Lexintgon School District Two Parent Survey

1. Lexington School District Two Parent Survey

Dear Parent:

This survey is voluntary and confidential. There are no right or wrong answers. This survey is to completed by the parent/guardian of the student attending this school. Please keep this child in mind as you complete the survey. Survey results will be used to raise awareness of the issue of youth substance use.

If you have any questions about the survey, please contact:

Lakesha Fields, MSW

(803) 726.9423 or

riseaboveit@lradac.org

Your input is valuable to us. Thank you for your time!

Question Title

* 1. To the best of your knowledge, has your child done any of the following in the last 30 days?

	Yes	No	Not Sure
Drank alcohol (including beer and liquor)	Drank alcohol (including beer and liquor) Yes	Drank alcohol (including beer and liquor) No	Drank alcohol (including beer and liquor) Not Sure
Drank 5 or more drinks of alcohol in row	Drank 5 or more drinks of alcohol in row Yes	Drank 5 or more drinks of alcohol in row No	Drank 5 or more drinks of alcohol in row Not Sure
Smoked or used marijuana	Smoked or used marijuana Yes	Smoked or used marijuana No	Smoked or used marijuana Not Sure
Smoked cigarettes	Smoked cigarettes Yes	Smoked cigarettes No	Smoked cigarettes Not Sure
Used chewing tobacco, snuff or dip	Used chewing tobacco, snuff or dip Yes	Used chewing tobacco, snuff or dip No	Used chewing tobacco, snuff or dip Not Sure
Used electronic cigarettes (e-cigarettes)	Used electronic cigarettes (e-cigarettes) Yes	Used electronic cigarettes (e-cigarettes) No	Used electronic cigarettes (e-cigarettes) Not Sure
Used prescription drugs not prescribed to him/her	Used prescription drugs not prescribed to him/her Yes	Used prescription drugs not prescribed to him/her No	Used prescription drugs not prescribed to him/her Not Sure
Witnessed or been involved in gang activity	Witnessed or been involved in gang activity Yes	Witnessed or been involved in gang activity No	Witnessed or been involved in gang activity Not Sure

Question Title

* 2. What percentage of students in your child's grade do you think used any of the following substances in the last 30 days?

	10% or less	11% -25%	26%-40%	41%-60%	More than 60%
Drank alcohol	Drank alcohol 10% or less	Drank alcohol 11% -25%	Drank alcohol 26%-40%	Drank alcohol 41%-60%	Drank alcohol More than 60%
Drank 5 or more drinks of alcohol in a row	Drank 5 or more drinks of alcohol in a row 10% or less	Drank 5 or more drinks of alcohol in a row 11% -25%	Drank 5 or more drinks of alcohol in a row 26%-40%	Drank 5 or more drinks of alcohol in a row 41%-60%	Drank 5 or more drinks of alcohol in a row More than 60%
Smoked or used marijuana	Smoked or used marijuana 10% or less	Smoked or used marijuana 11% -25%	Smoked or used marijuana 26%-40%	Smoked or used marijuana 41%-60%	Smoked or used marijuana More than 60%
Smoked cigarettes	Smoked cigarettes 10% or less	Smoked cigarettes 11% -25%	Smoked cigarettes 26%-40%	Smoked cigarettes 41%-60%	Smoked cigarettes More than 60%
Used chewing tobacco, snuff or dip	Used chewing tobacco, snuff or dip 10% or less	Used chewing tobacco, snuff or dip 11% -25%	Used chewing tobacco, snuff or dip 26%-40%	Used chewing tobacco, snuff or dip 41%-60%	Used chewing tobacco, snuff or dip More than 60%
Used electronic cigarettes (e-cigarettes)	Used electronic cigarettes (e-cigarettes) 10% or less	Used electronic cigarettes (e-cigarettes) 11% -25%	Used electronic cigarettes (e-cigarettes) 26%-40%	Used electronic cigarettes (e-cigarettes) 41%-60%	Used electronic cigarettes (e-cigarettes) More than 60%
Used prescription drugs not prescribed to him/her	Used prescription drugs not prescribed to him/her 10% or less	Used prescription drugs not prescribed to him/her 11% -25%	Used prescription drugs not prescribed to him/her 26%-40%	Used prescription drugs not prescribed to him/her 41%-60%	Used prescription drugs not prescribed to him/her More than 60%