Arizona Youth Risk Behavior Survey Template Page 10
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1464.
During your life, how many times
69.
During the past 12 months, how
have you used methamphetamines
many times have you attended
(also called speed, crystal, crank, or
school under the influence of alcohol
ice)?
or other illegal drugs, such as
A.
0 times
marijuana or cocaine?
B.
1 or 2 times
A.
0 times
C.
3 to 9 times
B.
1 or 2 times
D.
10 to 19 times
C.
3 to 9 times
E.
20 to 39 times
D.
10 to 19 times
F.
40 or more times
E.
20 to 39 times
F.
40 or more times
65.
During the past 30 days, how many
70.
During the past 30 days, how many
times have you used
times have you taken over-the-
methamphetamines (also called
counter drugs to get high?
speed, crystal, crank, or ice)?
A.
0 times
A.
0 times
B.
1 or 2 times
B.
1 or 2 times
C.
3 to 9 times
C.
3 to 9 times
D.
10 to 19 times
D.
10 to 19 times
E.
20 to 39 times
E.
20 to 39 times
F.
40 or more times
F.
40 or more times
71.
During the past 30 days, how many
66.
During the past 30 days, how many
times have you taken a prescription
times have you used ecstasy (also
drug (such as OxyContin, Percocet,
called MDMA)?
Vicodin, Adderall, Ritalin, or Xanax)
A.
0 times
without a doctor's prescription?
B.
1 or 2 times
A.
0 times
C.
3 to 9 times
B.
1 or 2 times
D.
10 to 19 times
C.
3 to 9 times
E.
20 to 39 times
D.
10 to 19 times
F.
40 or more times
E.
20 to 39 times
F.
40 or more times
67.
During your life, how many times
have you taken steroid pills or shots
The next 11 questions ask about sexual
without a doctor's prescription?
behavior.
A.
0 times
B.
1 or 2 times
72.
Have you ever had sexual
C.
3 to 9 times
intercourse?
D.
10 to 19 times
A.
Yes
E.
20 to 39 times
B.
No
F.
40 or more times
68.
During the past 12 months, has
anyone offered, sold, or given you an
illegal drug on school property?
A.
Yes
B.
No
-10-
2013 Arizona YRBS
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