Student Survey FY14

Background

 
We just need to know a little about you.
*
1. Are you:
*
2. How old are you?
*
3. Are you:
*
4. How old were you when you first used:
Never used it9 or younger101112131415161718 or older
Cigarettes?
Smokeless Tobacco?
Alcohol (liqour, beer, wine)?
Inhalants?
Marijuana?
Cocaine (not crack)?
Crack?
Steroids?
Ecstasy?
Heroin?
Methamphetamine?
Prescription Drugs?
Synthetic Drugs (incense, bath salts, etc)?
Powered by SurveyMonkey
Check out our sample surveys and create your own now!