255384057,"TeenHealthScreener15-19Yrs",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","",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","",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,"1982
1988
1989
1990
1991
1992
1993
1994
1995
1996
1992","",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,"Not in school
College/other
12th
11th
10th
9th
8th","",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,"Yes
No **","",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","16","160","88","Standard","0","0","104","160","15","Standard","0",0,0,0,0,"K","","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,"MaleFemale
What is your sex?",6,"Male
Female","exit:
if answer # ""Female"" then
 show [periodsreg]
 goto [periodsreg]
endif

goto [familychgs]",0,"","","","0","","","","MaleFemale","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,"PeriodsReg
Are your periods regular (once a month) ?",6,"1 No
2 Yes","",2,"","","","0","","","","PeriodsRegular","0","0","0","periodsreg","","","","0","93","160","11","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
15,"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","familychgs","","","","0","16","160","11","Standard","0","0","27","160","26","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
16,"HealthIssues1
Please check whether you have questions or are worried about any of the following::
(Check all that apply)",22,"Height/Weight
Future plans/job
Stomach ache/vomiting
Diarrhea/constipation
Masturbation
Trouble peeing","",0,"","","","0","","","","HealthIssues1","0","0","0","","","","","0","53","160","11","Standard","0","0","64","160","26","Standard","0",0,0,0,0,"","","0",0,0,0,0,
17,"HealthIssues2
Please check whether you have questions or are worried about any of the following::
(Check all that apply)",22,"Discharge from penis or vagina
Wetting the bed
Sexual organs/genitals
Menstruation/periods
Wet dreams","",0,"","","","0","","","","HealthIssues2","0","0","0","","","","","0","90","160","11","Standard","0","0","101","160","26","Standard","0",0,0,0,0,"","","0",0,0,0,0,
18,"HealthIssues3
Please check whether you have questions or are worried about any of the following::
(Check all that apply)",22,"Trouble sleeping
Feeling tired a lot
Being stressed out
Violence/bullying/your safety
Anger or temper
Other concerns to discuss","",0,"","","","0","","","","HealthIssues3","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,
19,"Vitamins
Do you take any vitamin supplements?",6,"1 No
2 Yes","",0,"","","","0","","","","Vitamins","0","0","0","","","","","0","53","160","33","Standard","0","0","86","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
20,"FruitsVegs
Do you eat 5 or more servings of fruits and vegetables most days?",6,"1 No
2 Yes","",0,"","","","0","","","","FruitsVegs","0","0","0","fruit","","","","0","97","160","11","Standard","0","0","108","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
21,"Milk
Do you have 3 or more servings of milk and/or milk products most days?",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","119","160","11","Standard","0","0","130","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
22,"InterestEatHealthier
Are you interested in eating a healthier diet?",6,"1 No
2 Yes","",2,"","","","0","","","","InterestEatHealthier","0","0","0","eathealthy1","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
23,"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","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
24,"ConfidentEatHealthier
Are you confident that you could eat more fruits and vegetables?",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentEatHealthier","0","0","0","eathealthy3","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
25,"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","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
26,"EatSecret
Do you ever eat in secret?",6,"1 Yes
2 No","",2,"","","","0","","","","EatSecret","0","0","0","eatsecret","","","","0","104","160","22","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
27,"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 [exercise]",0,"","","","0","","","","BodySize","0","0","0","bodyshape","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
28,"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","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
29,"LoseWt
In the past year, have you tried to lose weight or control your weight by vomiting, taking diet pills, or laxatives?",6,"1 Yes
2 No","",2,"","","","0","","","","LoseWt","0","0","0","losewt","","","","0","16","160","44","Standard","0","0","60","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
30,"Exercise
Do you exercise or play sports that make you sweat and breathe hard for 20 min. or more at a time at least 3 times a week?",6,"1 No
2 Yes","",0,"","","","0","","","","Exercise","0","0","0","exercise","","","","0","71","160","55","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
31,"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 [tv]",0,"Next","","","0","","","","IfExerciseWasAPillItWouldBeTheMostUsedAndHelpfulMedicineInTheUS","0","0","0","","","","","0","16","160","44","Standard","0","0","60","160","15","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
32,"InterestExercise
Are you interested in exercising more?",6,"1 No
2 Yes","",2,"","","","0","","","","InterestExercise","0","0","0","exercise1","","","","0","75","160","33","Standard","0","0","108","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
33,"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,
34,"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,
35,"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","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
36,"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","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
37,"GradesWorse
Are your grades this year worse than last year?",6,"1 Yes
2 No","",0,"","","","0","","","","GradesWorse","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
38,"LearnProbs
Have you either been told you have a learning problem or do you think you have a learning problem?",6,"1 Yes
2 No","",0,"","","","0","","","","LearnProbs","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,
39,"FriendTalkTo
Do you have at least one friend you can really talk to?",6,"1 No
2 Yes","",0,"","","","0","","","","FriendTalkTo","0","0","0","","","","","0","71","160","33","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
40,"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 [runaway]",0,"","","","0","","","","ParentsListen","0","0","0","","","","","0","115","160","11","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
41,"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,
42,"RunAway
Have you ever thought seriously about running away from home?",6,"1 Yes
2 No","",0,"","","","0","","","","RunAway","0","0","0","runaway","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
43,"GunInHome
Do you or anyone you live with have a gun, rifle, or other firearm?",6,"1 Yes
2 No
3 Not sure","",0,"","","","0","","","","GunInHome","0","0","0","","","","","0","82","160","33","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
44,"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","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
45,"Fight
Have you been in a physical fight during the past 3 months?",6,"1 Yes
2 No","",0,"","","","0","","","","Fight","0","0","0","","","","","0","38","160","33","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
46,"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,
47,"WorrySafety
Are you worried about violence or your safety?",6,"1 Yes
2 No","",0,"","","","0","","","","WorrySafetyAreYouWorriedAboutViolenceOrYourSafety","0","0","0","","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
48,"Helmet
Do you usually wear a helmet and/or protective gear when you rollerblade, skateboard, ride a bike, motorcycle, or ski?",6,"1 No
2 Yes","",0,"","","","0","","","","Helmet","0","0","0","","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
49,"SeatBelt
Do you always wear a seat belt when you ride in or drive a car, truck, or van?",6,"1 No
2 Yes","",0,"","","","0","","","","SeatBelt","0","0","0","","","","","0","82","160","11","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
50,"FriendsTobacco
Do any of your close friends smoke cigarettes/cigars, use snuff or chew tobacco?",6,"1 Yes
2 No","",0,"","","","0","","","","FriendsTobacco","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,
51,"HomeTobacco
Does anyone you live with smoke cigarettes/cigars, use snuff or chew tobacco?",6,"1 Yes
2 No","",0,"","","","0","","","","HomeTobacco","0","0","0","","","","","0","71","160","44","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
52,"Nicotine is the most addicting drug there is.",19,"","click:
goto [usedtobacco]",0,"Next","","","0","","","","NicotineIsTheMostAddictingDrugThereIs","0","0","0","","","","","0","16","160","22","Standard","0","0","38","160","15","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
53,"UsedTobacco
Have you ever smoked at least one cigarette or used snuff or chewing tobacco?",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show [tobaccouse]
goto [tobaccouse]
endif

goto [familyalcohol]",0,"","","","0","","","","UsedTobacco","0","0","0","usedtobacco","","","","0","53","160","44","Standard","0","0","97","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
54,"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 [familyalcohol]",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,
55,"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,
56,"TriedTobacco
Have you ever tried to change your use of tobacco?   ",6,"1 No
2 Yes","",2,"","","","0","","","","TriedTobacco","0","0","0","tobaccouse2","","","","0","16","160","22","Standard","0","0","38","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
57,"ConfidentTobacco
Are you confident that you could change your tobacco use? ",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentTobacco","0","0","0","tobaccouse3","","","","0","49","160","33","Standard","0","0","82","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
58,"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","familyalcohol","","","","0","93","160","11","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
59,"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,
60,"FriendsAlcohol
Do any of your close friends ever use alcohol, marijuana or other drugs to get high?",6,"1 Yes
2 No","",0,"","","","0","","","","FriendsAlcohol","0","0","0","friendsalcohol","","","","0","64","160","44","Standard","0","0","108","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
61,"UsedAlcohol
Have you ever used alcohol, marijuana or other drugs to get high?",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [gethigh1] to [gethigh5]
goto [gethigh1] 
endif

goto [alcohol]",0,"","","","0","","","","UsedAlcohol","0","0","0","","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
62,"DrugsToRelax
Do you ever use alcohol/drugs to relax, feel better about yourself or fit in? ",6,"1 Yes
2 No","",2,"","","","0","","","","DrugsToRelax","0","0","0","gethigh1","","","","0","60","160","22","Standard","0","0","82","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
63,"UseDrugsAlone
Do you ever use alcohol/drugs while you are by yourself, alone?",6,"1 Yes
2 No","",2,"","","","0","","","","UseDrugsAlone","0","0","0","gethigh2","","","","0","93","160","22","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
64,"ToldToCutDown
Do your family or friends ever tell you that you should cut down on your drinking or drug use?",6,"1 Yes
2 No","",2,"","","","0","","","","ToldToCutDown","0","0","0","gethigh3","","","","0","16","160","22","Standard","0","0","38","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
65,"ForgetWhileOnDrugs
Do you ever forget things you did while using alcohol or drugs? ",6,"1 Yes
2 No","",2,"","","","0","","","","ForgetWhileOnDrugs","0","0","0","gethigh4","","","","0","49","160","22","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
66,"InTroubleOnDrugs
Have you gotten into trouble while you were using alcohol or drugs?",6,"1 Yes
2 No","",2,"","","","0","","","","InTroubleOnDrugs","0","0","0","gethigh5","","","","0","82","160","22","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
67,"RecentAlcohol
In the past month, did you have at least one drink of alcohol? ",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [alcohol1] to [alcohol3]
goto [alcohol1] 
endif

goto [marijuana]",0,"","","","0","","","","RecentAlcohol","0","0","0","alcohol","","","","0","16","160","22","Standard","0","0","38","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
68,"InterestAlcoholUse
Are you interested in changing your alcohol use?",6,"1 No
2 Yes","",2,"","","","0","","","","InterestAlcoholUse","0","0","0","alcohol1","","","","0","49","160","22","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
69,"TriedAlcoholUse
Have you ever tried to change your alcohol use? ",6,"1 No
2 Yes","",2,"","","","0","","","","TriedAlcoholUse","0","0","0","alcohol2","","","","0","82","160","33","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
70,"ConfidentAlcoholUse
Are you confident that you could drink less or not at all? ",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentAlcoholUse","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,
71,"Maijuana
In the past month, did you use marijuana, other drugs or sniff inhalants? ",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [drugs1] to [drugs3]
goto [drugs1]
endif

goto [otcdrugs]",0,"","","","0","","","","Maijuana","0","0","0","marijuana","","","","0","60","160","44","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
72,"InterestDrugs
Are you interested in changing your drug use?",6,"1 No
2 Yes","",2,"","","","0","","","","InterestDrugs","0","0","0","drugs1","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
73,"TriedDrugs
Have you ever tried to change your drug use?",6,"1 No
2 Yes","",2,"","","","0","","","","TriedDrugs","0","0","0","drugs2","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
74,"ConfidentDrugs
Are you confident that you could change your drug use?",6,"1 No
2 Yes","",2,"","","","0","","","","ConfidentDrugs","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,
75,"OTCDrugs
Do you ever use non-prescription drugs to get to sleep, stay awake, calm down, or get high?",6,"1 Yes
2 No","",0,"","","","0","","","","OTCDrugs","0","0","0","otcdrugs","","","","0","60","160","44","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
76,"Steroids
Have you ever used steroid pills or shots without a doctor telling you to?",6,"1 Yes
2 No","",0,"","","","0","","","","Steroids","0","0","0","","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
77,"GayLesbian
Do you think you may be gay, lesbian, or bisexual?",6,"1 Yes
2 No","",0,"","","","0","","","","GayLesbian","0","0","0","","","","","0","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
78,"HadSex
Have you ever had sex?",6,"1 Yes
2 No","exit:
if answer # ""Yes"" then
show from [sex1] to [sex4]
goto [sex1]
endif

goto [infosupplies]",0,"","","","0","","","","HadSex","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
79,"UseCondoms
Do you and your partner(s) always use condoms when you have sex?",6,"1 No
2 Yes","",2,"","","","0","","","","UseCondomsDoYouAndYourPartnerSAlwaysUseCondomsWhenYouHaveSex","0","0","0","sex1","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
80,"OtherContraception
Are you using a method of contraception in addition to condoms?",6,"1 No
2 Yes","",2,"","","","0","","","","OtherContraceptionAreYouUsingAMethodOfContraceptionInAdditionToC","0","0","0","sex2","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
81,"STD
Have you ever been told by a doctor or nurse that you had a sexually transmitted infection or disease?",6,"1 Yes
2 No","",2,"","","","0","","","","STD","0","0","0","sex3","","","","0","82","160","44","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
82,"Pregnant
Have you ever been pregnant or gotten someone pregnant?",6,"1 Yes
2 No","",2,"","","","0","","","","Pregnant","0","0","0","sex4","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
83,"InfoSupplies
Would you like to receive information or supplies to prevent pregnancy or sexually transmitted infections?",6,"1 Yes
2 No","",0,"","","","0","","","","InfoSupplies","0","0","0","infosupplies","","","","0","60","160","44","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
84,"AvoidPregAIDS
Would you like to know how to avoid getting pregnant or HIV/AIDS?",6,"1 Yes
2 No","",0,"","","","0","","","","PregSTDInfo","0","0","0","","","","","0","115","160","11","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
85,"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,
86,"Sad
During the past few weeks, have you felt sad or down or felt you have nothing to look forward to?",6,"1 Yes
2 No","",0,"","","","0","","","","Sad","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
87,"Suicide
Have you ever seriously thought about killing yourself, made a plan or actually tried to kill yourself?",6,"1 Yes
2 No","",0,"","","","0","","","","Suicide","0","0","0","","","","","0","60","160","44","Standard","0","0","104","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
88,"Abused
Have you ever been physically, sexually, or emotionally abused?",6,"1 Yes
2 No","",0,"","","","0","","","","Abused","0","0","0","","","","","0","16","160","33","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
89,"AngryViolent
When you get angry, do you do violent things?",6,"1 Yes
2 No","",0,"","","","0","","","","AngryViolent","0","0","0","","","","","0","60","160","11","Standard","0","0","71","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
90,"Counseling
Would you like to get counseling about something you have on your mind?",6,"1 Yes
2 No","",0,"","","","0","","","","WorryFear","0","0","0","","","","","0","82","160","44","Standard","0","0","126","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
91,"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","16","160","11","Standard","0","0","27","160","11","Standard","0",0,0,0,0,"K","","0",0,0,0,0,
92,"FosterCare
Have you ever lived in foster care or a group home?",6,"1 Yes
2 No","",0,"","","","0","","","","FosterCare","0","0","0","","","","","0","38","160","11","Standard","0","0","49","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
93,"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","60","160","33","Standard","0","0","93","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
94,"Zip4
Fourth digit?",6,"0
1
2
3
4
5
6
7
8
9","",0,"","","","0","","","","Zip4","0","0","0","","","","","0","104","160","11","Standard","0","0","115","160","11","Standard","0",0,0,0,0,"","","0",0,0,0,0,
95,"Zip5
Fifth digit?",6,"0
1
2
3
4
5
6
7
8
9","",0,"","","","0","","","","Zip5","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,
96,"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","","","","Thanks","0","0","0","","","","","0","16","160","121","Standard","0","0","137","160","0","Standard","0",0,0,0,0,"K","","0",0,0,0,0,