Youth Risk Behavior Questionnaire Template Page 8
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1451.
During the past 30 days, how did you
54.
How old were you when you tried
usually get the alcohol you drank?
marijuana for the first time?
A.
I did not drink alcohol during
A.
I have never tried marijuana
the past 30 days
B.
8 years old or younger
B.
I bought it in a store such as a
C.
9 or 10 years old
liquor store, convenience
D.
11 or 12 years old
store, supermarket, discount
E.
13 or 14 years old
store, or gas station
F.
15 or 16 years old
C.
I bought it at a restaurant,
G.
17 years old or older
bar, or club
D.
I bought it at a public event
55.
During the past 30 days, how many
such as a concert or sporting
times did you use marijuana?
event
A.
0 times
E.
I gave someone else money
B.
1 or 2 times
to buy it for me
C.
3 to 9 times
F.
Someone gave it to me
D.
10 to 19 times
G.
I took it from a store or
E.
20 to 39 times
family member
F.
40 or more times
H.
I got it some other way
56.
During the past 30 days, how many
52.
During the past 30 days, on how
times did you use marijuana on
school property?
many days did you have at least one
drink of alcohol on school
A.
0 times
property?
B.
1 or 2 times
A.
0 days
C.
3 to 9 times
B.
1 or 2 days
D.
10 to 19 times
C.
3 to 5 days
E.
20 to 39 times
D.
6 to 9 days
F.
40 or more times
E.
10 to 19 days
F.
20 to 29 days
The next 13 questions ask about other
G.
All 30 days
drugs.
57.
During your life, how many times
The next 4 questions ask about marijuana
use. Marijuana also is called grass or pot.
have you used any form of cocaine,
including powder, crack, or
53.
During your life, how many times
freebase?
have you used marijuana?
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 to 99 times
G.
100 or more times
8
2015 Arizona HS YRBS
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