Hello How are you? How do you feel?  This is what we would like you to tell us. Please read every question carefully. What answer comes to your mind first? Choose the box that fits your answer best and click on it. Remember: this is not a test so there are no wrong answers. It is important that you answer all the questions if you can. When you think of your answer please try to remember the last week. You do not have to show your answers to anybody. Also, nobody who knows you will look at your questionnaire once you have finished it. The groups that are carrying out the survey are called for Scotland's Disabled Children (fSDC) and Long Term Conditions Alliance Scotland (LTCAS). You can find out more about them on their websites - www.fsdc.org.uk and www.ltcas.org.uk.

Physical Activities and Health

	In general, how would you say your health is?
	Excellent
	Very good
	Good
	Fair
	Poor

	Thinking about the last week...
		Not at all		Slightly		Moderately		Very		Extremely
	Have you felt fit and well?
	Have you been able to run well?
	Have you been physically active (e.g. running, climbing, biking)?

	Thinking about the last week...
	Have you felt full of energy?	Never		Seldom		Quite often		Very often		Always

General Mood and Feelings about Yourself

	Thinking about the last week...
	Has your life been enjoyable?	Not at all		Slightly		Moderately		Very		Extremely

	Thinking about the last week...
		Never		Seldom		Quite often		Very often		Always
	Have you been in a good mood?
	Have you had fun?

	Thinking about the last week...
		Never		Seldom		Quite often		Very often		Always
	Have you felt sad?
	Have you felt so bad that you didn't want to do anything?
	Have you felt lonely?
	Have you been happy with the way you are?

Family and Free Time

	Thinking about the last week...
		Never		Seldom		Quite often		Very often		Always
	Have you had enough time for yourself?
	Have you been able to do the things that you want to do in your free time?
	Have your parent(s) had enough time for you?
	Have your parent(s) treated you fairly?
	Have you been able to talk to your parent(s) when you wanted to?
	Have you had enough money to do the same things as your friends?
	Have you had enough money for your expenses?

Friends

	Thinking about the last week...
		Never		Seldom		Quite often		Very often		Always
	Have you spent time with your friends?
	Have you had fun with your friends?
	Have you and your friends helped each other?
	Have you been able to rely on your friends?

School and Learning

	Thinking about the last week...
		Not at all		Slightly		Moderately		Very		Extremely
	Have you been happy at school?
	Have you got on well at school?

	Thinking about the last week...
		Never		Seldom		Quite often		Very often		Always
	Have you been able to pay attention?
	Have you got along well with your teachers?

About you - the next questions are to find out what sort of people are filling in the survey - the answers will help us understand how different groups of children feel about things.

	How old are you? Please select one box only.
	Between 5 and 8 years old
	Between 9 and 12 years old
	Between 13 and 15 years old
	Between 16 and 18 years old

	Are you female or male?
	Female
	Male

	Where do you live most of the time?
	at home
	at school
	somewhere else

	Please say where somewhere else is

	Thinking about when you are at home, who lives at home with you?
	Mum/stepmum
	Dad/stepdad
	Brother/s
	Sister/s
	Gran
	Grandad
	Other relative
	Others

	Please tell us the name of the town or village that you live in and also write down your postcode if you know it. This will help us work out which council area you live in

School - this section ask you about the people you have contact with at school.

	Which of these types of school do you go to?
	Mainstream primary school
	Mainstream secondary school
	Special school or unit
	Primary or secondary AND special school for part of the week
	Residential school (a school where you live during term time)
	Taught at home
	Other - please tell us what

	Who do you get help from when you are at school?
	Teacher
	Classroom assistant
	Learning support assistant
	Head teacher
	Mum/dad
	Friends
	Other people - please say who the other people are

	What do you think of the help you get at school?

	Do the people you have contact with listen to your views?
	Always
	Sometimes
	Never

	Do you need help with any of these things when you are at school?
	Taking medicines
	Having treatment
	Personal care, such as eating or going to the toilet

	Can you take your medicine when you want to?
	Yes
	No
	Don't know

	Who helps you with personal care such as eating or going to the toilet?
	Teacher
	Classroom assistant
	Learning support assistant
	Headteacher
	Mum/dad
	Other

	What other people help you?

	Is there any other help that you would like - please tell us what help you'd like and who you would like to help?

	Who would you ask for help if you had a problem or complaint about school?

	What qualifications do you expect to leave school with?
	Access 1/2/3
	Intermediate 1/2
	Standard Grades
	Highers
	Advanced Highers
	SVQ modules
	Other
	Don't know
	None of these

	What would you like to do when you leave school?
	Go to college
	Go to university
	Get an apprenticeship or other training place
	Get a job
	Take a Gap year
	Travel
	Do voluntary work
	Not sure yet
	Other - please say what else you would like to do

	What job would you like to do when you are older?

	Is there anything that other children do at school that you would like to do but can't?

Other services - this section asks about the people you have contact with other than at school

	Which of the following people have you had contact with?
	Doctors
	Nurses
	Therapists
	Social workers
	Youth workers
	Carers (not your mum or dad)

	Do the people you have contact with listen to your views?
	Always
	Sometimes
	Never

	Please write in any comments you have about being listened to.

	Who would you ask for help if you had a problem or complaint outside of school, for example if you had a problem with doctors, nurses, therapists or social workers?

	Do you think the person you would ask for help would listen to you?
	Always
	Sometimes
	Never

	Is there anything that other children do when not at school that you would like to do?

	If there are things you'd like to do, could you explain the main reasons that you cannot do them?

	Who do you trust or respect most? Please write in the name of the person and who they are (for example teacher, doctor or police).

	Which of these activities do you enjoy most - please select up to five activities?
	Use the internet/surf the net
	Watch TV/DVDs
	Listen to music
	Go to friend's house
	Use Facebook/Bebo/Twitter/My Space
	Play computer games
	Text friends
	Talk on the phone
	Email
	Attend youth club/youth centre/youth project
	Attend uniformed clubs (Brownies, Guides, Beavers, Scouts, Boys Brigade, etc)
	Shop for pleasure
	Go to the cinema
	Go to the library
	Go to the park
	Hang about the streets
	Read books/magazines
	Other activities - please say what these are

	What do you think of the help you get to take part in these activities or to do other things?
	I get enough help
	I would like more help
	I don't need any help
	Don't know

	Who helps you to do things?
	Mum/dad
	Grandparents
	Carer
	Support worker/befriender
	Brothers/sisters
	Friends
	Other

	What other people help you?

	Is there any other help that you would like to do things - please tell us what help you'd like and who you would like to help.

Thanks for taking part!  Please now press the 'Submit' button to send the questionnaire for analysis.