Drug Use and Abuse - Student Survey

1.

Thank you in advance for filling out this survey. The information you provide in this survey will help us to update drug abuse prevention educational materials. The information you provide is private. Please do not put your name on this form.

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* 1. Please enter your age.

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* 2. Please select your gender.

Female

Male

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* 3. Please select your ethnicity.

Hispanic / Latino

Not Hispanic / Latino

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* 4. Please select your race. (Select all that apply).

African American

Asian / Pacific Islander

Native American / Alaska Native

White

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* 5. Do you think that drug use and abuse is a problem in Moore County?

Yes

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* 6. If Yes, please select from below to explain why you feel drug use and abuse is a problem in Moore County. (Select all that apply).

I've had a personal experience

I've witnessed the experience of a friend or family member

I've witnessed the experience of a stranger

I've heard about it from others

I've heard about it in local news

I've heard about it in national news

Other (please specify)

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* 7. Thinking specifically about people you know, what types of drugs are being abused? (Select all that apply).

Marijuana

Cocaine

Heroin

Meth

Prescription medication

Inhalants

Hallucinogens

Other (please specify)

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* 8. How are people getting these drugs? (Select all that apply).

Purchased from a dealer

Given by a friend

Made at home

Taken from a family member

Obtained an unneeded prescription

Stolen

Other (please specify)

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* 9. Where and when are people using these drugs? (Select all that apply).

At home

At school

At work

At parties

On the weekend

After school

Before school

During school

Other (please specify)

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* 10. Do you think that using medicines that were not prescribed to you is the same as using illegal drugs?

Yes

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* 11. Where would you go if you needed information or help on drug abuse? (Select all that apply).

Doctor

Teacher

Counselor

Friend

Parent

Internet

Other (please specify)

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* 12. At what age do you think students should begin receiving drug prevention education?

Preschool

K-2

3-5

6-8

High school

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* 13. How often does gang activity happen at your school?

Always

Often

Sometimes

Rarely

Never

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* 14. Are you familiar with the organization Drug Free Moore County?

Yes

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* 1. Please enter your age.

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* 2. Please select your gender.

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* 3. Please select your ethnicity.

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* 4. Please select your race. (Select all that apply).

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* 5. Do you think that drug use and abuse is a problem in Moore County?

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* 6. If Yes, please select from below to explain why you feel drug use and abuse is a problem in Moore County. (Select all that apply).

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* 7. Thinking specifically about people you know, what types of drugs are being abused? (Select all that apply).

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* 8. How are people getting these drugs? (Select all that apply).

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* 9. Where and when are people using these drugs? (Select all that apply).

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* 10. Do you think that using medicines that were not prescribed to you is the same as using illegal drugs?

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* 11. Where would you go if you needed information or help on drug abuse? (Select all that apply).

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* 12. At what age do you think students should begin receiving drug prevention education?

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* 13. How often does gang activity happen at your school?

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* 14. Are you familiar with the organization Drug Free Moore County?

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* 15. What support do young people in Moore County currently need to help them be drug free?