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Windfields MS - Student Wellness Survey 2019 Grade 7 and Grade 8
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1. What grade are you in?
Grade 7
Grade 8
Clear selection
2. How old are you?
11 years
12 years
13 years
14 years
Clear selection
3. What class are you in?
71
72
73
74
75
76
77
78
81
82
83
84
85
86
87
88
Clear selection
4. How do you identify?
Male
Female
Other
Clear selection
5. Not everyone lives with both parents in one home. Some people spend part of their time in one home and the other part of their time in another home. Please choose one of the following statements that best describes your living situation.
I live in one home only
I split my time between two or more homes
Clear selection
6. Who lives with you in your main home (please check all that apply).
Birth Mother(s)
Step Mother
Adoptive Mother
Birth Father(s)
Step Father
Adoptive Father
Grandparent(s)
Other adult relative(s)
Foster Parent(s)
Brother(s)
Sister(s)
Others
7. How many people live in your household?
Choose
2
3
4
5
6
7
8
9
10
11 or more
9. How long have you lived in Canada?
I was born in Canada
Less than 2 years
3-5 Years
6-10 Years
11 or more years
Clear selection
9. Were your parents born in Canada?
Both parents were born in Canada
One parent was born in Canada
Neither parents were born in Canada
Clear selection
10. Which of the following best describes your background? You may choose more than one category. Are you...
White (for example, British, French, Italian, Portuguese, Ukrainian, Russian, Israeli)
Chinese
Korean
Japanese
South Asian (for example, East Indian, Pakistani, Sri Lankan)
Southeast Asian (for example, Vietnamese, Cambodian, Malaysian, Laotian)
Filipino
Black (for example, African, Caribbean, North American)
Aboriginal (for example, First Nations, Métis, Non-Status Indian)
West Asian or Arab (for example, Egyptian, Saudi Arabian, Syrian, Iranian, Iraqi, Lebanese, Afghani, Palestinian)
Latin American, Central American, South American (for example, Mexican, Brazilian, Chilean, Guatemalan, Venezuelan, Columbian, Argentinian, Salvadorian, Costa Rican)
Not Sure
11. What language do you usually speak at home?
English
French
English and French
English, French and another language
English and another language
French and another language
Other:
Clear selection
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