Survey 2020-2021

This survey consists of 19 questions and is completely anonymous.  The purpose of this survey is to gather information necessary to ensure our young people are receiving the appropriate information in order to make important life decisions.

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* 1. Are you:

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* 2. What grade are you in?

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* 3. How old are you?

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* 4. Are you... (Check all that apply)

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* 5. Do you live with? Check all that apply

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* 6. On average what grades do you receive?

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* 7. During school are you on free or reduced lunch?

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* 8. Which of the following are you involved in?  Check all that apply.

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* 9. How safe do you feel when you are:

  Very Safe Somewhat Safe Not Very Safe Not Safe At All Don't Know
At home?
In your neighborhood?
At school?

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* 10. How often does your family spend time together?

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* 11. If you had a problem and needed help, who would you feel safe talking to?  Check all that apply.

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* 12. Has someone educated you on any of the following? Check all that apply.

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* 13. How recently, if ever, have you used any of the following:

  Never used/heard of it Used at least once more than 30 days ago Used at least once in the last 30 days Only 1 time ever
Cigarettes?
Vaping products?
Beer/wine/other alcohol?
Prescription Drugs not for you?
Marijuana?

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* 14. How old were you when you first tried:

  Never used 7 yrs or younger 8-9 yrs old 10-11 yrs old 12+ yrs
Cigarettes?
Vaping?
Alcohol?
Marijuana?
Prescription Drugs not for you?

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* 15. Do you have friends that use or have used any of the following? Check all that apply.

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* 16. How do your friends feel about you or others using substances (drugs)?

  Strongly Disapprove Somewhat Disapprove Neither Approve or Disapprove Somewhat Approve Strongly Approve
Using Cigarettes
Using Vaping 
Drinking Alcohol
Using Marijuana
Using Prescription Drugs not for them

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* 17. How easy is it for you to access any of these substances (drugs) at home?

  Very Easy Somewhat Easy Somewhat Difficult Very Difficult
Cigarettes
Vaping Products
Alcohol
Marijuana
Prescription Drugs

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* 18. Who has talked to you about what drugs can do to your body? Check all that apply.

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* 19. How do your parents or guardian feel about kids your age...

  Strongly Disapprove Somewhat Disapprove Neither Approve or Disapprove Somewhat Approve Strongly Approve
Using cigarettes or vaping?
Drinking alcohol?
Using prescription drugs not for them?
Using marijuana?
0 of 19 answered
 

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