Wilton-Lyndeborough Cooperative Middle High School

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Information and Parental Permission for Risk Behavior Survey


WLC is taking part in the 2017 Youth Risk Behavior Survey sponsored by the NH Departments of Education and Health and Human Services.  The survey will ask about the health behaviors of 9th through 12th grade students.  The survey will ask about nutrition, physical activity, injuries, and tobacco, alcohol and other drug use,  It will also ask about sexual behaviors that could lead to pregnancy and sexually transmitted diseases, including HIV.  Students will be asked to fill out a survey that takes about 45 minutes to complete.  

Doing this paper and pencil survey will cause little or no risk to your child. The only potential risk is that some students might find certain questions to be sensitive. The survey has been designed to protect your child's  privacy.  Students  will  not put  their  names on the  survey.  Also, no  school  or  student  will  ever  be mentioned by name in a report of the results. For the survey results to be accurate, it is important that all students,  regardless  of  whether  they  have  engaged  in  health-risk  behaviors,  are  given  an  opportunity  to participate in the survey, but the survey is voluntary. No action will be taken against the school, you, or your  child  if  your  child  does  not  take  the  survey. Students  may  skip  any  questions  they  do  not  wish  to answer. In addition, students may stop taking the survey at any point without penalty. If you would like to see the survey, a copy is available at your child's school and your school district's website.

2017 NH Youth Risk Behavior Survey (YRBS)

Survey Facts

Q.         Why is the survey being done?

A.         The Departments of Education and Health and Human Services will use the survey results to help measure  the  percentage  of  youth  who  practice  risky health  behaviors.  The  information  will  be used to create school health programs to help reduce these behaviors.

Q.         Are sensitive questions asked?

A. Yes. Some questions are sensitive. AIDS, HIV infection, and other sexually transmitted infections (STIs)  are  major  health  problems.  Sexual  intercourse  and  injected  drug  use  are  behaviors  that increase the risk of HIV infection. The only way to learn if youth are at risk of becoming infected with HIV or other STIs is to ask questions about these behaviors. Attempted suicide, tobacco use, alcohol  and  other  drug  use,  and  weapon-carrying  also  may  be  considered  sensitive  topics. Questions are written in a direct but sensitive way.

Q.         Will students' names be used or linked to the surveys?

A.         No. The survey has been designed to protect your child's privacy. Students do not put their name on the survey.

Q.         Do students take the survey more than once to see how their behaviors change?

A.         No. Students who take part one year cannot be tracked because their names are not on the survey.

Q.         How was my child picked to be in the survey?

A.         All  NH  public  high  schools  were  invited  to  participate  in  the  2017  survey  and  all  but  one  NH school decided to survey all of its grades 9 – 12 students.

Q.         How long does it take to fill out the survey? Does the survey include a physical test?

A.         One class period is needed to fill out the written survey, which has 99 questions.  The survey does not include a physical test or exam.


Q.         Can I see the questions my student will be asked?

A.         Yes,  a  copy  of  the  survey  may  be  viewed  at  your  child's  school  and  your  school  district's website.

Q.         Who supports this survey?

A.         These  surveys  were  created  by  the US  Centers  for  Disease  Control  and  Prevention   and professionals  from  19  federal  agencies  and  over  100  state  and  local  health  and  education agencies.


Some of the national organizations that enthusiastically support the survey include:   

American Academy of Pediatrics

The School Superintendents Association Association of State and Territorial Health Officials

Council of Chief State School Officers

National Association of State Boards of Education

National Association of Secondary School Principals

National Catholic Educational Association

National PTA


If you do not want your child to take this survey, please click HERE and complete the form attached and return it to the school before March 13th.  If you have any questions, you can speak with Mrs. Ballou or Mrs. Kovaliv at s.ballou@sau63.org or a.kovaliv@sau63.org