Pre-Exercise Program Behaviour Change Questionnaire (BCQ)
Name
*
First Name
Last Name
Your date of birth
*
-
Day
-
Month
Year
Date
School/Agency
*
Please Select
Aboriginal Family Support Services- Coober Pedy
Adelaide East Education Centre
Adelaide High School
Alice Springs NT
Balkalava High School
Blackwood High School
Blackwood High School
Bowden Brompton Learning Centre
Brighton High School
Burra Community School
Ceduna Area School
Charles Campbell College
Christies Beach High School
Clare High School
Cleve & Cowell Area Schools
Cornerstone Mt Barker
Cowandilla Learning Centre
Craigmore High School
Darwin NT
Eastern Fleurieu R7-12 School
Encounter Lutheran College
Eudunda Area School
Gawler & Districts School
Glenunga High School
Golden Grove High School
Hawker Area School
Heathfield High School
John Pirie Secondary School
Kapunda Area School
Kaurna Plains School
Latrobe Valley School
Lefevre High School
Leigh Creek Area School
Mannum High School
Mark Oliphant College
Marryatville High School
Millicent High School
Morgan Youth Hub (Waikerie)
Mt Barker High School
Naracoorte District High School
Nurioopta High School
Oakbank Area School
Port Augusta Secondary School
Relationships SA
Riverton & Districts Area College
Roxby Downs Area School
Salisbury East High School
Seaford Secondary School
Seaton High School
Seaview High School
Tennyson Woods College
The Avenues College
Thebarton Senior College
Traralgon College
Trinity College
Tyndale Christian School Murray Bridge
Underdale High School
Unley High School
West Wimmera Area School
Whyalla DCP
Whyalla High School
William Light School
Wirreanda Secondary School
Wirreanda WAVE
Woodville High School
Yankalilla High School
Yorketown Area School
Are you studying at a school / agency?
Yes
No
Are you currently employed?
Yes
No
Are you involved with a TAFE, volunteering, or other community activity?
Yes
No
Below are a series of statements which may relate to circumstances both in and out of school. Just tick the box that is relevant to you. Give your answers based on how things have been for you over the last six to eight weeks.
*
I understand there is no right or wrong answer. I will try to answer all questions honestly. Please tick to agree and continue
Type a question
Always
Often
Sometimes
Never
I have wagged school
I have skipped classes
I have refused to attend school
I have been angry and/or aggressive at school
I don't follow the teachers direction
I have refused to do work during lessons
I have left classes early
I have not done my homework
I have attended school affected by drugs or alcohol
I swear at other students or teachers
I have given up when work looks hard
I have bullied other students
I have used Facebook or a mobile phone during lessons
I have caused fights between other students
I have avoided work in lessons (eg. taking toilet & drink breaks)
I zone-out or daydream in lessons
I come to school really tired
I have had circumstances that have led to Police contact
Submit
Should be Empty: