Project Awareness / Carroll Institute Safe and Drug Free Schools Survey

This survey is about health behavior. It has been developed so you can tell us what you do that may affect your health.The information you give will be used to develop better health education for young people like yourself. Please answer the questions as honestly as you can. Answer the questions based on what you really do. Completing the survey is voluntary. You do not have to complete this survey, but we hope you do. Whether or not you answer the questions will not affect your grade in this class. If you are not comfortable answering a question, just skip it. Please fill in your gender (male/female) and your grade level. This information will be used only to describe the types of students completing the survey. The information will not be used to find out your name. No names will ever be reported. Make sure to read every question carefully and fill in the correct oval. When you are finished, please follow the instructions of the person giving you the survey. Thank you very much for your help. Your answers on these questions will be confidential. That means no one will connect your answers with your name or any other information about you that can identify who you are.

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* 1. Gender

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* 2. Grade