CensusAtSchool 2010 Questionnaire
Instructions:
Please complete all questions.
You will need a measuring tape to complete questions 9, 10, 11 and 12.
You must complete the questionnaire in one session. If you exit the questionnaire before you click
the submit button all your responses will be lost. You may begin the questionnaire again the next
time you login.
When you have finished, read the statement at the end of the questionnaire and click on the Submit Questionnaire
button to send your answers to the CensusAtSchool database.
You can navigate the questionnaire using the following methods:
the scroll bar on the right of the screen;
the Tab key on your keyboard. The Tab key moves the cursor from one answer box to the next.
This symbol denotes an international common question that may be included in the CensusAtSchool questionnaires of the United Kingdom, Canada and New Zealand.
Enjoy the questionnaire.
1. Are you
2. When were you born?
Day
Select 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
Select Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Select Year
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
3. In which state/territory or country were you born?Australian locations are at the top of the list followed by other countries.
Select one only
New South Wales
Victoria
Queensland
South Australia
Western Australia
Tasmania
Northern Territory
Australian Capital Territory
Other Australian Territories
-----------------------------------------------------------
Albania
Austria
Bosnia and Herzegovina
Bulgaria
Cambodia
Canada
Chile
China (excluding Hong Kong and Taiwan Province)
Croatia
Cyprus
Czech Republic
Egypt
England
Fiji
France
Gaza Strip and West Bank
Germany
Greece
Hong Kong (SAR of China)
Hungary
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Japan
Korea; Republic of (South)
Lebanon
Macedonia; Former Yugoslav Republic of
Malaysia
Malta
Mauritius
Moldova
Montenegro
Netherlands
New Zealand
Northern Ireland
Papua New Guinea
Philippines
Poland
Portugal
Romania
Russian Federation
Scotland
Serbia
Singapore
Slovenia
Slovakia
South Africa
Sri Lanka
Taiwan
Thailand
Turkey
Ukraine
United States of America
Viet Nam
Wales
Other African country
Other American country
Other Asian country
Other European
Other Middle Eastern country
Other Pacific country
4. Which state/territory do you live in?
Select one only
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
6. What Year level are you in at school?
Select one only
Year 4 or below
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Other
7. Are you of Aboriginal or Torres Strait Islander origin?
8. What colour are your eyes?
Select one only.
15. In how many languages can you hold an everyday conversation?
Select one only
1
2
3
4
5
6
7
8
9
16. What language do you mostly speak at home?
Select one only
English
Arabic
Cantonese
Croatian
Dutch
French
German
Greek
Hindi
Indonesian
Italian
Japanese
Korean
Macedonian
Maltese
Mandarin
Polish
Russian
Serbian
Spanish
Tagalog (Filipino)
Tamil
Turkish
Vietnamese
Other
17. What is your favourite type of take-away food?Select one only.
18. What did you have for breakfast this morning?You can select all that apply from the list.
19. How many hours of sleep do you usually get on a school night? Use the slider to select the number of hours.
This question requires the use of a mouse. If you are unable to do this please skip to question 20.
20. What is the main method of travel that you usually use to get to school?
Select one only.
22. How do you access the Internet at your home?If there is more than one type of connection at your home, select the type used most often.
23. In what sport or activity do you most enjoy participating?
Select one only
Athletics
Baseball/Softball
Basketball
Cricket
Cycling
Dancing
Football (AFL)
Football(Rugby League)
Football(Rugby Union)
Football(Soccer)
Golf
Gymnastics
Hockey
Martial arts
Netball
Skateboarding/Rollerblading
Swimming
Tennis
Other activities/sports
None
24. What is your favourite type of music?Select one only.
26. Estimate how many hours a week you usually spend doing these
activities.Use the slider to select the number of hours for each activity.
This question requires the use of a mouse. If you are unable to do this please skip to question 27.
27. How do you usually spend your time on the Internet?Select a category for each activity.
28a. Last week, did you earn or receive any money?Please select the source which provided you with the most money.
29. What actions do you take in your home to conserve the environment in Australia?Please select a Yes or No response for each action listed.
30. How important are the following issues to you?Use the slider to mark the level of importance.
This question requires the use of a mouse. If you are unable to do this please continue to the end of the questionnaire to submit your responses.
This page last updated 12 November 2010
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