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Entry Survey
*
1.
Which Course are you taking today?
(Required.)
Tobacco, Marijuana & E-Cigarettes Course (TMEC)
Impaired Driving Education Course (IDEC)
Counterfeit Pill Education Course (CPEC)
The Vape Course (VAPEC)
*
2.
What City do you live in?
(Required.)
*
3.
What County do you live in?
(Required.)
*
4.
What State do you live in?
(Required.)
*
5.
Sex
(Required.)
Female
Male
Other
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6.
Grade
(Required.)
5th
6th
7th
8th
9th
10th
11th
12th
College
Other
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7.
During the past 30 days, did you...
(Required.)
...drink one or more alcoholic beverages?
...use tobacco?
...use marijuana?
...use prescription drugs not prescribed to you?
...vape?
None of the Above
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8.
If you selected "vape," what did you vape?
(Required.)
Nicotine
Marijuana
Flavors
Other Substance
Did not vape
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9.
How much do you think people risk harming themselves physically or in
other ways if they have five or more drinks of an alcoholic beverage once or
twice a week?
(Required.)
No Risk
Slight Risk
Moderate Risk
Great Risk
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10.
How much do you think people risk harming themselves physically or in
other ways if they use tobacco daily?
(Required.)
No Risk
Slight Risk
Moderate Risk
Great Risk
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11.
How much do you think people risk harming themselves physically or in
other ways if they use marijuana once or twice a week?
(Required.)
No Risk
Slight Risk
Moderate Risk
Great Risk
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12.
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?
(Required.)
No Risk
Slight Risk
Moderate RIsk
Great Risk
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13.
How much do you think people risk harming themselves physically or in
other ways if they vape?
(Required.)
No Risk
Slight Risk
Moderate Risk
Great Risk
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14.
How wrong do your parents feel it would be for you to have one or two
alcoholic beverages nearly every day?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very Wrong
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15.
How wrong do your parents feel it would be for you to use tobacco?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very Wrong
*
16.
How wrong do your parents feel it would be for you to use marijuana?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very wrong
*
17.
How wrong do your parents feel it would be for you to use prescription
drugs not prescribed to you?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very Wrong
*
18.
How wrong do your parents feel it would be for you to vape?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very Wrong
*
19.
How wrong do your friends feel it would be for you to have one or two
alcoholic beverages nearly every day?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very wrong
*
20.
How wrong do your friends feel it would be for you to use tobacco?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very wrong
*
21.
How wrong do your friends feel it would be for you to use marijuana?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very wrong
*
22.
How wrong do your friends feel it would be for you to use prescription
drugs not prescribed to you?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very wrong
*
23.
How wrong do your friends feel it would be for you to vape?
(Required.)
Not at all wrong
A little bit wrong
Wrong
Very wrong