Jefferson County Young Adult (18 - 25 Years of Age) Survey 2023

Jefferson County Young Adult (ages 18-25) Survey 2023

The purpose of this survey is to gather vital information about substance use behavior and social emotional health among young adults ages 18-25 in our community. Your participation will help the Alliance for Better Communities and its partner agencies to plan efforts designed to reduce and/or mitigate local substance use behaviors as well as mental health challenges among young adults ages 18-25.

Your participation in this survey is voluntary. You may skip a question, if you choose to do so, or stop taking the survey at any time by exiting. The survey will take approximately 10 minutes to complete.

Your participation in this survey is anonymous. No information will be requested which can link your responses to you personally. If you have questions about this survey, please contact the Alliance for Better Communities at 315-788-4660.

By continuing below, you have freely agreed to participate in this survey and you are indicating that you are between the ages of 18 - 25.

Students from JCC will be assisting us in administering this survey. If you were approached by a JCC student interceptor please be sure to give their name in the final question. Thank you!

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* 1. How do you identify?

Male

Female

Transgender: Male to Female

Transgender: Female to Male

Non-binary

Prefer not to answer

Other (please specify)

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* 2. What is your age?

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* 3. Please choose the response that best describes you (select all that apply):

White

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other (please specify)

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* 4. What is your employment status?

Employed for wages full time

Employed for wages part-time

Self-employed

Not employed and looking for work

Not employed and not looking for work

Active military

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* 5. Are you a student?

Yes, in college or vocational school, full-time

Yes, in college or vocational school, part-time

Yes, in high school or a GED program

Yes, in some other type of school

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* 6. What is the zip code of the town or city where you live?

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* 7. Not including the town where you live, what is the zip code of the town or city where you spend the greatest amount of time (for example, where you work or attend school)?

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* 8. What is the reason for spending time in this other town or city? (Check all that apply)

Attending school

Working

Shopping

Dining or entertainment

Seeing friends or family members

Other

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* 9. During the past 12 months, have you talked with at least one of your parents about the effects of tobacco, alcohol, or drug use? (Choose all that apply)

Yes, tobacco use

Yes, alcohol use

Yes, drug use

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* 10. How easy do you think it is for persons your age in your community to obtain...

	Very Easy	Somewhat Easy	Somewhat Difficult	Very Difficult
Prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to them?	Prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to them? Very Easy	Prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to them? Somewhat Easy	Prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to them? Somewhat Difficult	Prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to them? Very Difficult
Prescription stimulant pills (such as Ritalin, Adderall, or Concerta) that were not prescribed to them?	Prescription stimulant pills (such as Ritalin, Adderall, or Concerta) that were not prescribed to them? Very Easy	Prescription stimulant pills (such as Ritalin, Adderall, or Concerta) that were not prescribed to them? Somewhat Easy	Prescription stimulant pills (such as Ritalin, Adderall, or Concerta) that were not prescribed to them? Somewhat Difficult	Prescription stimulant pills (such as Ritalin, Adderall, or Concerta) that were not prescribed to them? Very Difficult
Prescription tranquilizers or "benzos" (like Xanax, Valium, or Ativan) that were not prescribed to them?	Prescription tranquilizers or "benzos" (like Xanax, Valium, or Ativan) that were not prescribed to them? Very Easy	Prescription tranquilizers or "benzos" (like Xanax, Valium, or Ativan) that were not prescribed to them? Somewhat Easy	Prescription tranquilizers or "benzos" (like Xanax, Valium, or Ativan) that were not prescribed to them? Somewhat Difficult	Prescription tranquilizers or "benzos" (like Xanax, Valium, or Ativan) that were not prescribed to them? Very Difficult
Marijuana?	Marijuana? Very Easy	Marijuana? Somewhat Easy	Marijuana? Somewhat Difficult	Marijuana? Very Difficult
Heroin?	Heroin? Very Easy	Heroin? Somewhat Easy	Heroin? Somewhat Difficult	Heroin? Very Difficult
Cocaine?	Cocaine? Very Easy	Cocaine? Somewhat Easy	Cocaine? Somewhat Difficult	Cocaine? Very Difficult
Fentanyl?	Fentanyl? Very Easy	Fentanyl? Somewhat Easy	Fentanyl? Somewhat Difficult	Fentanyl? Very Difficult
Nicotine pouches/gum?	Nicotine pouches/gum? Very Easy	Nicotine pouches/gum? Somewhat Easy	Nicotine pouches/gum? Somewhat Difficult	Nicotine pouches/gum? Very Difficult
Psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars?	Psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars? Very Easy	Psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars? Somewhat Easy	Psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars? Somewhat Difficult	Psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars? Very Difficult
Whippets?	Whippets? Very Easy	Whippets? Somewhat Easy	Whippets? Somewhat Difficult	Whippets? Very Difficult
Synthetic drugs? (K2/spice)	Synthetic drugs? (K2/spice) Very Easy	Synthetic drugs? (K2/spice) Somewhat Easy	Synthetic drugs? (K2/spice) Somewhat Difficult	Synthetic drugs? (K2/spice) Very Difficult
Kratom?	Kratom? Very Easy	Kratom? Somewhat Easy	Kratom? Somewhat Difficult	Kratom? Very Difficult

Other (please specify)

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* 11. How much do people risk harming themselves physically and in other ways when they...

	No Risk	Slight Risk	Moderate Risk	Great Risk
Smoke one or more packs of cigarettes per day?	Smoke one or more packs of cigarettes per day? No Risk	Smoke one or more packs of cigarettes per day? Slight Risk	Smoke one or more packs of cigarettes per day? Moderate Risk	Smoke one or more packs of cigarettes per day? Great Risk
Use e-cigarettes?	Use e-cigarettes? No Risk	Use e-cigarettes? Slight Risk	Use e-cigarettes? Moderate Risk	Use e-cigarettes? Great Risk
Have five or more drinks of an alcoholic beverage once or twice a week?	Have five or more drinks of an alcoholic beverage once or twice a week? No Risk	Have five or more drinks of an alcoholic beverage once or twice a week? Slight Risk	Have five or more drinks of an alcoholic beverage once or twice a week? Moderate Risk	Have five or more drinks of an alcoholic beverage once or twice a week? Great Risk
Use prescription pain relievers that are not prescribed to them or that they took only for the experience or feeling they caused?	Use prescription pain relievers that are not prescribed to them or that they took only for the experience or feeling they caused? No Risk	Use prescription pain relievers that are not prescribed to them or that they took only for the experience or feeling they caused? Slight Risk	Use prescription pain relievers that are not prescribed to them or that they took only for the experience or feeling they caused? Moderate Risk	Use prescription pain relievers that are not prescribed to them or that they took only for the experience or feeling they caused? Great Risk
Use prescription stimulants that are not prescribed to them or that they took only for the experience or feeling they casued?	Use prescription stimulants that are not prescribed to them or that they took only for the experience or feeling they casued? No Risk	Use prescription stimulants that are not prescribed to them or that they took only for the experience or feeling they casued? Slight Risk	Use prescription stimulants that are not prescribed to them or that they took only for the experience or feeling they casued? Moderate Risk	Use prescription stimulants that are not prescribed to them or that they took only for the experience or feeling they casued? Great Risk
Use prescription tranquilizers that are not prescribed to them or that they took only for the experience or feeling they caused?	Use prescription tranquilizers that are not prescribed to them or that they took only for the experience or feeling they caused? No Risk	Use prescription tranquilizers that are not prescribed to them or that they took only for the experience or feeling they caused? Slight Risk	Use prescription tranquilizers that are not prescribed to them or that they took only for the experience or feeling they caused? Moderate Risk	Use prescription tranquilizers that are not prescribed to them or that they took only for the experience or feeling they caused? Great Risk
Use marijuana?	Use marijuana? No Risk	Use marijuana? Slight Risk	Use marijuana? Moderate Risk	Use marijuana? Great Risk
Use heroin?	Use heroin? No Risk	Use heroin? Slight Risk	Use heroin? Moderate Risk	Use heroin? Great Risk
Use fentanyl?	Use fentanyl? No Risk	Use fentanyl? Slight Risk	Use fentanyl? Moderate Risk	Use fentanyl? Great Risk
Use nicotine pouches/gum?	Use nicotine pouches/gum? No Risk	Use nicotine pouches/gum? Slight Risk	Use nicotine pouches/gum? Moderate Risk	Use nicotine pouches/gum? Great Risk
Use cocaine?	Use cocaine? No Risk	Use cocaine? Slight Risk	Use cocaine? Moderate Risk	Use cocaine? Great Risk
Use Psychedelics? (Molly, Ecstasy, Mushrooms, Psilocybin bars)	Use Psychedelics? (Molly, Ecstasy, Mushrooms, Psilocybin bars) No Risk	Use Psychedelics? (Molly, Ecstasy, Mushrooms, Psilocybin bars) Slight Risk	Use Psychedelics? (Molly, Ecstasy, Mushrooms, Psilocybin bars) Moderate Risk	Use Psychedelics? (Molly, Ecstasy, Mushrooms, Psilocybin bars) Great Risk
Use whippets?	Use whippets? No Risk	Use whippets? Slight Risk	Use whippets? Moderate Risk	Use whippets? Great Risk
Use synthetic drugs? (K2/spice)	Use synthetic drugs? (K2/spice) No Risk	Use synthetic drugs? (K2/spice) Slight Risk	Use synthetic drugs? (K2/spice) Moderate Risk	Use synthetic drugs? (K2/spice) Great Risk
Use kratom?	Use kratom? No Risk	Use kratom? Slight Risk	Use kratom? Moderate Risk	Use kratom? Great Risk

Other (please specify)

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* 12. How do you think your parents would feel about you...

	Neither approve nor disapprove	Somewhat disapprove	Strongly disapprove
Smoking cigarettes?	Smoking cigarettes? Neither approve nor disapprove	Smoking cigarettes? Somewhat disapprove	Smoking cigarettes? Strongly disapprove
Using e-cigarettes?	Using e-cigarettes? Neither approve nor disapprove	Using e-cigarettes? Somewhat disapprove	Using e-cigarettes? Strongly disapprove
Having one or two drinks or an alcoholic beverage nearly every day?	Having one or two drinks or an alcoholic beverage nearly every day? Neither approve nor disapprove	Having one or two drinks or an alcoholic beverage nearly every day? Somewhat disapprove	Having one or two drinks or an alcoholic beverage nearly every day? Strongly disapprove
Smoking marijuana?	Smoking marijuana? Neither approve nor disapprove	Smoking marijuana? Somewhat disapprove	Smoking marijuana? Strongly disapprove
Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused?	Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused? Neither approve nor disapprove	Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused? Somewhat disapprove	Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused? Strongly disapprove
Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused?	Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused? Neither approve nor disapprove	Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused? Somewhat disapprove	Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused? Strongly disapprove
Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused?	Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused? Neither approve nor disapprove	Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused? Somewhat disapprove	Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused? Strongly disapprove
Using heroin?	Using heroin? Neither approve nor disapprove	Using heroin? Somewhat disapprove	Using heroin? Strongly disapprove
Using fentanyl?	Using fentanyl? Neither approve nor disapprove	Using fentanyl? Somewhat disapprove	Using fentanyl? Strongly disapprove
Using nicotine gum/pouches?	Using nicotine gum/pouches? Neither approve nor disapprove	Using nicotine gum/pouches? Somewhat disapprove	Using nicotine gum/pouches? Strongly disapprove
Using cocaine?	Using cocaine? Neither approve nor disapprove	Using cocaine? Somewhat disapprove	Using cocaine? Strongly disapprove
Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars)	Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) Neither approve nor disapprove	Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) Somewhat disapprove	Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) Strongly disapprove
Using whippets?	Using whippets? Neither approve nor disapprove	Using whippets? Somewhat disapprove	Using whippets? Strongly disapprove
Using synthetic drugs? (K2/spice)	Using synthetic drugs? (K2/spice) Neither approve nor disapprove	Using synthetic drugs? (K2/spice) Somewhat disapprove	Using synthetic drugs? (K2/spice) Strongly disapprove
Using kratom?	Using kratom? Neither approve nor disapprove	Using kratom? Somewhat disapprove	Using kratom? Strongly disapprove

Other (please specify)

Question Title

* 13. How do you feel about someone your age...

	Neither approve nor disapprove	Somewhat disapprove	Strongly disapprove
Smoking cigarettes	Smoking cigarettes Neither approve nor disapprove	Smoking cigarettes Somewhat disapprove	Smoking cigarettes Strongly disapprove
Using e-cigarettes?	Using e-cigarettes? Neither approve nor disapprove	Using e-cigarettes? Somewhat disapprove	Using e-cigarettes? Strongly disapprove
Having one or two drinks of an alcohol beverage nearly every day?	Having one or two drinks of an alcohol beverage nearly every day? Neither approve nor disapprove	Having one or two drinks of an alcohol beverage nearly every day? Somewhat disapprove	Having one or two drinks of an alcohol beverage nearly every day? Strongly disapprove
Having five or more drinks of an alcoholic beverage once or twice a week?	Having five or more drinks of an alcoholic beverage once or twice a week? Neither approve nor disapprove	Having five or more drinks of an alcoholic beverage once or twice a week? Somewhat disapprove	Having five or more drinks of an alcoholic beverage once or twice a week? Strongly disapprove
Driving after having one or two drinks?	Driving after having one or two drinks? Neither approve nor disapprove	Driving after having one or two drinks? Somewhat disapprove	Driving after having one or two drinks? Strongly disapprove
Smoking marijuana?	Smoking marijuana? Neither approve nor disapprove	Smoking marijuana? Somewhat disapprove	Smoking marijuana? Strongly disapprove
Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused?	Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused? Neither approve nor disapprove	Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused? Somewhat disapprove	Using prescription pain relievers not prescribed to you or that you took only for the experience or feeling they caused? Strongly disapprove
Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused?	Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused? Neither approve nor disapprove	Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused? Somewhat disapprove	Using prescription stimulants not prescribed to you or that you took only for the experience or feeling they caused? Strongly disapprove
Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused?	Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused? Neither approve nor disapprove	Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused? Somewhat disapprove	Using prescription tranquilizers not prescribed to you or that you took only for the experience or feeling they caused? Strongly disapprove
Using heroin?	Using heroin? Neither approve nor disapprove	Using heroin? Somewhat disapprove	Using heroin? Strongly disapprove
Using cocaine?	Using cocaine? Neither approve nor disapprove	Using cocaine? Somewhat disapprove	Using cocaine? Strongly disapprove
Using fentanyl?	Using fentanyl? Neither approve nor disapprove	Using fentanyl? Somewhat disapprove	Using fentanyl? Strongly disapprove
Using nicotine gum/pouches?	Using nicotine gum/pouches? Neither approve nor disapprove	Using nicotine gum/pouches? Somewhat disapprove	Using nicotine gum/pouches? Strongly disapprove
Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars)	Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) Neither approve nor disapprove	Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) Somewhat disapprove	Using psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) Strongly disapprove
Using whippets?	Using whippets? Neither approve nor disapprove	Using whippets? Somewhat disapprove	Using whippets? Strongly disapprove
Using synthetic drugs? (K2/spice)	Using synthetic drugs? (K2/spice) Neither approve nor disapprove	Using synthetic drugs? (K2/spice) Somewhat disapprove	Using synthetic drugs? (K2/spice) Strongly disapprove
Using kratom?	Using kratom? Neither approve nor disapprove	Using kratom? Somewhat disapprove	Using kratom? Strongly disapprove

Other (please specify)

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* 14. During the past 30 days, on how many days did you...

	0	1-2	3-5	6-9	10-19	20-30
Smoke one or more cigarettes?	Smoke one or more cigarettes? 0	Smoke one or more cigarettes? 1-2	Smoke one or more cigarettes? 3-5	Smoke one or more cigarettes? 6-9	Smoke one or more cigarettes? 10-19	Smoke one or more cigarettes? 20-30
Use e-cigarettes?	Use e-cigarettes? 0	Use e-cigarettes? 1-2	Use e-cigarettes? 3-5	Use e-cigarettes? 6-9	Use e-cigarettes? 10-19	Use e-cigarettes? 20-30
Use marijuana?	Use marijuana? 0	Use marijuana? 1-2	Use marijuana? 3-5	Use marijuana? 6-9	Use marijuana? 10-19	Use marijuana? 20-30
Drink one or more drinks of an alcoholic beverage?	Drink one or more drinks of an alcoholic beverage? 0	Drink one or more drinks of an alcoholic beverage? 1-2	Drink one or more drinks of an alcoholic beverage? 3-5	Drink one or more drinks of an alcoholic beverage? 6-9	Drink one or more drinks of an alcoholic beverage? 10-19	Drink one or more drinks of an alcoholic beverage? 20-30
Have 5 or more drinks on the same occasion?	Have 5 or more drinks on the same occasion? 0	Have 5 or more drinks on the same occasion? 1-2	Have 5 or more drinks on the same occasion? 3-5	Have 5 or more drinks on the same occasion? 6-9	Have 5 or more drinks on the same occasion? 10-19	Have 5 or more drinks on the same occasion? 20-30
Use prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused?	Use prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused? 0	Use prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused? 1-2	Use prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused? 3-5	Use prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused? 6-9	Use prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused? 10-19	Use prescription pain relievers (such as OxyContin, Percocet, Vicodin, or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused? 20-30
Use prescription stimulants (such as Ritalin, Adderall, or Concerta) that were not prescribed to you or that you took only for the experience or feeling they caused?	Use prescription stimulants (such as Ritalin, Adderall, or Concerta) that were not prescribed to you or that you took only for the experience or feeling they caused? 0	Use prescription stimulants (such as Ritalin, Adderall, or Concerta) that were not prescribed to you or that you took only for the experience or feeling they caused? 1-2	Use prescription stimulants (such as Ritalin, Adderall, or Concerta) that were not prescribed to you or that you took only for the experience or feeling they caused? 3-5	Use prescription stimulants (such as Ritalin, Adderall, or Concerta) that were not prescribed to you or that you took only for the experience or feeling they caused? 6-9	Use prescription stimulants (such as Ritalin, Adderall, or Concerta) that were not prescribed to you or that you took only for the experience or feeling they caused? 10-19	Use prescription stimulants (such as Ritalin, Adderall, or Concerta) that were not prescribed to you or that you took only for the experience or feeling they caused? 20-30
Use prescription tranquilizers or "benzos" (like Xanax, valium, or Ativan) that were not prescribed to you?	Use prescription tranquilizers or "benzos" (like Xanax, valium, or Ativan) that were not prescribed to you? 0	Use prescription tranquilizers or "benzos" (like Xanax, valium, or Ativan) that were not prescribed to you? 1-2	Use prescription tranquilizers or "benzos" (like Xanax, valium, or Ativan) that were not prescribed to you? 3-5	Use prescription tranquilizers or "benzos" (like Xanax, valium, or Ativan) that were not prescribed to you? 6-9	Use prescription tranquilizers or "benzos" (like Xanax, valium, or Ativan) that were not prescribed to you? 10-19	Use prescription tranquilizers or "benzos" (like Xanax, valium, or Ativan) that were not prescribed to you? 20-30
Use heroin?	Use heroin? 0	Use heroin? 1-2	Use heroin? 3-5	Use heroin? 6-9	Use heroin? 10-19	Use heroin? 20-30
Use fentanyl?	Use fentanyl? 0	Use fentanyl? 1-2	Use fentanyl? 3-5	Use fentanyl? 6-9	Use fentanyl? 10-19	Use fentanyl? 20-30
Use cocaine?	Use cocaine? 0	Use cocaine? 1-2	Use cocaine? 3-5	Use cocaine? 6-9	Use cocaine? 10-19	Use cocaine? 20-30
Use nicotine gum/pouches?	Use nicotine gum/pouches? 0	Use nicotine gum/pouches? 1-2	Use nicotine gum/pouches? 3-5	Use nicotine gum/pouches? 6-9	Use nicotine gum/pouches? 10-19	Use nicotine gum/pouches? 20-30
Use psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars)	Use psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) 0	Use psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) 1-2	Use psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) 3-5	Use psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) 6-9	Use psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) 10-19	Use psychedelics? (Molly, ecstasy, mushrooms, psilocybin bars) 20-30
Use synthetics drugs? (K2/spice)	Use synthetics drugs? (K2/spice) 0	Use synthetics drugs? (K2/spice) 1-2	Use synthetics drugs? (K2/spice) 3-5	Use synthetics drugs? (K2/spice) 6-9	Use synthetics drugs? (K2/spice) 10-19	Use synthetics drugs? (K2/spice) 20-30
Use kratom?	Use kratom? 0	Use kratom? 1-2	Use kratom? 3-5	Use kratom? 6-9	Use kratom? 10-19	Use kratom? 20-30

Other (please specify)

Question Title

* 15. If you drank alcohol under the age of 21, how did you usually get it? (Select all that apply)

I did not drink alcohol

Another adult family member (age 21 or older) gave it to me or bought it for me

An adult (age 21 or older) who I know but who is not related to me gave it to me or bought it for me

Someone who I know under age 21 gave it to me or bought it for me

Someone I don't know gave it to me or bought it for me

I bought it at a store, such as a liquor store, convenience store, or grocery store with a fake ID

I bought it at a store, such as a liquor store, convenience store, or grocery store without a fake ID

I bought it at a restaurant, bar, or public place with a fake ID

I bought it at a restaurant, bar, or public place without a fake ID

It was available at a social gathering (such as a party or wedding)

I took it from my parents' home or someone else's home

I took it from a store without paying for it

I got it at work

Other (please specify)

Question Title

* 16. The last time you used prescription drugs not prescribed to you, how did you get them? (Check all that apply)

	Pain relievers	Stimulants	Tranquilizers	Never Used
Have not ever used them without a prescription	Have not ever used them without a prescription Pain relievers	Have not ever used them without a prescription Stimulants	Have not ever used them without a prescription Tranquilizers	Have not ever used them without a prescription Never Used
Found them at home	Found them at home Pain relievers	Found them at home Stimulants	Found them at home Tranquilizers	Found them at home Never Used
Found them at a home of a relative or friend	Found them at a home of a relative or friend Pain relievers	Found them at a home of a relative or friend Stimulants	Found them at a home of a relative or friend Tranquilizers	Found them at a home of a relative or friend Never Used
A friend or relative gave them to me	A friend or relative gave them to me Pain relievers	A friend or relative gave them to me Stimulants	A friend or relative gave them to me Tranquilizers	A friend or relative gave them to me Never Used
Bought them from a friend or relative	Bought them from a friend or relative Pain relievers	Bought them from a friend or relative Stimulants	Bought them from a friend or relative Tranquilizers	Bought them from a friend or relative Never Used
From a doctor, but I didn't follow doctor's orders	From a doctor, but I didn't follow doctor's orders Pain relievers	From a doctor, but I didn't follow doctor's orders Stimulants	From a doctor, but I didn't follow doctor's orders Tranquilizers	From a doctor, but I didn't follow doctor's orders Never Used
From a drug dealer or other stranger	From a drug dealer or other stranger Pain relievers	From a drug dealer or other stranger Stimulants	From a drug dealer or other stranger Tranquilizers	From a drug dealer or other stranger Never Used
Bought them on the internet	Bought them on the internet Pain relievers	Bought them on the internet Stimulants	Bought them on the internet Tranquilizers	Bought them on the internet Never Used

Question Title

* 17. If you used a vape product in the past 12 months, what did you put in it?

Did not use a vape product

E-juice with zero nicotine

E-juice with nicotine

Marijuana

Not sure

Other (please specify)

Question Title

* 18. During the past 12 months, have you experienced any of the following due to your use of alcohol, marijuana, prescription pain relievers or other prescription drugs?

	Alcohol	Marijuana	Prescription pain relievers	Other prescription drugs	Never Used
Performed poorly at school or work	Performed poorly at school or work Alcohol	Performed poorly at school or work Marijuana	Performed poorly at school or work Prescription pain relievers	Performed poorly at school or work Other prescription drugs	Performed poorly at school or work Never Used
Missed class or work	Missed class or work Alcohol	Missed class or work Marijuana	Missed class or work Prescription pain relievers	Missed class or work Other prescription drugs	Missed class or work Never Used
Driven a vehicle while under the influence	Driven a vehicle while under the influence Alcohol	Driven a vehicle while under the influence Marijuana	Driven a vehicle while under the influence Prescription pain relievers	Driven a vehicle while under the influence Other prescription drugs	Driven a vehicle while under the influence Never Used
Been arrested for DWI/DUI	Been arrested for DWI/DUI Alcohol	Been arrested for DWI/DUI Marijuana	Been arrested for DWI/DUI Prescription pain relievers	Been arrested for DWI/DUI Other prescription drugs	Been arrested for DWI/DUI Never Used
Rode in a vehicle while the driver was under the influence	Rode in a vehicle while the driver was under the influence Alcohol	Rode in a vehicle while the driver was under the influence Marijuana	Rode in a vehicle while the driver was under the influence Prescription pain relievers	Rode in a vehicle while the driver was under the influence Other prescription drugs	Rode in a vehicle while the driver was under the influence Never Used
Been in trouble with police or college authorities	Been in trouble with police or college authorities Alcohol	Been in trouble with police or college authorities Marijuana	Been in trouble with police or college authorities Prescription pain relievers	Been in trouble with police or college authorities Other prescription drugs	Been in trouble with police or college authorities Never Used
Damaged property	Damaged property Alcohol	Damaged property Marijuana	Damaged property Prescription pain relievers	Damaged property Other prescription drugs	Damaged property Never Used
Been hurt or injured	Been hurt or injured Alcohol	Been hurt or injured Marijuana	Been hurt or injured Prescription pain relievers	Been hurt or injured Other prescription drugs	Been hurt or injured Never Used
Forgot where I was or what I did	Forgot where I was or what I did Alcohol	Forgot where I was or what I did Marijuana	Forgot where I was or what I did Prescription pain relievers	Forgot where I was or what I did Other prescription drugs	Forgot where I was or what I did Never Used
Done something I later regretted	Done something I later regretted Alcohol	Done something I later regretted Marijuana	Done something I later regretted Prescription pain relievers	Done something I later regretted Other prescription drugs	Done something I later regretted Never Used
Have been taken advantage of sexually	Have been taken advantage of sexually Alcohol	Have been taken advantage of sexually Marijuana	Have been taken advantage of sexually Prescription pain relievers	Have been taken advantage of sexually Other prescription drugs	Have been taken advantage of sexually Never Used
Have taken advantage of another sexually	Have taken advantage of another sexually Alcohol	Have taken advantage of another sexually Marijuana	Have taken advantage of another sexually Prescription pain relievers	Have taken advantage of another sexually Other prescription drugs	Have taken advantage of another sexually Never Used
Had a hangover	Had a hangover Alcohol	Had a hangover Marijuana	Had a hangover Prescription pain relievers	Had a hangover Other prescription drugs	Had a hangover Never Used
Seriously thought about suicide	Seriously thought about suicide Alcohol	Seriously thought about suicide Marijuana	Seriously thought about suicide Prescription pain relievers	Seriously thought about suicide Other prescription drugs	Seriously thought about suicide Never Used
Seriously tried to commit suicide	Seriously tried to commit suicide Alcohol	Seriously tried to commit suicide Marijuana	Seriously tried to commit suicide Prescription pain relievers	Seriously tried to commit suicide Other prescription drugs	Seriously tried to commit suicide Never Used
Thought I might have a alcohol/drug problem	Thought I might have a alcohol/drug problem Alcohol	Thought I might have a alcohol/drug problem Marijuana	Thought I might have a alcohol/drug problem Prescription pain relievers	Thought I might have a alcohol/drug problem Other prescription drugs	Thought I might have a alcohol/drug problem Never Used
Tried unsuccessfully to stop using	Tried unsuccessfully to stop using Alcohol	Tried unsuccessfully to stop using Marijuana	Tried unsuccessfully to stop using Prescription pain relievers	Tried unsuccessfully to stop using Other prescription drugs	Tried unsuccessfully to stop using Never Used

Question Title

* 19. During the past 12 months, did you ever seriously consider attempting suicide?

Yes

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* 20. During the past 12 months, did you make a plan about how you would attempt suicide?

Yes

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* 21. During the past 12 months, how many times did you actually attempt suicide?

0 times

1 times

2 to 3 times

4 to 5 times

6 or more times

Question Title

* 22. Did you complete this survey with a JCC student interceptor?

Yes, Please give their name.