Medical Research Future Fund
Thirsty? Choose Water!
Student Survey - Baseline 2019
Your school is part of a study looking at high school students and their habits of drinking water and sugar sweetened drinks.
This survey is to find out what year 7 students know about drinking water and sugar sweetened drinks like soft drink and sports drinks, and how much of these types of drinks are consumed.
All year 7 students at schools taking part in the study are being invited to complete this survey. By completing the survey you are letting us know that you are happy to participate.
Completing the survey is up to you. Your teachers won't know if you complete it and it will have no effect on your school work if you do not complete the survey.
All your responses will be private and confidential. This means that only the research team will look at the information you provide us and no one else, including your teacher or parents/carers will be able to see your responses.
Male
Female
2. Please write your initials (the first letter of your first name and last name) in the box below.
e.g. Anne Gable would write her initials like this: AG
3. What day of the month were you born?
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
4. What month were you born?
January Febuary March April May June July August September October November December
5. What year were you born?
2005 2006 2007
6. What is the name of the High School you attend?
7. Are you of Aboriginal or Torres Strait Islander origin?
Yes
No
8. What is the main language spoken in your home?
9. How many cups of water do you usually drink per day?
(One cup = 250 ml)
0 1 2 3 4 5 6 7 8 9 10 or more
10. Please indicate how many cups of the following you usually consume.
(these pictures will help you answer the drink questions)
The following questions are about where you buy drinks and the type of drink you usually buy.
11. What drink do you usually buy from the SCHOOL CANTEEN?
(If you buy more than one type of drink, choose the one you buy most often )
My school doesn't have a canteen
I don't buy drinks from the canteen
Fruit Juice
Sports drinks
Plain water
Flavoured water
Regular soft drink
'Diet' or 'low joule' soft drink
Milk (plain or flavoured)
My school doesn't have a canteen
I don't buy drinks from the canteen
Fruit Juice
Sports drinks
Plain water
Flavoured water
Regular soft drink
'Diet' or 'low joule' soft drink
Milk (plain or flavoured)
Please list any other drinks you buy from the school canteen.
12. What drink do you usually buy from the SCHOOL VENDING MACHINE?
(If you buy more than one type of drink, choose the one you buy most often )
My school doesn't have a vending machine
I don't buy drinks from the vending machine
Fruit Juice
Sports drinks
Plain water
Flavoured water
Regular soft drink
'Diet' or 'low joule' soft drink
Milk (plain or flavoured)
My school doesn't have a vending machine
I don't buy drinks from the vending machine
Fruit Juice
Sports drinks
Plain water
Flavoured water
Regular soft drink
'Diet' or 'low joule' soft drink
Milk (plain or flavoured)
Please list any other drinks you buy from the school vending machine.
13. What drink do you usually buy from OUTSIDE OF SCHOOL e.g. local shops, supermarket, service station etc.?
(If you buy more than one type of drink, choose the one you buy most often )
I don't buy drinks outside of school
Fruit Juice
Sports drinks
Plain water
Flavoured water
Regular soft drink
'Diet' or 'low joule' soft drink
Milk (plain or flavoured)
Energy Drinks
I don't buy drinks outside of school
Fruit Juice
Sports drinks
Plain water
Flavoured water
Regular soft drink
'Diet' or 'low joule' soft drink
Milk (plain or flavoured)
Energy Drinks
Please list any other drinks you buy outside of school.
Where else do you drink sugar sweetened drinks?
15. How often are soft drinks available in your home?
Usually
Sometimes
Rarely/Never
Usually
Sometimes
Rarely/Never
What other times do you drink water?
17. Do you generally carry a water botttle with you to school that you can refill?
Yes, everyday
Mostly, but I occasionally forget it
Not often
Never
Yes, everyday
Mostly, but I occasionally forget it
Not often
Never
18. If you have your water bottle with you at school where do you refill it?
I never refill it
At the school bubblers
At the taps in the school toilets
In a classroom that has taps
At the chilled water station
I never refill it
At the school bubblers
At the taps in the school toilets
In a classroom that has taps
At the chilled water station
Is there anywhere else at school where you fill your water bottle?
19. Do you drink from the school bubblers?
Yes, everyday
Sometimes
Hardly ever
Never
Yes, everyday
Sometimes
Hardly ever
Never
20. If you DO NOT drink from the school bubblers, why is this?
They are unhygenic or dirty
The water quality - taste, temperature
They don't work very well
Our school doesn't have bubblers
I use my own bottle to drink from
Other
They are unhygenic or dirty
The water quality - taste, temperature
They don't work very well
Our school doesn't have bubblers
I use my own bottle to drink from
Other
Are there any other reasons that you do not drink from the bubblers?
Where else do you buy bottled water?
22. Which has more sugar?
A 375mL can of soft drink
A 375mL bottle of fruit juice
Both the same
A 375mL can of soft drink
A 375mL bottle of fruit juice
Both the same
23. Which has more sugar?
A 600mL bottle of soft drink
A 600mL bottle of sports drink
Both the same
A 600mL bottle of soft drink
A 600mL bottle of sports drink
Both the same
24. How many minutes walking does it take you to burn off the kilojoules from a 375ml can of soft drink?
340 minutes
90 minutes
20 minutes
0 minutes
340 minutes
90 minutes
20 minutes
0 minutes