Connecticut School Health Survey 2016 Question Title * 1. What grade are you in? 6 8 10 12 Question Title * 2. What is your gender? Female Male Transgender Question Title * 3. Which of the following describes you? Asian Native American Black/African American Hispanic or Latino White More than 1 race Question Title * 4. During the past 12 months, how would you describe your grades? Mostly A's Mostly B's Mostly C's Mostly D's Mostly F's Not sure Question Title * 5. In general, how would you rate your overall health? Excellent Very good Good Fair Poor Question Title * 6. How often fo you wear your seatbelt when riding in a car driven by someone else? Never Rarely Sometimes Most of the time Always Question Title * 7. During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol? 0 times once 2 or 3 times 4 or 5 times 6 or more times Question Title * 8. Have you had alcoholic beverages (beer, wine, cocktails, hard liquor, etc.) to drink – more than just a few sips – during the past 30 days? Yes No Question Title * 9. During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol? I did not drive a car or other vehicle in the past 30 days. 0 times 1 time 2 or 3 times 4 or 5 times 6 or more times Question Title * 10. During the past 30 days, on how many days did you talk on a cell phone while driving a car or other vehicle? I did not drive a car in the past 30 days. 0 days 1 or 2 days 3 to 5 days 6 to 9 days 10 to 19 days 20 to 29 days Every day Question Title * 11. During the past 30 days, on how many days did you text or e-mail while driving a car or other vehicle? I did not drive a car or other vehicle in the past 30 days. 0 days 1 to 2 days 3 to 5 days 6 to 9 days 10 to 19 days 20 to 29 days Every day Question Title * 12. During the past 30 days, on how many days did you smoke cigarettes? 0 days 1 or 2 days 3 to 5 days 6 to 15 days more than 15 days Question Title * 13. How do you feel about someone your age smoking one or more packs of cigarettes a day? Neither approve or disapprove Somewhat disapprove Disapprove Don't know/Can't say Question Title * 14. How much do you think people risk harming themselves (physically or in other ways) if they take five or more drinks of an alcoholic beverage (beer, wine, liquor) once or twice a week? No risk Slight risk Moderate risk Great risk Question Title * 15. How much do you think people risk harming themselves (physically or in other ways) if they take one or two drinks of an alcoholic beverage (beer, wine, liquor) nearly every day? No risk Slight risk Moderate risk Great risk Question Title * 16. How much do you think people risk harming themselves (physically or in other ways) if they smoke one or more packs of cigarettes per day? No risk Slight risk Moderate risk Great risk Question Title * 17. How much do you think people risk harming themselves (physically or in other ways) if they smoke marijuana once or twice a week? No risk Slight risk Moderate risk Great risk Question Title * 18. How much do you think people risk harming themselves (physically or in other ways) if they use prescription drugs that are not prescribed to them? No risk Slight risk Moderate risk Great risk Question Title * 19. How wrong do your parents feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day? Not wrong at all A little bit wrong Wrong Very wrong Question Title * 20. How wrong do your parents feel it would be for you to smoke one or more packs of cigarettes a day? Not at all wrong A little wrong Wrong Very wrong Question Title * 21. How wrong do your parents feel it would be for you to try marijuana once or twice a week? Not at all wrong A little bit wrong Wrong Very wrong Question Title * 22. How wrong do your parents feel it would be for you to use prescription drugs not prescribed to you? Not at all wrong A little bit wrong Wrong Very wrong Question Title * 23. How do you feel about someone your age using marijuana once a month or more? Neither approve nor disapprove Somewhat disapprove Disapprove Don't know/Can't say Question Title * 24. How do you feel about someone your age using prescription drugs not prescribed to them? Neither approve or disapprove Somewhat disapprove Disapprove Don't know/Can't say Question Title * 25. How do you feel about someone your age having one or two drinks of an alcoholic beverage every day? Neither approve or disapprove Somewhat disapprove Strongly disapprove Don't know/Can't say Question Title * 26. Which of the following do you consider 'safe' to use/consume? Safe Somewhat safe Unsafe Dangerous Very dangerous Alcohol Alcohol Safe Alcohol Somewhat safe Alcohol Unsafe Alcohol Dangerous Alcohol Very dangerous Marijuana Marijuana Safe Marijuana Somewhat safe Marijuana Unsafe Marijuana Dangerous Marijuana Very dangerous Cigarettes Cigarettes Safe Cigarettes Somewhat safe Cigarettes Unsafe Cigarettes Dangerous Cigarettes Very dangerous Heroin Heroin Safe Heroin Somewhat safe Heroin Unsafe Heroin Dangerous Heroin Very dangerous Methamphetamines Methamphetamines Safe Methamphetamines Somewhat safe Methamphetamines Unsafe Methamphetamines Dangerous Methamphetamines Very dangerous K-2, fake weed, Skunk K-2, fake weed, Skunk Safe K-2, fake weed, Skunk Somewhat safe K-2, fake weed, Skunk Unsafe K-2, fake weed, Skunk Dangerous K-2, fake weed, Skunk Very dangerous Prescription drugs not prescribed to me Prescription drugs not prescribed to me Safe Prescription drugs not prescribed to me Somewhat safe Prescription drugs not prescribed to me Unsafe Prescription drugs not prescribed to me Dangerous Prescription drugs not prescribed to me Very dangerous Question Title * 27. How old were you when you had your first drink of alcohol - not including religious purposes? I have never had a drink of alcohol. 8 years old or younger 9 or 10 years old 11 or 12 years old 13 or 14 years old 15 or 16 years old 17 years old or older Question Title * 28. During the past 30 days, on how many days did you have at least one drink of alcohol? 0 days 1 or 2 days 3 to 5 days 6 to 9 days 10 to 19 days 20 to 29 days Every day Question Title * 29. During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row? 0 days 1 day 2 to 3 days 4 to 5 days 6 to 9 days 10 to 19 days 20 or more days Question Title * 30. During the past 30 days, how did you usually get the alcohol that you drank? Check all that apply I do not drink alcohol I did not drink alcohol in the past 30 days I bought it in a store I bought it at a public event I bought it at a restaurant I gave someone money to buy it for me Someone gave it to me I took it from a store or family member I got it another way Other (please specify) Question Title * 31. During your life, how many times have you used marijuana? 0 times 1 or 2 times 3 to 9 times 10 to 19 times 20 to 50 times more than 50 times Question Title * 32. How old were you when you first tried marijuana? I have never tried marijuana. 8 years old or younger 9 or 10 years old 11 or 12 years old 13 or 14 years old 15 or 16 years old 17 years or older Question Title * 33. Have you used prescription drugs not prescribed for you during the past 30 days? I have not used prescription drugs not prescribed for me during the past 30 days? I have used prescription drugs not prescribed for me during the past 30 days. Question Title * 34. During the past 30 days, how many times did you use marijuana? 0 times 1 or 2 times 3 to 9 times 10-19 times 20 or more times Question Title * 35. During you life, how many times have you sniffed glue or inhaled paint to get high? 0 times 1 or 2 times 3 to 9 times 10 to 19 times 20 to 49 times 50 or more times Question Title * 36. During yout life, how many times have you tried heroin [may be called junk or smack]? 0 times 1 or 2 times 3 to 9 times 10 to 19 times 20 to 49 times 50 or more times Question Title * 37. During your life, how many times have you tried methamphetamines [speed, crystal, crank] 0 times 1 or 2 times 3 to 9 times 10 -19 times 20 to 49 times 50 or more times Question Title * 38. Where do you use drugs and/or alcohol? Check all that apply. I don't use drugs At my house At my friends house In the park At school Other (please specify) Question Title * 39. Do you think that you drink too much alcohol? Yes No I don't drink alcohol Question Title * 40. Do you think you use drugs too often? Yes No I don't use drugs Question Title * 41. Which of the following drugs, not prescribed for you, have you used in your life? Check all that apply. Never Once 2 to 5 times 6-10 times 11-30 times more than 30 times Pain Killers [like oxycontin, Vicodin, codeine] Pain Killers [like oxycontin, Vicodin, codeine] Never Pain Killers [like oxycontin, Vicodin, codeine] Once Pain Killers [like oxycontin, Vicodin, codeine] 2 to 5 times Pain Killers [like oxycontin, Vicodin, codeine] 6-10 times Pain Killers [like oxycontin, Vicodin, codeine] 11-30 times Pain Killers [like oxycontin, Vicodin, codeine] more than 30 times ADHD medication [like Ritalin or Adderal] ADHD medication [like Ritalin or Adderal] Never ADHD medication [like Ritalin or Adderal] Once ADHD medication [like Ritalin or Adderal] 2 to 5 times ADHD medication [like Ritalin or Adderal] 6-10 times ADHD medication [like Ritalin or Adderal] 11-30 times ADHD medication [like Ritalin or Adderal] more than 30 times Anxiety medications [like Xanax] Anxiety medications [like Xanax] Never Anxiety medications [like Xanax] Once Anxiety medications [like Xanax] 2 to 5 times Anxiety medications [like Xanax] 6-10 times Anxiety medications [like Xanax] 11-30 times Anxiety medications [like Xanax] more than 30 times Other (please specify) Done