đ This scale is available as an interactive assessment
Communities That Care Youth Survey – Depressive Symptoms Scale (CTC-DSS)
Get your personalized results with AI interpretation
Communities That Care Youth Survey-Australian adaptation
1. How old are you? / 11 / 12 / 13 / 14 / 15 / 16
2. What year are you in? / Year 6 / Year 8
3. Are you: / Male / Female
4. In which country were you born? / Australia / Another country (please specify)âŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠ.
5. In which country was your mother born? / Australia / Another country (please specify)âŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠ.
6. In which country was your father born? / Australia / Another country (please specify)âŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠ.
7. Are you or your family Aboriginal or Torres Strait Islander? / Yes / No
8. What language do you speak at home? Please put a cross in one box only
/ English / Another language (please specify)âŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠâŠ.âŠ.
/ English and another language (please specify)âŠâŠâŠâŠâŠâŠâŠâŠâŠ.âŠâŠâŠâŠ.
9. (a) Have you changed homes in the past year? / Yes / No
(b) What is the name and postcode of the suburb/town/area where you live now?
Suburb/town/area: _______________________ Postcode:
10. Have you changed schools (including changing from primary to secondary school) in the past year? / Yes / No
11. How many times have you changed schools (including changing from primary to secondary school) since kindergarten?
[quads id=5]
ïŁ Never
ïŁ 1 or 2 times
ïŁ 3 or 4 times
ïŁ 5 or 6 times
ïŁ 7 or more times
12. How many times have you changed homes since kindergarten?
ïŁ Never
ïŁ 1 or 2 times
ïŁ 3 or 4 times
ïŁ 5 or 6 times
ïŁ 7 or more times
13. How often do you attend religious services or activities (such as going to churchâ templeâ or mosqueâ or taking part in religious youth groups)?
ïŁ Never
ïŁ Rarely
ïŁ 1-2 times a month
ïŁ About once a week or more
 14. How important is religion or spirituality in your life?
ïŁ Extremely important
ïŁ Very important
ïŁ Somewhat important
ïŁ Not very important
ïŁ Not important at all
[quads id=5]
This section asks about your experiences at school.
15. Putting them all togetherâ what were your marks like last year?
 Very good / Good / Average / Poor / Very Poor
16. During the last 4 weeksâ when school was in sessionâ how many whole days have you missed because you skipped or âwaggedâ?
None / 1/ 2/ 3 / 4 â 5 / 6 – 10 / 11 or more
Please choose BIG YES!â little yesâ little noâ or BIG NO! for each statement. Mark only one answer for each question.
17. In my schoolâ students have lots of chances to help decide things like class activities and rules.
YES! /yes /no /NO!
18. Teachers ask me to work on special classroom projects.
YES! /yes /no /NO!
19. My teachers notice when I am doing a good job and let me know about it.
YES! /yes /no /NO!
20. There are lots of chances for students in my school to get involved in sportsâ clubsâ organizationsâ or other school activities outside of class.
YES! /yes /no /NO!
21. There are lots of chances for students in my school to talk with a teacher one-on-one.
YES! /yes /no /NO!
22. I feel safe at my school.
YES! /yes /no /NO!
23. The school lets my parents know when I have done something well.
YES! /yes /no /NO!
24. My teachers praise me (tell me Iâm doing well) when I work hard in school.
YES! /yes /no /NO!
25. I have lots of chances to be part of class discussions or activities.
YES! /yes /no /NO!
26. Are your school marks better than the marks of most students in your class?
YES! /yes /no /NO!
[quads id=5]
***
27. How often do you feel that the schoolwork you are assigned is meaningful and important? Â Almost always/Often/Sometimes/Seldom/Never
28. How interesting are most of your courses to you?
Very interesting and stimulating/Quite interesting/Fairly interesting/Slightly dull/Very dull
29.How important do you think the things you are learning in school are going to be for your later life?
Very important/Quite important Fairly important/Slightly important/Not at all important
***
30.Nowâ thinking back over the past year in schoolâ how often did you:
1.    Enjoy being in school? Al most always/ Often/ Sometimes/Seldom/Never
2.    Hate being in school? Al most always/ Often/ Sometimes/Seldom/Never
3.    Try to do your best work in school? Al most always/ Often/ Sometimes/Seldom/Never
***
YOUR FRIENDS & EXPERIENCES
For this next set of questionsâ think of your four best friends (the friends you feel closest to). These questions will ask about things that have happened in the past year
31. In the past year (12 months)â how many of your four best friends have:
None of my friends=1â 1 of my friends =2â 2 of my friends=3â 3 of my friends=4â 4 of my friends=5
A. Smoked cigarettes? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
B. Tried alcohol (like beerâ wineâ or spirits) when their parents didnât know about it? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
C. Used marijuana (potâ weedâ grass)? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
D. Used other illegal drugs (like cocaineâ heroinâ ecstasyâ or amphetamines/speed)? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
E. Tried to do well in school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
F. Been involved in sportsâ clubsâ organizationsâ or other activities at school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
G. Been suspended from school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
H. Carried a weapon? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
I. Stolen something worth more than $10? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
J. Sold illegal drugs? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
K. Stolen or tried to steal a motor vehicle such as a car or motorcycle? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
L. Been arrested? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
M. drâopped out of school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
N. Been members of a gang? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
O. Attacked someone with the idea of seriously hurting them? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
[quads id=5]
***
32. How many times have you:
Never =1â Iâve done itâ but not in the past year =2â Less than once a month =3â About once a month =4â 2 or 3 times a month=5â Once a week or more=6
A. Done crazy thingsâ even if they are a little dangerous? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ 6ïŁ
B. Done something dangerous because someone dared you to do it? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ 6ïŁ
C. Done what feels good no matter what? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ 6ïŁ
***
33. In the past yearâ did you belong to a gang? ïŁ Yes ïŁ No
34. If you did belong to a gangâ did that gang have a name?
ïŁ Yes ïŁ No ïŁ I have never belonged to a gang.
***
Never=1â 1 or 2 times=2â 3 to 5 times=3â 6 to 9 times=4â 10 or more times=5
35. How many times in the past year (12 months) have you:
A. Looked forward to going to school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
B. Been involved in sportsâ clubsâ organizations or other activities at school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
C. Been involved in sportsâ clubsâ organizationsâ or other activities outside of school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
D. Made a personal effort to care for the environment in your daily life (like recycled waste or reduced energy use)? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
E. Gotten back at another student by not letting them be in your group of friends? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
F. Told lies or started rumours about other students to make other kids not like them? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
G. Called another student mean namesâ made fun of or teased him or her in a hurtful way? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
H. Carried a weapon? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
I. Been suspended from school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
J. Stolen something worth more than $10? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
K. Sold illegal drugs? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
L. Stolen or tried to steal a motor vehicle such as a car or motorcycle? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
M. Been arrested? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
N. Attacked someone with the idea of seriously hurting them? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
O. Been drunk or high at school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
P. Beaten up someone so badly that they probably needed to see a doctor or nurse? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
Q. Threatened someone with a weapon? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ
[quads id=5]
***
36. Have you been bullied recently (teased or called namesâ had rumours spread about youâ been deliberately left out of thingsâ threatened physicallyâ or actually hurt)?
ïŁ No ïŁ Yesâ less than once a week ïŁ Yesâ about once a week ïŁ Yesâ most days
37. Have you taken part in bullying another student(s) at school recently?
ïŁ No ïŁ Yesâ less than once a week ïŁ Yesâ about once a week ïŁ Yesâ most days
***
The next questions are about how you get along with others and manage your feelings.
Very bad at this=1â Poor at this=2â Good at this=3â Very good at this=4
38. How are you atâŠ
A. Letting friends know you like them by telling them or showing them? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
B. Introducing yourself to someone for the first time? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
C. Helping someone feel better when they are upset? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
D. Showing that you care when someone talks about their problems? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
E. Letting someone really get to know you? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
F. Staying friends with people? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
***
39. During the past 12 months how often have you done volunteer work to help other peopleâ such as helping out at a hospital or raising money for châarity?
Never ïŁ Once ïŁ Twice ïŁ 3 or 4 Times ïŁ 5 or more timesïŁ
***
[quads id=5]
YOUR OPINIONS
Nextâ please give us your opinion about the following statements by answering BIG YES!â little yesâ little noâ BIG NO!
40. It is important to be honest with your parentsâ even if they become upset or you get punished. YES! /yes /no /NO!
41. I think sometimes itâs okay to cheat at school. YES! /yes /no /NO!
42. I think it is okay to take something without asking if you can get away with it. YES! /yes /no /NO!
43. It is alright to beat up people if they start the fight. YES! /yes /no /NO!
44. Itâs important to think before you act. YES! /yes /no /NO!
45. I rush into thingsâ starting before I know what to do. YES! /yes /no /NO!
46. I answer without thinking about it first. YES! /yes /no /NO!
***
Very good chance=1â Pretty good chance=2â Some chance=3â Very little or no chance=4
47. What are the chances you would be seen as cool if you:
A. Smoked cigarettes? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
B. Began drinking alcoholic beverages regularlyâ that isâ at least once or twice a month? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
C. Used marijuana (potâ weedâ grass)? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
D. Carried a weapon? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
***
Not wrong at all=1â A little bit wrong=2â Wrong=3â Very wrong=4
48. How wrong do you think it is for someone your age to:
A. Smoke cigarettes? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
B. Drink beer or wine regularly? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
C. Drink spirits regularly? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
D. Use marijuana (potâ weedâ grass)? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
E. Use other illegal drugs (like cocaineâ heroinâ ecstasyâ or amphetamines/speed)? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
F. Stay away from school all day when their parents think they are at school?
1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
G. Steal something worth more than $10? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
H. Pick a fight with someone? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
I. Attack someone with the idea of seriously hurting them?
1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
J. Take a weapon to school? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
[quads id=5]
***
No risk=1â Slight risk=2â Moderate risk=3â Great risk=4
49. How much do you think people risk harming themselves (physically or in other ways) if they:
A. Smoke one or more packs of cigarettes a day? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
B. Try marijuana (potâ weedâ grass) once or twice? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
C. Use marijuana (potâ weedâ grass) regularly? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
D. Take one or two drinks of an alcoholic beverage (like beerâ wineâ or spirits) nearly every day? 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
***
YOUR FEELINGS
Please tell us how true each of the following statements are for you by answering BIG YES!â little yesâ little noâ BIG NO!
50. I do the opposite of what people tell meâ just to get them mad. YES! /yes /no /NO!
51. I ignore rules that get in my way. YES! /yes /no /NO!
52. I like to see how much I can get away with. YES! /yes /no /NO!
53. I know how to relax when I feel tense. YES! /yes /no /NO!
54. I am always able to keep my feelings under control. YES! /yes /no /NO!
55. I know how to calm down if I am feeling nervous. YES! /yes /no /NO!
56. I control my temper when people are angry with me. 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
***
57. When I have a problem âŠ
A. I blame myself. YES! /yes /no /NO!
B. I criticize myself or lecture myself. YES! /yes /no /NO!
C. I think about the best ways to handle the problem. YES! /yes /no /NO!
D. I am good at working it out. 1ïŁ 2 ïŁ 3 ïŁ 4 ïŁ
***
[quads id=5]
Please indicate how true each of the following statements has been for you during the past 2 weeks:
True=1â Sometimes=2â true Not true=3
58. In the past 2 weeks:
A. I felt miserable or unhappy. 1ïŁ 2 ïŁ 3 ïŁ
B. I didnât enjoy anything at all. 1ïŁ 2 ïŁ 3 ïŁ
C. I felt so tired I just sat around and did nothing. 1ïŁ 2 ïŁ 3 ïŁ
D. I was very restless. 1ïŁ 2 ïŁ 3 ïŁ
E. I felt I was no good anymore. 1ïŁ 2 ïŁ 3 ïŁ
F. I cried a lot. 1ïŁ 2 ïŁ 3 ïŁ
G. I found it hard to think properly or concentrate. 1ïŁ 2 ïŁ 3 ïŁ
H. I hated myself. 1ïŁ 2 ïŁ 3 ïŁ
I. I was a bad person. 1ïŁ 2 ïŁ 3 ïŁ
J. I felt lonely. 1ïŁ 2 ïŁ 3 ïŁ
K. I thought nobody really loved me. 1ïŁ 2 ïŁ 3 ïŁ
L. I thought I could never be as good as other kids. 1ïŁ 2 ïŁ 3 ïŁ
M. I did everything wrong. 1ïŁ 2 ïŁ 3 ïŁ
***
TOBACCOâ ALCOHOL & OTHER DRUGS
The next section asks about your experience with tobaccoâ alcoholâ and other drugs.
Rememberâ your answers will be kept confidential.
For the next group of questionsâ please think about your entire lifetime. If you havenât ever used the drug in your lifetimeâ please mark âNeverâ for that questions.
[quads id=5]
 Never=1â 1 or 2 times=2â 3 to 5 times=3â 6 to 9 times=4â 10 or more times=5
59. In your lifetime have you ever:
A. Smoked cigarettes? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
B. Had more than just a few sips of an alcoholic beverage (like beerâ wine or spirits)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
C. Used marijuana (potâ weedâ grass)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
D. Sniffed glueâ breathed the contents of an aerosol spray canâ or inhaled other gases or spraysâ in order to get high? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
E. Used phenoxydine (poxâ PXâ breeze)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
F. Used other illegal drugs (like cocaineâ heroinâ ecstasyâ or amphetamines/speed)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
***
60. Have you smoked cigarettes in the past year?
ïŁ Never ïŁ Regularlyâ but less than every day ïŁ Once or twice ïŁ Almost every day or every day ïŁ Once in a while but not regularly
***
Never=1â 1 or 2 times=2â 3 to 5 times=3â 6 to 9 times=4â 10 or more times=5
61. In the past 30 daysâ have you:
A. Smoked cigarettes? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
B. Had more than just a few sips of an alcoholic beverage (like beerâ wine or spirits)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
C. Used marijuana (potâ weedâ grass)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
D. Sniffed glueâ breathed the contents of an aerosol spray canâ or inhaled other gases or spraysâ in order to get high? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
E. Used phenoxydine (poxâ PXâ breeze)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
F. Used other illegal drugs (like cocaineâ heroinâ ecstasyâ or amphetamines/speed)? ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
***
62. How frequently have you smoked during the past 30 days?
ïŁ Not at all ïŁ 10-19 cigarettes per day ïŁ Less than one cigarette per day ïŁ 20-29 cigarettes per day ïŁ 1-5 cigarettes per day ïŁ 30-39 cigarettes per day ïŁ 6-9 cigarettes per day ïŁ 40 or more cigarettes per day
***
[quads id=5]
If you have never had more than a few sips of alcohol in your lifetime please skip to the beginning of the next section âHealth & Personal Experiencesââ Question 65.
63. The last time you did have alcoholâ where did you get it? Please choose only one answer.
|
ïŁ I bought it.
|
ïŁ I didnât buy it.
|
|
Where did you buy it?
|
How did you get it?
|
|
ïŁ Hotelâ pub or tavern
ïŁ Licensed store or supermarket
ïŁ Walk-in-bottle-shop
ïŁ Club
ïŁ Restaurant
ïŁ Disco or dance
ïŁ Sporting event
ïŁ Other __________________
|
ïŁ My parent(s) gave it to me
ïŁ My brother or sister gave it to me
ïŁ I took it from home without my parentsâ permission
ïŁ Friends gave it to me
ïŁ I got someone to buy it for me
ïŁ Other _________________
|
64. Think back over the past 2 weeks. How many times have you had five or more alcoholic drinks in a row? ïŁ None ïŁ Once ïŁ Twice ïŁ 3-5 times ïŁ 6-9 times
ïŁ 10 or more times
HEALTH & PERSONAL EXPERIENCES
65. In generalâ how would you describe your health?
ïŁ Excellent ïŁ Very good ïŁ Good ïŁ Fair ïŁPoor
***
[quads id=5]
For the next questionsâ you will be asked about your physical activity.
Physical activity is any activity that increases your heart rate and makes you get out of breath some of the time. Some examples are: runningâ fast walkingâ riding a bikeâ dancingâ skateboardingâ swimmingâ soccerâ basketballâ football & surfing.
Add up all the time you spend in physical activity each day (donât include your PE or gym classes):
66. Over the past 7 days on how many days were you physically active for a total of at least 60 minutes per day?
0 days 1 2 3 4 5 6 7 days
67. Over a normal weekâ on how many days were you physically active for a total of at least 60 minutes per day?
0 days 1 2 3 4 5 6 7 days
68. How much do you enjoy physical activity or exercise?
ïŁ Not at all ïŁ A bit ïŁ Quite ïŁa lot A lot
69. How do you mainly get to school on most days? (please mark only one answer)
ïŁ Walk ïŁ Bike ïŁ Car ïŁ Bus/tram/train ïŁOther
70. How do you mainly get home from school on most days? (please mark only one answer)
ïŁ Walk ïŁ Bike ïŁ Car ïŁ Bus/tram/train ïŁOther
71. About how far is it from your home to your school?
ïŁ Less than 1 km ïŁ 1 to 2 kms ïŁ 2 to 3 kms ïŁ 3 to 4 kms ïŁ5 km or more
72. Name the two streets that are closest to your home:
(Note: This will help us to estimate the distance you travel to school each day.)
***
[quads id=5]
73. What do you usually do at recess/playtime? (âUsuallyâ means 3 or more days a week) (Tick one only)
ïŁ Sit and talk to friends
ïŁ Walk around the school
ïŁ Run around playing sports/games
ïŁ Read/study for the next class
ïŁ Nothing much
ïŁ Other
74. What do you usually do at lunch time? (âUsuallyâ means 3 or more days a week) (Tick one only)
ïŁ Sit and talk to friends
ïŁ Walk around the school
ïŁ Run around playing sports/games
ïŁ Read/study for the next class
ïŁ Nothing much
ïŁ Other
75. In an average week when you are at schoolâ on how many days do you go to physical education (PE) classes?
ïŁ 0ïŁ 1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ5
76. In the last school weekâ during your physical education (PE) classesâ how often were you very active (playing hardâ runningâ jumpingâ throwingâ dancing)? (Tick one only)
ïŁ I donât do PE ïŁ Hardly ever ïŁ Sometimes ïŁ Quite oftenïŁ Always
77. In the last school week on how many days after school (e.g. end of school until bed-time) did you do sportsâ danceâ or play games in which you were very active? (Tick one only)
ïŁ None ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5
78. On the last weekendâ how many times did you do sportsâ danceâ or play games in which you were very active? (Tick one only)
ïŁNone ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5 or more
79. Were you sick in the last weekâ or did anything stop you from doing your normal physical activities?
ïŁ Yes ïŁ No
80. During the past 12 monthsâ on how many sports teams did you play at school?
ïŁNone ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5 or more
81. During the past 12 monthsâ on how many sports teams did you play outside of school?
ïŁNone ïŁ1 ïŁ2 ïŁ3 ïŁ4 ïŁ5 or more
***
[quads id=5]
ïŁ Strongly disagree ïŁ Somewhat disagree ïŁ Neutral ïŁ Somewhat agree ïŁ Strongly agree
82. How much do you agree with the following statements? (tick one box for each item)
A. At home there are enough supplies and pieces of sports equipment (like ballsâ bicyclesâ skates)to use for physical activities.
B. There are playgroundsâ parks or gyms close to my home or that I can get to easily.
C. It is safe to walk or jog alone in my neighborhood during the day
D. It is difficult to walk or jog in my neighbourhood because of things like trafficâ no footpathsâ dogsâ gangsâ etc.
***
ïŁ Never
ïŁ Once
ïŁ Some-times
ïŁ Almost Everyday
ïŁ Everyday
83. DURING A NORMAL WEEKâ how often has someone you live with (e.g. fatherâ motherâ brotherâ sisterâ grandparentâ or other relative):
A. Encouraged you to do physical activity or play sports?
B. Done a physical activity or played sports with you?
C. Provided transportation to a place where you can do physical activities or play sports?
D. Watched you participate in physical activities or sports?
E. Told you that you are doing well in physical activities or sports?
84. DURING A NORMAL WEEKâ how often (tick one answer)
A. Do you encourage your friends to do physical activity or play sports?
B. Do your friends encourage you to do physical activity or play sports?
C. Do your friends do physical activities or play sports with you?
D. Do other kids tease you for not being good at physical activity or sports?
E. Do friends tell you that you are doing well in physical activities or sports?
***
[quads id=5]
85. On school days for how many hours do you usually watch TV?
ïŁ None ïŁ Less than one hour ïŁ 1 to 2 hours ïŁ 2 to 4 hours ïŁ 4 to 6 hours ïŁMore than 6 hours
86. On weekend days for how many hours do you usually watch TV?
ïŁ None ïŁ Less than one hour ïŁ 1 to 2 hours ïŁ 2 to 4 hours ïŁ 4 to 6 hours ïŁMore than 6 hours
87. On school days how many hours do you usually spend on a computer or playing video games such as gamecubeâ xboxâ PS2â PSPâ GBAâ etc.?
ïŁ None ïŁ Less than one hour ïŁ 1 to 2 hours ïŁ 2 to 4 hours ïŁ 4 to 6 hours ïŁMore than 6 hours
88. On weekend days how many hours do you usually spend on a computer or playing video games such as gamecubeâ xboxâ PS2â PSPâ GBAâ etc.?
ïŁ None ïŁ Less than one hour ïŁ 1 to 2 hours ïŁ 2 to 4 hours ïŁ 4 to 6 hours ïŁMore than 6 hours
***
Number of serves per day
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
The next questions are about what you eat.
Meals and snacks
Â ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Full cream milkâ yoghurt or dairy food (include milk used on cereal)
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Reduced fat milkâ yoghurt or dairy food (include milk used on cereal)
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
100% Fruit juice (donât count cordial or fruit drinks)
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Hamburgerâ hot dogâ or sausage
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Potato crisps or savoury snacks
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Bread (slices)
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Biscuitsâ doughnutsâ cakeâ pie or chocolate
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Waterâ bottled or from the tap.
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Sweet drinks such as soft drinksâ cordialâ Big Mâ flavoured mineral waterâ etc.
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Fruitâ 1 serve =- 1 piece of fruitâ such as apple or pear OR – 1 small packet dried fruitâ like sultanas OR – Âœ cup of fruit salad or canned fruit
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
Vegetablesâ 1 serve =- Âœ cup cooked vegetables OR – 1 cup salad OR – 1 medium-size potato
ïŁ None ïŁ1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 or more
***
[quads id=5]
90. On how many days per week do you eat breakfast or something before school starts?
ïŁ None ïŁ 1 ïŁ 2 ïŁ 3 ïŁ 4 ïŁ 5 ïŁ 6 ïŁ 7
91. How often do you usually eat food from a takeaway? (e.g. McDonaldsâ KFCâ Hungry Jacksâ Subwayâ Fish and Chipsâ Hamburgersâ etc.)
ïŁ Less than once a month
ïŁ Once a month
ïŁ2 â 3 times a month
ïŁ Once a week
ïŁ2 â 3 times a week
ïŁ Most days
92. How do you describe your weight?
ïŁ Very underweight
ïŁ Slightly underweight
ïŁ About the right weight
ïŁ Slightly overweight
ïŁ Very overweight
93. How would you describe your motherâs/female guardianâs weight?
ïŁ Very underweight
ïŁ Slightly underweight
ïŁ About the right weight
ïŁ Slightly overweight
ïŁ Very overweight
94. How would you describe your fatherâs/male guardianâs weight?
ïŁ Very underweight
ïŁ Slightly underweight
ïŁ About the right weight
ïŁ Slightly overweight
ïŁ Very overweight
95. Which of the following are you trying to do about your weight?
ïŁ Lose weight
ïŁ Gain weight
ïŁ Stay the same weight
ïŁ I am not trying to doanything about my weight
***
[quads id=5]
96. How would you feel if you gained one or two kilograms in weight?
ïŁ It would please me
ïŁ It wouldnât bother me
ïŁ Iâd be a little concerned
ïŁ It would worry me
ïŁ It would really upset me
***
97.
ïŁ Seldom / never
ïŁ Sometimes
ïŁ Often
ïŁ Almost always
A. Do you try to avoid âfatteningâ foods or foods with sugar in them?
B. Do you deliberately (on purpose) eat low calorie foods to help you to slim?
C. Do you try to eat less than a certain number of calories as a means of controlling weight?
D. Do you try to leave food at meal times in order to avoid putting on weight?
E. When you have eaten too muchâ do you eat less than usual on the following days?
F. Do you deliberately take small helpings at meals to keep your weight under control?
G. Do you avoid snacks between meals because you are watching your weight?
H. Do you skip meals other than breakfast because you are watching your weight?
***
[quads id=5]
The next questions are about changes that may be happening to your body. These changes normally happen to different people at different ages. If you are unsure of which answer to chooseâ just give your best guess.
ïŁ Has not started yet
ïŁ Has barely started
ïŁ Has definitely started
ïŁ Seems complete
98. Would you say that your growth in height (growth spurt):
99. And how about the growth of your body hair? (âBody hairâ means hair in any place other than your headâ such as under your arms). Would you say that your body hair growth:
100. Have you noticed any skin changesâ especially pimples?
If you are femaleâ please skip to Question 101f.
If you are maleâ please continue
101m. Have you begun to grow hair on your face?
102m. Have you noticed a deepening of your voice?
103. Have you ever had sex?
No___ If noâ skip to Question 104.
Yes___ 103a. If yesâ how old were you when you first had sex?
_______ Years and _________ Months old
***
YOUR FAMILY
104. Think of where you live most of the time. Who lives there with you?
Please choose ALL that apply:
Please choose ALL that apply:
Mother /Father /Aunt /Sister(s) /Stepmother /Stepfather /Uncle /Brother(s) /Foster Mother /Foster Father /Stepbrother(s) or stepsister(s) /Other Children /Grandmother /d. Grandfather /Other Adults /I donât live with anyone at the moment /Other (please explain): _________________________________
105. Is the house or flat you live in owned by your family or rented?
Owned (or being paid off) /Rented
***
[quads id=5]
The rest of the questions in this section are about your family. When we ask about your mother and fatherâ we want you to think about who you live with most of the time – this could include step-parentsâ foster parents or guardians.
106. What is your motherâs highest level of education?
Didnât complete high school (year 12) /Completed high school (year 12) /Has a degree from a University /I donât know.
107. What is your fatherâs highest level of education?
Didnât complete high school (year 12) /Completed high school (year 12) /Has a degree from a University /I donât know.
108. Is your mother in paid work?
Noâ not working /Yesâ full-time /Noâ retired /Yesâ part-time /My mother/stepmother doesnât live with me
109. Is your father in paid work?
Noâ not working /Yesâ full-time /Noâ retired /Yesâ part-time /My father/stepfather doesnât live with me
110. My parents notice when I am doing a good job and let me know about it.
All of the time /Often /Sometimes /Never or almost never
111. How often do your parents tell you theyâre proud of you for something youâve done?
All of the time /Often /Sometimes /Never or almost never
***
[quads id=5]
Please answer the following items about your family by choosing YES!=1â little yes=2â little no=3â BIG NO!=4
112. Do you feel very close to your mother?
YES! /yes /no /NO!
113. Do you share your thoughts and feelings with your mother?
YES! /yes /no /NO!
114. Do you enjoy spending time with your mother?
YES! /yes /no /NO!
115. Do you feel very close to your father?
YES! /yes /no /NO!
116. Do you share your thoughts and feelings with your father?
YES! /yes /no /NO!
117. Do you enjoy spending time with your father?
YES! /yes /no /NO!
118. If I had a personal problemâ I could ask my mum or dad for help.
YES! /yes /no /NO!
119. My parents give me lots of chances to do fun things with them.
YES! /yes /no /NO!
120. My parents ask if Iâve done my homework.
YES! /yes /no /NO!
[quads id=5]
121. Would your parents know if you did not come home on time?
YES! /yes /no /NO!
122. The rules in my family are clear.
YES! /yes /no /NO!
123. My parents ask me what I think before most family decisions affecting me are made.
YES! /yes /no /NO!
124. When I am not at homeâ one of my parents knows where I am and who I am with.
YES! /yes /no /NO!
125. My parents want me to call if Iâm going to be late getting home.
YES! /yes /no /NO!
126. My family has clear rules about alcohol and drug use.
YES! /yes /no /NO!
127. My parents try to control everything I do.
YES! /yes /no /NO!
128. My parents treat me like a baby and try to protect me from everything.
YES! /yes /no /NO!
129. We argue about the same things in my family over and over.
YES! /yes /no /NO!
130. People in my family have serious arguments.
YES! /yes /no /NO!
[quads id=5]
131. People in my family often insult or yell at each other.
YES! /yes /no /NO!
132. If you drank some alcohol (like beerâ wineâ or spirits) without your parentsâ permissionâ would you be caught by your parents?
YES! /yes /no /NO!
133. If you carried a weapon without your parentsâ permissionâ would you be caught by your parents?
YES! /yes /no /NO!
134. If you skipped school without your parentsâ permissionâ would you be caught by your parents?
YES! /yes /no /NO!
***
135. Does your mother smoke?
 Never / Occasionally / Most days / Every day / Ex-smoker
136. Does your father smoke?
 Never / Occasionally / Most days / Every day / Ex-smoker
137. Does your mother drink alcohol?
 Never / Occasionally / Most days / Every day
138. Does your father drink alcohol?
 Never / Occasionally / Most days / Every day
***
[quads id=5]
139.
Have any of your brothers or sisters ever:
A.   Smoked cigarettes?
Yes /No /Donât Know /I donât have any brothers or sisters
B.    Drunk alcohol (like beerâ wine or spirits)?
Yes /No /Donât Know /I donât have any brothers or sisters
C.   Used marijuana (potâ weedâ grass)?
Yes /No /Donât Know /I donât have any brothers or sisters
D.   Taken a weapon to school?
Yes /No /Donât Know /I donât have any brothers or sisters
E.    Been suspended or expelled from school?
Yes /No /Donât Know /I donât have any brothers or sisters
***
140. How wrong do your parents feel it would be for you to:
Not wrong at all /A little bit wrong /Wrong /Very wrong
A.    Smoke cigarettes?
Not wrong at all /A little bit wrong /Wrong /Very wrong
B.    Drink beer or wine regularly (at least once or twice a month)?
Not wrong at all /A little bit wrong /Wrong /Very wrong
C.    Drink spirits regularly (at least once or twice a month)?
Not wrong at all /A little bit wrong /Wrong /Very wrong
D.    Use marijuana (potâ weedâ grass)?
Not wrong at all /A little bit wrong /Wrong /Very wrong
E.     Steal something worth more than $10?
Not wrong at all /A little bit wrong /Wrong /Very wrong
F.     Draw graffitiâ or write things or draw pictures on buildings or other property (without the ownerâs permission)?
Not wrong at all /A little bit wrong /Wrong /Very wrong
G.    Pick a fight with someone?
Not wrong at all /A little bit wrong /Wrong /Very wrong
***
[quads id=5]
141. Has anyone in your family ever had a severe alcohol or drug problem?
ïŁ Yes ïŁ No
***
YOUR NEIGHBOURHOOD
The next section asks about the neighbourhood and community where you live.
142. How much do each of the following statements describe your neighbourhood
YES! /yes /no /NO!
A.   Lots of empty or abandoned buildings.
YES! /yes /no /NO!
B.    Lots of graffiti.
YES! /yes /no /NO!
C.   Fights.
YES! /yes /no /NO!
D. rime and/or drug selling
YES! /yes /no /NO!
***
143. Are the following activities available for people your age in your community?
Yes /No
A. Sports teams.
Yes /No
B. Scouting (Scoutsâ Cubsâ Girl Scoutsâ Browniesâ etc.).
Yes /No
C. Youth groups (boysâ and girlsâ clubsâ church groupsâ etc.).
Yes /No
D. Community service (visiting or helping peopleâ environmental projectsâ fundraising for châarityâ service clubs).
Yes /No
***
[quads id=5]
144. There are lots of adults in my neighbourhood that I could talk to about something important.
YES! /yes /no /NO!
145. There are people in my neighbourhood who are proud of me when I do something well.
YES! /yes /no /NO!
146. There are people in my neighbourhood who encourage me to do my best.
YES! /yes /no /NO!
147. My neighbours notice when I am doing a good job and let me know about it.
YES! /yes /no /NO!
148. In my neighbourhoodâ kids can help decide which activities are provided or how they are run.
YES! /yes /no /NO!
149. In my neighbourhoodâ adults pay attention to what kids have to say.
YES! /yes /no /NO!
150. I feel safe in my neighbourhood.
YES! /yes /no /NO!
151. Iâd like to get out of my neighbourhood.
YES! /yes /no /NO!
152. If I had to moveâ I would miss the neighbourhood I now live in.
YES! /yes /no /NO!
153. I like my neighbourhood.
YES! /yes /no /NO!
154. If a kid drank some alcohol (like beerâ wineâ or spirits) in your neighbourhoodâ would he or she be caught by the police?
YES! /yes /no /NO!
155. If a kid used marijuana in your neighbourhoodâ would he or she be caught by the police?
YES! /yes /no /NO!
156. If a kid carried a weapon in your neighbourhoodâ would he or she be caught by the police?
YES! /yes /no /NO!
[quads id=5]
***
157. If you wanted to get some cigarettesâ how easy would it be for you to get some?
Very easy /Sort of easy /Sort of hard /Very hard
158. If you wanted to get some alcohol (like beerâ wineâ or spirits)â how easy would it be for you to get some?
Very easy /Sort of easy /Sort of hard /Very hard
159. If you wanted to get some marijuana (potâ weedâ grass)â how easy would it be for you to get some?
Very easy /Sort of easy /Sort of hard /Very hard
160. If you wanted to get a drug like cocaineâ heroineâ ecstasy or amphetamines (speed)â how easy would it be for you to get some?
Very easy /Sort of easy /Sort of hard /Very hard
161. If you wanted to get a handgunâ how easy would it be for you to get one?
Very easy /Sort of easy /Sort of hard /Very hard
***
162. About how many adults (over 21) have you known personally who in the past year have:
None /1 adult /2 adults /3 or 4 adults /5 or more adults
A. Gotten drunk or high?
None /1 adult /2 adults /3 or 4 adults /5 or more adults
B. Used marijuana (potâ weedâ grass) or other illegal drugs?
None /1 adult /2 adults /3 or 4 adults /5 or more adults
C. Sold or dealt drugs?
None /1 adult /2 adults /3 or 4 adults /5 or more adults
D.   Done other things that could get them in trouble with the police like stealingâ selling stolen goodsâ mugging or assaulting others (beaten someone up) etc.?
None /1 adult /2 adults /3 or 4 adults /5 or more adults
***
[quads id=5]
163. How wrong would most adults (over 21) in your neighbourhood think it is for kids your age to:
Not wrong at all /A little bit wrong /Wrong /Very Wrong
A. Smoke cigarettes?
Not wrong at all /A little bit wrong /Wrong /Very Wrong
B. Drink alcohol?
Not wrong at all /A little bit wrong /Wrong /Very Wrong
C. Use marijuana (potâ weedâ grass)?
Not wrong at all /A little bit wrong /Wrong /Very Wrong
***
[quads id=5]
SURVEY SUMMARY
The following two questions ask about the survey as a whole.
164. How important were these questions to you?
 Very Important /Important /Fairly important /Not too important
165. How honest were you in filling out this survey?
ïŁ I was honest all of the time
ïŁ I was honest most of the time
ïŁ I was honest some of the time
ïŁ I was honest once in a while
ïŁ I was not honest at all
- Community
- High risk behavior
- Family
- Delinquency
- Peer
This instrument available online at:Â http://www.rch.org.au/uploadedFiles/Main/Content/ctc/Communities_That_Care_Youth_Survey.pdf
Contact: Professor John Toumbourouâ PhDâ Chief exâecutive Officerâ Communities That Care Ltd (Australia). Email: [email protected]
Mobile: 0419 582 889
Cite this article
mohammad looti (2026). Communities That Care Youth Survey-Australian adaptation. PSYCHOLOGICAL SCALES. Retrieved from https://scales.arabpsychology.com/s/communities-that-care-youth-survey-australian-adaptation/
mohammad looti. "Communities That Care Youth Survey-Australian adaptation." PSYCHOLOGICAL SCALES, 25 Apr. 2026, https://scales.arabpsychology.com/s/communities-that-care-youth-survey-australian-adaptation/.
mohammad looti. "Communities That Care Youth Survey-Australian adaptation." PSYCHOLOGICAL SCALES, 2026. https://scales.arabpsychology.com/s/communities-that-care-youth-survey-australian-adaptation/.
mohammad looti (2026) 'Communities That Care Youth Survey-Australian adaptation', PSYCHOLOGICAL SCALES. Available at: https://scales.arabpsychology.com/s/communities-that-care-youth-survey-australian-adaptation/.
[1] mohammad looti, "Communities That Care Youth Survey-Australian adaptation," PSYCHOLOGICAL SCALES, vol. X, no. Y, Ű” Z-Z, April, 2026.
mohammad looti. Communities That Care Youth Survey-Australian adaptation. PSYCHOLOGICAL SCALES. 2026;vol(issue):pages.