Supplemental Modules - Series 1 (Original)
Grade 7 & Above
Supplemental Modules - Series 1 (Original)
- Resilience & Youth Development Module
- AOD (Alcohol and Other Drugs), Violence & Suicide Module
- District Afterschool Module (DASM)
- Physical Health & Nutrition Module
- Sexual Behavior Module
- Tobacco Module
Supplemental Modules - Series 2
Resilience & Youth Development Module
The Supplemental Resilience & Youth Development Module contains additional questions designed to measure environmental and individual protective factors in the lives of youth that help promote success. It assesses the three key developmental supports (caring adult relationships, high expectations, and meaningful participation) in the home and peer groups, for comparison with the data on the school and community environment provided by the Core Module. It also assesses six personal social-emotional skills or resilience strengths (Communication and Collaboration, Empathy, Self-efficacy, Self-awareness, Problem-solving, and Goals and Aspirations).
Download Resilience Module
Middle School Version (33 items):
High School Version (33 items):
For more information about what the resilience questions on the CHKS measure and resilience theory, visit the Resilience and Youth Development section of this site.
You may also download a full version (pdf) of the Resilience and Youth Development Module (RYDM) that includes all External Protective Factor and Internal Protective Factor questions.
AOD (Alcohol and Other Drugs), Violence, & Suicide Module
This module consists largely of additional items from the California Student Survey (CSS) relating to AOD use and violence, and suicide-related items were derived from the Youth Risk Behavior Survey (YRBS).
Less school-specific than the Core, it includes questions about frequency of AOD use and related problems, as well as questions about safety and violence. It can help provide a better understanding of these issues and offers greater comparability to state norms.
Download AOD, Violence, & Suicide Module
Middle School Version (18 items):
High School Version (32 items):
This module provides a more comprehensive picture of tobacco use and attitudes, and - while this module is no longer required for TUPE grant recipients - it enhances the survey’s value for the California state Tobacco Use Prevention Education (TUPE) program.
This module assesses a wider range of tobacco-related behaviors and attitudes in greater depth, and provides program-related data, including peer norms, approval, and behavioral intentions.
Download Tobacco Module
Middle School Version (24 items):
High School Version (24 items):
Physical Health and Nutrition Module
This module provides detailed information on physical activity in and out of school, body image, and behaviors related to weight loss or maintenance, physical risks associated with sports and motor vehicles, and general health, including doctor visits.
The majority of the items have been derived from the Youth Risk Behavior Survey (YRBS).
To fully assess and understand substance use and violence, and to promote positive youth development, it is essential to examine overall physical and mental health. Many of the behaviors assessed by this module have also been linked to school performance.
Download Physical Health & Nutrition Module
Middle School Version (34 items):
High School Version (35 items):
Sexual Behavior Module
The items in this module, the majority derived from the Youth Risk Behavior Survey (YRBS), assess sexual experience, patterns and attitudes, pregnancy history, and HIV-related risk behaviors.
They cover number of partners (a main HIV risk factor), perception of peer behavioral norms, use of contraception, AOD use before sexual intercourse, family discussion, and exposure to HIV/AIDS education.
Download Sexual Behavior Module
Middle School Version (14 items):
High School Version (19 items):
District After-School Module (DASM)
District After-School Module for districts with After-School Programs (ASPs)
The items in this module are for schools and districts that have students attending an after-school program. This may be a program run in conjunction with the school or as a separate entity. The questions assess how students spend their time after school, if they attend an ASP and issues related to safety.
Note: This module is part of the regular CHKS given in school. It is not the After-School Program Survey, which is administered in after-school programs.
Download District After-School Module
Elementary School Version (4 items):
Middle School Version (5 items):
High School Version (5 items):
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