THIS SURVEY IS CONFIDENTIAL – DO NOT PUT YOUR NAME ON THIS SURVEY

Please confirm that you agree to take part in this survey. Your answers will be grouped with other students’ answers

and nobody will be able to know your individual answers in the survey reports.

If you agree, please tick the box below

I agree to complete the survey

Why are we doing this study?

This survey is to help us understand how young people deal with today’s changing world. It will also tell us more about young people’s interests, how they use their spare time, and the issues they face.

Schools throughout New Zealand are taking part in this survey. The answers you give will be anonymous. No one will know what you write. There are no right or wrong answers. Please answer all the questions as best you can, and tell us what you really think and do.

There are six sections. Please answer all of the questions. Each section has a number of questions with instructions in BOLD TYPE that tell you how to answer the question.

Here are some examples:

1. Which of the following common family pets is your favourite?PLEASE TICK ONE BOX ONLYDogs CatsFishNone of these

2. Which of the following pets do you or your family have?PLEASE TICK ALL THAT APPLYNo one in my family has any petsDogs Cats FishOther animals

3. How many of each of the following pets do you or your family have? PLEASE TICK ONE BOX FOR EACH LINE1 Dog/s2 Cat/s3 Fish

Please answer all the questions.When you have finished the questionnaire, please check that you have answered all of the questions, then hand your questionnaire to the fieldworker who is in your classroom.

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ABOUT YOU

1. Are you:FemaleMale

2. How old are you?11 years old or younger12 years old13 years old14 years old15 years old16 years old17 years old18 years old or older

3. What class year are you in?Year 9Year 10Year 11Other (Please write in)

4. Which ethnic group, or groups, do you belong to?TICK THE BOX OR BOXES THAT APPLY TO YOUNew Zealand EuropeanMaoriSamoanCook Island MaoriTonganNiueanOther Pacific IslandChineseIndianOther AsianOther (Please write in)

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THIS SURVEY IS CONFIDENTIAL — DO NOT PUT YOUR NAME ON THIS SURVEY

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5. Thinking about your home where you normally live, who else lives with you?PLEASE TICK ALL THAT APPLYMotherFatherGrandparentsOther female caregiver (e.g. step mother, foster mother)Other male caregiver (e.g. step father, foster father) Older brother or sistersYounger brother or sistersOther people (e.g. relatives, friends, flatmates, boarders)Don’t know

6. In the past 7 days (one week), how much money did you get or earn ($ per week)?PLEASE TICK ONE BOX ONLYI did not get or earn any money$1 to $5$6 to $10 $11 to $15$16 to $20$21 to $30$31 to $40$41 to $50Over $50

7. When do you plan to leave school? PLEASE TICK ONE BOX ONLY I plan to leave school after: Year 10Year 11Year 12 Year 13I’m not sure when I’ll leave school yet

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8. For each of the statements listed below, please indicate whether you agree or disagree with them.PLEASE TICK ONE BOX FOR EACH STATEMENT 1 I feel I am treated with as much respect as other students at school/kura 2 I like going to my school/kura3 I feel proud about my school/kura

9. For each of the statements listed below, please indicate whether you agree or disagree with them.PLEASE TICK ONE BOX FOR EACH STATEMENT 1 I can trust my friends with personal problems 2 My friends understand and accept me for who I am

10. During the past 30 days (one month), how many times have you been to the following places?PLEASE TICK ONE BOX ONLY FOR EACH PLACE 1 A marae (including school marae)2 The movies (at a cinema)3 A place of worship (e.g. church, mosque) 4 A youth centre

11. During the past 30 days (one month), how many times have you done the following things?PLEASE TICK ONE BOX ONLY FOR EACH THING 1 Played sports in the weekend or after school2 Gone to a music event 3 Gone to watch a sporting event

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YOUR INTERESTS

12. Which of the following activities are you interested in (including if you have watched on TV, read about in magazines or on the internet, or participated in)?PLEASE TICK ALL THAT APPLYI am not interested in any activitiesBasketballBMXingCricket Drama or theatreGraffiti art Graphics and design, painting, drawing, or sculpture Hip-hop, B-Boy/B-GirlHockey Kapa haka (e.g. waiata, haka, poi) Maori martial arts/weaponry (e.g. taiaha, mau rakau) Martial arts (e.g. karate) Motorsport Mountain biking Netball Other dance (e.g. ballet, salsa, modern) Pacific Island cultural activities Photography Racket sports (e.g. tennis, squash, badminton)Rugby league Rugby union SkateboardingSnow sports Soccer Softball or baseballSurfing Touch rugby Tramping/hiking Volleyball I am interested in another activity or other activities not listed here

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13. Which of the following types of music do you listen to?PLEASE TICK ALL THAT APPLYI don’t listen to any musicAlternative/Indie ClassicalDrum and BassElectronic (e.g. Techno, Electronica)Heavy metalHip Hop/Urban Pacifica/RapPop Reggae/Ska/Dub/RootsRock R&B Soul/Blues/Jazz/FunkI listen to other music not listed here

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14. Which of the following magazines do you regularly read?PLEASE TICK ALL THAT APPLY I don’t regularly read any magazinesAuto TraderCleo CosmopolitanCremeDollyGirlfriend ManaNew IdeaNZ Performance CarNZ Surfing NZ Women’s WeeklyRip It Up SpasifikTearaway TV HitsWoman’s DayI regularly read other magazine(s) not listed here

15. Which of the following types of TV programmes have you watched during the past 7 days (one week)?PLEASE TICK ALL THAT APPLYReality TV (e.g. Next Top Model, Idol, Pimp My Ride)Soap operas (e.g. Shortland St, Home and Away) Current affairs (e.g. News, 60 Minutes)Comedy shows (e.g. Two and a Half Men, The Simpsons)Drama (e.g. CSI, Heroes)Music TV (e.g. C4, Juice, MTV)Sports (e.g. The Crowd Goes Wild, sports games) None of these

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16. How often do you watch…PLEASE TICK ONE BOX FOR EACH1 Movies?2 Movies that are R-rated (e.g. R16, R18)?

17. How much time do you spend on the Internet?PLEASE TICK ONE BOX ONLY5 hours or more per day3 to 4 hours per day1 to 2 hours per day Less than 1 hour per dayLess often than once a day I never use the internet

18. Have you used the Internet for any of the following during the past 30 days (one month)?PLEASE TICK ALL THAT APPLYFacebookMySpaceBebo Twitter Online chat/instant messaging/SkypeE-mailDownloading/listening to musicYou TubeWatching on-demand television programmes (e.g. On Demand, Catch Up)School workLooking for information to do with health/wellbeingFinding out about music, sport, hobbies or interestsLooking at blogsPlaying gamesOtherI have not used the Internet in the past 30 days

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19. Do you like to get a sun tan? PLEASE TICK ONE BOX ONLY Yes No, don’t like to get a sun tan No, already dark-skinnedDon’t know

20. During the last New Zealand spring and summer, how many times did you get the following types of sunburn?PLEASE TICK ONE BOX FOR EACH 1 Blistering or was in pain for 2 or more days2 Reddening or soreness of the skin after being in the sun

21. Thinking about when you have been out in the sun for more than an hour during the summer, how often would you do the following things to protect yourself? PLEASE TICK ONE BOX FOR EACH 1 Wear a hat2 Wear sunglasses 3 Apply sunscreen 4 Wear clothes that cover most of your body 5 Go into the shade

22. If you stayed out in strong sunshine for 30 minutes at the beginning of summer, with no protection at all, what would happen to your skin? PLEASE TICK ONE BOX ONLY It would just burn or go redIt would burn or go red first, then tan afterwards It would just tan Nothing would happen because I was born with dark skin

ABOUT TANNING & SUN PROTECTION

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23. Have you ever smoked a cigarette, even just a few puffs?YesNo

24. How old were you when you first tried a cigarette?PLEASE TICK ONE BOX ONLYI have never smoked cigarettes7 years old or younger8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old16 years old or older

25. How many cigarettes have you smoked in your entire life? PLEASE TICK ONE BOX ONLYNone1 to 10 cigarettes (includes just having a few puffs)11 to 100 cigarettes100 or more cigarettes

26. How often do you smoke now?PLEASE TICK ONE BOX ONLYI have never smoked cigarettes / I am not a smoker nowAt least once a dayAt least once a weekAt least once a monthLess often

ABOUT SMOKING

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27. During the past 30 days (one month), on the days you smoked, how many cigarettes did you usually smoke?PLEASE TICK ONE BOX ONLYI did not smoke cigarettes during the past 30 days (one month)Less than 1 cigarette per day1 cigarette per day2-5 cigarettes per day6-10 cigarettes per day11-20 cigarettes per dayMore than 20 cigarettes per day

28. Did you try a cigarette/tobacco for the first time in the past year (12 months)?PLEASE TICK ONE BOX ONLYYes No

29. Have you accepted a cigarette/tobacco someone has offered you in the past year (12 months)?PLEASE TICK ONE BOX ONLYI have not been offered a cigarette/tobacco in the past yearYes No

30. During the past 30 days (one month), from which of these places did you get your own cigarettes?PLEASE TICK ALL THAT APPLYI did not get any cigarettes in the past 30 days (one month) I bought them from a shop I bought them from another person I got them from friends A parent or caregiver gave them to me I took them from a parent or caregiver without asking I stole them I got them from another adult in my family/whanau or household Someone else bought them for me I got them some other way

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31. Which places did you buy cigarettes from in the past 30 days (one month)? PLEASE TICK ONE BOX FOR EACH TYPE OF PLACE (tick the ‘never’

box, if you didn’t buy cigarettes in the past month or if you do not smoke)

1 Dairy2 Liquor store / hotel3 Service station4 Supermarket5 Takeaway shop6 Vending machine7 Other shop (Please write in):

32. When you bought, or tried to buy cigarettes, in a store during the past 30 days (one month), were you ever asked to show proof of age (ID)?PLEASE TICK ONE BOX ONLYI did not try to buy cigarettes in a store during the past 30 daysYes, I was asked to show proof of age (ID) No, I was not asked to show proof of age (ID)

33. During the past 30 days (one month), has anybody refused to sell you cigarettes because of your age?PLEASE TICK ONE BOX ONLYI have not tried to buy cigarettes during the past 30 daysYes, someone refused to sell me cigarettes because of my ageNo, my age did not keep me from buying cigarettes

34. Do you usually smoke “ready made” or “roll your own” cigarettes?PLEASE TICK ONE BOX ONLYI have never smoked cigarettes / I am not a smoker nowReady made cigarettesRoll your ownsOther

35. During the past 30 days (one month), have you ever used any form of tobacco products other than cigarettes (e.g. chewing tobacco, snuff, dip, cigars, cigarillos, little cigars, pipe)?YesNo

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36. Where do you usually smoke?PLEASE TICK ONE BOX ONLYI have never smoked cigarettes / I am not a smoker nowAt home At school At work At friends’ houses At social events (e.g. parties, socials, dance parties, concerts) At public places (parks, in town) Other

37. Do you ever have a cigarette or feel like having a cigarette first thing in the morning?PLEASE TICK ONE BOX ONLYI have never smoked cigarettesI no longer smoke cigarettesNo, I don’t have or feel like having a cigarette first thing in the morningYes, I sometimes have or feel like having a cigarette first thing in the morningYes, I always have or feel like having a cigarette first thing in the morning

38. If you wanted to, do you think you could get cigarettes/tobacco from anyone in your family/whanau, or from your home?

PLEASE TICK ONE BOX ONLYDefinitely not Probably notProbably yes Definitely yes

39. If you wanted to, do you think you could get cigarettes/tobacco from any of your friends?PLEASE TICK ONE BOX ONLYDefinitely not Probably notProbably yes Definitely yes

40. If one of your best friends offered you a cigarette, would you smoke it?PLEASE TICK ONE BOX ONLYDefinitely not Probably notProbably yes Definitely yes

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41. At any time during the next year (12 months) do you think you will smoke a cigarette?PLEASE TICK ONE BOX ONLYDefinitely not Probably notProbably yes Definitely yes

42. Do you think you will be smoking cigarettes 5 years from now?PLEASE TICK ONE BOX ONLYDefinitely not Probably notProbably yes Definitely yes

43. Do you think cigarette smoking is harmful to your health?PLEASE TICK ONE BOX ONLYDefinitely not Probably notProbably yes Definitely yes

44. Once someone has started smoking, do you think it would be difficult to quit?PLEASE TICK ONE BOX ONLYDefinitely not Probably notProbably yes Definitely yes

45. Do you want to stop smoking now?PLEASE TICK ONE BOX ONLYI have never smoked cigarettesI have smoked in the past but don’t smoke nowYes, I want to stop smokingNo, I don’t want to stop smoking

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46. During the past year (12 months), have you ever tried to stop smoking cigarettes?PLEASE TICK ONE BOX ONLYI have never smoked cigarettesI did not smoke during the past yearYes, I have tried to stop smokingNo, I have not tried to stop smoking

47. Do you think you would be able to stop smoking if you wanted to?PLEASE TICK ONE BOX ONLYI have never smoked cigarettesI have already stopped smoking cigarettes Yes, I think I would be able to stop smokingNo, I don’t think I would be able to stop smoking

48. Please indicate whether you have done any of the following in the past year (12 months).PLEASE TICK ALL THAT APPLYCalled the QuitlineAttended a school/kura programme to stop smokingGot help to stop smoking through a text-to-quit service Got help to stop smoking from a doctor or other health professional Got help to stop smoking on the Internet Got help to stop smoking from a friendGot help to stop smoking from a family/whanau member Used NRT (nicotine replacement therapy e.g. patches or gum)Used the Allen Carr book/course I have not done any of these in the past year

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49. Which of the following people smoke?PLEASE TICK ALL THAT APPLYBest friend Other close friendsFatherMother Grandparent/sA teacher at schoolOther caregiver (e.g. step father or mother, foster parents) Older brother(s) Older sister(s) None of the above

50. Thinking about those people who smoke, who of the following have you asked or encouraged to quit in the past year (12 months)?PLEASE TICK ALL THAT APPLYBest friend Other close friendsFatherMother Grandparent/sA teacher at schoolOther caregiver (e.g. step father or mother, foster parents) Older brother(s) Older sister(s) None of the above

51. During the past 30 days (one month), how often did you see pictures or read about people smoking cigarettes in newspapers or magazines?PLEASE TICK ONE BOX ONLYI did not read a newspaper or magazine in the past 30 days A lot Sometimes NeverDon’t know

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52. Out of 100 people your age, how many do you think smoke cigarettes at least once a day?PLEASE TICK ONE BOX ONLYNone (0) About a quarter (25)About half (50)About three-quarters (75)Everyone (100)

53. Out of 100 adults in New Zealand, how many do you think smoke cigarettes at least once a day?PLEASE TICK ONE BOX ONLYNone (0) About a quarter (25)About half (50)About three-quarters (75)Everyone (100)

54. Do you think the smoke from other people’s cigarettes is harmful to you?PLEASE TICK ONE BOX ONLYDefinitely not Probably not Probably yes Definitely yes

55. During this school year, were you taught in any of your classes about the dangers of smoking tobacco?PLEASE TICK ONE BOX ONLYYes No Not sure

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56. Which of the following things help you to be smokefree?PLEASE TICK ALL THAT APPLYHealth reasonsPictures on cigarette packets Price of tobacco Friend/s are smokefreeAdvice from friends or family/whanauAdvice from a doctor, nurse or other health professionalInformation about smoking on TV/magazines/radio/onlineInformation about smoking I learned at schoolSmokefree/Smoking Not Our Future/Auahi Kore/Quitline messagesPlaying sportNone of theseAnother reason or reasons

57. Do people smoke inside your home?PLEASE TICK ONE BOX ONLYYes NoSometimes

58. During the past 7 days, on how many days have people smoked around you in your home?PLEASE TICK ONE BOX ONLY0 1 to 23 to 4 5 to 6 7

59. During the past 7 days, on how many days have people smoked in your presence in places other than in your home?PLEASE TICK ONE BOX ONLY0 1 to 23 to 4 5 to 6 7

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60. During the past 7 days, who of the following people smoked around you?PLEASE TICK ALL THAT APPLYNo one smoked around me in the past 7 daysBest friend Other close friendsFatherMother GrandparentsOther caregiver (e.g. step father or mother, foster parents) Older brother(s) Older sister(s) Other people not mentioned above (e.g. visitors)

61. During the past 7 days, did anyone smoke in your presence while you were travelling in cars or vans?PLEASE TICK ONE BOX ONLYYes NoI did not travel in a car / van during the past 7 days Not sure / don’t know

62. During the past 30 days (one month) how often have you noticed people smoking in the following places?:PLEASE TICK ONE BOX FOR EACH PLACE 1 Local parks or reserves2 At school3 Outdoors at a marae4 Outside doorways to public buildings (e.g. shops, office buildings)5 Outdoor seating areas of bars / restaurants / cafés

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63. For each of the statements listed below, please indicate whether you agree or disagree with them.PLEASE TICK ONE BOX FOR EACH STATEMENT1 Smokers are more popular2 Smoking helps people forget their worries3 Non-smokers dislike being around people who are smoking4 Smokers find it hard to get dates5 Smokers are tough6 Smoking is something you need to try before deciding to do it or not7 Smoking makes people look more grown up8 There is no harm in having a cigarette once in a while9 Smoking helps people relax10 Seeing someone smoking turns me off11 Smokers are often stressed 12 Smoking is enjoyable13 Smoking makes people look sexy14 Non-smokers should be proud to be smokefree/auahi kore

64. For each of the statements listed below, please indicate how often they apply to your family/whanau:PLEASE TICK ONE BOX FOR EACH STATEMENT1 My family/whanau likes to spend free time together 2 We can easily think of things to do together as a family/whanau 3 My family/whanau ask each other for help

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65. For each of the statements listed below, please indicate whether you agree or disagree with them.PLEASE TICK ONE BOX FOR EACH STATEMENT1 My parents or caregivers have set rules with me about not smoking cigarettes / tobacco2 My parents or caregivers generally know what I spend my pocket money on3 My parents or caregivers often have no idea of where I am, when I am away from my home4 My parents or caregivers know about my school life (e.g. my teachers, my grades)5 My parents or caregivers would be upset if I was caught smoking cigarettes / tobacco6 If I break any important rules that my parents or caregivers have set I always get into trouble

66. For each of the statements listed below, please indicate whether you agree or disagree with them. PLEASE TICK ONE BOX FOR EACH STATEMENT1 I support government laws that control what tobacco companies do2 Tobacco companies try to get young people to start smoking3 Tobacco companies should not be allowed to promote cigarettes and tobacco by having different symbols, phrases, names or colours on the packaging 4 There should be complete bans on displays of cigarettes and tobacco inside shops

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67. For each of the statements listed below, please indicate whether you agree or disagree with them. PLEASE TICK ONE BOX FOR EACH STATEMENT1 Cigarettes and tobacco should not be sold in New Zealand in 10 years’ time2 Smoking should be banned in all outdoor places where young people go3 The number of places allowed to sell cigarettes and tobacco should be reduced to make them less easily available4 Tax on cigarettes and tobacco should be increased and all the extra money used to help smokers wanting to quit5 If cigarettes and tobacco were not displayed in shops, young people would be less likely to start smoking6 Cigarettes and tobacco should be made more expensive so that children and young people can’t afford to buy them

68. Should smoking be allowed…PLEASE TICK ONE BOX FOR EACH STATEMENT1 Around people your age in cars? 2 In movies watched by people your age?3 In pictures or ads in magazines?4 On TV and in music videos watched by people your age

69. Which of these have you heard of?PLEASE TICK ALL THAT APPLYSmokefree Auahi KoreSmoking Not Our FutureQuit / Me Mutu Txt2QuitNone of these

70. And which one of these is the most relevant to you? PLEASE TICK ONE BOX ONLYSmokefree Auahi KoreSmoking Not Our FutureQuit / Me Mutu Txt2QuitDon’t know

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71. Which of these activities or events have you attended or taken part in? PLEASE TICK ALL THAT APPLYSmokefreerockquest Smokefree Pacifica Beats Stage ChallengeYouth Week eventsPacifika Festival PolyfestNone of these

72. During the past year (12 months), did you see this ‘auahi kore’ logo… PLEASE TICK ONE BOX FOR EACH PLACE 1 On TV ads 2 On bus shelter ads 3 In magazines 4 On websites 5 In the community (e.g. library, rec centre, pool)

73. And during the past year (12 months), did you see this ‘auahi kore’ logo…

PLEASE TICK ONE BOX FOR EACH PLACE 1 At kapa haka2 At a marae 3 At a sports ground

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74. During the past year (12 months), how often did you see advertisements or messages showing celebrities talking about smoking, being smokefree, and quitting smoking, like the example shown?

PLEASE TICK ONE BOX ONLY A lot Sometimes Never

75. Thinking about these ads, please answer each question below. PLEASE TICK ONE BOX FOR EACH STATEMENT

1 Do these ads give some good reasons not to smoke?2 Did you talk to your friends or family / whanau about these ads at all?3 Do the ads make smoking seem less cool? 4 Have the ads led some young people you know to try to quit smoking? 5 Did the ads put you off smoking?6 Are you getting a bit sick of these ads?

76. During the past year (12 months), how often did you see ‘Face the Facts’ ads or messages, like the example shown?

PLEASE TICK ONE BOX ONLY A lot Sometimes Never

77. Thinking about the ‘Face the Facts’ ads, please answer each question below… PLEASE TICK ONE BOX FOR EACH STATEMENT

1 Do these ads give some good reasons not to smoke?2 Did you talk to your friends or family/whanau about these ads at all?3 Did the ads put you off smoking?4 Did the ads make you more concerned about the impact of smoking on New Zealanders?

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That’s the end of the questionnaire!Thank you for helping us.

Please check that you have answered every question, and ticked the consent box on the front page, then hand in your questionnaire and wait to

hear what to do next.