267102412,"TeenHealthScreener11-14YrsP",0,0,8651456,0,-1,0,0,0,9,"UserName = ##USERNAME##",
1,"Date/Time Stamp",8,"","initialize:
answer = now",16,"","","","0","","","","DateTimeStamp","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","17","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
2,"FirstInitial
Please mark the initial of your first name.",6,"A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z","report:
printleft ""Teen Health Screener 11-14 Yrs"" 10
printline
printline
printleft ""Init:"" 1
printleft $2 7
printleft $3 8
printleft ""YOB:"" 15
printleft $4 20
printleft ""Date of Interview:"" 28
format $1 datetime
printleft result 47
printleft ""Page 1"" 70
printline
printleft ""Grade:"" 1
printleft $5 26
printline
printleft ""Seen Dentist:"" 1
printleft $6 26
printline
printleft ""In Hospital:"" 1
printleft $7 26
printline

printleft  ""History Probs:"" 1
printleft ""Allergies/hay fever ["" 17
result = $9 and 1
if result = 1 then
printleft ""X]"" 38
else printleft "" ]"" 38
endif

printleft ""Asthma/trble breathing ["" 42
result = $9 and 2
if result = 2 then
printleft ""X]"" 66
else printleft "" ]"" 66
endif
printline

printleft ""Seizures ["" 3
result = $9 and 4
if result = 4 then
printleft ""X]"" 13
else printleft "" ]"" 13
endif

printleft ""Heart Probs/chest pain ["" 17
result = $9 and 8
if result = 8 then
printleft ""X]"" 41
else printleft "" ]"" 41
endif

printleft ""Headaches/migraines ["" 45
result = $9 and 16
if result = 16 then
printleft ""X]"" 66
else printleft "" ]"" 66
endif
printline

printleft ""Passed Out:"" 1
printleft $10 26
printline
printleft ""Unconscious:"" 1
printleft $11 26
printline
printleft ""Sudden Death:"" 1
printleft $12 26
printline
printleft ""Boy Girl:"" 1
printleft $13 26
printline
printleft ""Periods:"" 1
printleft $14 26
printline
printleft ""PeriodsReg:"" 1
printleft $15 26
printline
printleft ""LiveWith:"" 1

printleft ""Mother ["" 12
result = $16 and 1
if result = 1 then
printleft ""X]"" 20
else printleft "" ]"" 20
endif

printleft ""Father ["" 24
result = $16  and 2
if result = 2 then
printleft ""X]"" 32
else printleft "" ]"" 32
endif

printleft ""Guardian ["" 36
result = $16  and 4
if result = 4 then
printleft ""X]"" 46
else printleft "" ]"" 46
endif

printleft ""Stepmother ["" 50
result = $16  and 8
if result = 8 then
printleft ""X]"" 62
else printleft "" ]"" 62
endif
printline

printleft ""Stepfather ["" 3
result = $16  and 16
if result = 16 then
printleft ""X]"" 15
else printleft "" ]"" 15
endif

printleft ""Other ad rel ["" 19
result = $16  and 32
if result = 32 then
printleft ""X]"" 33
else printleft "" ]"" 33
endif

printleft ""Brother ["" 37
result = $16  and 64
if result = 64 then
printleft ""X]"" 46
else printleft "" ]"" 46
endif

printleft ""Sister ["" 50
result = $16  and 128
if result = 128 then
printleft ""X]"" 58
else printleft "" ]"" 58
endif

printleft ""Other ["" 62
result = $16  and 256
if result = 256 then
printleft ""X]"" 69
else printleft "" ]"" 69
endif
printline

printleft ""FamilyChgs:"" 1
printleft ""Marriage ["" 15
result = $17 and 1
if result = 1 then
printleft ""X]"" 25
else printleft "" ]"" 25
endif

printleft ""Separation/divorce ["" 29
result = $17 and 2
if result = 2 then
printleft ""X]"" 49
else printleft "" ]"" 49
endif

printleft ""Loss of job ["" 53
result = $17 and 4
if result = 4 then
printleft ""X]"" 66
else printleft "" ]"" 66
endif
printline

printleft ""Moved to new neighborhood ["" 3
result = $17 and 8
if result = 8 then
printleft ""X]"" 30
else printleft "" ]"" 30
endif

printleft ""A new school ["" 34
result = $17 and 16
if result = 16 then
printleft ""X]"" 48
else printleft "" ]"" 48
endif

printleft ""Deaths ["" 52
result = $17 and 32
if result = 32 then
printleft ""X]"" 60
else printleft "" ]"" 60
endif
printline

printleft ""Serious Illness/injury ["" 3
result = $17 and 64
if result = 64 then
printleft ""X]"" 27
else printleft "" ]"" 27
endif

printleft ""Births ["" 31
result = $17 and 128
if result = 128 then
printleft ""X]"" 39
else printleft "" ]"" 39
endif

printleft ""Other changes ["" 43
result = $17 and 256
if result = 256 then
printleft ""X]"" 58
else printleft "" ]"" 58
endif
printline

printleft ""Health Issues:"" 1
printleft ""Weight ["" 17
result = $18 and 1
if result = 1 then
printleft ""X]"" 25
else printleft "" ]"" 25
endif

printleft ""Headaches ["" 28
result = $18 and 2
if result = 2 then
printleft ""X]"" 39
else printleft "" ]"" 39
endif

printleft ""Breasts ["" 43
result = $18 and 4
if result = 4 then
printleft ""X]"" 52
else printleft "" ]"" 52
endif

printleft ""Stom ache/Vom ["" 56
result = $18 and 8
if result = 8 then
printleft ""X]"" 71
else printleft "" ]"" 71
endif
printline",4,"","","","0","","","","FirstInitial","0","0","0","","","","","0","44","160","11","Standard","0","0","55","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
3,"LastInitial
Please mark the initial of your last name.",6,"A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z","report:
printleft ""Diarrhea/constip ["" 3
result = $18  and 16
if result = 16 then
printleft ""X]"" 21
else printleft "" ]"" 21
endif

printleft ""Menstruation or periods ["" 25
result = $18 and 32
if result = 32 then
printleft ""X]"" 50
else printleft "" ]"" 50
endif

printleft ""Wetting bed ["" 54
result = $19  and 1
if result = 1 then
printleft ""X]"" 67
else printleft "" ]"" 67
endif
printline

printleft ""Trouble peeing ["" 3
result = $19  and 2
if result = 2 then
printleft ""X]"" 19
else printleft "" ]"" 19
endif

printleft ""Dischge from penis/vagina ["" 23
result = $19  and 4
if result = 4 then
printleft ""X]"" 50
else printleft "" ]"" 50
endif

printleft ""Wet dreams ["" 54
result = $19  and 8
if result = 8 then
printleft ""X]"" 66
else printleft "" ]"" 66
endif
printline

printleft ""Anger or temper ["" 3
result = $19  and 16
if result = 16 then
printleft ""X]"" 26
else printleft "" ]"" 26
endif

printleft ""Feeling tired alot ["" 24
result = $19  and 32
if result = 32 then
printleft ""X]"" 44
else printleft "" ]"" 44
endif

printleft ""Trouble sleeping ["" 48
result = $20  and 1
if result = 1 then
printleft ""X]"" 66
else printleft "" ]"" 66
endif
printline

printleft ""Being stressed out ["" 3
result = $20  and 2
if result = 2 then
printleft ""X]"" 23
else printleft "" ]"" 23
endif

printleft ""Violence/bullying/yoursafety ["" 27
result = $20  and 4
if result = 4 then
printleft ""X]"" 56
else printleft "" ]"" 56
endif
printline

printleft ""Fitting in/belonging ["" 3
result = $20  and 8
if result = 8 then
printleft ""X]"" 25
else printleft "" ]"" 25
endif

printleft ""Other concerns to discuss ["" 29
result = $20  and 16
if result = 16 then
printleft ""X]"" 56
else printleft "" ]"" 56
endif
printline",4,"","","","0","","","","LastInitial","0","0","0","","","","","0","66","160","11","Standard","0","0","77","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
4,"YOB
What is the YEAR of your birth?",6,"1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997","report:
printleft ""Vitamins:"" 1
printleft $21 26
printline
printleft ""FruitsVegs:"" 1
printleft $22 26
printline
printleft ""Milk:"" 1
printleft $23 26
printline
printleft ""InterestEatHealthier:"" 1
printleft $24 26
printline
printleft ""TriedEatHealthier:"" 1
printleft $25 26
printline
printleft ""ConfidentEatHealthier:"" 1
printleft $26 26
printline
printleft ""EatingHabits:"" 1
printleft $27 26
printline
printleft ""EatSecret:"" 1
printleft $28 26
printline
printleft ""BodySize:"" 1
printleft $29 26
printline
printleft ""Thinner:"" 1
printleft $30 26
printline
printleft ""LoseWt:"" 1
printleft $31 26
printline
printleft ""TV:"" 1
printleft $32 26
printline
printleft ""Computer:"" 1
printleft $33 26
printline
printleft ""Exercise:"" 1
printleft $34 26
printline
printleft ""InterestExercise:"" 1
printleft $36 26
printline
printleft ""TriedExercise:"" 1
printleft $37 26
printline
printleft ""ConfidentExercise:"" 1
printleft $38 26
printline
printleft ""SchoolYou:"" 1
printleft $39 26
printline
printleft ""SchoolFamily:"" 1
printleft $40 26
printline
printleft ""GradesWorse:"" 1
printleft $41 26
printline
printleft ""LearnProbs:"" 1
printleft $42 26
printline
printleft ""FriendTalkTo:"" 1
printleft $43 26
printline
printleft ""ParentsListen:"" 1
printleft $44 26
printline
printleft ""AdultsTalkTo:"" 1
printleft $45 26
printline
printleft ""ParentsTalk:"" 1
printleft $46 26
printline",4,"","","","0","","","","YOB","0","0","0","","","","","0","88","160","11","Standard","0","0","99","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
5,"Grade
What is your grade in school?",6,"10th
9th
8th
7th
6th
5th
4th
Other ","report:
printnewpage
printleft ""Init:"" 1
printleft $2 7
printleft $3 8
printleft ""YOB:"" 15
printleft $4 20
printleft ""Date of Interview:"" 28
format $1 datetime
printleft result 47
printleft ""Page 2"" 70
printline
printline

printleft ""FamProbs:"" 1
printleft $47 26
printline
printleft ""RunAway:"" 1
printleft $48 26
printline

printleft ""GunInHome:"" 1
printleft $49 26
printline
printleft ""CarriedWeapon:"" 1
printleft $50 26
printline
printleft ""Fight:"" 1
printleft $51 26
printline
printleft ""InTroublePolice:"" 1
printleft $52 26
printline
printleft ""Helmet:"" 1
printleft $53 26
printline
printleft ""SeatBelt:"" 1
printleft $54 26
printline
printleft ""HomeTobacco:"" 1
printleft $55 26
printline
printleft ""FriendsTobacco:"" 1
printleft $57 26
printline
printleft ""UsedTobacco:"" 1
printleft $58 26
printline
printleft ""TobaccoUse:"" 1
printleft $59 26
printline
printleft ""InterestTobacco:"" 1
printleft $60 26
printline
printleft ""TriedTobacco:"" 1
printleft $61 26
printline
printleft ""ConfidentTobacco:"" 1
printleft $62 26
printline
printleft ""DriverDUI:"" 1
printleft $63 26
printline
printleft ""FriendsAlcohol:"" 1
printleft $65 26
printline
printleft ""UsedAlcohol:"" 1
printleft $66 26
printline
printleft ""RecentAlcohol:"" 1
printleft $67 26
printline
printleft ""Drunk:"" 1
printleft $68 26
printline
printleft ""InterestDrinking:"" 1
printleft $69 26
printline
printleft ""TriedDrinking:"" 1
printleft $70 26
printline
printleft ""ConfidentDrinking:"" 1
printleft $71 26
printline",0,"","","","0","","","","Grade","0","0","0","","","","","0","110","160","11","Standard","0","0","121","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
6,"SeenDentist
Have you been to the dentist in the past year?",6,"1 No
2 Yes","report:
printleft ""SniffHuff:"" 1
printleft $72 26
printline
printleft ""FamilyAlcohol:"" 1
printleft $73 26
printline
printleft ""FriendsDrugs:"" 1
printleft $74 26
printline
printleft ""Marijuana:"" 1
printleft $75 26
printline
printleft ""DrugsRecent:"" 1
printleft $76 26
printline
printleft ""InterestDrugs:"" 1
printleft $77 26
printline
printleft ""TriedDrugs:"" 1
printleft $78 26
printline
printleft ""ConfidentDrugs:"" 1
printleft $79 26
printline
printleft ""Dating:"" 1
printleft $80 26
printline
printleft ""ConsideringSex:"" 1
printleft $81 26
printline
printleft ""FriendsSex:"" 1
printleft $82 26
printline
printleft ""HadSex:"" 1
printleft $83 26
printline
printleft ""STD:"" 1
printleft $84 26
printline
printleft ""Pregnant:"" 1
printleft $85 26
printline
printleft ""PressuredSex:"" 1
printleft $86 26
printline
printleft ""SayNoInfo:"" 1
printleft $87 26
printline
printleft ""AvoidPregAIDS:"" 1
printleft $88 26
printline
printleft ""Fun:"" 1
printleft $89 26
printline
printleft ""AngryViolent:"" 1
printleft $90 26
printline
printleft ""WorryFear:"" 1
printleft $91 26
printline
printleft ""Sad:"" 1
printleft $92 26
printline
printleft ""Suicide:"" 1
printleft $93 26
printline
printleft ""Abused:"" 1
printleft $94 26
printline
printleft ""ShelterJail:"" 1
printleft $95 26
printline
printleft ""FosterCare:"" 1
printleft $96 26
printline
printleft ""Zip:"" 1
printleft $97 26
printleft $98 27
printleft $99 28
printline",0,"","","","0","","","","SeenDentist","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
7,"InHospital
Have you stayed overnight in a hospital in the last year?",6,"1 Yes
2 No","",0,"","","","0","","","","InHospital","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
8,"What you tell us is not shared with your parents or others without your permission unless we are concerned that you are in danger.
",19,"","click:
goto [history]",16,"Next","","","0","","","","ConfidentialityStmt","0","0","0","","","","","0","60","160","44","Standard","0","0","104","160","15","Standard","0",0,0,0,0,"","","0",0,0,0,0,
9,"HistoryProbs
Have you ever had any of the problems below?",22,"Allergies or hay fever
Asthma/trouble breathing
Seizures
Heart problems/chest pain
Headaches/migraines","",0,"","","","0","","","","HistoryProbs","0","0","0","history","","","","0","16","160","11","Standard","0","0","27","160","26","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
10,"PassedOut
Have you ever been dizzy or passed out during or after exercise?",6,"1 Yes
2 No","",0,"","","","0","","","","PassedOut","0","0","0","","","","","0","53","160","33","Standard","0","0","86","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
11,"Unconscious
Have you ever been unconscious or had a concussion?",6,"1 Yes
2 No","",0,"","","","0","","","","Unconscious","0","0","0","history","","","","0","97","160","33","Standard","0","0","130","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
12,"SuddenDeath
Have any of your family members or relatives died of a heart problem or sudden death before age 50?",6,"1 Yes
2 No","",0,"","","","0","","","","SuddenDeath","0","0","0","","","","","0","16","160","44","Standard","0","0","60","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
13,"Boy/Girl
Are you a boy or a girl?",6,"Boy
Girl","exit:
if answer # ""Girl"" then
 show [periods1]
 goto [periods1]
endif

goto [livewith]",0,"","","","0","","","","BoyGirl","0","0","0","","","","","0","71","160","11","Standard","0","0","82","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
14,"Periods
Have you started having periods?",6,"1 No
2 Yes","exit:
if answer # ""Yes""  then
 show [periods2]
 goto [periods2]
endif

goto [livewith]",2,"","","","0","","","","Periods","0","0","0","periods1","","","","0","93","160","11","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
15,"PeriodsReg
Are your periods regular (once a month) ?",6,"1 No
2 Yes","",2,"","","","0","","","","PeriodsRegular","0","0","0","periods2","","","","0","115","160","11","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
16,"LiveWith
With whom do you live? 
(Scroll down and check all that apply)",22,"Mother
Father
Guardian
Stepmother
Stepfather
Other adult relative
Brother(s)
Sister(s)
Other","",0,"","","","0","","","","LiveWith","0","0","0","livewith","","","","0","16","160","11","Standard","0","0","27","160","26","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
17,"FamilyChgs
During the past year, have there been any changes in your family such as: 
(Scroll down and check all that apply)",22,"Marriage
Separation/divorce
Loss of job
Moved to new neighborhood
A new school
Deaths
Serious Illness/injury
Births
Other changes","",0,"","","","0","","","","FamilyChgs","0","0","0","","","","","0","53","160","11","Standard","0","0","64","160","26","Standard","0",0,0,0,0,"","","0",0,0,0,0,
18,"HealthIssues1
Please check whether you have questions or are worried about any of the following::
(Check all that apply)",22,"Weight
Headaches
Breasts
Stomach ache/Vomiting
Diarrhea/constipation
Menstruation or periods","",0,"","","","0","","","","HealthIssues1","0","0","0","","","","","0","90","160","11","Standard","0","0","101","160","26","Standard","0",0,0,0,0,"","","0",0,0,0,0,
19,"HealthIssues2
Please check whether you have questions or are worried about any of the following::
(Check all that apply)",22,"Wetting the bed
Trouble peeing
Discharge from penis or vagina
Wet dreams
Anger or temper
Feeling tired a lot","",0,"","","","0","","","","HealthIssues2","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","26","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
20,"HealthIssues3
Please check whether you have questions or are worried about any of the following::
(Check all that apply)",22,"Trouble sleeping
Being stressed out
Violence/bullying/your safety
Fitting in/belonging
Other concerns to discuss","",0,"","","","0","","","","HealthIssues3","0","0","0","","","","","0","53","160","11","Standard","0","0","64","160","26","Standard","0",0,0,0,0,"","","0",0,0,0,0,
21,"Vitamins
Do you take any vitamin supplements?",6,"1 No
2 Yes","",0,"","","","0","","","","Vitamins","0","0","0","","","","","0","90","160","33","Standard","0","0","123","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
22,"FruitsVegs
Do you eat 5 or more servings of fruits and vegetables every day?",6,"1 No
2 Yes","",0,"","","","0","","","","FruitsVegs","0","0","0","fruit","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
23,"Milk
Do you have 3 or more servings of milk and/or milk products every day?",6,"1 No
2 Yes","exit:
if answer # ""No"" then
show from [eathealthy1] to [eathealthy3]
goto [eathealthy1] 
endif
if $[fruit] # ""No"" then
show from [eathealthy1] to [eathealthy3]
goto [eathealthy1] 
endif

goto [eatinghabits]",0,"","","","0","","","","Milk","0","0","0","milk","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
24,"InterestEatHealthier
Are you interested in eating a healthier diet?",6,"1 No
2 Yes","",2,"","","","0","","","","InterestEatHealthier","0","0","0","eathealthy1","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
25,"TriedEatHealthier
Have you tried to eat healthier in the past 6 months?",6,"1 No
2 Yes","",2,"","","","0","","","","TriedEatHealthier","0","0","0","eathealthy2","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
26,"ConfidentEatHealthier
Are you confident that you could change what you eat?",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentEatHealthier","0","0","0","eathealthy3","","","","0","60","160","22","Standard","0","0","82","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
27,"EatingHabits
Are you satisfied with your eating habits?",6,"1 No
2 Yes","exit:
if answer # ""No"" then
show [eatsecret]
goto [eatsecret]
endif

goto [bodyshape]",0,"","","","0","","","","EatingHabits","0","0","0","eatinghabits","","","","0","93","160","33","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
28,"EatSecret
Do you ever eat in secret?",6,"1 Yes
2 No","",2,"","","","0","","","","EatSecret","0","0","0","eatsecret","","","","0","16","160","22","Standard","0","0","38","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
29,"BodySize
Are you satisfied with the size or shape of your body?",6,"1 No
2 Yes","exit:
if answer # ""No"" then
show from [thinner] to [losewt]
goto [thinner]
endif

goto [TV]",0,"","","","0","","","","BodySize","0","0","0","bodyshape","","","","0","49","160","33","Standard","0","0","82","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
30,"Thinner
Do you spend a lot of time thinking about ways to be thinner?",6,"1 Yes
2 No","",2,"","","","0","","","","Thinner","0","0","0","thinner","","","","0","93","160","33","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
31,"LoseWt
Do you do things to lose weight (skip meals, take pills, try not to eat, vomit, etc)",6,"1 Yes
2 No","",2,"","","","0","","","","LoseWt","0","0","0","losewt","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
32,"TV
Do you watch 2 or more hours of TV most days? ",6,"1 Yes
2 No","",0,"","","","0","","","","TV","0","0","0","TV","","","","0","38","160","33","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
33,"Computer
Do you use a computer for games or to surf the web (not including for homework) more than 1 hour most days? ",6,"1 Yes
2 No","",0,"","","","0","","","","Computer","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
34,"Exercise
Do you work, play, or exercise enough to make you sweat or breathe hard at least 3 times a week?",6,"1 No
2 Yes","",0,"","","","0","","","","Exercise","0","0","0","exercise","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
35,"If exercise was a pill, it would be the most used and helpful medicine in the US.",19,"","click:
if $[exercise] # ""No"" then
show from [exercise1] to [exercise3]
goto [exercise1]
endif

goto [school]",0,"Next","","","0","","","","IfExerciseWasAPillItWouldBeTheMostUsedAndHelpfulMedicineInTheUS","0","0","0","","","","","0","16","160","55","Standard","0","0","71","160","15","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
36,"InterestExercise
Are you interested in getting more exercise?",6,"1 No
2 Yes","",2,"","","","0","","","","InterestExercise","0","0","0","exercise1","","","","0","86","160","33","Standard","0","0","119","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
37,"TriedExercise
Have you tried to exercise more in the past 6 months? ",6,"1 No
2 Yes","",2,"","","","0","","","","TriedExercise","0","0","0","exercise2","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
38,"ConfidentExercise
Are you confident that you could exercise more? ",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentExercise","0","0","0","exercise3","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
39,"SchoolYou
Is doing well in school important to you?",6,"1 No
2 Yes","",0,"","","","0","","","","SchoolYou","0","0","0","school","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
40,"SchoolFamily
Is doing well in school important to your family and friends?",6,"1 No
2 Yes","",0,"","","","0","","","","SchoolFamily","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
41,"GradesWorse
Are your grades this year worse than last year?",6,"1 Yes
2 No","",0,"","","","0","","","","GradesWorse","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
42,"LearnProbs
Have you been told that you have a learning problem?",6,"1 Yes
2 No","",0,"","","","0","","","","LearnProbs","0","0","0","","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
43,"FriendTalkTo
Do you have at least one friend you can talk to about problems?",6,"1 No
2 Yes","",0,"","","","0","","","","FriendTalkTo","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
44,"ParentsListen
Do you think that your parent(s) or guardian(s) usually listen to you and take you seriously?",6,"1 No
2 Yes","exit:
if answer # ""No"" then
show [anyadults]
goto [anyadults]
endif

goto [parentstalk]",0,"","","","0","","","","ParentsListen","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
45,"AdultsTalkTo
Are there any adults you really like and you can talk to?",6,"1 No
2 Yes","",2,"","","","0","","","","AdultsTalkTo","0","0","0","anyadults","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
46,"ParentsTalk
Have your parents talked with you about things like alcohol, drugs, and sex?",6,"1 No
2 Yes","",0,"","","","0","","","","ParentsTalk","0","0","0","parentstalk","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
47,"FamProbs
Are you worried about problems at home or in your family?",6,"1 Yes
2 No","",0,"","","","0","","","","FamProbs","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
48,"RunAway
Have you ever thought seriously about running away from home?",6,"1 Yes
2 No","",0,"","","","0","","","","RunAway","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
49,"GunInHome
Is there a gun, rifle, or other firearm where you live?",6,"1 Yes
2 No
3 Not sure","",0,"","","","0","","","","GunInHome","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
50,"CarriedWeapon
Have you ever carried a gun, knife, club, or other weapon to protect yourself?",6,"1 Yes
2 No","",0,"","","","0","","","","CarriedWeapon","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
51,"Fight
Have you ever been in a physical fight where you or someone else got hurt?",6,"1 Yes
2 No","",0,"","","","0","","","","Fight","0","0","0","","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
52,"InTroublePolice
Have you ever been in trouble with the police?",6,"1 Yes
2 No","",0,"","","","0","","","","InTroublePolice","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
53,"Helmet
Do you usually wear a helmet and/or protective gear when you rollerblade, skateboard, or ride a bike?",6,"1 No
2 Yes","",0,"","","","0","","","","Helmet","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
54,"SeatBelt
Do you always wear a seat belt when you ride in a car, truck, or van?",6,"1 No
2 Yes","",0,"","","","0","","","","SeatBelt","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
55,"HomeTobacco
Does anyone you live with smoke cigarettes/cigars or chew tobacco?",6,"1 Yes
2 No","",0,"","","","0","","","","HomeTobacco","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
56,"Nicotine is the most addicting drug there is.",19,"","click:
goto [friendstobacco]",0,"Next","","","0","","","","NicotineIsTheMostAddictingDrugThereIs","0","0","0","","","","","0","60","160","22","Standard","0","0","82","160","15","Standard","0",0,0,0,0,"","","0",0,0,0,0,
57,"FriendsTobacco
Have any of your close friends ever tried cigarettes or chewing tobacco?",6,"1 Yes
2 No","",0,"","","","0","","","","FriendsTobacco","0","0","0","friendstobacco","","","","0","97","160","11","Standard","0","0","108","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
58,"UsedTobacco
Have you ever tried cigarettes or chewing tobacco?",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show [tobaccouse]
goto [tobaccouse]
endif

goto [dui]",0,"","","","0","","","","UsedTobacco","0","0","0","","","","","0","119","160","11","Standard","0","0","130","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
59,"TobaccoUse
During the past month, did you smoke a cigarette or use snuff or chewing tobacco?  ",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [tobaccouse1] to [tobaccouse3]
goto [tobaccouse1] 
endif

goto [dui]",2,"","","","0","","","","TobaccoUse","0","0","0","tobaccouse","","","","0","16","160","44","Standard","0","0","60","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
60,"InterestTobacco
Are you interested in quitting or cutting down your tobacco use? ",6,"1 No
2 Yes","",2,"","","","0","","","","InterestTobacco","0","0","0","tobaccouse1","","","","0","71","160","33","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
61,"TriedTobacco
Have you ever tried to change your tobacco use? ",6,"1 No
2 Yes","",2,"","","","0","","","","TriedTobacco","0","0","0","tobaccouse2","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
62,"ConfidentTobacco
Are you confident that you could change your tobacco use? ",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentTobacco","0","0","0","tobaccouse3","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
63,"DriverDUI
Have you ever been in a car when the driver has been using drugs or alcohol?",6,"1 Yes
2 No","",0,"","","","0","","","","DriverDUI","0","0","0","dui","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
64,"4 out of 10 teenage deaths involved someone who was drinking alcohol beforehand.",19,"","click:
goto [friendsalcohol]",0,"Next","","","0","","","","A4OutOf10TeenageDeathsInvolvedSomeoneWhoWasDrinkingAlcoholBefore","0","0","0","","","","","0","16","160","33","Standard","0","0","49","160","15","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
65,"FriendsAlcohol
Have any of your close friends ever tried beer, wine, or other liquor without permission?",6,"1 Yes
2 No","",0,"","","","0","","","","FriendsAlcohol","0","0","0","friendsalcohol","","","","0","64","160","11","Standard","0","0","75","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
66,"UsedAlcohol
Have you ever tried beer, wine, or other liquor without permission?",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [pastmonths] to [beendrunk]
goto [pastmonths]
endif

goto [sniffed]",0,"","","","0","","","","UsedAlcohol","0","0","0","","","","","0","86","160","11","Standard","0","0","97","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
67,"RecentAlcohol
In the past 2 months have you drunk alcohol at least once? ",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [alcohol1] to [alcohol3]
endif",2,"","","","0","","","","RecentAlcohol","0","0","0","pastmonths","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
68,"Drunk
Have you ever been drunk or high from drinking alcohol? ",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [alcohol1] to [alcohol3]
goto [alcohol1] 
endif
if $[pastmonths] # ""Yes"" then
show from [alcohol1] to [alcohol3]
goto [alcohol1] 
endif

goto [sniffed]",2,"","","","0","","","","Drunk","0","0","0","beendrunk","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
69,"InterestDrinking
Are you interested in changing your drinking? ",6,"1 No
2 Yes","",2,"","","","0","","","","InterestDrinking","0","0","0","alcohol1","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
70,"TriedDrinking
Have you ever tried to change your drinking? ",6,"1 No
2 Yes","",2,"","","","0","","","","TriedDrinking","0","0","0","alcohol2","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
71,"ConfidentDrinking
Are you confident that you could drink less or not at all? ",6,"1 No
2 Yes","",2,"","","","0","","","","Drinking3","0","0","0","alcohol3","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
72,"SniffHuff
Have you ever sniffed or huffed things like paint, ‘Whiteout’, glue, gasoline, etc.?",6,"1 Yes
2 No","",0,"","","","0","","","","SniffHuff","0","0","0","sniffed","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
73,"FamilyAlcohol
Does anyone in your family drink or take drugs so much that it worries you?",6,"1 Yes
2 No","",0,"","","","0","","","","FamilyAlcohol","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
74,"FriendsDrugs
Have any of your close friends ever used  marijuana, other drugs, or done other things to get high?",6,"1 Yes
2 No","",0,"","","","0","","","","FriendsDrugs","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
75,"Marijuana
Have you ever used marijuana, other drugs or done other things to get high? ",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [drugs1] to [drugs4]
goto [drugs1]
endif

goto [dating]",0,"","","","0","","","","Maijuana","0","0","0","marijuana","","","","0","16","160","44","Standard","0","0","60","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
76,"DrugsRecent
In the past month, have you used marijuana, other drugs or sniffed inhalants?",6,"1 Yes
2 No","",2,"","","","0","","","","DrugsRecent","0","0","0","drugs1","","","","0","71","160","11","Standard","0","0","82","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
77,"InterestDrugs
Are you interested in changing your drug use?",6,"1 No
2 Yes","",2,"","","","0","","","","InterestDrugs","0","0","0","drugs2","","","","0","93","160","33","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
78,"TriedDrugs
Have you ever tried to change your drug use?",6,"1 No
2 Yes","",2,"","","","0","","","","TriedDrugs","0","0","0","drugs3","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
79,"ConfidentDrugs
Are you confident that you could change your drug use?",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentDrugs","0","0","0","drugs4","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
80,"Dating
Are you dating someone or going steady?",6,"1 Yes
2 No","",0,"","","","0","","","","Dating","0","0","0","dating","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
81,"ConsideringSex
Are you considering having sex (""going all the way"" or ""doing it"")?",6,"1 Yes
2 No","",0,"","","","0","","","","ConsideringSex","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
82,"FriendsSex
Have any of your friends ever had sex?",6,"1 Yes
2 No","",0,"","","","0","","","","FriendsSex","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
83,"HadSex
Have you ever had sex?",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [sex1] to [sex2]
goto [sex1]
endif

goto [pressured]",0,"","","","0","","","","HadSex","0","0","0","","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
84,"STD
Have you ever been told by a doctor or a nurse that you had a sexually transmitted disease like herpes?",6,"1 Yes
2 No","",2,"","","","0","","","","STD","0","0","0","sex1","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
85,"Pregnant
Have you ever been pregnant or gotten someone pregnant?",6,"1 Yes
2 No","",2,"","","","0","","","","Pregnant","0","0","0","sex2","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
86,"PressuredSex
Have you ever felt pressured by anyone to have sex or had sex when you did not want to?",6,"1 Yes
2 No","",0,"","","","0","","","","PressuredSex","0","0","0","pressured","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
87,"SayNoInfo
Would you like to receive information on abstinence (“how to say no to sex”)?",6,"1 Yes
2 No","",0,"","","","0","","","","SayNoInfo","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
88,"AvoidPregAIDS
Would you like to know how to avoid getting pregnant or HIV/AIDS?",6,"1 Yes
2 No","",0,"","","","0","","","","STDInfo","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
89,"Fun
Have you done something fun during the past two weeks?",6,"1 No
2 Yes","",0,"","","","0","","","","Fun","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
90,"AngryViolent
When you get angry, do you do violent things?",6,"1 Yes
2 No","",0,"","","","0","","","","AngryViolent","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
91,"WorryFear
Is there something you often worry about or fear?",6,"1 Yes
2 No","",0,"","","","0","","","","WorryFear","0","0","0","","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
92,"Sad
During the past few weeks, have you felt very sad or down or felt you have nothing to look forward to?",6,"1 Yes
2 No","",0,"","","","0","","","","Sad","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
93,"Suicide
Have you ever seriously thought about killing yourself, made a plan, or tried to kill yourself?",6,"1 Yes
2 No","",0,"","","","0","","","","Suicide","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
94,"Abused
Have you ever been physically, emotionally, or sexually abused?",6,"1 Yes
2 No","",0,"","","","0","","","","Abused","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
95,"ShelterJail
In the past year, have you stayed overnight in a homeless shelter, jail, or detention center?",6,"1 Yes
2 No","",0,"","","","0","","","","ShelterJail","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
96,"FosterCare
Have you ever lived in foster care or a group home?",6,"1 Yes
2 No","",0,"","","","0","","","","FosterCare","0","0","0","","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
97,"Zip3
What is the third digit of your Zip Code?",6,"0
1
2
3
4
5
6
7
8
9","",0,"","","","0","","","","Zip3","0","0","0","","","","","0","82","160","33","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
98,"Zip4
Fourth digit?",6,"0
1
2
3
4
5
6
7
8
9","",0,"","","","0","","","","Zip4","0","0","0","","","","","0","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
99,"Zip5
Fifth digit?",6,"0
1
2
3
4
5
6
7
8
9","",0,"","","","0","","","","Zip5","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
100,"Thank you for completing the Adolescent Health Screening.  Please leave this screen on the PDA for the doctor.  Your doctor will discuss your answers with you during the visit.",10,"End","",0,"","","","0","","","","ThanksThankYouForCompletingTheAdolescentHealthScreeningYourDocto","0","0","0","","","","","0","16","160","121","Standard","0","99","137","61","0","Standard","0",0,0,0,0,"6K","","0",0,0,0,0,
101,"Print",19,"","click:
printreport via IR",0,"Print","","","0","","","","Print1","0","0","0","","","","","0","16","160","11","Standard","0","130","27","30","15","Standard","0",0,0,0,0,"6K","","0",0,0,0,0,