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Survey for Teens
Introduction:
The following questionnaire is designed to explore the current and relevant concerns of teenagers living in Ontario. Your input as a teenager is very valuable. This survey asks about sensitive/ personal information, perspectives, and experiences. These questions are voluntary, and all your responses will be collected anonymously.
Demographic Information:
A. Are you currently living in Ontario
Clear choice
Yes
No
Prefer not to say
B. What is your age?
Please select
13
14
15
16
17
18
19
20 & Above
Prefer not to say
Please select
C. What grade are you in?
Please select
1
2
3
4
5
6
7
8
9
10
11
12
College/University
Prefer not to say
Please select
D. Gender:
Clear choice
Female
Male
non-binary
Prefer not to say
E. How long have you been in Canada?
Clear choice
Less than a year
1 to 3 years
3 to 5 years
5 to 10 years
More than 10 years
Born in Canada
Prefer not to say
F. How many siblings do you have?
Clear choice
None
1
2
3
4
5 or more
G. How would you describe your relationship with your family?
Clear choice
Very distant
Somewhat distant
Neutral
Somewhat close
Very close
Prefer not to say
Other (specify):
H. How many people do you live with?
Please select
None
1
2
3
4
5
6
7
8
9
10 or more
Please select
I. Do you live with people who aren’t part of your family group?
Clear choice
Yes
No
Other (specify):
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1. How would you rate the level of difficulty you experience in understanding the content taught in your classes at school?
Clear choice
Extremely difficult
Very difficult
Moderately difficult
Slightly difficult
Not difficult at all
Prefer not to say
Other; please specify
2. How often do you complete your homework and assignments on time?
Clear choice
Never
Rarely
Sometimes
Often
Always
Prefer not to say
Other; please specify
3. How easy can you make friends at your school?
Clear choice
Very difficult
Difficult
Neither easy nor difficult
Easy
Very easy
Prefer not to say
Other; please specify
4. How often do you participate in extracurricular activities or clubs?
Clear choice
Never
Rarely
Sometimes
Often
Always
Other; please specify
5. How often have you experienced any form of bullying in Canada (in-person or online)?
Clear choice
Always
Often
Sometimes
Rarely
Never
Prefer not to say
Other; please specify
Please describe it breifly:
6. How comfortable do you feel reporting bullying incidents to school authorities?
Clear choice
Very uncomforatble
Uncomfortable
Neutral
Comfortable
Very comfortable
Prefer not to say
Other; please specify
7. How aware are your parents/caregivers of where you hang out and with whom?
Clear choice
Not at all aware
Slightly aware
Moderately aware
Very aware
Extremely aware
Other; please specify
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8. Who are the three people you usually contact when you need support? Please choose from the options below.
My parents/caregiver
Sibling
Friend
School staff
Service provider ex. therapist, consellor, case worker
Prefer not to say
Other; please specify
9. How frequently have you encountered situations where substances or alcohol were available?
Clear choice
Always
Often
Sometimes
Rarely
Never
Prefer not to say
Other; please specify
10. How often do you use substances such as alcohol, tobacco, or other substances?
Clear choice
Always
Often
Sometimes
Rarely
Never
Prefer not to say
Other; please specify
11. How much time do you spend on the internet / social media for academic purposes daily?
Clear choice
Less than 1 hour
1-2 hours
3-4 hours
5-6 hours
More than 6 hours
Other; please specify
12. How much time do you spend on the internet / social media for non-academic purposes daily?
Clear choice
Less than 1 hour
1-2 hours
3-4 hours
5-6 hours
More than 6 hours
Prefer not to say
Other; please specify
13. If you use the internet/ social media for non-academic purposes, please choose all that apply.
Dating
Making friends
Participating in a specific group of friends
Gambling
Gaming
Prefer not to say
Other; please specify
14. Have you ever experienced cyberbullying or harassment online?
Clear choice
Always
Often
Sometimes
Rarely
Never
Prefer not to say
Would you please describe it briefly?
15. How often do you think your use of the internet / social media interferes with your daily responsibilities (e.g., schoolwork, chores)?
Clear choice
Always
Often
Sometimes
Rarely
Never
I don’t know
Prefer not to say
Other; please specify
16. If you experience cyberbullying, how confident are you in knowing how to protect yourself and take the necessary steps to secure yourself?
Clear choice
Not confident at all
Slightly confident
Neutral
Moderately confident
Very confident
I prefer to ask for help from my caregiver or a friend
Prefer not to say
Other; please specify
17. How do you feel about Not using the internet for one day?
Clear choice
Very uncomfortable
Uncomfortable
Neutral
Comfortable
Very comfortable
I don’t know
Prefer not to say
Other; please specify
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18. What are the positive impacts of using social media/internet on you? Click as many as applicable.
Enhanced Mental health
Improved Physical Health
Increased Resilience
Enhanced Productivity
Improved Attention
Improved Sleep
Increased Motivation
Enhanced Self-confidence
Inspired by public figures/influencers/ animation figures
Satisfied with body image
Increased frustration tolerance
Decreased irritability (more Flexibility / easygoing)
Receive identity-specific support (such as LGBTQ+, racial/ ethnic groups, religious groups, people with disabilities)
General support online
Prefer not to say
Other positive impacts:
19. What are the negative impacts of using social media/internet on you? Click as many as applicable.
Mental health issues
Physical Health issues
Decreased Resilience
Procrastination
Issues with Attention
Sleep issues
Lack of Motivation
Low Self-confidence
Comparison with influencers/public figures/animation figures
Unrealistic body image expectations
Decreased frustration tolerance
Increased irritability
Reduced conflict resolution skills and social engagement
Prefer not to say
Any other comments:
20. How often do you feel supported in your community (in-person interactions) based on your gender, sexuality, race/ ethnicity, culture, religion, or other aspects of your identity?
Clear choice
Never
Rarely
Sometimes
Often
Always
Prefer not to say
Other; please specify
21. How often do you feel supported in your community (virtual interactions) based on your gender, sexuality, race/ ethnicity, culture, religion, or other aspects of your identity?
Clear choice
Never
Rarely
Sometimes
Often
Always
Prefer not to say
Other; please specify
22. How often do you feel stressed or anxious about fitting in with your peers?
Clear choice
Always
Often
Sometimes
Rarely
Never
Prefer not to say
Other; please specify
23. Do you have access to mental health resources (e.g., counseling, therapy)?
Clear choice
No, and I don’t need them
No, but I need them
Yes, through school, but I don’t use them
Yes, through school, and I sometimes use them
Yes, through school, and I regularly use them
Yes, though other sources (specify below)
Uncertain/ I don’t know
Prefer not to say
Other; please specify
Other source(s):
24. How often do you discuss your school life and challenges with your family?
Clear choice
Never
Rarely
Sometimes
Often
Always
Prefer not to say
Other; please specify
25. How often do you feel supported by your family in dealing with the challenges of living in a new country?
Clear choice
Never
Rarely
Sometimes
Often
Always
I don’t know
Prefer not to say
Other; please specify
26. Is there anything else you would like to share?
Submit
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