Pre In-hospital P.A.R.T.Y. Program Evaluation Questionnaire

Student Participant Demographics

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* 1. Student initials & Year of birth (JS1999 i.e. John Smith 1999)

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* 2. What is your age?

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* 3. What is your gender?

Female

Male

Other

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* 4. What school do (did) you attend? Select from Dropdown box

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* 5. Have you attended 'Road Ready' driver education?

Yes

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* 6. Have you attended 'Partysafe' education during classes at school?

Yes

Scenario One-
You're at a party with friends; there is alcohol and drugs available. A group of people start an argument which quickly escalates to include violence. They have been drinking heavily and are pretty 'out of it'.

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* 7. How likely would it be for you to become involved in this situation?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 8. Do you think getting involved would be?

1- Safe

5- Dangerous

1- Safe

5- Dangerous

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* 9. Do you think getting involved would be?

1- Beneficial

5- Harmful

1- Beneficial

5- Harmful

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* 10. In this situation, how likely is it that your Male friends would become involved?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 11. In this situation, how likely is it that your Female friends would become involved?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 12. Becoming involved in this situation would be?

1- Very easy

5- Very difficult

1- Very easy

5- Very difficult

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* 13. I would feel?

1- In control

5- Out of control

1- In control

5- Out of control

The fight settles down and your close mates are ready to chill and have fun, one of them offers you a 'pinga' (Ecstasy/MDMA)

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* 14. How likely is it that you would take it?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 15. Your usual group of friends thinks that party drugs (MDMA, marijuana) are ok because they are safe?

1- Quite true

5- Not true

1- Quite true

5- Not true

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* 16. Would your friends approve if you took party drugs in this situation?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 17. Would your family approve if you took party drugs in this situation?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 18. Thinking about the scenario, use the following scale to indicate the likelihood of you to:

	1 - Quite likely	2	3	4	5 - Not at all
Take drugs	Take drugs 1 - Quite likely	Take drugs 2	Take drugs 3	Take drugs 4	Take drugs 5 - Not at all
Drink Alcohol	Drink Alcohol 1 - Quite likely	Drink Alcohol 2	Drink Alcohol 3	Drink Alcohol 4	Drink Alcohol 5 - Not at all
Fight	Fight 1 - Quite likely	Fight 2	Fight 3	Fight 4	Fight 5 - Not at all

Why?

In the next set of questions we ask you to assume you have your driving license

Scenario Two-
The next day you're out driving with your friends. You're pretty tired after the party and want to get something to eat. You're driving on a straight stretch of road where the speed limit is 90km/hr.
Your friends tell you that you're driving too slow even though you are at the speed limit.

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* 19. How likely is it for you to increase your speed in this situation?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 20. Most of your mates would think that you should drive at 100km/hr in this situation?

1- Quite true

5- Not true

1- Quite true

5- Not true

You decide to increase your speed up to 100km/hr

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* 21. Do you think that driving at 100km/hr to be?

	1	2	3	4	5
1= Pleasant- 5= Unpleasant	1= Pleasant- 5= Unpleasant 1	1= Pleasant- 5= Unpleasant 2	1= Pleasant- 5= Unpleasant 3	1= Pleasant- 5= Unpleasant 4	1= Pleasant- 5= Unpleasant 5
1= Safe- 5= Dangerous	1= Safe- 5= Dangerous 1	1= Safe- 5= Dangerous 2	1= Safe- 5= Dangerous 3	1= Safe- 5= Dangerous 4	1= Safe- 5= Dangerous 5
1= Beneficial- 5= Harmful	1= Beneficial- 5= Harmful 1	1= Beneficial- 5= Harmful 2	1= Beneficial- 5= Harmful 3	1= Beneficial- 5= Harmful 4	1= Beneficial- 5= Harmful 5

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* 22. Driving faster than 100km/hr in this situation would be?

	1	2	3	4	5
1= Very easy 5= Very difficult	1= Very easy 5= Very difficult 1	1= Very easy 5= Very difficult 2	1= Very easy 5= Very difficult 3	1= Very easy 5= Very difficult 4	1= Very easy 5= Very difficult 5
1= Within your range of abilities 5= Not within your abilities	1= Within your range of abilities 5= Not within your abilities 1	1= Within your range of abilities 5= Not within your abilities 2	1= Within your range of abilities 5= Not within your abilities 3	1= Within your range of abilities 5= Not within your abilities 4	1= Within your range of abilities 5= Not within your abilities 5
1= Feel in control 5= Not feel in control	1= Feel in control 5= Not feel in control 1	1= Feel in control 5= Not feel in control 2	1= Feel in control 5= Not feel in control 3	1= Feel in control 5= Not feel in control 4	1= Feel in control 5= Not feel in control 5

One of your friends in the car gets a text message and gives you the phone to read and respond

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* 23. How likely is it for you to respond to the text in this situation?

1- Quite likely

5- Not at all

1- Quite likely

5- Not at all

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* 24. Do you think that driving in this situation would be?

	1	2	3	4	5
1= Very easy 5= Very difficult	1= Very easy 5= Very difficult 1	1= Very easy 5= Very difficult 2	1= Very easy 5= Very difficult 3	1= Very easy 5= Very difficult 4	1= Very easy 5= Very difficult 5
1= Within my abilities 5= Not within my abilities	1= Within my abilities 5= Not within my abilities 1	1= Within my abilities 5= Not within my abilities 2	1= Within my abilities 5= Not within my abilities 3	1= Within my abilities 5= Not within my abilities 4	1= Within my abilities 5= Not within my abilities 5
1= Safe 5= Dangerous	1= Safe 5= Dangerous 1	1= Safe 5= Dangerous 2	1= Safe 5= Dangerous 3	1= Safe 5= Dangerous 4	1= Safe 5= Dangerous 5
1= Beneficial 5= Harmful	1= Beneficial 5= Harmful 1	1= Beneficial 5= Harmful 2	1= Beneficial 5= Harmful 3	1= Beneficial 5= Harmful 4	1= Beneficial 5= Harmful 5

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* 25. People whose opinion you value (such as your family and friends) would approve of you using your mobile phone in this situation?

	1- Quite true	2	3	4	5- Not true
Family	Family 1- Quite true	Family 2	Family 3	Family 4	Family 5- Not true
Friends	Friends 1- Quite true	Friends 2	Friends 3	Friends 4	Friends 5- Not true

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* 26. Would your ____________ use their mobile phone in this situation? (Leave blank if not applicable, i.e. no brother/ sister/parent in your family)

	1- Quite likely	2	3	4	5- Not at all
Mother	Mother 1- Quite likely	Mother 2	Mother 3	Mother 4	Mother 5- Not at all
Father	Father 1- Quite likely	Father 2	Father 3	Father 4	Father 5- Not at all
Brother	Brother 1- Quite likely	Brother 2	Brother 3	Brother 4	Brother 5- Not at all
Sister	Sister 1- Quite likely	Sister 2	Sister 3	Sister 4	Sister 5- Not at all

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* 27. Thinking about the scenario, use the following scale to indicate the likelihood of you to;

	1- Quite likely	2	3	4	5- Not at all
Drive while potentially over the legal alcohol limit	Drive while potentially over the legal alcohol limit 1- Quite likely	Drive while potentially over the legal alcohol limit 2	Drive while potentially over the legal alcohol limit 3	Drive while potentially over the legal alcohol limit 4	Drive while potentially over the legal alcohol limit 5- Not at all
Speed	Speed 1- Quite likely	Speed 2	Speed 3	Speed 4	Speed 5- Not at all
Use your mobile phone or other device	Use your mobile phone or other device 1- Quite likely	Use your mobile phone or other device 2	Use your mobile phone or other device 3	Use your mobile phone or other device 4	Use your mobile phone or other device 5- Not at all

Why?

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