Posttest Online Youth Substance Use Prevention Program Survey

Directions: This survey is vital to helping improve future health and prevention programs for youth. Your answers are secret. Answer all questions honestly. Thank you.

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* 1. What is today's date?

Date / Time

Date

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* 2. School or location code:

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* 3. Enter your code number:

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* 4. Are you...

Male

Female

Other

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* 5. How old are you?

12 years old or younger

13 years old

14 years old

15 years old

16 years old

17 years old

18 years old or older

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* 6. What grade are you in?

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

12th grade

Ungraded or other grade

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* 7. In the next year, how likely are you to get physical activity most days a week?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 8. In the next year, how likely are you to get 8 or more hours of sleep most nights?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 9. In the next year, how likely are you to eat mostly healthy foods most days?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 10. In the next year, how likely are you to drink any alcohol?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 11. In the next year, how likely are you to smoke any cigarettes?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 12. In the next year, how likely are you to use any marijuana?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 13. In the next year, how likely are you to use any e-cigarettes?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 14. In the next year, how likely are you to take action to reduce stress most days?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 15. In the next year, how likely are you to use any opioids for nonmedical reasons?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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* 16. If I drank alcohol regularly, it would harm my health or healthy habits.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

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* 17. If I smoked cigarettes regularly, it would harm my health or healthy habits.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

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* 18. If I used marijuana regularly, it would harm my health or healthy habits.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

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* 19. If I used e-cigarettes regularly, it would harm my health or healthy habits.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

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* 20. If I used opioids regularly, they would harm my health or healthy habits.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

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* 21. What did you like best about the prevention lesson you just received? For example, how did it help improve your health or avoid alcohol or drug use?

Posttest Online Youth Substance Use Prevention Program Survey

Question Title

* 1. What is today's date?

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* 2. School or location code:

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* 3. Enter your code number:

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* 4. Are you...

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* 5. How old are you?

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* 6. What grade are you in?

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* 7. In the next year, how likely are you to get physical activity most days a week?

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* 8. In the next year, how likely are you to get 8 or more hours of sleep most nights?

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* 9. In the next year, how likely are you to eat mostly healthy foods most days?

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* 10. In the next year, how likely are you to drink any alcohol?

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* 11. In the next year, how likely are you to smoke any cigarettes?

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* 12. In the next year, how likely are you to use any marijuana?

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* 13. In the next year, how likely are you to use any e-cigarettes?

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* 14. In the next year, how likely are you to take action to reduce stress most days?

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* 15. In the next year, how likely are you to use any opioids for nonmedical reasons?

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* 16. If I drank alcohol regularly, it would harm my health or healthy habits.

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* 17. If I smoked cigarettes regularly, it would harm my health or healthy habits.

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* 18. If I used marijuana regularly, it would harm my health or healthy habits.

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* 19. If I used e-cigarettes regularly, it would harm my health or healthy habits.

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* 20. If I used opioids regularly, they would harm my health or healthy habits.

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* 21. What did you like best about the prevention lesson you just received? For example, how did it help improve your health or avoid alcohol or drug use?

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* 22. What did you like least about the prevention lesson you just received? For example, what would you like to see changed to make it better?