L. MYSELF (S2, 2010)

HEALTHS2 L1 In general, would you say your health is... (Circle one number only.)

1 Excellent

2 Very good

3 Good

4 Fair

5 Poor

-9 Missing

L2 In an average week, how many days do you...

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MY5AS2 Eat Breakfast

MY5BS2 Do moderate physical activity for at least 30 minutes, such as walking or biking

MY5CS2 Do vigorous physical activity for at least 30 minutes, such as running, football, or swimming

L3 What is your current weight and height?

Height Feet:    MYHTS2     and    Inches:    MYINS2

Weight Pounds:    MYWTS2

MYSLPS2 L4 How many hours of sleep do you usually get in a 24 hour period?

1 Less than five

2 Five

3 Six

4 Seven

5 Eight

6 Nine

7 More than nine

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L5 Please indicate how much you agree or disagree with the following statements?

                                        1 Definitely disagree

2 Mostly disagree

3 Neither agree nor disagree

4 Mostly agree

5  Definitely agree

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MYHLAS2 I know a lot about things that affect  my physical health

MYHLBS2 I have deliberately developed a healthy life-style

MYHLCS2 I like my looks just the way they are

MYHLDS2 I check my appearance in a mirror whenever I can

MYHLES2 Before going out, I usually spend a lot of time getting ready

MYHLFS2 I don't do anything that I know might threaten my health

MYHLGS2 Most people would consider me good looking

MYHLHS2 I use very few beauty or styling products

MYHLIS2 I take my health for granted

MYHLJS2 I like the way my clothes fit me

MYHLKS2 I don't care what people think about my appearance

MYHLLS2 I am physically unattractive

MYWT1S2 L6 I have tried to lose weight by fasting or going on diets.

1 Never

2 Rarely

3 Sometimes

4 Often

5 Very often

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MYWT2S2 L7 I think I am:

1 Very underweight

2 Somewhat underweight

3 Normal weight

4 Somewhat overweight

5 Very overweight

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MYWT3S2 L8 From looking at me, most people would think I am:

1 Very underweight

2 Somewhat underweight

3 Normal weight

4 Somewhat overweight

5 Very overweight

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How strongly do you agree or disagree with each of the following statements? (Circle one number for each)


1 Strongly disagree

2 Disagree

3 Agree

4 Strongly Agree

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MY4AS2 L9 I feel I have a number of good qualities.

MY4BS2 L10 I certainly feel useless at times.

MY4CS2 L11 I feel I do not have much to be proud of.

MY4DS2 L12 In my community people trust each other.

MY4ES2 L13 There is really no way I can solve some of the problems I have.

MY4FS2 L14 I take a positive attitude toward myself.

MY4GS2 L15 On the whole, I am satisfied with myself.

MY4HS2 L16 Sometimes I feel that I'm being pushed around in life.

MY4IS2 L17 In my community people are careful who they trust.

MY4JS2 L18 I have little control over the things that happen to me.

MY4KS2 L19 I wish I could have more respect for myself.

MY4LS2 L20 I can do just about anything I really set my mind to do.

MY4MS2 L21 At times I think I am no good at all.

MY4NS2 L22 What happens to me in the future mostly depends on me.

MY4OS2 L23 I often feel helpless in dealing with the problems of life.

MY4PS2 L24 There is little I can do to change many of the important things in my life.

During the past month, how much of the time: (Circle one number for each)

1 None of the time

2 A little of the time

3 Some of the time

4 Most of the time

5 All of the time

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MY5AS2 L25 Have you felt that the future looks hopeful and promising?

MY5BS2 L26 Have you been under any strain, stress, or pressure?

MY5CS2 L27 Have you generally enjoyed the things you do?

MY5DS2 L28 Have you felt calm and peaceful?

MY5ES2 L29 Have you felt downhearted and blue?

MY5FS2 L30 Have you been moody or brooded about things?

MY5GS2 L31 Have you felt cheerful, lighthearted?

MY5HS2 L32 Have you felt depressed?

MY5IS2  L33 Have you been in low or very low spirits?

How many times in the past 6 months has someone your age.... (Please circle one number for each).

1 Never

2 Once

3 Twice

4 3-4 times

5 5+ times

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L34      Made fun of you, called you names, or insulted you?In schoolBULA1S2
Out of schoolBULA2S2
L35     Spread rumors about you?In schoolBULB1S2
Out of schoolBULB2S2
L36     Threatened to hurt you?In schoolBULC1S2
Out of schoolBULC2S2
L37     Pushed you, shoved you, or spit on you?In schoolBULD1S2
Out of schoolBULD2S2
L38     Tried to make you do things you did not want to do, like giving them money or other things?In schoolBULE1S2
Out of schoolBULE2S2
L39     Excluded you from activities on purpose?In schoolBULF1S2
Out of schoolBULF2S2
L40     Destroyed your property on purpose?In schoolBULG1S2
Out of schoolBULG2S2

BULHS2 L41 Did you tell a teacher or some other adult about any of these events?

1 Yes

2 No

3 These events did not happen to me

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MY8S2 L42 Have you ever hurt yourself on purpose to deal with stress?

1 Never

2 Once

3 Couple of times

4 Frequently

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MY6S2 L43 Do you have issues regarding sadness or other mental heath problems that you would like some help with?

0 No

1 Yes

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K. Rule Breaking (S2, 2010)
M. Friends And Relationships (S2, 2010)