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STOP Pre Survey
*
1.
How old are you?
(Required.)
13
14
15
16
17
18
2.
Male or Female?
Male
Female
3.
What grade are you in?
Freshman
Sophomore
Junior
Senior
Fifth year / Other
4.
what school do you attend?
OGHS
EHS
SPHS
VHS
CAHS
Other (please specify)
5.
Do you receive free/reduced lunch at school?
Yes
No
6.
Write in your zipcode
7.
Which race/ethnicity best describes you? (Please choose only one.)
American Indian or Alaskan Native
Asian / Pacific Islander
Black or African American
Hispanic
White / Caucasian
Multiple ethnicity / Other (please specify)
8.
How many people your age do you think get drunk at
least once a month?
A great deal
A lot
A moderate amount
A little
None at all
9.
How many people your age do you think use marijuana
at least once a month?
A great deal
A lot
A moderate amount
A little
None at all
10.
How many people your age do you think use
prescription drugs without a doctor's prescription at
least once a month?
A great deal
A lot
A moderate amount
A little
None at all
11.
How many people your age do you think vape at least once a month?
A great deal
A lot
A moderate amount
A little
None at all
12.
Have you had alcohol in the past 30 days?
Yes
No
13.
Have you used marijuana in the past 30 days?
Yes
No
14.
Have you vaped in the past 30 days?
Yes
No
15.
Have you consumed prescription drugs that were not yours in the past 30 days?
Yes
No
16.
During the past 30 days have you
had five or more drinks at a sitting?
None
Once
Twice
3 to 5 Times
17.
_____________ for you to refuse an offer of alcohol? Fill in the blank
Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
18.
Drug and alcohol use will prevent me from achieving my goals.
Strongly agree
Agree
Disagree
Strongly disagree
19.
Would drinking make it easier for you to deal with
personal problems?
Definitely would
Probably would
Probably would not
Definitely would not
20.
Do you know about the Social Host Ordinance?
Yes
No
21.
How wrong do you think it is for your peers/teammates to: Drink beer, wine or hard liquor?
Very Wrong
Wrong
A little wrong
Not wrong at all
22.
Has alcohol use ever negatively affected your sport performance?
Yes
No
23.
Within the last 12 months, have you experienced any of the following when drinking alcohol? (Check all that apply)
Did something you later regretted
Forgot where you were or what you did
Got in trouble with the police
Had sex with someone without getting their consent or giving your consent
Had unprotected sex
Physically injured yourself
Physically injured another person
Seriously considered suicide
24.
Have you ever? (All that apply)
Been absent from school because you used alcohol
Been drunk at school
Done poorly in school because you used alcohol
Been arrested because you used alcohol
Driven under the influence
Been a passenger in a vehicle in which the driver was under the influence of alcohol
Been drunk at a party
25.
How easy is it for minors to obtain alcohol in Escondido?
Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
26.
How easy is it to obtain vapes and vape liquids?
Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
27.
Easiest place for your peers to get alcohol? (Circle all that apply)
Liquor store
Supermarket
Household
Parents
Friends
Friend's parents
Siblings
Relatives
28.
Do you think underage alcohol use is harmful?
Strongly agree
Agree
Disagree
Strongly disagree
29.
Do you know the harmful effects of alcohol?
Strongly agree
Agree
Disagree
Strongly disagree
30.
Athletes in my school drink more than non-athletes.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Current Progress,
0 of 30 answered