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Face 2 Face Post Program Survey 2016-2017
1.
Post Program Survey
*
1.
What school do you attend?
(Required.)
*
2.
How do you identify your gender?
(Required.)
Female
Male
*
3.
What grade are you in?
(Required.)
6th
7th
8th
9th
10th
11th
12th
*
4.
What County do you live in?
(Required.)
Cattaraugus
Chautauqua
Erie
Genesee
Monroe
Niagara
Orleans
Wyoming
Other (please specify)
*
5.
After hearing our presentation, how wrong do you think it is for someone your age to drink Alcohol? (beer, wine, hard liquor)
(Required.)
Very Wrong
Wrong
A Little Wrong
Not Wrong At All
*
6.
After hearing our presentation, how wrong do you think it is for someone your age to smoke Marijuana?
(Required.)
Very Wrong
Wrong
A Little Wrong
Not Wrong At All
*
7.
After hearing our presentation, how wrong do you think it is for someone your age to take any prescription medication
not
prescribed to them by a doctor?
(Required.)
Very Wrong
Wrong
A Little Wrong
Not Wrong At All
*
8.
After hearing our presentation, how wrong do you think it is for someone your age to use Cocaine, Acid/LSD, Heroin or another illegal drug?
(Required.)
Very Wrong
Wrong
A Little Wrong
Not Wrong At All
*
9.
How likely are you to experiment with
Alcohol
in the next 6 months?
(Required.)
Very Likely
Likely
A Little Likely
Not Likely at All
*
10.
How likely are you to experiment with
Marijuana
in the next 6 months?
(Required.)
Very Likely
Likely
A Little Likely
Not Likely At All
*
11.
How likely are you to use
prescription drugs
not
prescribed to you
in the next 6 months?
(Required.)
Very Likely
Likely
A Little Likely
Not Likely At All
*
12.
How likely are you to experiment with
any other illegal drug
in the next 6 months?
(Required.)
Very Likely
Likely
A Little Likely
Not Likely At All
*
13.
Would you be more likely to talk to a trusted adult about
your
drug and alcohol use?
(Required.)
Yes
No
*
14.
Would you be more likely to talk to a trusted adult if you had concerns about
another person's
drug or alcohol use?
(Required.)
Yes
No
*
15.
Did you learn something new about the consequences of drug & alcohol use during the F2F presentation that you didn't know before?
(Required.)
Yes
No
*
16.
Did listening to a teen around your own age make this presentation more informative for you?
(Required.)
Yes
No
*
17.
After hearing the presentation, have your views on the severity of drug and alcohol use changed?
(Required.)
Yes
No
18.
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