9th Grade POST Prevention Ed Spring 2014

Hi, and welcome to the SLVHS prevention ed survey. Just to be clear:

This is not a test - there are no right or wrong answers
You are not asked to put your name on this survey-it's completely confidential
It's very important that you answer each question honestly-you will not get in trouble from your answers
Any reports using this information will be in summary form and individual students cannot be identified

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* 1. What is your gender?

Female

Male

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* 2. What grade are you in?

Freshman

Sophomore

Junior

Senior

Fifth year / Other

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* 3. Over the past year, my grades have been:

Mostly A's

A's and B's

Mostly B's

B's and C's

Mostly C's

C's and D's

Mostly D's

D's and F's

Mostly F's

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* 4. In your opinion, is it likely that a student would look for help from a teacher, counselor, or other adult at SLVHS for problems with drugs or alcohol

Very likely

Somewhat likely

Not likely

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* 5. What do you think is the risk of someone hurting themselves (either physically or mentally) if they drink alcohol regularly?

No risk

Slight risk

Moderate risk

Great risk

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* 6. How do you feel about someone in your grade drinking alcohol regularly?

Neither approve or disapprove

Somewhat disapprove

Strongly disapprove

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* 7. How hard do you think it is for someone in your grade to get the following?

	Very difficult	Fairly difficult	Fairly easy	Very easy	Don't really know
Alcohol	Alcohol Very difficult	Alcohol Fairly difficult	Alcohol Fairly easy	Alcohol Very easy	Alcohol Don't really know
Marijuana	Marijuana Very difficult	Marijuana Fairly difficult	Marijuana Fairly easy	Marijuana Very easy	Marijuana Don't really know
Methamphetamine or other forms of amphetamine (meth, crank, speed)	Methamphetamine or other forms of amphetamine (meth, crank, speed) Very difficult	Methamphetamine or other forms of amphetamine (meth, crank, speed) Fairly difficult	Methamphetamine or other forms of amphetamine (meth, crank, speed) Fairly easy	Methamphetamine or other forms of amphetamine (meth, crank, speed) Very easy	Methamphetamine or other forms of amphetamine (meth, crank, speed) Don't really know
Medicine prescribed to others in order to get stoned or high (ex: Vicodin, OxyContin, Ritalin, etc).	Medicine prescribed to others in order to get stoned or high (ex: Vicodin, OxyContin, Ritalin, etc). Very difficult	Medicine prescribed to others in order to get stoned or high (ex: Vicodin, OxyContin, Ritalin, etc). Fairly difficult	Medicine prescribed to others in order to get stoned or high (ex: Vicodin, OxyContin, Ritalin, etc). Fairly easy	Medicine prescribed to others in order to get stoned or high (ex: Vicodin, OxyContin, Ritalin, etc). Very easy	Medicine prescribed to others in order to get stoned or high (ex: Vicodin, OxyContin, Ritalin, etc). Don't really know
Any other illegal substance used to get high (ex: heroin, cocaine, PCP, Ecstasy).	Any other illegal substance used to get high (ex: heroin, cocaine, PCP, Ecstasy). Very difficult	Any other illegal substance used to get high (ex: heroin, cocaine, PCP, Ecstasy). Fairly difficult	Any other illegal substance used to get high (ex: heroin, cocaine, PCP, Ecstasy). Fairly easy	Any other illegal substance used to get high (ex: heroin, cocaine, PCP, Ecstasy). Very easy	Any other illegal substance used to get high (ex: heroin, cocaine, PCP, Ecstasy). Don't really know

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* 8. Over the past year, how often have you talked to a parent (or guardian) about harm from tobacco, alcohol, marijuana or other drug use?

Not at all

A couple of times over the year

A couple times a month

At least once a week, but not every day

Every day

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* 9. What substances have you used more than once? (Answer as many as apply to you)

Tobacco

Alcohol

Marijuana

Have not used any of them more than once

Have not used any of them at all

Other (please specify)

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* 10. For the next question, a "drink" is defined as:
12 ounces of beer, or
8 ounces of malt liquor, or
5 ounces of wine, or
1 ounce of 80 proof alcohol

SO....

A six pack of beer is really six drinks
A 40 ounce beer is really three and a half drinks
A 40 ounce malt liquor is really five drinks
A quart of hard liquor is really 32 drinks

During the past 30 days, how often have you had....

	0 Days	One day out of thirty	Two days out of thirty	Three to nine days out of thirty	Ten to nineteen days out of thirty	Twenty to thirty out of thirty
at least one drink of alcohol (such as beer, malt liquor, wine or hard liquor)?	at least one drink of alcohol (such as beer, malt liquor, wine or hard liquor)? 0 Days	at least one drink of alcohol (such as beer, malt liquor, wine or hard liquor)? One day out of thirty	at least one drink of alcohol (such as beer, malt liquor, wine or hard liquor)? Two days out of thirty	at least one drink of alcohol (such as beer, malt liquor, wine or hard liquor)? Three to nine days out of thirty	at least one drink of alcohol (such as beer, malt liquor, wine or hard liquor)? Ten to nineteen days out of thirty	at least one drink of alcohol (such as beer, malt liquor, wine or hard liquor)? Twenty to thirty out of thirty
five or more drinks of alcohol in a row or within a couple of hours?	five or more drinks of alcohol in a row or within a couple of hours? 0 Days	five or more drinks of alcohol in a row or within a couple of hours? One day out of thirty	five or more drinks of alcohol in a row or within a couple of hours? Two days out of thirty	five or more drinks of alcohol in a row or within a couple of hours? Three to nine days out of thirty	five or more drinks of alcohol in a row or within a couple of hours? Ten to nineteen days out of thirty	five or more drinks of alcohol in a row or within a couple of hours? Twenty to thirty out of thirty
Cigarettes or tobacco products?	Cigarettes or tobacco products? 0 Days	Cigarettes or tobacco products? One day out of thirty	Cigarettes or tobacco products? Two days out of thirty	Cigarettes or tobacco products? Three to nine days out of thirty	Cigarettes or tobacco products? Ten to nineteen days out of thirty	Cigarettes or tobacco products? Twenty to thirty out of thirty
Marijuana?	Marijuana? 0 Days	Marijuana? One day out of thirty	Marijuana? Two days out of thirty	Marijuana? Three to nine days out of thirty	Marijuana? Ten to nineteen days out of thirty	Marijuana? Twenty to thirty out of thirty
Prescription drugs in order to get high (ex: Vicodin, Oxy Contin, Percodan, Ritalin)?	Prescription drugs in order to get high (ex: Vicodin, Oxy Contin, Percodan, Ritalin)? 0 Days	Prescription drugs in order to get high (ex: Vicodin, Oxy Contin, Percodan, Ritalin)? One day out of thirty	Prescription drugs in order to get high (ex: Vicodin, Oxy Contin, Percodan, Ritalin)? Two days out of thirty	Prescription drugs in order to get high (ex: Vicodin, Oxy Contin, Percodan, Ritalin)? Three to nine days out of thirty	Prescription drugs in order to get high (ex: Vicodin, Oxy Contin, Percodan, Ritalin)? Ten to nineteen days out of thirty	Prescription drugs in order to get high (ex: Vicodin, Oxy Contin, Percodan, Ritalin)? Twenty to thirty out of thirty
Amphetamines or methamphetamine?	Amphetamines or methamphetamine? 0 Days	Amphetamines or methamphetamine? One day out of thirty	Amphetamines or methamphetamine? Two days out of thirty	Amphetamines or methamphetamine? Three to nine days out of thirty	Amphetamines or methamphetamine? Ten to nineteen days out of thirty	Amphetamines or methamphetamine? Twenty to thirty out of thirty
Inhalants to get high (glue, paint, poppers)?	Inhalants to get high (glue, paint, poppers)? 0 Days	Inhalants to get high (glue, paint, poppers)? One day out of thirty	Inhalants to get high (glue, paint, poppers)? Two days out of thirty	Inhalants to get high (glue, paint, poppers)? Three to nine days out of thirty	Inhalants to get high (glue, paint, poppers)? Ten to nineteen days out of thirty	Inhalants to get high (glue, paint, poppers)? Twenty to thirty out of thirty
Cocaine or crack?	Cocaine or crack? 0 Days	Cocaine or crack? One day out of thirty	Cocaine or crack? Two days out of thirty	Cocaine or crack? Three to nine days out of thirty	Cocaine or crack? Ten to nineteen days out of thirty	Cocaine or crack? Twenty to thirty out of thirty
LSD or other psychedelics?	LSD or other psychedelics? 0 Days	LSD or other psychedelics? One day out of thirty	LSD or other psychedelics? Two days out of thirty	LSD or other psychedelics? Three to nine days out of thirty	LSD or other psychedelics? Ten to nineteen days out of thirty	LSD or other psychedelics? Twenty to thirty out of thirty
Ecstasy or MDMA?	Ecstasy or MDMA? 0 Days	Ecstasy or MDMA? One day out of thirty	Ecstasy or MDMA? Two days out of thirty	Ecstasy or MDMA? Three to nine days out of thirty	Ecstasy or MDMA? Ten to nineteen days out of thirty	Ecstasy or MDMA? Twenty to thirty out of thirty
Heroin?	Heroin? 0 Days	Heroin? One day out of thirty	Heroin? Two days out of thirty	Heroin? Three to nine days out of thirty	Heroin? Ten to nineteen days out of thirty	Heroin? Twenty to thirty out of thirty
Cough/cold medication to get high?	Cough/cold medication to get high? 0 Days	Cough/cold medication to get high? One day out of thirty	Cough/cold medication to get high? Two days out of thirty	Cough/cold medication to get high? Three to nine days out of thirty	Cough/cold medication to get high? Ten to nineteen days out of thirty	Cough/cold medication to get high? Twenty to thirty out of thirty

Other (please specify)

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* 11. During the past 30 days how many times have you had the following experience as the result of drinking alcohol?

	Zero times	1 to 2 times	3 to 6 times	7 or more times
Been approached by a police officer but not cited or arrested	Been approached by a police officer but not cited or arrested Zero times	Been approached by a police officer but not cited or arrested 1 to 2 times	Been approached by a police officer but not cited or arrested 3 to 6 times	Been approached by a police officer but not cited or arrested 7 or more times
Been cited or arrested for use	Been cited or arrested for use Zero times	Been cited or arrested for use 1 to 2 times	Been cited or arrested for use 3 to 6 times	Been cited or arrested for use 7 or more times
Got in trouble at school	Got in trouble at school Zero times	Got in trouble at school 1 to 2 times	Got in trouble at school 3 to 6 times	Got in trouble at school 7 or more times
Had problems doing schoolwork	Had problems doing schoolwork Zero times	Had problems doing schoolwork 1 to 2 times	Had problems doing schoolwork 3 to 6 times	Had problems doing schoolwork 7 or more times
Got into a fight or argument	Got into a fight or argument Zero times	Got into a fight or argument 1 to 2 times	Got into a fight or argument 3 to 6 times	Got into a fight or argument 7 or more times
Physically hurt YOURSELF	Physically hurt YOURSELF Zero times	Physically hurt YOURSELF 1 to 2 times	Physically hurt YOURSELF 3 to 6 times	Physically hurt YOURSELF 7 or more times
Physically her SOMEONE ELSE	Physically her SOMEONE ELSE Zero times	Physically her SOMEONE ELSE 1 to 2 times	Physically her SOMEONE ELSE 3 to 6 times	Physically her SOMEONE ELSE 7 or more times
Forgot what happened	Forgot what happened Zero times	Forgot what happened 1 to 2 times	Forgot what happened 3 to 6 times	Forgot what happened 7 or more times
Passed out	Passed out Zero times	Passed out 1 to 2 times	Passed out 3 to 6 times	Passed out 7 or more times
Felt sick or vomited	Felt sick or vomited Zero times	Felt sick or vomited 1 to 2 times	Felt sick or vomited 3 to 6 times	Felt sick or vomited 7 or more times
Was hungover	Was hungover Zero times	Was hungover 1 to 2 times	Was hungover 3 to 6 times	Was hungover 7 or more times
Had unwanted sex	Had unwanted sex Zero times	Had unwanted sex 1 to 2 times	Had unwanted sex 3 to 6 times	Had unwanted sex 7 or more times
Had unprotected sex	Had unprotected sex Zero times	Had unprotected sex 1 to 2 times	Had unprotected sex 3 to 6 times	Had unprotected sex 7 or more times
Was taken advantage of sexually	Was taken advantage of sexually Zero times	Was taken advantage of sexually 1 to 2 times	Was taken advantage of sexually 3 to 6 times	Was taken advantage of sexually 7 or more times
Took advantage of someone else sexually	Took advantage of someone else sexually Zero times	Took advantage of someone else sexually 1 to 2 times	Took advantage of someone else sexually 3 to 6 times	Took advantage of someone else sexually 7 or more times

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* 12. During the past 30 days how many times have you had the following experience as the result of using marijuana?

	Zero times	1 to 2 times	3 to 6 times	7 or more times
Been approached by a police officer but not cited or arrested	Been approached by a police officer but not cited or arrested Zero times	Been approached by a police officer but not cited or arrested 1 to 2 times	Been approached by a police officer but not cited or arrested 3 to 6 times	Been approached by a police officer but not cited or arrested 7 or more times
Been cited or arrested for use	Been cited or arrested for use Zero times	Been cited or arrested for use 1 to 2 times	Been cited or arrested for use 3 to 6 times	Been cited or arrested for use 7 or more times
Got in trouble at school	Got in trouble at school Zero times	Got in trouble at school 1 to 2 times	Got in trouble at school 3 to 6 times	Got in trouble at school 7 or more times
Had problems doing schoolwork	Had problems doing schoolwork Zero times	Had problems doing schoolwork 1 to 2 times	Had problems doing schoolwork 3 to 6 times	Had problems doing schoolwork 7 or more times
Got into a fight or argument	Got into a fight or argument Zero times	Got into a fight or argument 1 to 2 times	Got into a fight or argument 3 to 6 times	Got into a fight or argument 7 or more times
Physically hurt YOURSELF	Physically hurt YOURSELF Zero times	Physically hurt YOURSELF 1 to 2 times	Physically hurt YOURSELF 3 to 6 times	Physically hurt YOURSELF 7 or more times
Physically her SOMEONE ELSE	Physically her SOMEONE ELSE Zero times	Physically her SOMEONE ELSE 1 to 2 times	Physically her SOMEONE ELSE 3 to 6 times	Physically her SOMEONE ELSE 7 or more times
Forgot what happened	Forgot what happened Zero times	Forgot what happened 1 to 2 times	Forgot what happened 3 to 6 times	Forgot what happened 7 or more times
Passed out	Passed out Zero times	Passed out 1 to 2 times	Passed out 3 to 6 times	Passed out 7 or more times
Felt sick or vomited	Felt sick or vomited Zero times	Felt sick or vomited 1 to 2 times	Felt sick or vomited 3 to 6 times	Felt sick or vomited 7 or more times
Was hungover	Was hungover Zero times	Was hungover 1 to 2 times	Was hungover 3 to 6 times	Was hungover 7 or more times
Had unwanted sex	Had unwanted sex Zero times	Had unwanted sex 1 to 2 times	Had unwanted sex 3 to 6 times	Had unwanted sex 7 or more times
Had unprotected sex	Had unprotected sex Zero times	Had unprotected sex 1 to 2 times	Had unprotected sex 3 to 6 times	Had unprotected sex 7 or more times
Was taken advantage of sexually	Was taken advantage of sexually Zero times	Was taken advantage of sexually 1 to 2 times	Was taken advantage of sexually 3 to 6 times	Was taken advantage of sexually 7 or more times
Took advantage of someone else sexually	Took advantage of someone else sexually Zero times	Took advantage of someone else sexually 1 to 2 times	Took advantage of someone else sexually 3 to 6 times	Took advantage of someone else sexually 7 or more times

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* 13. During the past 30 days, on how many days did you drink alcohol/smoke marijuana for the following reasons

	0 times	1 to 2 times	3 to 6 times	7 or more times
Because I was bored	Because I was bored 0 times	Because I was bored 1 to 2 times	Because I was bored 3 to 6 times	Because I was bored 7 or more times
To help me feel comfortable around others	To help me feel comfortable around others 0 times	To help me feel comfortable around others 1 to 2 times	To help me feel comfortable around others 3 to 6 times	To help me feel comfortable around others 7 or more times
Because I was stressed	Because I was stressed 0 times	Because I was stressed 1 to 2 times	Because I was stressed 3 to 6 times	Because I was stressed 7 or more times
To help me sleep	To help me sleep 0 times	To help me sleep 1 to 2 times	To help me sleep 3 to 6 times	To help me sleep 7 or more times
Because of worry or anxiety	Because of worry or anxiety 0 times	Because of worry or anxiety 1 to 2 times	Because of worry or anxiety 3 to 6 times	Because of worry or anxiety 7 or more times
To help me deal with anger	To help me deal with anger 0 times	To help me deal with anger 1 to 2 times	To help me deal with anger 3 to 6 times	To help me deal with anger 7 or more times
To help me deal with sadness or depression	To help me deal with sadness or depression 0 times	To help me deal with sadness or depression 1 to 2 times	To help me deal with sadness or depression 3 to 6 times	To help me deal with sadness or depression 7 or more times
To help me forget about my problems	To help me forget about my problems 0 times	To help me forget about my problems 1 to 2 times	To help me forget about my problems 3 to 6 times	To help me forget about my problems 7 or more times
Just to have fun	Just to have fun 0 times	Just to have fun 1 to 2 times	Just to have fun 3 to 6 times	Just to have fun 7 or more times
For the thrill of it	For the thrill of it 0 times	For the thrill of it 1 to 2 times	For the thrill of it 3 to 6 times	For the thrill of it 7 or more times
To help with schoolwork	To help with schoolwork 0 times	To help with schoolwork 1 to 2 times	To help with schoolwork 3 to 6 times	To help with schoolwork 7 or more times

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* 14. During the last 30 days, have you had any of the following experiences from drinking alcohol?

	0 times	1 to 2 times	3 to 6 times	7 or more times
Drank a lot more than you planned	Drank a lot more than you planned 0 times	Drank a lot more than you planned 1 to 2 times	Drank a lot more than you planned 3 to 6 times	Drank a lot more than you planned 7 or more times
Drank while you were by yourself	Drank while you were by yourself 0 times	Drank while you were by yourself 1 to 2 times	Drank while you were by yourself 3 to 6 times	Drank while you were by yourself 7 or more times
Thought about cutting down your use	Thought about cutting down your use 0 times	Thought about cutting down your use 1 to 2 times	Thought about cutting down your use 3 to 6 times	Thought about cutting down your use 7 or more times
Thought you might have a problem	Thought you might have a problem 0 times	Thought you might have a problem 1 to 2 times	Thought you might have a problem 3 to 6 times	Thought you might have a problem 7 or more times
Tried to quit	Tried to quit 0 times	Tried to quit 1 to 2 times	Tried to quit 3 to 6 times	Tried to quit 7 or more times

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* 15. Are there any family members you live with or see often with an alcohol/marijuana/drug problem?

Yes

Yes, but in the past

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* 16. Do you have any friends with an alcohol/marijuana/drug problem?

Yes

Yes, but in the past

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* 17. Which statement is most true for you?

I can always say no when others offer me alcohol

It's sometimes difficult to say no when others offer me alcohol

I can't really refuse or say no when others offer me alcohol

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* 18. Which statement is most true for you?

I can always say no when others offer me marijuana

It's sometimes difficult to say no when others offer me marijuana

I can't really refuse or say no when others offer me marijuana

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* 19. Which statement is most true for you?

I can always say no when others offer me drugs other than marijuana

It's sometimes difficult to say no when others offer me drugs other than marijuana

It's hard for me to refuse or say no when others offer me drugs other than marijuana

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* 20. How much do you agree with the following statements?

	Strongly agree	Agree	Most of the time	Not really
I have goals and plans for my future	I have goals and plans for my future Strongly agree	I have goals and plans for my future Agree	I have goals and plans for my future Most of the time	I have goals and plans for my future Not really
I am sure that I will graduate high school	I am sure that I will graduate high school Strongly agree	I am sure that I will graduate high school Agree	I am sure that I will graduate high school Most of the time	I am sure that I will graduate high school Not really
I've been pretty effective in working out my own problems	I've been pretty effective in working out my own problems Strongly agree	I've been pretty effective in working out my own problems Agree	I've been pretty effective in working out my own problems Most of the time	I've been pretty effective in working out my own problems Not really
I take responsibility for the things that I do or have done	I take responsibility for the things that I do or have done Strongly agree	I take responsibility for the things that I do or have done Agree	I take responsibility for the things that I do or have done Most of the time	I take responsibility for the things that I do or have done Not really
There are lots of things that I can do well	There are lots of things that I can do well Strongly agree	There are lots of things that I can do well Agree	There are lots of things that I can do well Most of the time	There are lots of things that I can do well Not really
I can ask for help when I need it	I can ask for help when I need it Strongly agree	I can ask for help when I need it Agree	I can ask for help when I need it Most of the time	I can ask for help when I need it Not really
I like the direction that my life is going	I like the direction that my life is going Strongly agree	I like the direction that my life is going Agree	I like the direction that my life is going Most of the time	I like the direction that my life is going Not really
I think before I make choices or take action	I think before I make choices or take action Strongly agree	I think before I make choices or take action Agree	I think before I make choices or take action Most of the time	I think before I make choices or take action Not really

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* 21. How much did you learn from your Project Success counselor?

I learned a lot

I learned a little

I didn't learn anything new

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* 22. How helpful was the Project Success counselor?

Very Helpful

Somewhat helpful

Not at all helpful

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* 23. How much do you agree or disagree with the following statements?

	Strongly Agree	Somewhat Agree	Somewhat Disagree	Strongly Disagree
My Project Success counselor listened to me	My Project Success counselor listened to me Strongly Agree	My Project Success counselor listened to me Somewhat Agree	My Project Success counselor listened to me Somewhat Disagree	My Project Success counselor listened to me Strongly Disagree
I could trust my Project Success counselor	I could trust my Project Success counselor Strongly Agree	I could trust my Project Success counselor Somewhat Agree	I could trust my Project Success counselor Somewhat Disagree	I could trust my Project Success counselor Strongly Disagree
I felt a connection with my Project Success counselor	I felt a connection with my Project Success counselor Strongly Agree	I felt a connection with my Project Success counselor Somewhat Agree	I felt a connection with my Project Success counselor Somewhat Disagree	I felt a connection with my Project Success counselor Strongly Disagree
If I had a problem I would go to my Project Success counselor for support	If I had a problem I would go to my Project Success counselor for support Strongly Agree	If I had a problem I would go to my Project Success counselor for support Somewhat Agree	If I had a problem I would go to my Project Success counselor for support Somewhat Disagree	If I had a problem I would go to my Project Success counselor for support Strongly Disagree