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...

  • It is the school’s responsibility to notify parents/guardians if the school is using any additional questions. School personnel must make sure parents/guardians know the content of the additional questions and should keep a copy of these questions in the school office for parents who wish to see them. The additional questions must be of the same nature as the IYS survey questions in terms of sensitivity in order to use the opt-out notification process approved for the IYS. If the additional questions substantially deviate in terms of sensitivity, it may require the school to get signed consent from parents. Please follow your local protocols for parental consent for the 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.

    The Youth Risk Behavior Surveillance System (YRBSS) monitors six types of health-risk behaviors that contribute to the leading causes of death and disability among youth and adults, including
  • Behaviors that contribute to unintentional injuries and violence
  • Sexual behaviors related to unintended pregnancy and sexually transmitted diseases, including HIV infection
  • Alcohol and other drug use
  • Tobacco use
  • Nutrition, exercise, & wellness (including obesity)
  • Bullying
  • The Oregon Healthy Teens Survey is a comprehensive, school-based, anonymous and voluntary survey that is a key part of a state-wide effort to help local schools and communities ensure that all Oregon youth are healthy and successful learners who contribute positively to their communities. OHT provides schools, communities, and our state with a clearer picture of youth strengths and problems. The OHT Survey allow schools and communities to find out what prevention efforts are working and which need improvement. State and local agencies depend on OHT to assess youth needs, develop comprehensive plans and prevention programs, solicit funding, and measure outcomes. Topics in the survey include
  • Tobacco, alcohol and other drug use
  • Access to tobacco and alcohol
  • Personal safety behaviors and perceptions
  • Violent behaviors/interpersonal violence (bullying)
  • Diet and exercise
  • Extracurricular activities
  • Sexual activity and HIV/AIDS knowledge
  • Health conditions and access to care
  • Individual, peer, community and family influences on risk behaviors