I. MYSELF (S4, 2019-20)

I1MEHES4 In general, would you say your health is... (Circle one number only.)

1 Excellent

2 Very good

3 Good

4 Fair

5 Poor

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0

1

2

3

4

5

6

7

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I2MEBRKS4 Eat Breakfast?

I2MEMODS4 Do moderate physical activity for at least 30 minutes, such as walking or biking?

I2MEVIGS4 Do vigorous physical activity for at least 30 minutes, such as running, football, or swimming?

Height Feet:    I3MEFES4     and    Inches:    I3MEINS4

Weight Pounds:    I3MEWES4

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1 Never

2 Rarely

3 Sometimes

4 Often

5 Very often

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1 Very underweight

2 Somewhat underweight

3 Normal weight

4 Somewhat overweight

5 Very overweight

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I8MYINTS4 The next question is about intelligence--having a quick mind, catching on to things fast. How intelligent do you think you are, compared with others your age?

1 Far above average

2 Above average

3 Average

4 Below average

5 Far below average

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I9MYREAS4 How good a reader do you think you are, compared with others your age?

1 Far above average

2 Above average

3 Average

4 Below average

5 Far below average

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I10MYSCABS4 How would you rate yourself in school ability?

1 Far above average

2 Above average

3 Average

4 Below average

5 Far below average

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1 Strongly disagree

2 Disagree

3 Agree

4 Strongly Agree

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I11MEGOODS4 I feel I have a number of good qualities.

I12MEUSELESSS4 I certainly feel useless at times.

I13MENOTPROUDS4 I feel I do not have much to be proud of.

I14MEPROBS4 There is really no way I can solve some of the problems I have.

I15MEPOSATS4 I take a positive attitude toward myself.

I16MESATS4 On the whole, I am satisfied with myself.

I17MEPUSHEDS4 Sometimes I feel that I'm being pushed around in life.

I18MECONTRS4 I have little control over the things that happen to me.

I19MERESPS4 I wish I could have more respect for myself.

I20MEANYS4 I can do just about anything I really set my mind to do.

I21MENOGDS4 At times I think I am no good at all.

I22MEDEPNDS4 What happens to me in the future mostly depends on me.

I23MEHLPLESS4 I often feel helpless in dealing with the problems of life.

124MENOCHANS4 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 have you... (Circle one number for each)

1 No time

2 A little time

3 Some time

4 Most of the time

5 All of the time

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I25MESTRS4 Been under any strain, stress, or pressure?

I26MEDBS4 Felt downhearted and blue?

I27MEMBS4 Been moody or brooded about things?

I28MEDEPS4 Felt depressed?

I29MELLOWS4   Been in low or very low spirits?

Some people may do things that make you feel bad. Sometimes this is called bullying. How many times in the past 6 months has someone done the following?

1 Never

2 Once

3 Twice

4 3-4 times

5 5+ times

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I30BULNAMS4 Made fun of you, called you names, or insulted you?

I31BULRUMS4 Spread rumors about you?

I32BULTHRS4 Threatened to hurt you?

I33BULPSHS4 Pushed you, shoved you, tripped you, or spit on you?

I34BULFRCS4 Tried to make you do things you did not want to do, like giving them money or other things?

I35BULEXCS4 Excluded you from activities on purpose

I36BULDESS4 Destroyed your property on purpose?

I37BULAGES4 If you were bullied during the past 6 months, was the bully (or bullies)...

1 About your age

2 Older than you

3 Younger than you

4 I don't know the bully's (or bullies') age(s)

5 The bullies were different ages

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-8 Did not experience

I37BULTELS4 Did you tell a teacher, a parent, an employer, or someone else about any of these events?

1 Yes

2 No

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-8 Did not experience

Below is a list of events that many people experience. Please indicate which events have happened to you recently by checking the box under the year(s) or check "event did not happen".

1 Checked

-9 Not checked or Missing