Creating Additional Questions

One of the most popular features of the IYS is the ability for schools to add up to 30 questions of their own choosing. Topics have included dating violence, youth-led prevention topics (e.g. Students Against Destructive Decisions), sexual health behaviors, traffic safety and LGBT (lesbian, gay, bisexual, and transgender) issues.

Many schools use additional questions to...

  • Collect data to respond to a variety of funding requirements
  • Investigate more thoroughly specific issues and concerns
  • Measure progress toward program outcomes
  • Gather local data to compare with state and national norms

If you would like to include additional questions...

  • You are free to create questions not addressed in the survey examples provided below
  • Your additional questions may include up to 8 response options (must mark only one response)
  • Use this template and instructions to create your additional questions forms
  • The set of questions should be sent to CPRD prior to the school's intended survey date. Doing this allows time for review of the questions and response options for correct formatting, along with time to incorporate feedback before the school prints them.
  • You must provide a copy of the questions and response options for each student or schools can choose to project the questions for the entire class. Students will answer the additional questions on the back of their survey booklets for those using a paper administration. For those administering IYS online, students would supply their answers in the final page of the electronic survey.
  • You should also send CPRD a copy of your additional questions with your completed surveys. If you are administering the IYS online, you will email the questions to the IYS Coordinator when you confirm your survey date.

Additional existing survey questions

Links to existing surveys containing questions in a myriad of interests are listed below. By using questions from these surveys, you can be more confident in the quality of the questions and in some cases will have state or national norms against which you can compare your local results. Select your topic of interest and follow the row related to that topic. Question numbers are listed for each question related to that topic on the survey. To view the actual survey in order to use their question(s), click on the survey link at the top of the column.

Contains links to outside surveys that can be used for additional questions
Topics Youth Risk Behavior Survey (YRBS)Link will open in a new window
  • School-based survey
  • 9th - 12th grades
  • Nat'l and IL benchmarks
Oregon Healthy Teens SurveyLink will open in a new window
  • School-based survey
  • 7th - 12th grades
  • No benchmarks 
National Survey on Drug Use & Health (NSDUH)Link will open in a new window
  • In-home interviews
  • 12 - 17 years old
  • Nat'l and IL benchmarks 
PSVI Bias-Based SurveyLink will open in a new window
  • Currently pilot testing 
Nutrition, exercise & wellness (including obesity) Dieting q.71-74
Food intake q.75, 78-81,83
Physical activity q.85, 87-89
Sunscreen q.92-93
Sleep q.96
Food insecurity q. 32
Eat out q.41
Beverages q.53-54, 56-57
Minutes in PE q.45
Transportation to school q.58-62
Mental health (depression, suicide)     Thoughts of death or suicide q.YD26aa-bb
Violent behaviors/interpersonal violence (e.g. bullying) Fight and injured q. 20
Electronically bullied q.25
Forced intercourse q.23
Sex by pressure q. 90
Adult sexual contact 91, 94
Group fight q.YE18c
Victim of bullying by peer q.1-8, By adult q.9    Perpetrator of bullying q.23-30
Other high risk behaviors (e.g. sexual behaviors, delinquency, gambling, vehicle related risks)
Sexual intercourse q.63-69
Steal /damage q.18
Seat belt, helmet q. 8-9
Text while driving q. 12
Type of gambling 30 day q.76
Gambling felt bad, want to stop, amount spent q. 77-79
Steal q.YE18f

Healthcare access and utilization
HIV tested q.91
Community based q.12-14,
School based q.28-31
Oral health q.20-25
Mental health service utilization at school q.YSU30-33
Exposure to prevention programs
    Community based participation q.YE22, q.YE23b,c,g,j,o,q,r,s;
School based participation:  q.YE10-15, q.YE23p, 24a-c
Media exposure q.YE25
Family factors
    Family management and support q.YE06b-g, q. YE18a
Individual/Peer factors
  Sexual orientation q.83-84
Friend disapproval of ATOD q.YE20a-c