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* 1. School District:

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* 2. Choose the date below that you are taking this survey:

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* 3. How old are you?

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* 4. Are you male or female?

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* 5. What is your ethnic background?

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* 6. How many times have you tried each of the drugs below in your lifetime?

  0 times 1-10 times 11-20 times 20-50 times more than 50 times
Tobacco
Alcohol
Marijuana (Weed)
Cocaine (Crack)
Hallucinogens (LSD, Acid, Mushrooms)
Stimulants (Speed, Meth)
Inhalants (Rush, Nitrous)
Non-prescribed prescription/other medicines
Other (Depressants, PCP, Steroids, Heroin, etc)

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* 7. How many times have you used each of the drugs below in the last month (30 days)?

  0 times 1-10 times 11-20 times 20-50 times more than 50 times
Tobacco
Alcohol
Marijuana (Weed)
Cocaine (Crack)
Hallucinogens (LSD, Acid, Mushrooms)
Stimulants (Speed, Meth)
Inhalants (Rush, Nitrous)
Non-prescribed prescription/other medicines
Other (Depressants, PCP, Steroids, Heroin, etc)

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* 8. Which of the following is not an effective communication skill?

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* 9. An open mind means you are...

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* 10. What percent of students use LSD weekly?

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* 11. What is a self-fulfilling prophecy?

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* 12. Which of the following is NOT a myth of drug use?

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* 13. "Reinterpretation" of drug use consequences means...

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* 14. Difficulty concentrating, urges, sometimes sweating, irritability and restlessness are signs of what?

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* 15. Why might a person in a family affected by drug use feel that he or she must overachieve?

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* 16. What is the best thing to do to support someone who has a drug problem?

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* 17. Which of the following areas of your life may suffer due to marijuana abuse?

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* 18. In terms of damage to the lining of your lungs, two joints are equivalent to how many cigarettes?

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* 19. Which of the following is a good way to deal with tobacco use withdrawal symptoms?

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* 20. What is the third leading cause of preventable death?

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* 21. How many known or suspected cancer-causing substances have been found in tobacco smoke?

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* 22. What does "COPE" stand for?

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* 23. Does drug use cause stress?

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* 24. Laughing at a funeral is an example of...

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* 25. What are the consequences of having negative thoughts?

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* 26. Does drug use lead to negative thinking?

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* 27. What does it mean to have a radical view?

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* 28. A traditional view of gun control would be...

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* 29. What is brainstorming?

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* 30. How likely is it that anything you learn in school this year will help you to...

  not at all likely somewhat likely very likely
stay away from use of tobacco, alcohol and other drugs?
quit or reduce use of tobacco, alcohol and other drugs?
know about other things you can do with your friends besides using drugs?
make your household become or stay drug free?

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* 31. How likely is it that you will use the following drugs in the next year (12 months)?

  definitely not probably not a little likely somewhat likely very likely
Tobacco
Alcohol
Marijuana (Weed)
Cocaine (Crack)
Hallucinogens (LSD, Acid, Mushrooms)
Stimulants (Speed, Meth)
Inhalants (Rush, Nitrous)
Non-prescribed prescription/other medicines
Other (Depressants, PCP, Steroids, Heroin, etc)

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* 32. You have just finished a 12-lesson program called Project Toward No Drug Abuse. We would like you to rate the components of the program. Using a scale from 1-5, please rate each TND lesson.

  Did not like at all Liked very much
Active Listening and Effective Communication
Stereotypes
Myths and Denial
Chemical Dependency and Family Roles
Talk Show
Marijuana Panel
Tobacco Use Cessation
Coping with Stress
Self Control
Positive and Negative Thought and Behavior Loops
Perspectives
Decison Making

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* 33. Overall, did you find the topics and activites in Project TND to be...

  No Sort of Yes
Believable?
Enjoyable?
Helpful?
Interesting?
Important?
Understandable?
A waste of time?
Boring?
Difficult?
Well-organized?
Acceptable?

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* 34. Any other comments?

T