Questions about you:
Are you:
Male
Female
What is your date of birth?
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1988
1989
1990
1991
1992
What is your height in centimetres?
cm
What is the length of your right foot? (to the nearest half centimetre)
cm
What colour are your eyes?
Brown
Blue
Green
Other
Which country were you born in?
– Choose below –
New Zealand
Australia
England
Scotland
Samoa
Fiji
Cook Islands
Tonga
China
India
Korea
South Africa
Other (please type)
In which of these languages could you have a conversation about a lot of everyday things?
(You may tick more than one)
English
Māori
Samoan
French
Yue (Cantonese)
German
NZ Sign Language
Northern Chinese
Korean
Tongan
Other (please type)
Which of the following do you have? (You may tick more than one)
Your own mobile phone
Access to a computer at home
Access to the internet at home
A calculator to bring to school
How many people live in your household? (The place where you were living for most of last week)
Don’t forget to count yourself too.
Number =
Questions about school:
How did you travel to school today? (You may tick more than one)
Walk
Motor vehicle (car or motorcycle)
Bus
Train or tram
Bike
Skateboard/rollerblades
Scooter
Other
How many minutes did it take you to travel to school today?
0-9
10-19
20-29
30+
What are your 3 favourite subjects at school (in order)?
Why do you prefer the 1st subject choice above? (You may tick more than one)
I am good at this subject
I enjoy doing the activities in this subject
I like the teacher
It will lead to a course or job I want to do
My friends do this subject
Other
Questions about activites you do:
In most activities are you:
Left handed
Right handed
Ambidextrous
The next two questions will time your reaction with the mouse: first your left hand, then with your right hand. You only get one go, so read the instructions carefully.
Measure your reaction time with your LEFT hand. Use this reaction timer to time yourself.
Press Start, put cursor over Stop button and press when you see “Press Stop”.
seconds.
Measure your reaction time with your RIGHT hand. Use this reaction timer to time yourself.
Press Start, put cursor over Stop button and press when you see “Press Stop”.
seconds.
Which of the following activities have you done in the last week? (You may tick more than one)
Going for a walk
Jogging/running
Cycling
Swimming
Team sport (rugby, netball etc)
Individual sport (tennis, golf)
Skateboarding
Dance/drama/kapahaka
Computer games
Reading
Watching TV
In the last week, at school, what did you do most of the time at play time and lunchtime?
Sat down (talking, reading, doing school work, on the computer)
Stood around
I walked around a little
Ran around and played quite a bit
Ran around and played hard most of the time
In the last week, on how many days did you do physical activity that made you huff and puff , sweat or get tired?
(For example: riding a bike, walking to school, swimming, dancing, doing kapahaka, playing games and sport, or just running around.)
Why did you become involved in the physical activities that you have been doing in the last week? (You may tick more than one)
I did not do any activities in the last week
To be with friends
My parents/family encouraged me
It makes me healthy
I like to compete
It’s near to where I live
I like the teacher/coach/instructor
I’m good at it/enjoy it
I saw it on TV/admire people who play this
Think about someone you look up to. This could be someone you know personally, or have read about or seen on TV or in the movies.
Which one of the following best describes that person?
Family member
Actor/Celebrity/Singer/Musician
Sportsperson
Coach/Club leader
Business person
Religious worker
Politician
Teacher
Doctor
Other (please type)
What did you have for breakfast today? (You may tick more than one)
Milk
Coffee/Tea/Milo
Juice
Toast/Bread
Cereal
Fruit
Nothing
Other (please type)