31. During the past 12 months, did you make a plan
about how you would attempt suicide?
A.
Yes
B.
No
32. How many close friends do you have?
A.
0
B.
1
C. 2
D. 3 or more
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
6
35. During the past 30 days, on the days you
smoked, how many cigarettes did you usually
39. During the past 12 months, have you ever tried to
stop smoking cigarettes?
smoke?
A.
I did not smoke cigarettes during the past 30
B.
Less than 1 cigarette per day
A.
I have never smoked cigarettes
B.
I did not smoke cigarettes during the past 12
months
days
C. 1 cigarette per day
C. Yes
D. No
D. 2 to 5 cigarettes per day
E.
6 to 10 cigarettes per day
F.
11 to 20 cigarettes per day
G. More than 20 cigarettes per day
40. During the past 30 days, on how many days did
you use any other form of tobacco, such as Pipa,
cigarrillos armados, or tabaco masticado?
A.
0 days
cigarettes did you usually smoke? SELECT
B.
1 or 2 days
ONLY ONE RESPONSE.
C. 3 to 5 days
36. During the past 30 days, what brand of
D. 6 to 9 days
A.
B.
I did not smoke cigarettes during the past 30
E.
10 to 19 days
days
F.
20 to 29 days
No usual brand
G. All 30 days
C. Marlboro
D. Camel
E.
Jockey Club
F.
Viceroy
41. During the past 7 days, on how many days have
people smoked in your presence?
G. Phillip Morris
A.
0 days
H.
B.
1 or 2 days
Other
C. 3 or 4 days
37. During the past 30 days, did anyone ever refuse
to sell you cigarettes because of your age?
A.
I did not try to buy cigarettes during the past
30 days
B.
D. 5 or 6 days
E.
All 7 days
42. Which of your parents or guardians use any form
of tobacco?
Yes, someone refused to sell me cigarettes
because of my age
C. No, my age did not keep me from buying
cigarettes
A.
Neither
B.
My father or male guardian
C. My mother or female guardian
D. Both
38. At any time during the next 12 months, do you
E.
I do not know
think you will smoke a cigarette?
A.
Definitely not
B.
Probably not
C. Probably yes
D. Probably no
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
7
43. If one of your best friends offered you a cigarette,
would you smoke it?
The next 8 questions ask about drinking alcohol.
This includes drinking wine, been, whisky, gin, or
vodka. Drinking alcohol does not include
A.
Definitely not
B.
Probably not
C. Probably yes
D. Definitely yes
44. During the past 7 days, on how many days have
drinking a few sips of wine for religious purposes.
47. How old were you when you had your first drink
of alcohol other than a few sips?
A.
people smoked in your home, in your presence?
I have never had a drink of alcohol other
than a few sips
B.
7 years old or younger
A.
0 days
C. 8 or 9 years old
B.
1 or 2 days
D. 10 or 11 years old
C. 3 or 4 days
E.
12 or 13 years old
D. 5 or 6 days
F.
14 or 15 years old
E.
G. 16 years old or older
All 7 days
45. During the past 7 days, on how many days have
48. During the past 30 days, on how many days did
people smoked in your presence, in places other
you have at least one drink containing alcohol?
than in your home?
A.
0 days
A.
0 days
B.
1 or 2 days
B.
1 or 2 days
C. 3 to 5 days
C. 3 or 4 days
D. 6 to 9 days
D. 5 or 6 days
E.
10 to 19 days
E.
F.
20 to 29 days
All 7 days
G. All 30 days
46. During the past 30 days, what type of cigarettes
did you usually smoke?
49. During the past 30 days, on the days you drank
alcohol, how many drinks did you usually drink
A.
I did not smoke cigarettes during the past 30
per day?
days
B.
B Light
A.
I did not drink alcohol during the past 30
D. Mild
B.
Less than one drink
E.
Blue
C. 1 drink
F.
Regular
D.
2 drinks
E.
3 drinks
F.
4 drinks
C. Suaves
G. None of the above
days
G. 5 or more drinks
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
8
50. During the past 30 days, how did you usually get
54. During your life, how many times have you ever
the alcohol you drank? SELECT ONLY ONE
had a hang-over, felt sick, got into trouble with
RESPONSE.
your family or friends, missed school, or got into
fights, as a result of drinking alcohol?
A.
I did not drink alcohol during the past 30
days
A.
0 times
B.
I bought it in a store, shop, or from a street
B.
1 or 2 times
vendor
C. 3 to 9 times
C. I gave someone else money to buy it for me
D. 10 or more times
D.
I got it from my friends
E.
I got it from home
The next question asks about how often you saw
F.
I stole it
alcohol advertisements on videos, magazines, or
G. I made it myself
the internet or at movie theaters, sports events, or
H. I got it some other way
music concerts.
51. During the past 30 days, did anyone refuse to sell
55. During the past 30 days, how often did you see
you alcohol because of your age?
any alcohol advertisements?
A.
I did not try to buy alcohol during the past 30
A.
Never
days
B.
Rarely
Yes, someone refused to sell me alcohol
C. Sometimes
because of my age
D.
Almost daily
E.
Daily
B.
C. No, my age did not keep me from buying
alcohol
The next question asks about drugs.
52. What type of alcohol do you usually drink?
SELECT ONLY ONE RESPONSE.
56. During your life, how many times have you used
drugs, such as cocaine, paco, marijuana, or
A.
I do not drink alcohol
B.
Beer, lager, or stout
ecstasy?
C. Wine
A.
0 times
D. Spirits, such as vodka, whisky, ginebra, or
B.
1 or 2 times
fernet
C. 3 to 9 times
E.
sangria
D. 10 or more times
F.
Gancia o Cinzano
G. Some other type
The next 5 questions ask about sexual
intercourse.
53. During your life, how many times did you drink so
much alcohol that you were really drunk?
57. Have you ever had sexual intercourse?
A.
0 times
A.
Yes
B.
1 or 2 times
B.
No
C. 3 to 9 times
D. 10 or more times
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
9
58. How old were you when you had sexual
The next 2 questions ask about condoms.
intercourse for the first time?
62. If you wanted to get a condom, how would you
A.
I have never had sexual intercourse
B.
11 years old or younger
most likely get it?
C. 12 years old
A.
I would get it from a vending machine
D. 13 years old
B.
I would get it in a store or shop or from a
E.
14 years old
F.
15 years old
street vendor
C. I would get it from a pharmacy, clinic, or
hospital
G. 16 years old or older
D. I would give someone else money to buy it
for me
59. During your life, with how many people have you
had sexual intercourse?
A.
I have never had sexual intercourse
B.
1 person
E.
En un kiosko
F.
I would get it some other way
G. I don’t know
C. 2 people
63. During the past 12 months, how often did you or
D. 3 people
your partner use a condom when you had sexual
E.
4 people
intercourse?
F.
5 people
G. 6 or more people
A.
I have never had sexual intercourse
B.
I have had sexual intercourse, but not during
the past 12 months
60. During the past 12 months, have you had sexual
intercourse?
C. Never
D. Rarely
A.
Yes
E.
Sometimes
B.
No
F.
Most of the time
G. Always
61. The last time you had sexual intercourse, did
you or your partner use a condom?
A.
I have never had sexual intercourse
B.
Yes
C. No
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
10
The next question asks about the use of
contraceptive and protective methods such as
coitus interruptus (withdrawal), rhythm (safe time
around the menstruation), contraceptive pills,
condom, or any other method to avoid
pregnancy.
64. During the past 12 months, how often did you or
your partner use any method of birth control?
A.
B.
66. During a typical or usual week, on how many
days are you physically active for a total of at
least 60 minutes per day?
A.
0 days
B.
1 day
C. 2 days
D. 3 days
E.
4 days
I have never had sexual intercourse
F.
5 days
I have had sexual intercourse, but not during
G. 6 days
the past 12 months
H. 7 days
C. Never
D. Rarely
The next question asks about the time you spend
E.
Sometimes
mostly sitting when you are not in school or doing
F.
Most of the time
homework.
G. Always
67. How much time do you spend during a typical or
The next 2 questions ask about physical activity.
usual day sitting and watching television, playing
Physical activity is any activity that increases
computer games, talking with friends, or doing
your heart rate and makes you get out of breath
other sitting activities, such as reading, studying,
some of the time. Physical activity can be done in
or chatting?
sports, playing with friends, or walking to school.
Some examples of physical activity are running,
A.
Less than 1 hour per day
fast walking, biking, dancing, football, gym,
B.
1 to 2 hours per day
playing soccer
C. 3 to 4 hours per day
D. 5 to 6 hours per day
ADD UP ALL THE TIME YOU SPEND IN PHYSICAL
E.
7 to 8 hours per day
ACTIVITY EACH DAY. DO NOT INCLUDE YOUR
F.
More than 8 hours per day
PHYSICAL EDUCATION OR GYM CLASS.
The next 2 questions ask about going to and
65. During the past 7 days, on how many days were
coming home from school.
you physically active for a total of at least 60
minutes per day?
68. During the past 7 days, on how many days did
you walk or ride a bicycle to and from school?
A.
0 days
B.
1 day
A.
0 days
C. 2 days
B.
1 day
D. 3 days
C. 2 days
E.
4 days
D. 3 days
F.
5 days
E.
4 days
G. 6 days
F.
5 days
H. 7 days
G. 6 days
H. 7 days
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
11
69. During the past 7 days, how long did it usually
take for you to get to and from school each day?
72. During the past 30 days, how often were most of
the students in your school kind and helpful?
ADD UP THE TIME YOU SPEND GOING TO
AND COMING HOME FROM SCHOOL.
A.
Never
B.
Rarely
A.
Less than 10 minutes per day
C. Sometimes
B.
10 to 19 minutes per day
D. Most of the time
C. 20 to 29 minutes per day
E.
Always
D. 30 to 39 minutes per day
E.
40 to 49 minutes per day
F.
50 to 59 minutes per day
G. 60 or more minutes per day
73. During the past 30 days, how often did your
parents or guardians check to see if your
homework was done?
The next question asks about the time you spend
A.
Never
in a week in physical education or gym class at
B.
Rarely
school
C. Sometimes
D. Most of the time
70. During this school year, on how many days did
E.
Always
you go to physical education class each week?
74. During the past 30 days, how often did your
A.
0 days
parents or guardians understand your problems
B.
1 day
and worries?
C. 2 days
D. 3 days
A.
Never
E.
4 days
B.
Rarely
F.
5 or more days
C. Sometimes
D. Most of the time
The next 5 questions ask about your experiences
E.
Always
at school and at home.
75. During the past 30 days, how often did your
71. During the past 30 days, on how many days did
parents or guardians really know what you were
you miss classes or school without permission?
doing with your free time?
A.
0 days
A.
Never
B.
1 or 2 days
B.
Rarely
C. 3 to 5 days
C. Sometimes
D. 6 to 9 days
D. Most of the time
E.
E.
10 or more days
Always
Argentina GSHS Questionnaire – 2007
For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: June 28, 2007
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