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Dear Parent/Guardian:
Our school is taking part in the 2025 Maine Integrated Youth Health Survey. This survey is sponsored by Maine Center for Disease Control and Maine Department of Education. The survey will ask about the health behaviors of 9-12th grade students. The survey will ask about nutrition, physical activity, injuries, tobacco, alcohol, and other drug use. For students in grades 7-12, the survey will also ask about sexual behaviors that could lead to pregnancy and sexually transmitted infections; depression and suicide; and gambling.
Students will be asked to fill out a survey that takes about 30-45 minutes to complete.
Participating in this 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 name on the survey or student ID numbers. Also, no 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 behavior, 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 types of questions on the survey, the question banks are available at www.maine.gov/miyhs/2025-survey-information.
Please read the other side of this form for more facts about the survey. Complete the section below and return it to the school within 2 weeks only if you do not want your child to take part in the survey.
If you have additional questions about the survey your child’s teacher or principal cannot answer, please email: miyhs.dhhs@maine.gov.
Please contact the school OR complete this section of the form only if you do not want your child to participate in the survey.