Grades 8, 10 and 12

Healthy Youth Survey Form A

Grades 8, 10 and 12

We are asking you to take part in this survey about issues facing students in communities in Washington. The questions in this survey ask for your opinions about yourself, your friends, your school, and your neighborhood or community. School, community, county, and state officials will use the information from this survey in planning future programs to help youth.

Your answers to these questions are anonymous. This means that no one will know how you answered. There are no codes or information to match a survey to a student. If you do not want to take this survey, tell your teacher now and you will be given another activity.

Some of the questions are personal, such as asking about your relationships and whether you get in fights or use drugs. Some students may find some of the questions uncomfortable or upsetting. You will be given a list of numbers to call if you want to talk to someone about the survey or feelings it brings up.

The survey is completely voluntary. You don’t have to do this survey. You may skip any question you do not wish to answer or stop at any time. It will not affect your grades. Other students have said this survey is interesting and they enjoyed filling it out. We hope you will too. If you have any questions about this survey you may ask your teacher before beginning.

Please take a minute to read the instructions below before starting the survey.

INSTRUCTIONS 1. This is not a test, so there are no right or wrong answers.

2. The questions should be answered by clicking the bubble next to your answer.

3. If you don’t find an answer that fits exactly, use one that comes closest. If any question does notapply to you, or you are not sure of what it means, just leave it blank.

4. Some of the questions have the following format. Select the word that best describes how you feelabout that sentence.

EXAMPLE: Pepperoni pizza is one of my favorite foods. In this example, the student clicked “yes” because he or she thinks the statement is mostly true. ○ NO❗ – means definitely not true for you○ no – means mostly not true for you● yes – means mostly true for you○ YES❗ – means definitely true for you

82-0313 (A)For School Front Office

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1. Where are you taking this survey?

a. On school property b. Not on school property

2. Are you in a place where you can respond honestly to questions related to your thoughts, feelings and habits pertaining to school and your personal life? a. Yes b. No

3. You answered that you are currently NOT in a place where you can answer questions honestly. If possible, please find a place where you can do that. Are you now able to take this survey privately? a. Yes, I am now able to take this survey. b. No, I am NOT able to take this survey

4. How old are you? a. 12 or younger b. 13 c. 14 d. 15 e. 16 f. 17 g. 18 h. 19 or older

5. What grade are you in? a. 7th b. 8th c. 9th d. 10th e. 11th f. 12th g. Ungraded or other

6. How do you describe yourself? Choose all that apply. a. American Indian or Alaskan Native b. Asian or Asian American c. Black or African-American d. Hispanic or Latino/Latina e. Native Hawaiian or other Pacific Islander f. White or Caucasian g. Other

7. If you are of Asian or Pacific Islander background, which groups best describe you? Choose all that apply. a. Not Asian or Pacific Islander b. Asian Indian c. Cambodian/Khmer d. Chinese e. Filipino f. Japanese g. Korean h. Vietnamese i. Other Asian j. Native Hawaiian or other Pacific Islander

8. What language is usually spoken at home? a. English b. Spanish c. Russian d. Ukrainian e. Vietnamese f. Chinese g. Korean h. Japanese i. Other

9. What sex/gender were you at birth, even if you are not that gender today? a. Female b. Male

10. How do you currently identify yourself? Choose all that apply. a. Male b. Female c. Transgender d. Questioning/not sure of my gender identity e. Something else fits better f. I do not know what this question is asking.

11. Which of the following best describes you? a. Heterosexual (straight) b. Gay or lesbian c. Bisexual d. Questioning/not sure e. Something else fits better f. I do not know what this question is asking.

12. Have you or your family moved in the past 3 years to another school district or city for temporary or seasonal work in agriculture, dairy, or fishing? a. No b. Yes c. I do not know.

For School Front Office

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The next questions ask about your life at home and at school.

The next questions ask about your experiences with school.

“Parent(s)” means the person or people who are raising or caring for you. “Mom” or “mother” means the person or people who act(s) as your mother. “Dad” or “father” means the person or people who act(s) as your father.

13. Who did you live with most of the time in the last 30 days? a. Parent(s), step-parent(s), or legal guardian b. Relatives like a grandparent, an aunt, an older

brother—but NOT your parents c. Foster care parent(s) d. Adults who are not your parents, relatives or

foster parents e. Friends of yours with no adults present f. On your own g. Other

14. Where did you live most of the time in the last 30 days? a. In a house or apartment that my family rents

or owns b. In a house or apartment that a relative rents

or owns c. In a house or apartment with someone who is

not a relative d. In a shelter e. In a car or RV, park, or campground f. In a motel/hotel g. On the street h. Moved from place to place i. Other

15. Are your current living arrangements the result of losing your home because your family cannot afford housing? a. No b. Yes c. Not sure

16. How often in the past 12 months did you or your family have to cut meal size or skip meals because there wasn’t enough money for food? a. Almost every month b. Some months but not every month c. Only 1 – 2 months d. Did not have to skip or cut the size of meals

17. During your last school year, how many times did you change schools for reasons other than moving up a grade? a. I did not change schools. b. Once c. Twice d. Three or more times

18. During the past 30 days, on how many days have you been absent from school for any reason? Include any day that you missed at least half of the school day. a. 0 days b. 1 or 2 days c. 3 or more days

19. During the average week, on how many days do you participate in supervised after-school activities either at school or away from school? Include activities such as sports, art, music, dance, drama, or community service, religious, or club activities. a. 0 days b. 1 – 2 days c. 3 or more days

20. How often do you feel the schoolwork you are assigned is meaningful and important? a. Almost always b. Often c. Sometimes d. Seldom e. Never

21. How interesting are most of your courses to you? a. Very interesting and stimulating b. Quite interesting c. Fairly interesting d. Slightly dull e. Very dull


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22. How important do you think the things you are learning in school are going to be for you later in life? a. Very important b. Quite important c. Fairly important d. Slightly important e. Not at all important

23. Think back over the past year in school. How often did you: A. Enjoy school?

a. Never b. Seldom c. Sometimes d. Often e. Almost always

B. Dislike school? a. Never b. Seldom c. Sometimes d. Often e. Almost always

C. Try to do your best work in school? a. Never b. Seldom c. Sometimes d. Often e. Almost always

24. During the LAST 4 WEEKS, how many whole days of school have you missed because you skipped or “cut”? a. 0 days b. 1 day c. 2 days d. 3 days e. 4 – 5 days f. 6 – 10 days g. 11 or more days

25. In my school, students have lots of chances to help decide things like class activities and rules. a. NO❗ b. no c. yes d. YES❗

26. There are lots of chances for students in my school to talk with a teacher one-on-one. a. NO❗ b. no c. yes d. YES❗

27. Teachers ask me to work on special class projects. a. NO❗ b. no c. yes d. YES❗

28. There are lots of chances for students in my school to get involved in sports, clubs, and other school activities outside of class. a. NO❗ b. no c. yes d. YES❗

29. I have lots of chances to be part of class discussions or activities. a. NO❗ b. no c. yes d. YES❗

30. My teacher(s) notices when I am doing a good job and lets me know about it. a. NO❗ b. no c. yes d. YES

31. The school lets my parent(s) know when I have done something well. a. NO❗ b. no c. yes d. YES❗

32. I feel safe during school. a. NO❗ b. no c. yes d. YES❗

33. My teachers praise me when I work hard in school. a. NO❗ b. no c. yes d. YES❗

34. Putting them all together, what were your grades like last year? a. Mostly As b. Mostly Bs c. Mostly Cs d. Mostly Ds e. Mostly Fs


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35. Are your school grades better than the grades of most students in your class? a. NO❗ b. no c. yes d. YES❗

36. How far did your mother(s) get in school? a. Did not finish high school b. Graduated from high school or GED c. Had some college or technical training

after high school d. Graduated from a 4-year college e. Earned an advanced graduate degree f. Don’t know g. Does not apply

37. Does your school provide a counselor, intervention specialist, or other school staff member for students to discuss problems with alcohol, tobacco, or other drugs? a. No b. Yes c. Not sure

Some of the following questions are about vaping, electronic cigarettes or e-cigarettes, juuling, vape- pens, e-hookahs, or mods. “Vapes” or “e-cigs” are battery powered devices that usually contain a liquid that is vaporized and inhaled. “Alcohol” means beer, wine, and beverages like hard lemonade, hard seltzers, and liquor such as vodka and tequila. “Marijuana” (cannabis, pot, weed, hash, kush) includes any products that have some amount of THC, the chemical that gets someone high. These include dried herbs, edibles, oils (e.g., vaped or taken by mouth), dabs, marijuana drinks, tinctures, or other products. DO NOT include CBD-only products.

38. During the past 30 days, on how many days did you: A. Smoke cigarettes?

a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 – 29 days f. All 30 days

B. Drink a glass, can or bottle of alcohol? a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 or more days

C. Use marijuana or hashish? a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 – 19 days f. 20 – 29 days g. All 30 days

D. Not counting alcohol, tobacco, or marijuana, use another illegal drug? a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 or more days

E. Use brezidone? a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 or more days

F. Use a pain killer TO GET HIGH, like Vicodin, OxyContin (sometimes called Oxy or OC) or Percocet (sometimes called Percs)? a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 or more days

G. Use prescription drugs not prescribed to you? a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 or more days

H. Use an electronic cigarette, also called e-cigs, JUUL, or vape pens? a. 0 days b. 1 – 2 days c. 3 – 5 days d. 6 – 9 days e. 10 – 19 days f. 20 – 29 days g. All 30 days

The next questions ask about alcohol and other drugs. Remember, no one but you will know how you answered.


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39. During the past 30 days, which of the following have you used for non-medical reasons? Choose all that apply. a. I did not take any of these for non-

medical reasons. b. I used a stimulant, like Adderall or Ritalin. c. I used a painkiller, like Vicodin, OxyContin, or

Percocet. d. I used a tranquilizer, like Valium or Xanax. e. I used another kind of prescription drug. f. I used an over-the-counter drug, like cough

syrup or cold medicine. g. I took something, but I don’t know what it was.

40. Think back over the last 2 weeks. How many times have you had five or more drinks in a row? (A drink is a glass of wine, a bottle of beer, a shot glass of liquor, or a mixed drink.) a. 0 times b. 1 time c. 2 times d. 3 – 5 times e. 6 – 9 times f. 10 or more times

41. How many times in the past year (12 months) have you been drunk or high while participating in school? a. Never b. 1 – 2 times c. 3 – 5 times d. 6 – 9 times e. 10 or more times

42. How old were you the first time you: A. Used marijuana?

a. Never have b. 10 or younger c. 11 d. 12 e. 13 f. 14 g. 15 h. 16 i. 17 or older

B. Smoked a cigarette, even just a puff? a. Never have b. 10 or younger c. 11 d. 12 e. 13 f. 14 g. 15 h. 16 i. 17 or older

C. Had more than a sip or two of beer, wine, or hard liquor? a. Never have b. 10 or younger c. 11 d. 12 e. 13 f. 14 g. 15 h. 16 i. 17 or older

43. Have you ever, even once in your life: A. Used heroin? Choose all that apply.

a. No, I’ve never used it b. Yes, within the past year c. Yes, over a year ago

B. Used methamphetamines (speed, crystal meth, ice, crank)? Choose all that apply. a. No, I’ve never used it b. Yes, within the past year c. Yes, over a year ago

44. NOT including talks on drinking and driving, in the past year have your parent(s) or guardian(s) talked to you about why you should not drink alcohol? a. Yes, a number of times b. Yes, once c. No d. I don’t remember.

45. In the past year, have your parent(s) or guardian(s) talked to you about why you should not use marijuana? a. Yes, a number of times b. Yes, once c. No d. I don’t remember.

46. How wrong do your parent(s) feel it would be for you to: A. Drink beer, wine, or hard liquor regularly (at

least once or twice a month)? a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

B. Have one or two drinks of an alcoholic beverage nearly every day? a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all


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C. Smoke cigarettes? a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

D. Use marijuana? a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

E. Use prescription drugs not prescribed to you? a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

47. If you used marijuana during the past 30 days, did you ever drink alcohol at the same time? a. I have not used marijuana in the past 30 days. b. Yes, most of the time c. Yes, some of the time d. Yes, rarely e. No

48. During the past year in school, how many times did you get information in classes about reasons not to use alcohol or drugs? a. Never b. 1 time c. 2 – 3 times d. 4 or more times

49. How much do you think people risk harming themselves if they: A. Smoke one or more packs of cigarettes

per day? a. No risk b. Slight risk c. Moderate risk d. Great risk e. Not sure

B. Try marijuana once or twice? a. No risk b. Slight risk c. Moderate risk d. Great risk e. Not sure

C. Use marijuana regularly (at least once or twice a week)? a. No risk b. Slight risk c. Moderate risk d. Great risk e. Not sure

D. Take one or two drinks of an alcoholic beverage nearly every day? a. No risk b. Slight risk c. Moderate risk d. Great risk e. Not sure

E. Have 5 or more drinks of an alcoholic beverage once or twice a week? a. No risk b. Slight risk c. Moderate risk d. Great risk e. Not sure

F. Use prescription drugs that are not prescribed to them? a. No risk b. Slight risk c. Moderate risk d. Great risk e. Not sure

50. If a kid drank some beer, wine, or hard liquor in your neighborhood or community would they be caught by the police? a. NO❗ b. no c. yes d. YES❗

51. If a kid used marijuana in your neighborhood or community, would they be caught by the police? a. NO❗ b. no c. yes d. YES❗

52. If a kid carried a handgun in your neighborhood or community, would they be caught by the police? a. NO❗ b. no c. yes d. YES❗

53. If you wanted to get some beer, wine, or hard liquor, how easy would it be for you to get some? a. Very hard b. Sort of hard c. Sort of easy d. Very easy

The next questions ask about the neighborhood or community where you live.


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54. If you wanted to get some cigarettes, how easy would it be for you to get some? a. Very hard b. Sort of hard c. Sort of easy d. Very easy

55. If you wanted to get some marijuana, how easy would it be for you to get some? a. Very hard b. Sort of hard c. Sort of easy d. Very easy

56. If you wanted to get a drug like cocaine, LSD, or amphetamines, how easy would it be for you to get some? a. Very hard b. Sort of hard c. Sort of easy d. Very easy

57. If you wanted to get a handgun, how easy would it be for you to get one? a. Very hard b. Sort of hard c. Sort of easy d. Very easy

58. There are adults in my neighborhood or community I could talk to about something important. a. NO❗ b. no c. yes d. YES❗

59. Which of the following activities for people your age are available in your neighborhood or community? A. Sports teams and recreation

a. Yes b. No

B. Scouts, Camp Fire, 4-H Clubs, or other service clubs a. Yes b. No

C. Boys and Girls Club, YMCA, or other activity clubs a. Yes b. No

60. Did you participate in team sports or athletics in the past 12 months? a. Yes b. No

61. I’d like to get out of my neighborhood or community. a. NO❗ b. no c. yes d. YES❗

62. If I had to move, I would miss the neighborhood or community I now live in. a. NO❗ b. no c. yes d. YES❗

63. I like my neighborhood or community. a. NO❗ b. no c. yes d. YES❗

64. During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities? a. Yes b. No

65. During the past 12 months, did you ever seriously consider attempting suicide? a. Yes b. No

66. How often over the last 2 weeks were you bothered by: A. Feeling nervous, anxious or on edge?

a. Not at all b. Several days c. More than half the days d. Nearly every day

The next questions ask about sad feelings and attempted suicide. Sometimes people feel so depressed about the future that they may consider attempting suicide, meaning taking some action to end their own life.


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B. Not being able to stop or control worrying? a. Not at all b. Several days c. More than half the days d. Nearly every day

67. If you feel sad or hopeless almost every day for two weeks or more in a row, to whom would you most likely turn for help? Choose all that apply. a. Sibling or cousin b. Teacher, school counselor, or other adult in

my school c. Friend or peer d. Parent/Guardian e. Religious/faith leader f. Coach g. Other adult that’s not my parent h. I don’t have anyone I would talk to. i. I have not felt sad or hopeless for two weeks

or more in a row.

Beginning in early 2020, the coronavirus disease (COVID) pandemic began affecting countries around the world, including the United States. Depending on where you live, your experience with the pandemic might still be going on now, or your community and your school might be somewhat back to normal. The next questions ask about your experiences during this time. 68. There are things we can all do to stop the

spread of certain illnesses like the flu, colds, and COVID. Please rate how often you usually:

A. Wash your hands or use hand sanitizer

between activities. a. All the time b. Most of the time c. About half of the time d. Only some of the time e. Never

B. Wear a mask when you are near people

you don't live with. a. All the time b. Most of the time c. About half of the time d. Only some of the time e. Never

C. Stay home if you feel sick. a. All the time b. Most of the time c. About half of the time d. Only some of the time e. Never

69. How much are you worried right now about

the following things as a result of the COVID pandemic?

A. Your parents or guardians losing their

job(s)? a. Not at all worried b. A little worried c. Pretty worried d. Extremely worried

B. Your family being unable to afford rent or

housing? a. Not at all worried b. A little worried c. Pretty worried d. Extremely worried

C. Not having enough food to eat?

a. Not at all worried b. A little worried c. Pretty worried d. Extremely worried

70. I can think of many ways to get the things in life

that are most important to me. a. None of the time b. A little of the time c. Some of the time d. A lot of the time e. Most of the time f. All of the time

71. I am doing just as well as other kids my age. a. None of the time b. A little of the time c. Some of the time d. A lot of the time e. Most of the time f. All of the time

The next questions contain statements you might make about yourself.

The next questions ask about COVID.


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72. When I have a problem, I can come up with lots of ways to solve it. a. None of the time b. A little of the time c. Some of the time d. A lot of the time e. Most of the time f. All of the time

73. I think the things I have done in the past will help me in the future. a. None of the time b. A little of the time c. Some of the time d. A lot of the time e. Most of the time f. All of the time

A “gang” is a group of people with a leader who act together often for violent or illegal activities.

74. During the past 12 months, have you been a member of a gang? a. No b. Yes

75. Are there gangs at your school? a. No b. Yes c. Don’t know

76. During the past 30 days, on how many days did you carry a weapon such as a gun, knife, or club on school property? a. 0 days b. 1 – 5 days c. 6 or more days d. I have not been on school property in the past 30

days.

77. During the past 12 months, how many times were you in a physical fight? a. 0 times b. 1 time c. 2 – 3 times d. 4 – 5 times e. 6 or more times

”Gambling” means betting money or possessions either in person or online, including video poker, phone apps, e-sports, etc.

78. In the past 12 months, has YOUR gambling caused you problems at home, school or with your friends? a. No, I have not gambled. b. No, I have gambled but it has not caused problems. c. Yes, I have gambled and it has caused problems.

“Bullying” is when one or more students threaten, spread rumors about, hit, shove, or otherwise hurt another student over and over again. It is not bullying when two students of about the same strength or power argue or fight or tease each other in a friendly way.

79. In the last 30 days, how often have you been bullied? a. I have not been bullied. b. Once c. 2 – 3 times d. About once a week e. Several times a week

The next questions ask for your opinions.

80. How wrong do YOU think it is for someone your age to: A. Drink beer, wine, or hard liquor regularly?

a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

B. Smoke cigarettes? a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

C. Use marijuana? a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

D. Use LSD, cocaine, amphetamines, or another illegal drug?

a. Very wrong b. Wrong c. A little bit wrong d. Not wrong at all

The next questions ask about other behaviors.


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The next questions ask about your family. When answering these questions, please think about the people you consider to be your family – parent(s), step-parent(s), grandparent(s), aunt(s), uncle(s), etc.

81. How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day? a. Neither approve nor disapprove b. Somewhat disapprove c. Strongly disapprove d. Don’t know or can’t say

82. During the past 30 days, how many times did you: A. Ride in a car or other vehicle driven by

someone who had been drinking alcohol? a. 0 times b. 1 time c. 2 – 3 times d. 4 – 5 times e. 6 or more times

B. Drive a car or other vehicle when you had been drinking alcohol? a. I did not drive a car or other vehicle in the

past 30 days. b. 0 times c. 1 time d. 2 – 3 times e. 4 – 5 times f. 6 or more times

C. Ride in a car or other vehicle driven by someone who had been using marijuana? a. 0 times b. 1 time c. 2 – 3 times d. 4 – 5 times e. 6 or more times

D. Drive a car or other vehicle within three hours after using marijuana? a. I did not drive a car or other vehicle in the

last 30 days. b. 0 times c. 1 time d. 2 – 3 times e. 4 – 5 times f. 6 or more times

E. Drive a car or other vehicle when you had been drinking alcohol and using marijuana at the same time? a. I did not drive a car or other vehicle in the


F. Text or email while driving a car or other vehicle? a. I did not drive a car or other vehicle in the


83. My parent(s) ask if I’ve gotten my homework done. a. NO❗ b. no c. yes d. YES❗

84. When I am not at home, one of my parent(s) knows where I am and who I am with. a. NO❗ b. no c. yes d. YES❗

85. If I had a personal problem, I could ask my parent(s) for help. a. NO❗ b. no c. yes d. YES❗

86. The rules in my family are clear. a. NO❗ b. no c. yes d. YES❗


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87. My family has clear rules about alcohol and drug use. a. NO❗ b. no c. yes d. YES❗

88. My parent(s) give me lots of chances to do fun things with them. a. NO❗ b. no c. yes d. YES❗

89. My parent(s) ask me what I think before most family decisions affecting me are made. a. NO❗ b. no c. yes d. YES❗

90. If you drank some beer, wine, or liquor without your parent(s) permission, would you be caught by them? a. NO❗ b. no c. yes d. YES❗

91. Would your parent(s) know if you did not come home on time? a. NO❗ b. no c. yes d. YES❗

92. If you carried a handgun without your parent(s) permission, would you be caught by them? a. NO❗ b. no c. yes d. YES❗

93. If you skipped school, would you be caught by your parent(s)? a. NO❗ b. no c. yes d. YES❗

94. During the past 30 days, which of the following did you use on school property? Choose all that apply. a. I have not been on school property in the past 30

days. b. I didn’t use any of these on school property. c. Tobacco (cigarettes, cigars, or chew/dip) d. Electronic cigarette, also called e-cigs, JUUL, or

vape pens e. Marijuana f. Alcohol (at least one drink)

95. During the past 30 days, if you used alcohol, what type of alcohol did you usually drink?

a. I did not drink alcohol during the past 30 days. b. I do not have a usual type. c. Beer d. Flavored malt beverages, such as Smirnoff Ice,

Bacardi Silver, or hard lemonade e. Wine coolers, such as Bartles & Jaymes or Seagrams f. Wine g. Liquor, such as vodka, rum, scotch, bourbon or

whiskey h. Some other type

96. During the past 30 days, if you used alcohol, how did you get it? Choose all that apply. a. I did not get alcohol in the past 30 days. b. I bought it from a store. c. I stole it from a store. d. I got it from friends. e. I got it at a party. f. I got it from an older brother or sister. g. I gave money to someone to get it for me. h. I took it from home without my parents’ permission. i. I got it at home with my parents’ permission. j. I got it some other way.

The next questions ask about your experience with alcohol and other drugs. Remember, no one but you will know how you answered.


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97. During the past 30 days, if you used marijuana, how did you get it? Choose all that apply. a. I did not get marijuana in the past 30 days. b. I bought it from a store. c. I stole it from a store. d. I got it from friends. e. I got it at a party. f. I got it from an older brother or sister. g. I gave money to someone to get it for me. h. I took it from home without my parents’ permission. i. I got it at home with my parents’ permission. j. I got it some other way.

98. During the past 30 days, if you used marijuana, how did you use it? Choose all that apply. a. I did not use marijuana during the past 30 days. b. Smoked it (in a joint, bong, pipe, blunt). c. Ate it (in brownies, cakes, cookies, candy). d. Drank it (tea, cola, alcohol). e. Vaporized it (e-cig, JUUL, or vape pen). f. Dabbed it. g. Used it some other way.

99. If you use marijuana how long do you usually stay high? a. I don’t use marijuana. b. I usually don’t get high. c. 1 to 2 hours d. 3 to 4 hours e. 5 to 6 hours f. 7 to 8 hours g. 9 or more hours

100. Does anyone who lives with you now use marijuana? a. No b. Yes

101. During the past 30 days, which of the following e-cig or vaping products did you use? Choose all that apply. a. I did not use any e-cig or vaping products in

the past 30 days. b. Liquid with nicotine in it c. Liquid with THC (marijuana) in it d. Liquid with nicotine and THC (marijuana) in it e. Liquid with neither nicotine nor THC f. Don’t know

The next questions are about your friends.

102. Think of your four best friends (the friends you feel closest to). In the past year (12 months), how many of your best friends have: A. Smoked cigarettes?

a. None of my friends b. 1 of my friends c. 2 of my friends d. 3 of my friends e. 4 of my friends

B. Tried beer, wine, or hard liquor when their parent(s) didn’t know about it? a. None of my friends b. 1 of my friends c. 2 of my friends d. 3 of my friends e. 4 of my friends

C. Used marijuana? a. None of my friends b. 1 of my friends c. 2 of my friends d. 3 of my friends e. 4 of my friends

D. Used LSD, cocaine, amphetamines, or other illegal drugs? a. None of my friends b. 1 of my friends c. 2 of my friends d. 3 of my friends e. 4 of my friends

103. How wrong do your friends feel it would be for you to: A. Have one or two drinks of an alcoholic

beverage nearly every day? a. Very wrong b. Wrong c. A little bit wrong d. Not at all wrong

B. Use tobacco? a. Very wrong b. Wrong c. A little bit wrong d. Not at all wrong

C. Use marijuana? a. Very wrong b. Wrong c. A little bit wrong d. Not at all wrong


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D. Use prescription drugs not prescribed to you? a. Very wrong b. Wrong c. A little bit wrong d. Not at all wrong

104. How honest were you in filling out this survey? a. I was very honest. b. I was honest most of the time. c. I was honest some of the time. d. I was honest once in a while. e. I was not honest at all.


Documents

Grades 8, 10 and 12