Reach4life Questionnaire Question Title * 1. What country/region do you live in? AD - Andorra AE - United Arab Emirates AF - Afghanistan AG - Antigua and Barbuda AI - Anguilla AL - Albania AM - Armenia AO - Angola AQ - Antarctica AR - Argentina AS - American Samoa AT - Austria AU - Australia AW - Aruba AZ - Azerbaijan BA - Bosnia and Herzegovina BB - Barbados BD - Bangladesh BE - Belgium BF - Burkina Faso BG - Bulgaria BH - Bahrain BI - Burundi BJ - Benin BL - Saint Barthelemy BM - Bermuda BN - Brunei BO - Bolivia BR - Brazil BS - Bahamas, The BT - Bhutan BV - Bouvet Island BW - Botswana BY - Belarus BZ - Belize CA - Canada CC - Cocos (Keeling) Islands CD - Congo, Democratic Republic of the CF - Central African Republic CG - Congo, Republic of the CH - Switzerland CI - Cote d'Ivoire CK - Cook Islands CL - Chile CM - Cameroon CN - China CO - Colombia CR - Costa Rica CU - Cuba CV - Cape Verde CW - Curacao CX - Christmas Island CY - Cyprus CZ - Czech Republic DE - Germany DJ - Djibouti DK - Denmark DM - Dominica DO - Dominican Republic DZ - Algeria EC - Ecuador EE - Estonia EG - Egypt EH - Western Sahara ER - Eritrea ES - Spain ET - Ethiopia FI - Finland FJ - Fiji FK - Falkland Islands (Islas Malvinas) FM - Micronesia, Federated States of FO - Faroe Islands FR - France FX - France, Metropolitan GA - Gabon GB - United Kingdom GD - Grenada GE - Georgia GF - French Guiana GG - Guernsey GH - Ghana GI - Gibraltar GL - Greenland GM - Gambia, The GN - Guinea GP - Guadeloupe GQ - Equatorial Guinea GR - Greece GS - South Georgia and the Islands GT - Guatemala GU - Guam GW - Guinea-Bissau GY - Guyana HK - Hong Kong HM - Heard Island and McDonald Islands HN - Honduras HR - Croatia HT - Haiti HU - Hungary ID - Indonesia IE - Ireland IL - Israel IM - Isle of Man IN - India IO - British Indian Ocean Territory IQ - Iraq IR - Iran IS - Iceland IT - Italy JE - Jersey JM - Jamaica JO - Jordan JP - Japan KE - Kenya KG - Kyrgyzstan KH - Cambodia KI - Kiribati KM - Comoros KN - Saint Kitts and Nevis KP - Korea, North KR - Korea, South KW - Kuwait KY - Cayman Islands KZ - Kazakhstan LA - Laos LB - Lebanon LC - Saint Lucia LI - Liechtenstein LK - Sri Lanka LR - Liberia LS - Lesotho LT - Lithuania LU - Luxembourg LV - Latvia LY - Libya MA - Morocco MC - Monaco MD - Moldova ME - Montenegro MF - Saint Martin MG - Madagascar MH - Marshall Islands MK - Macedonia ML - Mali MM - Burma MN - Mongolia MO - Macau MP - Northern Mariana Islands MQ - Martinique MR - Mauritania MS - Montserrat MT - Malta MU - Mauritius MV - Maldives MW - Malawi MX - Mexico MY - Malaysia MZ - Mozambique NA - Namibia NC - New Caledonia NE - Niger NF - Norfolk Island NG - Nigeria NI - Nicaragua NL - Netherlands NO - Norway NP - Nepal NR - Nauru NU - Niue NZ - New Zealand OM - Oman PA - Panama PE - Peru PF - French Polynesia PG - Papua New Guinea PH - Philippines PK - Pakistan PL - Poland PM - Saint Pierre and Miquelon PN - Pitcairn Islands PR - Puerto Rico PS - Gaza Strip PS - West Bank PT - Portugal PW - Palau PY - Paraguay QA - Qatar RE - Reunion RO - Romania RS - Serbia RU - Russia RW - Rwanda SA - Saudi Arabia SB - Solomon Islands SC - Seychelles SD - Sudan SE - Sweden SG - Singapore SH - Saint Helena, Ascension, and Tristan da Cunha SI - Slovenia SJ - Svalbard SK - Slovakia SL - Sierra Leone SM - San Marino SN - Senegal SO - Somalia SR - Suriname SS - South Sudan ST - Sao Tome and Principe SV - El Salvador SX - Sint Maarten SY - Syria SZ - Swaziland TC - Turks and Caicos Islands TD - Chad TF - French Southern and Antarctic Lands TG - Togo TH - Thailand TJ - Tajikistan TK - Tokelau TL - Timor-Leste TM - Turkmenistan TN - Tunisia TO - Tonga TR - Turkey TT - Trinidad and Tobago TV - Tuvalu TW - Taiwan TZ - Tanzania UA - Ukraine UG - Uganda UM - United States Minor Outlying Islands US - United States UY - Uruguay UZ - Uzbekistan VA - Holy See (Vatican City) VC - Saint Vincent and the Grenadines VE - Venezuela VG - British Virgin Islands VI - Virgin Islands VN - Vietnam VU - Vanuatu WF - Wallis and Futuna WS - Samoa XK - Kosovo YE - Yemen YT - Mayotte ZA - South Africa ZM - Zambia ZW - Zimbabwe OK Question Title * 2. What is your sex? Male Female Other Prefer not to say OK Question Title * 3. What is your age? Under 13 13 to 15 16 to 19 20 to 25 Over 25 OK Question Title * 4. Which race/ethnicity best describes you? (Please choose only one.) Asian Black/African/Caribbean White Hispanic Multiple ethnicity / Other (please specify) OK Question Title * 5. What is the highest level of education you have completed? Primary/Elementary School Secondary/High School (including relevant exams) Diploma/Certificate of Higher Education Undergraduate University/College Degree Post-Graduate Degree OK Question Title * 6. Do you live in an urban (city or town) or rural (countryside) area Urban Rural OK Question Title * 7. What is your current religion, if any? Christian - Protestant Christian - Catholic Mormon Greek or Russian Orthodox Jewish Muslim Buddhist Hindu Atheist or agnostic Nothing in particular Other OK Question Title * 8. Did you attend a church or place of worship in the last month? Yes No OK Question Title * 9. Would you describe yourself as a Evangelical Christian? Yes No Not Sure OK Question Title * 10. What do you think are the top 3 issues or problems facing your age group? Addictions/Substance Misuse Friendships Family/Parents Relationships/Sexual Activity Mental Health Gender/Sexual Identity Violence/Crime Personal Safety Education/Career Opportunities Peer Pressure Money Online Safety Pornography Sexual Health and Pregnancy Sexual or domestic violence Bullying Purpose of life Other (please specify) OK Question Title * 11. Please tell us more about each of these? What are the main challenges and struggles related to these issues? 1. 2. 3. OK Question Title * 12. For each of these issues/problems, what questions do you have that you would like to have answered? 1. 2. 3. OK Question Title * 13. What are the top 3 high- risk behaviours facing your age group? Drug/Alcohol Misuse Crime Sexual Activity Online Activity Pornography Gambling Other (please specify) OK Question Title * 14. Please tell us more about each of these? What are the main challenges and struggles related to the issues? 1. 2. 3. OK Question Title * 15. What are the top 3 things you wish you could talk about openly and be guided on by someone you trust? 1. 2. 3. OK Question Title * 16. Please tell us more about each of these? What are the main challenges and struggles related to the issues? 1. 2. 3. OK Question Title * 17. Is there anything else you would like to share having completed the questions? OK DONE