Please answer all questions - there are no questions that identify who you are and all responses are confidential.
Only complete this survey if you are at least twelve (12) years of age and under twenty one (21) years of age.

Question Title

* 1. What is your current age?

Question Title

* 2. What is your sex or gender?

Question Title

* 3. Your Ethnicity

Question Title

* 4. Your Race

Question Title

* 5. What is your current grade in school?

Question Title

* 6. Do you know any teenagers who have ever had difficulty because of either parent's use of alcohol, tobacco or other drugs?

Question Title

* 7. Have you ever been concerned about another student's alcohol or drug use and not talked about your concern to a parent, teacher or counselor?

Question Title

* 8. Have you ever used alcohol, marijuana or other drugs and not talked about it with a parent, teach or counselor?

Question Title

* 9. Would your parents allow you to have a party at your house and serve alcohol, marijuana or other drugs as long as they were home? Then Check all that apply:

Question Title

* 10. Do your parents allow you to drink alcohol as long as they know about it?

Question Title

* 11. How many kids do you know who have chosen not to drink alcohol even though they had the opportunity to do so?

Question Title

* 12. Do you think underage drinking laws are enforced in the same way in all areas of Washington County?

Question Title

* 13. How much do you think a parent's use of alcohol, tobacco, or other drugs negatively influences their child/children to use alcohol, tobacco, or other drugs?

Question Title

* 14. During the past year, have you participated in any of the following types of gambling activity?  Check all that apply.

Question Title

* 15. During the past 30 days, have you gambled for money or anything of value?

Question Title

* 16. Most kids my age drink beer, wine or other types of alcohol when their parents don't know about it.

Question Title

* 17. Most kids my age use tobacco including cigarettes and/or chew tobacco.

Question Title

* 18. Most kids my age use marijuana.

Question Title

* 19. Its OK with me if my friends drink alcohol.

Question Title

* 20. It's OK with me if my friends use tobacco.

Question Title

* 21. It's OK with me if my friends use marijuana.

Question Title

* 22. I understand that alcohol, tobacco, marijuana and other drug use increases risky behaviors among youth.

Question Title

* 23. I am sure I can refuse alcohol, smoke/chew tobacco, marijuana or other drugs if my friends offer it to me.

Question Title

* 24. Kids my age can get the following drugs.  Please check all types you think kids your age can get.

Question Title

* 25. Kids my age use the following drugs.  Check all types of drugs you think kids your age use.

Question Title

* 26. Do you know how to use your school's Student Assistance Program (SAP)?

Share

T