Form A - Healthy Youth Survey - 2012 (Page 5 of 16) in pdf

36. Putting them all together, what were your grades

42. During the past year in school, how many times

like last year?

did you get information in classes about reasons

a. Mostly As

not to use alcohol or drugs?

b. Mostly Bs

a. Never

c. Mostly Cs

b. Once

d. Mostly Ds

c. 2 – 3 times

e. Mostly Fs

d. 4 or more times

37. Are your school grades better than the grades of

43. How much do you think people risk harming

most students in your class?

themselves if they:

a. NO!

A. Smoke one or more packs of cigarettes per day?

b. no

a. No risk

c. yes

b. Slight risk

d. YES!

c. Moderate risk

d. Great risk

38. How far did your mother get in school?

e. Not sure

a. Did not finish high school

b. Graduated from high school or GED

B. Try marijuana once or twice?

c. Had some college or technical training after

a. No risk

high school

b. Slight risk

d. Graduated from a 4-year college

c. Moderate risk

e. Earned an advanced graduate degree

d. Great risk

f. Don’t know

e. Not sure

g. Does not apply

C. Smoke marijuana occasionally?

a. No risk

39. How far did your father get in school?

b. Slight risk

a. Did not finish high school

c. Moderate risk

b. Graduated from high school or GED

d. Great risk

c. Had some college or technical training after

e. Not sure

high school

d. Graduated from a 4-year college

D. Smoke marijuana regularly (at least once or

e. Earned an advanced graduate degree

twice a week)?

f. Don’t know

a. No risk

g. Does not apply

b. Slight risk

c. Moderate risk

d. Great risk

The next questions ask about issues related to alcohol

e. Not sure

and other drugs.

E. Take one or two drinks of an alcoholic

beverage (wine, beer, a shot, liquor) nearly

40. During the past 30 days, have you seen or heard

every day?

advertisements on TV, the Internet, the radio, or

a. No risk

magazines about the dangers of kids drinking

b. Slight risk

alcohol?

c. Moderate risk

a. Not in the past 30 days

d. Great risk

b. 1 – 3 times in the past 30 days

e. Not sure

c. 1 – 3 times per week

d. Daily or almost daily

44. What are the chances you would be seen as

e. More than once a day

cool if you began drinking alcoholic beverages

regularly, that is, at least once or twice a month?

41. NOT including talks on drinking and driving,

a. No or very little chance

in the past year have your parents or guardians

b. Little chance

talked to you about why you should not drink

c. Some chance

alcohol?

d. Pretty good chance

a. Yes, a number of times

e. Very good chance

b. Yes, once

c. No

d. I don’t remember

Form A - Healthy Youth Survey - 2012 Page 5

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