Lancaster School.

Study Skills, Habits and Lifestyle Questionnaire

The purpose of this questionnaire is to get detailed information about the lifestyles of all students in our community. This will help us to improve the PSHE programme and the way we look after you in school. The questionnaire is 100% confidential, your answers will not be examined individually and no record will be kept of individual answer sheets.

It is very important that you answer all questions as accurately and honestly as possible.

Preliminary Information:

1. What Form are you in?

A: F1 B: F2 C: F3 D: F4 E: CCH

2. Are you male or female?

A: Male B: Female

3. When did you enter the school?

A: Preschool B: Grades 1-5 C: Form 1 or 2 D: Form 3 or 4 E: CCH

Section A: School Life

4. Which of the following sentences describes your overall school experience

a) I am very happy at the school. I have good friendships and feel part of a community.

b) I am generally happy at this school. I have some good friends. I do not want to change schools.

c) I am quite happy. I have some friends but I think I would have more in another school.

d) I do not feel like I belong at this school.

5. Have you ever been bullied at this school?

A: All the time B: Frequently C: Sometimes D: Never

6. How would you rate the school when it tries to help in cases of bullying?

A: Very Good B: Good C: Poor D: Very Poor

7. Do you feel in general that your teachers in class, listen to your ideas and opinions?

A: All the time B: Most of the time C: Sometimes D: Almost never

8. Do you feel in general that other students in class listen to your ideas and opinions?

A: All the time B: Most of the time C: Sometimes D: Almost never

9. If you want to be quiet sometimes, do you feel that your friends respect this?

A: All the time B: Most of the time C: Sometimes D: Almost never

10. Do you feel that others in your class respect your right to have different opinions from theirs?

A: All the time B: Most of the time C: Sometimes D: Almost never

11. Have you ever been teased or “given a hard time” by other students in your class for working hard?

A: Often, by most students B: Often by some students C: Sometimes by some students

D: Rarely or never

Section B- Study and organizational skills

12. Circle the number of hours you spend outside school, doing homework or schoolwork on an average day

A: Less than 1hr B: 1-2hrs C: 2-3hrs D: 3-4hrs

E: more than 4hrs

13. Which of the following sentences best describes your study habits:

(choose one sentence only.)

A: I do my work in the afternoons when I get home. I am then free to relax in the evenings

B: I take the afternoon off and work in the evenings

C: I work late at night

D: I rarely study after school

E: I only work at weekends

14. Do you use a timetable to organize your study and homework?

A: All the time B: Most of the time C: Sometimes D: Never

15.. Do you complete homework assignments on time?

A: Always B: Mostly C: Sometimes D: Almost never

16. Do you think that you would benefit from doing more school-work outside school than you do at the moment?

A: Yes B: No

17. How well do you think you are doing, academically, this year?

A: Very Well B: Well C: Not very well D: Badly

18. Is this better or worse than last year?

A: Better B: The same C: Worse

19. Are your grades explained to you by your teachers?

A: Always B: Mostly C: Sometimes D: Almost never

20 How would you rate the facilities in school for independent study?

A: Very Good B: Good C: Poor D: Very Poor

21. Where and how do you study outside school?

A: In front of the TV B: In my bedroom/study in silence C: In my bedroom/study with music

D: It depends/ no particular place

22. Do you get distracted easily when doing homework?

A: Yes B: No

23.. Are your grades lower for homework than classwork?

A: Yes B: No C: Don’t Know

24. What do you use to organise yourself at school and at home?

A: Nothing B: Record Book C: Palmtop/Laptop/Computer D: Diary /Agenda

E: Parents!

25. How often does your tutor check your record book ?

A: Every week B: Once a month C: Never D: I am in CCH, my tutor doesn’t need to.

26. How often do your parents check your record book?

A: Every week B: Once a month C: Never D: I am in CCH, my parents don’t need to.

Section C: Home Life and Health

27. Do you feel tired in school?

A: Often B: Sometimes C: Hardly ever

28. On a normal school night, what time do you go to bed?

A: Before 9pm B: 9pm-10pm C: 10pm-11pm D: 11pm-12pm E: after 12pm

29. What do you eat for breakfast on a normal morning?

A: Nothing B: Fruit C: Cereal D: Eggs or other cooked food

E: Coffee and toast

30. How often does your family sit down to eat a meal together?

A: Every Day B: Twice a week C: Once a week D: Once every 2 weeks E: Once a month or less

31. How often do you buy food from the cafeteria at school?

A: Every Day B: 3-4 times a week C: 1-2 times a week D: Almost Never

32. What do you buy from the cafeteria?

A: Doughnuts B: Hot food C: Cold food and saladsD: Fruit/Vegetables

33. Is the new cafeteria better than the old one?

A: Yes B: No C: Don’t know

34. Do you like the new break times?

A: Yes B: No C: Don’t know

35. What do you do most in your free time?

A: Sports B: Reading C: Music/Art/other classes D: Go out with friends

E: Play computer games or watch TV

36. How often do you do things with your family?

A: Every Day B: Three times a week C: Twice a week D: Once a week

E: Less than once a week

37. Do you believe that you have a healthy diet?

A: Yes B: No

38: Have you studied what a healthy diet is?

A: Yes B: No

39. Do you worry about what other people think of your weight or physical appearance?

A: Yes, often B: yes, sometimes C: No

40. How often have you been on a diet?

A: Never B: Once C: Twice D: Three times E: More than three times

41. If you have been on a diet, who recommended it?

A: A doctor or other health professional B: Friends or family C: A magazine or TV programme

D: Nobody E: I have never been on a diet

42. How many times do you eat during the day?

A: Once B: Twice C: Three to Five times D: Regular Snacks without meals

43. How much water and juice (not refrescos) do you drink in a normal day?

A: less than half a litre B: half to 1 litre C: 1-2 litres D: More than two litres.

44. How much refresco do you drink each day? (Coke, Fanta, Sprite etc.)

A: None B: 300ml (lata) C: 600ml (botella) D: more than 600ml

45. Have you ever tried smoking?

A: Yes B: No

46. Do you smoke? If you do, how many cigarettes?

A: I do not smoke B: 1-4 per day C: 5-7 per day D: 8-10 per day

E: more than 10 per day

47. When did you first try smoking?

A: Before Form 1 B: Form 1 or 2 C: Form 3 or 4 D: CCH

E: Never tried

48. Do people in your house smoke? (parents, brothers, sisters etc.)

A: Yes B: No

49. How often do you drink alcoholic drinks?

A: Never B: Once a year C: Once a month D: Once a week

E: More often than once a week

50. On an average occasion, how much alcohol do you drink?

(1 drink = 1 beer or 1 glass of wine or 1 shot of spirits)

A: I do not drink B: 1 drink , C: 2-3 drinks D: 4-5 drinks E: more than 5

51. Where do you drink alcohol?

A: At home B: In a bar or club C: At a party D: In another place

E: I do not drink

52. What type of alcoholic drink do you drink most?

A: Beer/Cider B: Wine C: Spirits (eg Tequila) D: Other

E: I do not drink

53. Have you ever tried Marijuana?

A: Yes B: No

54. Have you ever tried Cocaine?

A: Yes B: No

55. Have you ever tried Ecstacy?

A: Yes B: No

56. Have you ever tried any other drug?

A: Yes B: No

57. How often do you use illegal drugs?

A: More than once a week B: Once a week C: Once a month

D: Less than once a month E: Never

58. How good is the school at giving you information about cigarettes, drugs and alcohol?

A: Very Good B: Good C: Poor D: Very Poor

59. Do you feel that your tutor is willing to help you if you have a problem?

A: Always B: Most of the time C: Sometimes D: Never

Thank you for answering this questionnaire.