Print Version (PDF)
Note:The globe icon
indicates an international question that is included in each participating country’s questionnaire.
The province or territory of your school: 
1. Are you male or female?
2. When were you born? month day year
3. In how many languages can you hold an everyday conversation?
1 . 2 . 3 . 4 . 5 . 6 . 7 . 8 . 9
4. How tall are you without your shoes on?Answer to the nearest half centimeter.
. cm
5. What is your arm span?(Open arms wide and measure distance across your back from tip of right hand middle finger to tip of left hand middle finger.) Answer to the nearest half centimetre. . cm
6. What is the length of your right foot, without a shoe? Answer to the nearest half centimetre. . cm
7. What is the length of your right forearm, from your elbow bone to your wrist bone?Answer to the nearest half centimetre. . cm
8. What is your wrist circumference in millimetres?mm (1 cm = 10 mm)
9. What colour are your eyes?
. Blue . Brown . Green . Other
10. Do you have allergies?
. Yes . No
11. Are you right-handed, left-handed or ambidextrous? (An ambidextrous person is able to use their right and left hands equally well.)
. Right-handed . Left-handed . Ambidextrous
Note: The following question can only be answered using the online questionnaire.
12. Use your dominant hand to test your reaction time. Click “Start”. As soon as you see the symbol ∞ appear in the box, click “Stop”.
13. What do you usually have for breakfast?Check all that apply:
. Grain products: (e.g., bread, cereal, toast, muffin, bagel, rice, pasta)
. Milk products and alternatives: (e.g., milk, soy beverage, cheese, yogurt)
. Vegetables and fruits: (e.g., juice, bananas, oranges, carrots, tomatoes)
. Meat and alternatives: (e.g., eggs, bacon, chicken, peanut butter, beans)
. Other: (e.g., tea, coffee, pop, chips, cookies, donuts)
. No breakfast
14. In what sport or activity do you most enjoy participating?
Athletics . Baseball/Softball . Basketball . Bowling . Cricket . Cycling
. Dancing . Football/Soccer . Golf . Gymnastics . Hockey (Field)
. Hockey (Ice) . Martial arts . Netball . Rowing . Rugby Union
. Rugby League . Running/Jogging . Skateboarding/Rollerblading
. Swimming . Table Tennis . Tennis . Walking/Hiking
. Other activities/sports . None
15. What is the main method of travel that you typically use to get to school?Choose one.
Walk . Car . Rail (Train, Tram, Subway) . Bus . Cycle
. Skateboard/Scooter/Rollerblade . Boat . Other
16. How long does it usually take you to travel to school?
Answer to the nearest minute. minutes
17. What is your favourite subject at school?Choose one.
. art . English . French . social studies . history . geography . math
. science . computers . music . physical education . other
18. In the last month, how many times have you been bullied at school? (Being bullied means when someone does or says something to make you feel uncomfortable or afraid.) Choose one:
. 0 . 1 to 3 . 4 to 9 . 10 or more
19. Which of these methods do you most often use to communicate with your friends? Choose one:
- In person
- Telephone (landline)
- Cell phone
- Text Messaging
- Internet chat or MSN
- Myspace, Facebook, blog
- Other
20. Which of the following pets do you have? Check all that apply.
bird . cat . dog . fish . gerbil . guinea pig . hamster . rabbit . reptile
. no pet . other
21. If you had $1,000 to donate to a charity of your choice, what type of organization would you choose?Choose one.
. Arts, culture, sports (e.g., community centres, museums, sports teams, music programs)
. Health (e.g., cancer, AIDS, diabetes research)
. Religious (e.g., church or activities related to worship)
. Environment (e.g., saving forests, clean air, clean water)
. Wildlife, animals (e.g., endangered species, prevention of cruelty to animals)
. Education / Youth development (e.g., reading, literacy and skills training, after-school programs)
. International aid (e.g., disaster relief, health, education and food aid in poor countries)
. Other
22. Think about someone you most look up to. This could be someone you know personally or have read about or seen on T.V. From the list below, choose the category that best describes this person.
. Relative
. Actor
. Sportsperson
. Coach or club leader
. Business person
. Religious figure
. Politician
. Teacher
. Doctor or nurse
. Musician or singer
. Friend
. Community leader or elder
. Other
23. How important are the following issues to you? Use the sliders to mark the level of importance.
24. How many people usually live in your household* (your home)?
If you live in more than one home, answer for the one in which you spend the most time.
. Don’t forget to count yourself in!
* The term “household” is used in the Census of Canada to designate people who live together in the same home.
Note: The following 4 questions are about your home. If you live in more than one home, please answer for the one you chose in question 24.
25. Does your household participate in recycling?
Metal cans: Yes . No . Don’t know
Plastic: Yes . No . Don’t know
Paper: Yes . No . Don’t know
26. Does your household separate any kitchen waste such as food scraps, coffee grinds, egg shells, etc. for composting?
Yes . No . Don’t know
27. Does your home have any energy saving compact fluorescent light bulbs?(These bulbs are often spiral shaped. They screw into regular sockets and can replace ordinary light bulbs.)
Yes . No . Don’t know
28. What type of water do you primarily drink at home?
Tap water. Bottled water . Other . None
Note: The following question can only be answered using the online questionnaire.
29. Test your memory. How quickly can you uncover all the pairs of pictures?Click on “Start” and then click on squares to uncover their pictures.
