7 pages, 24 hrs

profileMiss Anita
glasgow_health_and_wellbeing_questionnaire.pdf

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GLASGOW HEALTH AND WELLBEING QUESTIONNAIRE

Thank you for agreeing to complete this questionnaire. Remember that it is COMPLETELY CONFIDENTIAL, so you can be COMPLETELY HONEST. Please try and complete as many of the questions as possible. The information you provide will be really helpful in trying to make improvements in the life and well-being of young people in your school, your community and across the city.

YOUR SCHOOL 1 What secondary school do you go to? PLEASE WRITE IN THE BOX

§§A a 2 Which primary school did you go to? PLEASE WRITE IN THE BOX – IF YOU WENT TO MORE THAN ONE

PLEASE WRITE IN THE ONE YOU WENT TO JUST BEFORE YOU STARTED SECONDARY SCHOOL

A a 3 How old are you? PLEASE WRITE IN THE BOX

AG272A YEARS OLD 4 What year group are you in? PLEASE TICK ONE BOX ONLY

S1 1 S2 2 S3 3 S4 4

HOW DO YOU FEEL? 5 How have you felt about yourself in general, over the last year? PLEASE TICK ONE BOX ONLY

1 2 3 4 5

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6 How much control do you have over the way your life is going in general? PLEASE TICK ONE BOX ONLY

None A little Some A lot 1 2 3 4

7 How have you felt, about your health in general, over the last year? PLEASE TICK ONE BOX ONLY

1 2 3 4 5

8 Here are some descriptions of feelings. Thinking about the last month,

please say whether you have felt this way most of the time, sometimes or never.

PLEASE TICK ONE BOX FOR EACH STATEMENT

Most of the time Sometimes Never

a) I’ve felt too tired to do things 1 2 3

b) I’ve had trouble getting to sleep 1 2 3 c) I’ve had trouble staying asleep 1 2 3 d) I’ve felt unhappy, sad or depressed 1 2 3 e) I’ve felt hopeless about the future 1 2 3 f) I’ve felt tense or nervous 1 2 3 g) I’ve worried too much about things 1 2 3

9 How much do you agree with the following?

PLEASE TICK ONE BOX FOR EACH STATEMENT Strongly

disagree Disagree Agree Strongly

agree a) I am pretty sure about myself

1 2 3 4 b) I often wish I was someone else

1 2 3 4 c) I am easy to like

1 2 3 4 d) I have a low opinion of myself

1 2 3 4 e) I am a failure

1 2 3 4 f) There are lots of things about myself that I

would like to change 1 2 3 4

g) I am able to do things well 1 2 3 4

h) Most of the time I am, satisfied with myself 1 2 3 4

i) I have a number of good qualities 1 2 3 4

j) I like myself 1 2 3 4

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10a Which, if any, of these things do you worry about? PLEASE TICK ALL THAT APPLY

School 1 Family rows 9 Your health 17 Being bullied 2 Feeling different 10 Friends 18 Money problems 3 Relationship with parents 11 Skin problems 19 Racism 4 Drugs 12 Brothers / sisters 20 The way I look 5 Getting a job 13 Fear of violence / gangs 21 Boyfriend/Girlfriend 6 Drinking 14 Family health problems 22 Exams 7 Gossip 15 The future 23 Loneliness 8 Being called gay 16 Sexual harassment 24

Other (PLEASE WRITE IN) A a 25 I have no worries at the moment 26  GO TO Q11a

10b Which one do you worry about the most?

PLEASE TICK ONE ONLY

School 1 Family rows 9 Your health 17 Being bullied 2 Feeling different 10 Friends 18 Money problems 3 Relationship with parents 11 Skin problems 19 Racism 4 Drugs 12 Brothers / sisters 20 The way I look 5 Getting a job 13 Fear of violence / gangs 21 Boyfriend/Girlfriend 6 Drinking 14 Family health problems 22 Exams 7 Gossip 15 The future 23 Loneliness 8 Being called gay 16 Sexual harassment 24

Other (PLEASE WRITE IN) A a 25 11a Is there anyone you can talk to and trust about personal things or

worries? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q11b No 2 GO TO Q12

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11b Who, if any, of the following do you talk to and trust about personal things or worries? PLEASE TICK ALL THAT APPLY

Friends 1 Teachers 4

Parents / guardians 2 Neighbours 5 Other family members 3 Others 6

12 Have you been bullied in this school in the past year? PLEASE TICK ONE BOX ONLY

Yes 1 No 2 13 Do you ever feel afraid of going to school because of bullying? PLEASE TICK ONE BOX ONLY

Never Sometimes Often Very Often

1 2 3 4 14 Have you bullied or frightened someone in this school in the past year? PLEASE TICK ONE BOX ONLY

Never Sometimes Often Very Often

1 2 3 4 15 Have any of these things happened to you because of your skin colour in

the past year? PLEASE TICK ALL THAT APPLY

I have been hit or beaten up 11

I have been called names 21 I have been picked on 31 I have been treated differently to others (eg not chosen for something) 41 Other (PLEASE WRITE IN WHAT HAPPENED) A a 51 None of the above 61

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16 Have any of these things happened to you because of your religion in the past year? PLEASE TICK ALL THAT APPLY

I have been hit or beaten up 11

I have been called names 21 I have been picked on 31 I have been treated differently to others (eg not chosen for something) 41 Other (PLEASE WRITE IN WHAT HAPPENED) A a51 None of the above 61

ILLNESS & DISABILITY 17 Do you have any illness or disability that is likely to go on for a long

time? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q18 No 2 GO TO Q21

18 What is your illness or disability?

PLEASE TICK ALL THAT APPLY

Asthma 11 Epilepsy 51

Diabetes 21 Injury (eg broken bones) 61 Dyslexia 31 Painful joints 71 Eczema 41 Physical disability 81 Other (PLEASE WRITE IN) A a 91

19 Does this illness or disability limit what you can do?

PLEASE TICK ONE BOX ONLY

No 11 Yes – in what way(s)? A 2

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20 Have any of these things happened to you because you have a disability in the past year? PLEASE TICK ALL THAT APPLY

I have been hit or beaten up 11 I have been called names 21 I have been picked on 31 I have been treated differently to others (eg not chosen for something) 41 Other (PLEASE WRITE IN WHAT HAPPENED) A a51 None of the above 61

ABOUT YOUR TEETH 21 How many times did you clean your teeth yesterday?

PLEASE TICK ONE BOX ONLY

Not at all Once Twice 3 times or more

1 2 3 4 22 When did you last go to the dentist?

PLEASE TICK ONE BOX ONLY

Within the last 6 months

6–12 months ago

More than 12 months ago Never

Can’t remember

1 2 3 4 5

PHYSICAL ACTIVITY 23 How do you usually travel to school? (most days)

PLEASE TICK ONE BOX ONLY

Walk 11 Train 4 Cycle 21 Car 51 Bus 31 Other (PLEASE WRITE IN) A 611

24 If you go to school by car, how many other children at your school are

usually in the car as well? IF YOU DO NOT GO TO SCHOOL BY CAR, PLEASE GO TO Q25

PLEASE WRITE THE NUMBER OF CHILDREN TRAVELLING IN THE CAR

A a Children travelling in the car

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25 How many days in the past week (if any) did you walk, cycle or skate to or from school? PLEASE TICK ONE BOX ONLY

None 1 2 3 4 Every day

1 2 3 4 5 6 26 Do you own a bicycle?

PLEASE TICK ONE BOX ONLY

Yes 1 No 2 27 How long does it take you to travel to school (one way)?

PLEASE TICK ONE BOX ONLY

Less than 5 minutes 11

At least 5 minutes but less than 15 minutes 21 At least 15 minutes but less than half an hour 31 Half an hour or longer 41

28 If you had the choice how would you prefer to travel to school?

PLEASE TICK ONE BOX ONLY

Walk 11 Train 4 Cycle 21 Car 51 Bus 31 Other (PLEASE WRITE IN) A 611

29 Including activities done at school and outside school, how many times a

week do you take part in sport, exercise or physical activity that makes you breathe harder or sweat a bit? PLEASE TICK ONE BOX ONLY

Never 1 GO TO Q33

Once 2 Twice 3 3 times 4 4 times or more 5

30 On average how long do each of these periods of activity last?

PLEASE TICK ONE BOX ONLY

Less than 10 mins 11–20 mins 21–30 mins More than 30 mins

1 2 3 4

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31 Do you take part in any sport, exercise or physical activity in your spare time (that is, outside of school PE lessons)? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q32 No 2 GO TO Q33 32 Generally speaking, how often do you do sport / exercise in your spare

time? PLEASE TICK ONE BOX ONLY

Once a week or less Twice a week

Three times a week

Four times a week or more

1 2 3 4

YOUR DIET 33 Did you eat breakfast this morning?

PLEASE TICK ONE BOX ONLY

Yes 1 No 2 GO TO Q36 34 Where did you eat your breakfast?

PLEASE TICK ONE BOX ONLY

At home 11 In the street 31 In the school canteen 21 Somewhere else (PLEASE WRITE IN) Ab a 41

35 What did you have for your breakfast this morning?

PLEASE TICK ALL THAT APPLY

A drink 11 Sweets 51 Cereal (including porridge) 21 Crisps 61 Toast or bread 31 Other (PLEASE WRITE IN) A a 7 Cooked breakfast 44

36 Did you eat anything at lunchtime yesterday? (If you were not at school

yesterday, please think about the last day you were at school.) PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q37 No 2 GO TO Q40

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37 Where did you eat lunch yesterday? (or the last day you were at school) PLEASE TICK ONE BOX ONLY

In the school canteen 11 At home 44 In the school playground 21 In the street 5 Somewhere else in the school 31

Somewhere else (PLEASE WRITE IN) Ab a 6

38 What did you have for lunch yesterday? (or the last day you were at

school) PLEASE TICK ALL THAT APPLY

Standard meal (eg meat, vegetable, potatoes) 11

Pasta / Salad 4 Sandwich / filled roll 21 Soup 5 Snack meal (eg burger, hot-dog, chips) 31 Sweets / crisps 61 Something else (PLEASE WRITE IN) A a 71

39 What drink or drinks did you have during lunch time yesterday? (or the

last day you were at school) PLEASE TICK ALL THAT APPLY

Nothing to drink 11 Juice drink (eg Ribena, Oasis, Sunny Delight) 6

Fizzy Drink (eg regular Irn Bru) 21 Milk (full fat) 7 Diet Fizzy Drink 31 Milk (low fat, eg semi-skimmed / skimmed) 8 Water 4 Tea / Coffee 9 Fruit juice 5 Something else (PLEASE WRITE IN) A a 10

40 How many portions of fruit did you eat yesterday? (A portion of fruit would be something like 1 banana or 1 apple or 1 slice of

melon or 2 satsumas. A glass of fruit juice also counts as one portion) PLEASE WRITE THE NUMBER OF PORTIONS IN THE BOX

Portions 41 How many portions of vegetable or salad (not potatoes) did you eat

yesterday? (A portion of vegetables would be something like a large spoonful of carrots or baked beans and includes fresh, frozen or tinned vegetables)

PLEASE WRITE THE NUMBER OF PORTIONS IN THE BOX

Portions

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SMOKING 42 Which of the following best describes you? PLEASE TICK ONE BOX ONLY

I have never tried smoking 11

I have only tried smoking once or twice 2 GO TO Q49 I used to smoke but I have given up 3 I smoke some days 4 I smoke every day 5

GO TO Q43

43 If you smoke every day, please write in the number of cigarettes you

smoke in an average day. PLEASE WRITE IN THE BOX

Cigarettes per day If you smoke some days, please write in the number of cigarettes you

smoke in an average week. PLEASE WRITE IN THE BOX

Cigarettes per week

44 How old were you when you had your first puff of a cigarette?

PLEASE WRITE IN THE BOX

YEARS OLD 45 Where do you usually get your cigarettes from?

PLEASE TICK ALL THAT APPLY

I buy them from shop 11 I ask someone I don’t know to buy them 6

I buy them from people I know 21 I take them from a family member without their knowledge 7 I buy them from a machine 31 A friend gives them to me 8 A friend, who is my age, buys them 41 Other PLEASE WRITE IN A friend, who is older than me, buys them 51 A a9

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46 How much do you usually spend on cigarettes in an average week? PLEASE TICK ONE BOX ONLY

Less than £5 11

Between £5–£10 21 Between £11 and £15 31 Between £16 and £20 41 £21 or more 51 Nothing 6 GO TO Q48

47 Where do you get the money to buy cigarettes?

PLEASE TICK ALL THAT APPLY

Pocket money 11 I use my dinner money 6 Wages from a part-time job 21 I steal it 7 From my parents / guardian 31 Other (PLEASE WRITE IN) From my brothers/ sisters 41 A a 8 From another family member 51

48 Would you like to stop smoking? PLEASE TICK ONE BOX ONLY

Yes 11 Possibly 21 No 31 49 Does anyone in your home smoke? PLEASE TICK ONE BOX ONLY

Yes 11 No 2 50 Do any of your friends smoke? PLEASE TICK ONE BOX ONLY

Yes 11 No 2

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DRINKING ALCOHOL 51 How often do you drink alcohol? PLEASE TICK ONE BOX ONLY

Never 11 GO TO Q55 AND READ PARAGRAPH

Once a week or more 21 Every 1 – 2 weeks 31 Every 3 – 4 weeks 41 Once every 2 – 3 months 51 Less often (once or twice a year) 61

GO TO Q52

52 Which of the following do you drink? PLEASE TICK ALL THAT APPLY

Beer / Lager / Cider 11 Shandy (lemonade and beer) 21 Alcohol fizzy drinks or Alcopops (WKD, Bacardi Breezers) 31 Wine (Red, White, Rose) 41 Spirits (Vodka, Whisky) 51 Fortified wine / sherry (Buckfast, Martini) 61 Other (PLEASE WRITE IN) A a 7

53 How often would you say you get drunk? PLEASE TICK ONE BOX ONLY

Never or rarely 11 Twice a week 41 Once or twice a month 21 Most days 51 Once a week 31 Don’t know 61

54 How much do usually spend on alcohol per week?

PLEASE TICK ONE BOX ONLY

Nothing 11 £11 – £15 51 Under £2 21 £16 – £20 61 £2 – £5 31 More than £20 71 £6 – £10 41

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DRUGS

PLEASE READ THIS FIRST We would now like to ask you some questions about drugs. By drugs we mean those that are not available in the shops or prescribed from a doctor (ie non prescription drugs). We are also interested in things that can be misused such as solvents and glue. All information you provide will be kept anonymously and treated confidentially. The police will not be informed of any responses to this survey. It is used to plan NHS services. 55 Have you ever taken non-prescription drugs?

PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q56 No 1 GO TO Q57

56 Which, if any, of these drugs have you taken in the last year? PLEASE TICK ALL THAT APPLY

Cannabis (Marijuana, dope, hash, blow, joints, wacky baccy) 11

Gas, glue or other solvents (Tipp-Ex, lighter fuel, aerosols to inhale or sniff) 21 Amphetamines (Speed, Whizz, Sulph) 31 LSD (acid, tabs, trips) 41 Ecstasy (E, Eccies, XTC) 51

Cyroban (Cy / Cyber) 61 Poppers (Amyl Nitrates, Liquid Gold, Rush) 71 Tranquillisers (Downers, Jellies, Valium, Temazapan, Eggs) 81 Heroin (Smack, Skag, Gear, H) 9 Magic Mushrooms (Shrooms) 10 Methadone (Linctus, Physeptone, Meth) 11 Crack (Rock, Stone) 12 Cocaine (Coke, Charlie, C) 13 Anabolic Steroids (Roids) 14 Other drugs that would not be given to you by a doctor or chemist (PLEASE WRITE IN)

A a15 None in the last year 16

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SERVICES FOR YOUNG PEOPLE 57 Do you go to a local youth club or centre? PLEASE TICK ONE BOX ONLY

Yes 1

No – I don’t know of one that I could go to 2 GO TO Q59

No – but I know of one that I could go to 3 GO TO Q58 58 Is there anything stopping you, or putting you off going to a youth club or

centre? PLEASE WRITE IN THE BOX

59 Are you aware of a health service in or near to your school that is for

young people only? PLEASE TICK ONE BOX ONLY

No 1 Yes –PLEASE WRITE IN ITS NAME bo Aa 2 60 Have you heard of ChildLine? PLEASE TICK ONE BOX ONLY

No 1 Yes, and I would phone ChildLine if I needed to 2

Yes, but I would not phone ChildLine even if I needed to 3

61 Have you heard of the Sandyford Initiative?

PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q62 No 2 GO TO Q63 62 Please say in one sentence what you think Sandyford provides?

PLEASE WRITE IN THE BOX

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63 Have you heard of The Place at Sandyford? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q64 No 2 GO TO Q65 64 Please say in one sentence what you think The Place at Sandyford

provides? PLEASE WRITE IN THE BOX

65 Do you currently hold a Glasgow Young Scot Card?

PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q66 No 2 GO TO Q67 66 Have you used it for any of the following activities?

PLEASE TICK ALL THAT APPLY

Free Swimming 11 Glasgow Film Theatre / Cinema 71 Holiday Programme Activities 21 Discounts in shops 81 First Bus ‘Get Around for a £1’ (Summer Promotion) 31 Discounts in Leisure Centres 91 Fuelzone / healthy eating points 41 Other (PLEASE WRITE IN BELOW) Borrowed books / CDs or DVDs 51 A a 10 Science Centre 61 None of these 11

67 Have you been to any of the following in the last year?

PLEASE TICK ALL THAT APPLY

Museum 11 Sports Centre 31 Library 21 Community Centre 41 None of these 5 GO TO Q69

68 Which one facility do you visit most often? PLEASE TICK ONE BOX ONLY

Museum 11 Sports Centre 31 Library 21 Community Centre 41

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69 How often do you go to the swimming pool? PLEASE TICK ONE BOX ONLY

Once a week or more 11 Once every 2 – 3 months 41 Every 1 – 2 weeks 21 Less often (one or twice a year) 51 Every 3 – 4 weeks 31 Never 6

70 Can you swim? PLEASE TICK ONE BOX ONLY

Yes 1 No

2

BEHAVIOUR 71 Which, if any, of these things have you done in the last year? PLEASE TICK ALL THAT APPLY

Dogging / missing / skipping school 11 Carrying a weapon in school 71 Shoplifting 21 Drug dealing 81 Fighting someone 31 Vandalising others’ property / graffiti 91 Gang fighting 41 Breaking into a school, shop, or another person’s home 101 Threatening / bullying / harassing a person 51 None of these 111 Carrying a weapon outside school 61

HOME 72 Do you have a computer at home? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q73 No 2 GO TO Q74

73 Are you allowed to use your computer at home?

PLEASE TICK ONE BOX ONLY

Yes 1 No 2 74 Do you have access to the internet at home?

PLEASE TICK ONE BOX ONLY

Yes 1 No 2

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75 How long do you spend on a computer on an average day? PLEASE WRITE THE AVERAGE NUMBER OF HOURS IN THE BOX

A a HOURS 76 Does anyone in your family have any of the following?

PLEASE TICK ALL THAT APPLY

A disability

A long-term illness

A drug or alcohol problem

1

2 GO TO Q77

3

None of these 4 GO TO Q80 77 Do you ever look after or care for them? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q78 No 2 GO TO Q80 78 How many hours a week do you spend looking after or caring for them? PLEASE WRITE IN THE BOX

HOURS 79 How, if at all, do your caring responsibilities affect you?

PLEASE TICK ALL THAT APPLY

No effect at all 11 Helps me organise my time 8 Sometimes unable to do homework 21 Makes me tired 9 Sometimes miss school 31 It can be lonely 10 Sometimes get bullied at school 41 It makes me feel stressed 11 Makes it difficult to make friends 51 It makes me feel anxious 12 I can’t join clubs 61 Other (PLEASE WRITE IN) Sometimes makes me late for school 71 A a 13

80 Do you have a part-time job? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q81 No 2 GO TO Q83

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81 What job do you do? PLEASE TICK ALL THAT APPLY

Paper / Milk round 11 Gardening / car washing 51 Food outlet (eg serving food) 21 General delivery 61 Shop work / hairdressing junior 31 Other (PLEASE WRITE IN) Babysitting 41 A a 7

82 How many hours did you work last week? (that is, the week ending last

Sunday)? PLEASE WRITE IN THE BOX

1 HOURS

YOUR LIFE IN THE PAST 83 Have any of the following ever happened to you?

PLEASE TICK ALL THAT APPLY

Your parents split up 11 Someone close to you died 2 You lived away from your parents 3 You lived in care / foster care / home

4 You lived between two or more homes 5 You have been seriously ill 6 Someone close to you was seriously ill 7 The parent you live with got a new partner 8

GO TO Q84

None of the above 9 GO TO Q86 84 Would you say that any of these events are bothering / having an effect

on you at the moment? PLEASE TICK ONE BOX ONLY

Yes 1 GO TO Q85 No 2 GO TO Q86

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85 What effect is it / are they having on you? PLEASE WRITE IN THE BOX

YOUR FUTURE 86 What do you hope to do as soon as you finish school (at the end of S4)? PLEASE TICK ONE ONLY

Go to further education / college / stay at school 11 Take a gap year 21 Obtain training or join a training scheme 31 Get a job 41 Have a baby / look after my child(ren) 51 Don’t know 61 Other (PLEASE WRITE IN) A a7

87 How likely do you think it is that you will be charged, fined or have a

criminal record by the time you are 20? PLEASE TICK ONE BOX ONLY

Not likely 11 I have one already 31 Likely 21 Don’t know 41

88 Do your parents / carers encourage you to do your best at school?

PLEASE TICK ONE BOX ONLY

Yes 1 No 2 89 Do your parents / carers encourage you to think about your future (eg

getting a job, going to college or university)? PLEASE TICK ONE BOX ONLY

Yes 1 No 2

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90 Does your school encourage you to do as well as you can? PLEASE TICK ONE BOX ONLY

Yes 1 No 2

91 How well do you think your school has prepared you for the future?

PLEASE TICK ONE BOX ONLY

Very well Fairly well Not very well Not at all well Don’t know

1 2 3 4 5 92 Have you done any of the following through school?

PLEASE TICK ALL THAT APPLY

Work placement 11 CV (Curriculum Vitae) preparation 41 Careers guidance 21 Job search 51 Employer visits 31 Something else related to getting a job / working 61

93 What, if anything, could your school do better or differently to improve

your health and happiness? PLEASE TICK ALL THAT APPLY

Provide nicer / healthier food in canteen 11 Provide support e.g. buddy or mentoring schemes 81 Teach personal, social, and health education (PSHE) 21 Encourage respect between teachers / staff and pupils 91 Have outside agencies / people teaching PSHE 31 Improve school buildings or grounds 10 Provide more choice in PE / longer PE sessions 41 Improve school corridors, classrooms or toilets 11 Tell us more about health issues, eg using posters or an assembly 51 Something else (PLEASE WRITE IN) Provide and encourage activities and clubs outside school hours 61 A u 12

Provide a drop-in centre where we can ask about health issues 71 Nothing – it is fine as it is 13

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ABOUT YOU

94 Are you…? PLEASE TICK ONE BOX ONLY

Male 1 Female 2 95 Which of these best describes you? PLEASE TICK ONE BOX ONLY

I live with my mum and dad 11 I live with my dad and his wife / partner 61 I spend some time living with my mum and some time living with my dad 21 I live with my grandparent(s) 71 I live with just my mum 31 I live with foster parents 81 I live with just my dad 41 I am in care 91 I live with my mum and her husband / partner 51 Other (PLEASE WRITE IN) A a10

96 To which of these groups do you consider you belong?

PLEASE TICK ONE BOX ONLY a) White

Scottish 1

Other British 2

Irish 3

Other White background (PLEASE WRITE IN BOX) A a 4 b) Black, Black Scottish or Black British

Caribbean 5

African 10

Other Black background (PLEASE WRITE IN BOX) A a 11 c) Asian, Asian Scottish or Asian British

Indian 6

Pakistan 7

Bangladesh 8

Other Asian background (PLEASE WRITE IN BOX) A a 9 d) Other mixed background A a 12 e) Other ethnic background

Chinese 13

Other Ethnic background (PLEASE WRITE IN BOX) A a 11 14

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97a Would you describe yourself as an Asylum Seeker? PLEASE TICK ONE BOX ONLY

Yes 1 No 2

97b If you have you come to Scotland from one of the following countries in

the last three years, please tick which country? PLEASE TICK ONE BOX ONLY

Czech Republic 1 Lithuania 5

Estonia 2 Poland 6

Hungary 3 Slovakia 7

Latvia 4 Slovenia 8 98 What is your full postcode?

For example, if your postcode was G27 2LD you would enter: G 2 7 2 L D

PLEASE WRITE IN THE BOXES

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THANK YOU FOR TAKING PART IN THIS SURVEY

Please place the completed questionnaire in the envelope provided ready for collection.

Please hand it in to your supervisor when you have completed it.