Youth Alcohol, Tobacco and Drug Use

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1 Attitude and Perception Survey on Youth Alcohol, Tobacco and Drug Use Sponsored by: Northeast Center for Healthy Communities Lawrence, Massachusetts

2 INTRODUCTION TO ATTITUDE AND PRECEPTION SURVEY This survey is for parents or guardians of youth who live in or go to school in Community. Completing this survey is voluntary. If you are not comfortable answering a question, just leave it blank. This survey should take about 10 minutes to complete. Please DO NOT write your name on this survey. No one will know what you write. Please answer the questions based on what you know and think. The questions about your background will be used to describe the types of participants completing this survey. This information will not be used to find out your name. Please note: For all questions about your child in this survey, please answer thinking about your child(ren) in grades 6 through 12 in Community. If you have more than one child in grades 6 through 12, please answer for the child who had the most recent birthday. Your participation in this survey is critical if we hope to deal with the important issues with youth alcohol, tobacco and drug use in your community Confidential: No information shall be presented or published in any way that would permit identification of any individual

3 1. How many children, including stepchildren, age 18 or younger do you have? # of Children About Your Child(ren) 2. How many children, including stepchildren, age 18 or younger live in your household? # of Children in Household 3. How many of your children, including stepchildren, are in grades 6 through 12 in Community? # Community Students Reminder: For your child questions, answer thinking about your child(ren) in grades 6 through 12 who has the most recent birthday. 4. In what grade is your child? 6 th grade 7 th grade 8 th grade 9 th grade 10 th grade 11 th grade 12 th grade 5.Is your child a boy or a girl? Boy Girl Now we would like you to think about ALL Community students in grades 6 through What are the THREE issues that concern you the most? (Please mark only three boxes.) Academic pressure Crime and violence committed by teens Sexual issues for teens Social pressures faced by teens Teen alcohol use Teen depression Teen drug use Teens being harassed by other students Teens not doing well in school Other (Please print): Top Concerns About Youth 3 P a g e

4 Attitudes About Alcohol and Drug Use and Related Risks 7. How much do you think students in grades 6 through 12 risk harming themselves (physically or in other ways) if they: Reminder: For your child questions answer thinking about your child(ren) in grades 6 through 12 who has the most recent birthday. 8. How wrong do you feel it would be for your child to: No Risk Slight Risk Moderate Risk a Smoking one or more packs of cigarettes a day? b Sniffing glue, breathing the contents of an aerosol spray can, or inhaling other gases or spray in order to get high nearly every day? c Take one or two drinks of an alcohol beverage (beer, wine, liquor) nearly every day? Great Risk d Try marijuana once or twice? e Smoke marijuana regularly? f Occasionally take over-the-counter medicines such as cough or cold syrup in order to get high Not wrong at all A little bit wrong Wrong a Smoke cigarettes? b Drink beer, wine or hard liquor (for example, vodka, whiskey or gin) regularly? Very Wrong c Smoke marijuana? d Use cocaine, amphetamines, LSD, or other illegal drugs? 9. Which statement about youth under 21 drinking do you feel best represents your attitude? Drinking is never a good thing for youth under 21 to do. Drinking is all right for youth under 21 to do, but they should not get drunk. Getting drunk occasionally is okay for youth under 21 to do as long as it does not interfere with daily activities. Getting drunk occasionally is okay for youth under 21 to do even if it does interfere with daily activities. Getting drunk frequently is okay if that is what the youth under 21 chooses to do. 10. Which statement about youth under 21 drinking do you feel best represents your child s attitude? Drinking is never a good thing for youth under 21 to do. Drinking is all right for youth under 21 to do, but they should not get drunk. Getting drunk occasionally is okay for youth under 21 to do as long as it does not interfere with daily activities. Getting drunk occasionally is okay for youth under 21 to do even if it does interfere with daily activities. Getting drunk frequently is okay if that is what the youth under 21 chooses to do.

5 11. Which statement about youth under 21 drinking do you feel best represents the attitude among your child s peers? Drinking is never a good thing for youth under 21 to do. Drinking is all right for youth under 21 to do, but they should not get drunk. Getting drunk occasionally is okay for youth under 21 to do as long as it does not interfere with daily activities. Getting drunk occasionally is okay for youth under 21 to do even if it does interfere with daily activities. Getting drunk frequently is okay if that is what the youth under 21 chooses to do. 12. Which statement about youth under 21 drinking do you feel best represents the attitude among parent s of your child s peers? Drinking is never a good thing for youth under 21 to do. Drinking is all right for youth under 21 to do, but they should not get drunk. Getting drunk occasionally is okay for youth under 21 to do as long as it does not interfere with daily activities. Getting drunk occasionally is okay for youth under 21 to do even if it does interfere with daily activities. Getting drunk frequently is okay if that is what the youth under 21 chooses to do We want to know how many Community 6 th through 8 th graders you think have used drugs or alcohol in the last 30 days. 13. In the last 30 days, how many Community 6 th through 8 th graders: Less than 5% 5% 14% 15% 29% 30% - 44% 45% 75% More than 75% a Smoked cigarettes? b Sniffed glue, breathed the contents of an aerosol spray can, or inhaled other gases or spray in order to get high? c Drank more than just a few sips of alcohol, such as beer, wine, or hard liquor? Your Perceptions of Drug and Alcohol Use Among Youth d Had 5 or more alcoholic drinks in a row? e Used marijuana? f Used prescription pain relievers, such as OxyContin, without a prescription? g Used prescription tranquilizers, such as Xanax, Valium or Ambien, without a prescription? h Used prescription stimulants, such as Ritalin or Adderall, without a prescription? i Took over-the-counter medications, such as cough or cold syrup, in order to get high? j Used heroin? K Used Ecstasy? l Used cocaine? m Used methamphetamines (meth, crystal meth, crank)? n Used LSD (acid) or other psychedelics (peyote, PCP)? 5 P a g e

6 Next, we want to know how many Community 9 th through 12 th graders you think have used drugs or alcohol in the last 30 days. 14. In the last 30 days, how many Community 9 th through 12 th graders Less than 5% 5%- 14% 15% 29% 30% 44% 45% 75% More than 75% a Smoked cigarettes? b Sniffed glue, breathed the contents of an aerosol spray can, or inhaled other gases or spray in order to get high? c Drank more than just a few sips of alcohol, such as beer, wine, or hard liquor? d Had 5 or more alcoholic drinks in a row? e Used marijuana? f Used prescription pain relievers, such as OxyContin, without a prescription? g Used prescription tranquilizers, Xanax, Valium or Ambien, without a prescription? h Used prescription stimulants, such as Ritalin or Adderall, without a prescription i Took over-the-counter medications, such as cough or cold syrup, in order to get high? j Used heroin? k Used Ecstasy? l Used cocaine? m Used methamphetamines (meth, crystal meth, crank)? n Used LSD (acid) or other psychedelics (peyote, PCP)? Access to Alcohol For the next question, please think about Community 6 through 12 graders. 15. In your opinion, where do most community students in grades 6 through 12 get alcohol when they want it? From liquor stores, supermarkets or convenience stores From bars, clubs, or restaurants Had an adult buy it From their own homes From their friends At a party Other (Please print.)

7 We want to know how you feel about allowing youth under 21 to drink at home. 16. Which of the following statements is most true for you? (Please mark only one.) It is never a problem to allow youth under 21 to drink at home. It is okay to allow youth under 21 to drink at home if you take away their car keys. It is okay to allow youth under 21 to drink at home if an adult supervises them. It is okay to allow youth under 21 to drink at home, but only if it is your own child. It is never okay to allow youth under 21 to drink at home. Some parents believe that letting their children drink at home will prevent dangerous behaviors like driving under the influence. 17. Would you allow your child(ren) to drink at home as a way of preventing dangerous behavior? 18. Would you allow your child s friends to drink in your home as a way of preventing dangerous behavior? Talking to Your Child 19. Have you ever talked with your child about: Yes No a Tobacco use? b Sniffing or inhaling chemicals to get high? c Alcohol use? d Binge drinking? (Consuming 5 or more alcoholic drinks in a row.) e Marijuana use? f Using prescription drugs without a prescription? g Using over-the-counter drugs in order to get high? h Ecstasy use? i Cocaine use? j Methamphetamines (meth, crystal meth, crank) use? k LSD (acid) or other psychedelics (peyote, PCP)? 7 P a g e

8 Getting Information 20. Do you feel like you have enough information to talk with your child(ren) about drugs and alcohol? 21. Would you be interested in learning more about teen alcohol or drug use? 22. Do you have access to the Internet? 23. How often do you watch local cable access (Channel 3)? Never 1 or 2 times per year 1 or 2 times per month 1 or 2 times per week More than 2 times per week 24. How old are you? Under to to to to and older 25.Are you male or female? Male Female 26.What is your zip code? 27.What language do you mainly speak at home? English Spanish Portuguese Haitian Creole Vietnamese Chinese Other (please specify) About You

9 34. What is the highest grade or level of education that you have completed? 8 th grade or less Some high school but did not graduate High school graduate or GED Some college or 2-year degree 4-year college graduate More than a 4-year college graduate More Information If you are looking for more information about youth alcohol, tobacco and drug use, please ( address here) Thank You! Thank you for participating in this survey. 9 P a g e

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