Global School-based Student Health Survey (GSHS) 2006 Uruguay GSHS Questionnaire For more information:
www.cdc.gov/gshs or
www.who.int/chp/gshs/en/
2006 URUGUAY 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.
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
2
1. How old are you?
The next 3 questions ask about your height,
weight, and going hungry.
A. 11 years old or younger
B.
12 years old
5. 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
2. What is your sex?
Height (cm)
A.
M
ale
B.
F
emale
1
0
5
3
0
0
1
1
2
2
3. In what class are you?
2
A.
1 CB
3
B.
2 CB
4
C. 3
CB
5
D. 1
BD
4.
4
6
6
7
7
8
8
9
9
With whom do you share your dwelling?
(SELECT ONLY ONE RESPONSE)
A.
Father and mother
B.
Mother and other relatives
9
I do not know
C. Father and other relatives
D. Mother only
E.
Father only
F.
Other relatives
G. Friends
H.
Others
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
1
6. How much do you weigh without your shoes on?
ON THE ANSWER SHEET, WRITE YOUR
The next question asks about foods you might
eat.
WEIGHT IN THE SHADED BOXES AT THE TOP
OF THE GRID. THEN FILL IN THE OVAL
BELOW EACH NUMBER.
8. During the past 30 days, how many times per day
did you usually eat fruit, such as apples,
bananas, or oranges?
Example
A. I did not eat fruit during the past 30 days
Weight (kg)
0
5
2
0
0
1
1
1
2
2
B. Less than one time per day
C. 1 time per day
D. 2 times per day
E. 3 times per day
F. 4 times per day
3
3
4
4
G. 5 or more times per day
5
The next question asks about vegetables you
6
6
might eat, such as lettuce, tomato, carrots, chard,
7
7
pumpkin, or others. Please note that cereals and
8
8
9
9
roots, such as potatoes and yucca are NOT
vegetables.
9
I do not know
9. During the past 30 days, how many times per day
did you usually eat vegetables?
7. During the past 30 days, how often did you go
hungry because there was not enough food in
your home?
A. I did not eat vegetables during the past 30
days
B. Less than one time per day
C. 1 time per day
A.
N
ever
D. 2 times per day
B. Rarely
E. 3 times per day
C. S
ometimes
F. 4 times per day
D. Most of the time
G. 5 or more times per day
E. Always
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
2
The next 3 questions ask about drinking and
The next 4 questions ask about personal health
eating habits.
activities.
10. During the past 30 days, how many times per day
13. During the past 30 days, how many times per
did you usually drink carbonated soft drinks, such
day did you usually clean or brush your teeth?
as Coke, Pepsi, Nix, or Fresquita?
A. I did not clean or brush my teeth during the
A. I did not drink carbonated soft drinks during
the past 30 days
past 30 days
B. Less than 1 time per day
B. Less than one time per day
C. 1 time per day
C. 1 time per day
D. 2 times per day
D. 2 times per day
E. 3 times per day
E. 3 times per day
F. 4 or more times per day
F. 4 times per day
G. 5 or more times per day
14. During the past 30 days, how often did you wash
your hands before eating?
11. During the past 7 days, on how many days did
you eat at a fast food restaurant, such as
A.
N
ever
McDonalds, Burger King, Barnys, Pork sausage
B.
R
arely
carts, etc )?
C. S
ometimes
D. Most of the time
A. 0 days
E.
Always
B. 1 day
C. 2 days
D. 3 days
15. During the past 30 days, how often did you wash
your hands after using the toilet or latrine?
E. 4 days
F. 5 days
A.
N
ever
G. 6
days
B.
R
arely
H. 7 days
C. S
ometimes
D. Most of the time
12. Within a typical week, how many days do you
share at least one meal (breakfast, lunch, tea
time, or dinner) with at least one of your parents?
A. 0 days
B. 1 day
C. 2 days
D. 3 days
E. 4 days
F. 5 days
G. 6
days
E.
Always
16. During the past 30 days, how often did you use
soap when washing your hands?
A.
N
ever
B.
R
arely
C. S
ometimes
D. Most of the time
E.
Always
H. 7 days
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
3
The next question asks about physical attacks. A
The next 5 questions ask about the most serious
physical attack occurs when one or more people
injury that happened to you during the past 12
hit or strike someone, or when one or more
months. An injury is serious when it makes you
people hurt another person with a weapon (such
miss at least one full day of usual activities (such
as a stick, knife, or gun). It is not a physical attack
as school, sports, or a job) or requires treatment
when two students of about the same strength or
by a doctor or nurse.
power choose to fight each other.
19. During the past 12 months, how many times were
17. During the past 12 months, how many times were
you seriously injured?
you physically attacked?
A.
0 times
1
time
A.
0 times
B.
B.
1
time
C. 2 or 3 times
C. 2 or 3 times
D. 4 or 5 times
D. 4 or 5 times
E. 6 or 7 times
E. 6 or 7 times
F. 8 or 9 times
F. 8 or 9 times
G. 10 or 11 times
G. 10 or 11 times
H. 12 or more times
H. 12 or more times
20. During the past 12 months, what were you
The next question asks about physical fights. A
doing when the most serious injury happened to
physical fight occurs when two or more students
you?
of about the same strength or power choose to
fight each other.
A. I was not seriously injured during the past 12
months
18. During the past 12 months, how many times were
B. Playing or training for a sport
you in a physical fight?
C. Walking or running, but not as part of playing
A.
0 times
D. Riding a bicycle, scooter, skate, roller
B.
1
time
or training for a sport
C. 2 or 3 times
D. 4 or 5 times
E. 6 or 7 times
F. 8 or 9 times
skates, or others
E. Riding or driving in a car or other motor
vehicle
F. Doing any paid or unpaid work, including
housework, yard work, or cooking
G. 10 or 11 times
G. Nothing
H. 12 or more times
H. Something else
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
4
21. During the past 12 months, what was the major
The next 3 questions ask about bullying. Bullying
cause of the most serious injury that happened
occurs when a student or group of students say
to you?
or do bad and unpleasant things to another
student. It is also bullying when a student is
A. I was not seriously injured during the past 12
months
B. I was in a motor vehicle accident or hit by a
motor vehicle
C. I fell
teased a lot in an unpleasant way or when a
student is left out of things on purpose. It is not
bullying when two students of about the same
strength or power argue or fight or when teasing
is done in a friendly and fun way.
D. Something fell on me or hit me
E. I was fighting with someone
F. I was attacked, assaulted, or abused by
24. During the past 30 days, on how many days were
you bullied?
someone
G. I was in a fire or too near a flame or something hot H. Something else caused my injury
A.
0
days
B. 1 or 2 days
C. 3 to 5 days
D. 6 to 9 days
22. During the past 12 months, how did the most
serious injury happen to you?
E. 10 to 19 days
F. 20 to 29 days
G. All 30 days
A. I was not seriously injured during the past 12
months
B. I hurt myself by accident
25. During the past 30 days, how were you bullied
most often?
C. Someone else hurt me by accident
D. I hurt myself on purpose
A. I was not bullied during the past 30 days
E. Someone else hurt me on purpose
B. I was hit, kicked, pushed, shoved around, or
locked indoors
23. During the past 12 months, what was the most
serious injury that happened to you?
C. I was made fun of because of my race or
color
D. I was made fun of because of my religion
A. I was not seriously injured during the past 12
months
B. I had a broken bone or a dislocated joint
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
E. I was made fun of with sexual jokes,
comments, or gestures
F. I was left out of activities on purpose or
completely ignored
G. I was made fun of because of how my body
or face looks
H. I was bullied in some other way
F. I had a bad burn
G. I lost all or part of a foot, leg, hand, or arm
H. Something else happened to me
26. How frequent are there quarrels, fights, or
intimidations in your high school?
A. Very frequently
B. Frequently
C. Almost never
D. N
ever
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
5
The next question asks about the use of seat
belts.
30. During the past 12 months, how often have you
been so worried about something that you could
not sleep at night?
27. During the past 30 days, how often did you wear
a seat belt when riding in a car or other motor
A.
N
ever
vehicle driven by someone else?
B.
R
arely
C. S
ometimes
A. I did not ride in a motor vehicle driven by
someone else
D. Most of the time
E.
Always
B. Never
C. Rarely
31. During the past 12 months, how often have you
D. S
ometimes
been scared (e.g. at high school, at home, in your
E. Most of the times
neighborhood)?
F. Always
A.
N
ever
The next question asks about violent activities.
B.
R
arely
Violence occurs when a person or a group of
C. S
ometimes
people attack other people or a group of people
D. Most of the time
with insults, bullying, hits, assault, robbery, or
E.
Always
rape.
32. During the past 12 months, did you ever feel so
28. Do you belong to any violent group?
sad or hopeless almost every day for two weeks
or more in a row that you stopped doing your
A. Yes
usual activities?
B. No
The next 11 questions ask about your feelings
A.
Yes
B.
N
o
and friendships.
33. How many close friends do you have?
29. During the past 12 months, how often have you
felt lonely?
A.
0
B.
1
A.
N
ever
C. 2
B.
R
arely
D. 3 or more
C. S
ometimes
D. Most of the time
E.
Always
34. Once you finish high school, what would you like
to do?
A.
W
ork
B. Study for a technical career
C. Study in a university
D. Become a member of the Army or police
E.
Something else
F. I do not know
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
6
35. Do you think you will finish high school?
39. During the past 30 days, on how many days did
you smoke cigarettes?
A. Definitely yes
B.
P
robably yes
A.
0 days
C. P
robably no
B. 1 or 2 days
D. D
efinitely no
C. 3 to 5 days
E. I do not know
D. 6 to 9 days
E. 10 to 19 days
36. How do you think your friends usually see you?
F. 20 to 29 days
G. All 30 days
A. As a sad person
B. As a funny, happy person
C. As a calm person
40. During the past 30 days, on how many days did
you use any other form of tobacco, such as pipe?
D. As a nervous or restless person
E. As a leader
A.
F. As a shy person
B. 1 or 2 days
0 days
G. I do not know
C. 3 to 5 days
D. 6 to 9 days
37. How pleased are you with your own way of being?
E. 10 to 19 days
F. 20 to 29 days
A.
Very pleased
B.
S
omewhat pleased
C. A little pleased
D. Not pleased at all
G. All 30 days
41. During the past 12 months, have you ever tried to
stop smoking cigarettes?
The next 8 questions ask about cigarette and
A. I have never smoked cigarettes
other tobacco use.
B. I did not smoke cigarettes during the past 12
38. How old were you when you first tried a cigarette?
C. Y
es
months
D. No
A. I have never smoked cigarettes
B. 7 years old or younger
C. 8 or 9 years old
42. During the past 7 days, on how many days have
people smoked in your presence?
D. 10 or 11 years old
E. 12 or 13 years old
A.
0 days
F. 14 or 15 years old
B. 1 or 2 days
G. 16 years old or older
C. 3 or 4 days
D. 5 or 6 days
E. All 7 days
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
7
43. Which of your parents or guardians use any form
of tobacco?
The next 6 questions ask about drinking alcohol.
This includes drinking beer, wine, whisky, or
others. Drinking alcohol does not include
A.
Neither
B. My father or male guardian
drinking a few sips of wine for religious
purposes.
C. My mother or female guardian
D. Both
E. I do not know
44. At any time during the next 12 months, do you
46. How old were you when you had your first drink of
alcohol other than a few sips?
A. I have never had a drink of alcohol other
than a few sips
think you will smoke a cigarette?
B. 7 years old or younger
A.
D
efinitely not
C. 8 or 9 years old
B.
P
robably not
D. 10 or 11 years old
C. P
robably yes
E. 12 or 13 years old
D. D
efinitely yes
F. 14 or 15 years old
G. 16 years old or older
45. If one of your best friends offered you a cigarette,
would you smoke it?
47. During the past 30 days, on how many days did
you have at least one drink containing alcohol?
A.
D
efinitely not
B.
P
robably not
A.
0 days
C. P
robably yes
B. 1 or 2 days
D. D
efinitely yes
C. 3 to 5 days
D. 6 to 9 days
E. 10 to 19 days
F. 20 to 29 days
G. All 30 days
48. During the past 30 days, on the days you drank
alcohol, how many drinks did you usually drink
per day?
A. I did not drink alcohol during the past 30
days
B. Less than one drink
C. 1 drink
D. 2 drinks
E. 3 drinks
F. 4 drinks
G. 5 or more drinks
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
8
49. During the past 30 days, how did you usually get
The next 3 questions ask about drugs.
the alcohol you drank? SELECT ONLY ONE
RESPONSE.
53. During your life, how many times have you used
drugs, such as marijuana?
A. I did not drink alcohol during the past 30
days
B. I bought it in a store, shop, or from a street
vendor
C. I gave someone else money to buy it for me
A.
0 times
B. 1 or 2 times
C. 3 to 9 times
D. 10 or more times
D. I got it from my friends
E. I got it from home
F. I stole it
54. During your life, how many times have you
consumed “pasta base”?
G. I made it myself
H. I got it some other way
A.
0 times
B. 1 or 2 times
50. During your life, how many times did you drink so
much alcohol that you were really drunk?
A.
0 times
C. 3 to 9 times
D. 10 or more times
55. During your life, how many times have you
B. 1 or 2 times
consumed other drugs (such as cocaine, extasis,
C. 3 to 9 times
or inhalants)?
D. 10 or more times
A.
51. During your life, how many times have you ever
0 times
B. 1 or 2 times
had a hang-over, felt sick, got into trouble with
C. 3 to 9 times
your family or friends, missed school, or got into
D. 10 or more times
fights, as a result of drinking alcohol?
The next 5 questions ask about sexual
A.
0 times
intercourse.
B. 1 or 2 times
C. 3 to 9 times
56. Have you ever had sexual intercourse?
D. 10 or more times
The next question asks about how often you see
A.
Yes
B.
N
o
alcohol advertisements on videos, magazines, or
the internet or at movie theaters, sports events, or
music concerts.
52. During the past 30 days, how often did you see
any alcohol advertisements?
A.
N
ever
B.
R
arely
C. S
ometimes
D. Almost daily
E.
D
aily
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
9
57. How old were you when you had sexual
The next question asks about places to access
intercourse for the first time?
condoms.
A. I have never had sexual intercourse
61. If you wanted to get a condom, preservative, or
B. 11 years old or younger
covers, how would you most likely get it?
C. 12 years old
D. 13 years old
A. I would get it from a vending machine
E.
B. I would get it in a store or shop or from a
14 years old
F. 15 years old
G. 16 years old or older
street vendor
C. I would get it from a pharmacy, clinic, or
hospital
58. During your life, with how many people have you
had sexual intercourse?
D. I would give someone else money to buy it
for me
E. I would get it some other way
A. I have never had sexual intercourse
B.
F. I don’t know
1 person
C. 2
people
D. 3
people
E.
4 people
F. 5 people
G. 6 or more people
59. During the past 12 months, have you had sexual
intercourse?
A.
Yes
B.
N
o
60. The last time you had sexual intercourse, did
you or your partner use a condom, preservative,
or covers?
A. I have never had sexual intercourse
B.
Yes
C. No
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
10
The next 3 questions ask about the use of
The next 2 questions ask about physical activity.
contraceptive and protective methods, such as
Physical activity is any activity that increases
coitus interruptus (withdrawal), rhythm (safe time
your heart rate and makes you get out of breath
around the menstruation), contraceptive pills,
some of the time. Physical activity can be done in
condom, or any other method to avoid pregnancy.
sports, playing with friends, or walking to school.
Some examples of physical activity are running,
62. During the past 12 months, how often did you or
fast walking, biking, dancing, football, basket, and
your partner use any method of birth control?
rugby.
A. I have never had sexual intercourse
ADD UP ALL THE TIME YOU SPEND IN PHYSICAL
B. I have had sexual intercourse, but not during
ACTIVITY EACH DAY. DO NOT INCLUDE YOUR
the past 12 months
PHYSICAL EDUCATION OR GYM CLASS.
C. N
ever
D. Rarely
65. During the past 7 days, on how many days were
E. Sometimes
you physically active for a total of at least 60
F. Most of the time
minutes per day?
G. Always
63. With whom do you have more confidence to
speak about sexuality?
A.
0 days
B.
1 day
C. 2 days
D. 3 days
A. Mother
E.
B. Father
F. 5 days
C. B
rothers/Sisters
G. 6
days
D. Friends
H. 7 days
4 days
E. Others
F. Nobody
66. During a typical or usual week, on how many
days are you physically active for a total of at
64. Have you received information about sexual
least 60 minutes per day?
topics at home?
A.
0 days
A. Yes
B.
1 day
B. No
C. 2 days
D. 3 days
E.
4 days
F. 5 days
G. 6
days
H. 7 days
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
11
The next 2 questions ask about the time you
70. During the past 7 days, how long did it usually
spend mostly sitting when you are not in school
take for you to get to and from school each day?
or doing homework.
ADD UP THE TIME YOU SPEND GOING TO
AND COMING HOME FROM SCHOOL.
67. How much time do you spend during a typical or
usual day sitting and watching television, playing
A.
Less than 10 minutes per day
computer games, talking with friends, or doing
B.
10 to 19 minutes per day
other sitting activities, such as drinking “mate’”
C. 20 to 29 minutes per day
(hot infusion prepared with a natural herb named
D. 30 to 39 minutes per day
yerba)?
E.
40 to 49 minutes per day
F.
50 to 59 minutes per day
A.
Less than 1 hour per day
B.
1 to 2 hours per day
G. 60 or more minutes per day
C. 3 to 4 hours per day
The next question asks about the time you spend
D. 5 to 6 hours per day
in a week in physical education or gym class at
E.
7 to 8 hours per day
school.
F.
More than 8 hours per day
71. During this school year, on how many days did
68. Do you participate in some type of group or
you go to physical education class each week?
youthful activity, such as a band or street
musicians, scouts, cultural groups, guild
A.
0 days
movements, music bands?
B.
1 day
C. 2 days
A.
Always
D. 3 days
B.
Frequently
E.
4 days
C. Sometimes
F.
5 or more days
D. I do not participate in any group
The next 5 questions ask about your experiences
The next 2 questions ask about going to and
at school and at home
coming home from school.
69. During the past 7 days, on how many days did
72. During the past 30 days, on how many days did
you walk or ride a bicycle to and from school?
you miss classes or school without permission?
A.
0 days
A.
0 days
B.
1 day
B.
1 or 2 days
C. 2 days
C. 3 to 5 days
D. 3 days
D. 6 to 9 days
E.
4 days
E.
F.
5 days
10 or more days
G. 6 days
H. 7 days
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
12
73. During the past 30 days, how often were most of
77. How much would you say that either one or both
the students in your school kind and helpful?
of your parents know about your closest friends?
A.
N
ever
A. Very much
B.
R
arely
B. Some
C. S
ometimes
C. Very little
D. Most of the time
D. Nothing at all
E.
A
lways
74 During the past 30 days, how often did your
parents or guardians check to see if your
homework was done?
A.
N
ever
B.
R
arely
C. S
ometimes
D. Most of the time
E.
A
lways
75. During the past 30 days, how often did your
parents or guardians understand your problems
and worries?
A.
N
ever
B.
R
arely
C. S
ometimes
D. Most of the time
E.
A
lways
76. During the past 30 days, how often did your
parents or guardians really know what you were
doing with your free time?
A.
N
ever
B.
R
arely
C. S
ometimes
D. Most of the time
E.
A
lways
Uruguay GSHS Questionnaire – 2006 For more information: www.cdc.gov/gshs or www.who.int/chp/gshs/en/
Last Updated: July 7, 2006
13