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2008 Healthy Youth Survey–Form A

We are asking you to take part in this survey about issues facing students in communities in
Washington. The questions in this survey ask for your opinions about yourself, your friends,
your school, and your neighborhood or community. School, community, county, and state
officials will use the information from this survey in planning future programs to help youth.
Your answers to these questions are anonymous. This means that no one will know how you
answered or which answer sheet is yours. Do not write your name anywhere on the
answer sheet. If you do not want to take this survey now, tell your teacher and you will be
given an alternative activity.
Some of the questions are personal, such as asking about your relationships and whether you
get in fights or use drugs. Some students may find some of the questions uncomfortable or
upsetting. You will be given a list of numbers to call if you want to talk to someone about the
survey or feelings it brings up. The survey is completely voluntary. You don't have to do this
survey. You may skip any question you do not wish to answer or stop at any time. It will not
affect your grades. Other students have said this survey is interesting and they enjoyed filling
it out. We hope you will too. If you have any questions about the survey you may ask your
teacher before beginning. Please take a minute to read the instructions below before starting
the survey.

Instructions
1. This is not a test, so there are no right or wrong answers.

2. The questions should be answered by marking one of the answer spaces on the answer
sheet. If you don't find an answer that fits exactly, use one that comes closest. If any
question does not apply to you, or you are not sure of what it means, just leave it blank.

3. Your answers will be read by a computer. Please follow these instructions carefully.

• Use a pencil only. This kind of mark will work:


Correct Mark
• Make heavy marks inside the bubbles.
A B C D
• Erase cleanly any answer you wish to change.
• Make no other markings or comments on the These kinds of marks will NOT work:
answer pages. Incorrect Marks
✓ ✗
4. Some of the questions have the following format:

Please mark in the bubble which of the four words best describes how you feel about
that sentence.

EXAMPLE: Pepperoni pizza is one of my favorite foods.


A a. NO!
B b. no
C c. yes
D d. YES!
Mark (the Big) YES! if you think the statement is definitely true for you.
Mark (the little) yes if you think the statement is mostly true for you.
Mark (the little) no if you think the statement is mostly not true for you.
Mark (the Big) NO! if you think the statement is definitely not true for you.
In the example above, the student marked yes because he or she thinks the statement is
mostly true. (Please mark one answer.)
A
8. I like my neighborhood/community.
1. How old are you?
a. NO!
a. 12 or younger e. 16
b. no
b. 13 f. 17
c. yes
c. 14 g. 18
d. YES!
d. 15 h. 19 or older

9. How wrong would most adults in your


2. What grade are you in?
neighborhood or community think it was
a. 7th e. 11th
for kids your age:
b. 8th f. 12th
c. 9th g. Ungraded or other
A. To use marijuana?
d. 10th
a. Very wrong
b. Wrong
3. Are you:
c. A little bit wrong
a. Female
d. Not wrong at all
b. Male
B. To drink alcohol?
4. How do you describe yourself? (Select one or
a. Very wrong
more responses.)
b. Wrong
a. American Indian or Alaskan Native
c. A little bit wrong
b. Asian or Asian American
d. Not wrong at all
c. Black or African-American
d. Hispanic or Latino/Latina
C. To smoke cigarettes?
e. Native Hawaiian or other Pacific Islander
a. Very wrong
f. White or Caucasian
b. Wrong
g. Other
c. A little bit wrong
d. Not wrong at all
5. What language is usually spoken at home?
a. English f. Chinese
10. If a kid drank some beer, wine, or hard liquor (for
b. Spanish g. Korean
example, vodka, whiskey, or gin) in your
c. Russian h. Japanese
community would he or she be caught by the
d. Ukrainian i. Other police?
e. Vietnamese a. NO!
b. no
These statements and questions are about the c. yes
neighborhood and community where you live. d. YES!

6. I'd like to get out of my neighborhood or


11. If a kid smoked marijuana in your community
community.
would he or she be caught by the police?
a. NO!
a. NO!
b. no
b. no
c. yes
c. yes
d. YES!
d. YES!

7. If I had to move, I would miss the neighborhood or


12. If a kid carried a handgun in your community
community I now live in.
would he or she be caught by the police?
a. NO!
a. NO!
b. no
b. no
c. yes
c. yes
d. YES!
d. YES!

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13. If you wanted to get some beer, wine, or hard B. Scouts, Camp Fire, 4-H Clubs, or other
liquor (for example, vodka, whiskey, or gin), how service clubs
easy would it be for you to get some? a. Yes
a. Very hard b. No
b. Sort of hard
c. Sort of easy C. Boys and Girls Club, YMCA, or other
d. Very easy activity clubs
a. Yes
14. If you wanted to get some cigarettes, how easy b. No
would it be for you to get some?
a. Very hard 20. During the average week, on how many days do
b. Sort of hard you participate in supervised after-school activities
c. Sort of easy either at school or away from school? Include
d. Very easy activities such as sports, art, music, dance, drama, or
community service, religious, or club activities.
15. If you wanted to get some marijuana, how easy a. 0 days
would it be for you to get some? b. 1-2 days
a. Very hard c. 3 or more days
b. Sort of hard
c. Sort of easy 21. My neighbors notice when I am doing a good job
d. Very easy and let me know.
a. NO!
16. If you wanted to get a drug like cocaine, LSD, or b. no
amphetamines, how easy would it be for you to get c. yes
some? d. YES!
a. Very hard
b. Sort of hard 22. There are people in my neighborhood or community
c. Sort of easy who encourage me to do my best.
d. Very easy a. NO!
b. no
17. If you wanted to get a handgun, how easy would it c. yes
be for you to get one? d. YES!
a. Very hard
b. Sort of hard 23. There are people in my neighborhood or community
c. Sort of easy who are proud of me when I do something well.
d. Very easy a. NO!
b. no
18. There are adults in my neighborhood or c. yes
community I could talk to about something d. YES!
important.
a. NO! This section asks about your experiences
b. no with school.
c. yes
24. How often do you feel the schoolwork you are
d. YES! assigned is meaningful and important?
a. Almost always
19. Which of the following activities for people your b. Often
age are available in your community?
c. Sometimes
d. Seldom
A. Sports teams and recreation
e. Never
a. Yes
b. No

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25. How interesting are most of your courses to you?
29. In my school, students have lots of chances to help
a. Very interesting and stimulating decide things like class activities and rules.
b. Quite interesting a. NO!
c. Fairly interesting b. no
d. Slightly dull c. yes
e. Very dull d. YES!

26. How important do you think the things you are 30. There are lots of chances for students in my school
learning in school are going to be for you later to talk with a teacher one-on-one.
in life? a. NO!
a. Very important b. no
b. Quite important c. yes
c. Fairly important d. YES!
d. Slightly important
e. Not at all important 31. Teachers ask me to work on special classroom
projects.
27. Think back over the past year in school. How often a. NO!
did you: b. no
c. yes
A. Enjoy being in school? d. YES!
a. Never
b. Seldom 32. There are lots of chances for students in my school
c. Sometimes to get involved in sports, clubs, and other school
d. Often activities outside of class.
e. Almost always a. NO!
b. no
B. Hate being in school? c. yes
a. Never d. YES!
b. Seldom
c. Sometimes 33. I have lots of chances to be part of class discussions
d. Often or activities.
e. Almost always a. NO!
b. no
C. Try to do your best work in school? c. yes
a. Never d. YES!
b. Seldom
c. Sometimes 34. My teacher(s) notices when I am doing a good job
d. Often and lets me know about it.
e. Almost always a. NO!
b. no
28. During the LAST 4 WEEKS, how many whole days c. yes
of school have you missed because you skipped or d. YES!
“cut”?
a. None 35. The school lets my parents know when I have done
b. 1 something well.
c. 2 a. NO!
d. 3 b. no
e. 4 – 5 c. yes
f. 6 – 10 d. YES!
g. 11 or more

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36. I feel safe at my school. 42. During the past 30 days, on how many days did
a. NO! you carry a weapon such as a gun, knife, or club
b. no on school property?
c. yes a. 0 days
d. YES! b. 1 – 5 days
c. 6 or more days
37. My teachers praise me when I work hard
in school. The next questions ask about issues related
a. NO!
to alcohol and other drugs.
b. no
43. During the past 30 days, have you seen or heard
c. yes
advertisements on TV, the Internet, the radio, or
d. YES! magazines about the dangers of kids drinking
alcohol?
38. Putting them all together, what were your grades a. Not in the past 30 days
like last year? b. 1 – 3 times in the past 30 days
a. Mostly As c. 1 – 3 times per week
b. Mostly Bs d. Daily or almost daily
c. Mostly Cs e. More than once a day
d. Mostly Ds
e. Mostly Fs 44. NOT including talks on drinking and driving, in
the past year have your parents or guardians
39. Are your school grades better than the grades of talked to you about why you should not drink
most students in your class? alcohol?
a. NO! a. Yes, a number of times
b. no b. Yes, once
c. yes c. No
d. YES d. I don't remember

40. How far did your mother get in school? 45. How much do you think people risk harming
a. Did not finish high school themselves if they:
b. Graduated from high school or GED
c. Had some college or technical training A. Smoke one or more packs of cigarettes per
after high school day?
d. Graduated from a 4-year college a. No risk
e. Earned an advanced graduate degree b. Slight risk
f. Don't know c. Moderate risk
g. Does not apply d. Great risk
e. Not sure
41. How far did your father get in school?
a. Did not finish high school B. Try marijuana once or twice?
b. Graduated from high school or GED a. No risk
c. Had some college or technical training b. Slight risk
after high school c. Moderate risk
d. Graduated from a 4-year college d. Great risk
e. Earned an advanced graduate degree e. Not sure
f. Don't know
g. Does not apply

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C. Smoke marijuana occasionally?
D. Carried a handgun?
a. No risk
a. No or very little chance
b. Slight risk
b. Little chance
c. Moderate risk
c. Some chance
d. Great risk
d. Pretty good chance
e. Not sure
e. Very good chance

D. Smoke marijuana regularly (at least once or


47. During the past 12 months, how many times were
twice a week)? you in a physical fight?
a. No risk a. 0 times
b. Slight risk b. 1 time
c. Moderate risk c. 2 – 3 times
d. Great risk d. 4 – 5 times
e. Not sure e. 6 or more times

E. Take one or two drinks of an alcoholic


beverage (wine, beer, a shot, liquor) nearly The next questions ask for your opinion.
every day?
a. No risk 48. I think it is okay to take something without asking
b. Slight risk as long as you get away with it.
c. Moderate risk a. NO!
d. Great risk b. no
e. Not sure c. yes
d. YES!
46. What are the chances you would be seen as cool if
you: 49. I think sometimes it’s okay to cheat at school.
a. NO!
A. Smoked cigarettes? b. no
a. No or very little chance c. yes
b. Little chance d. YES!
c. Some chance
d. Pretty good chance 50. It is all right to beat up people if they start the fight.
e. Very good chance a. NO!
b. no
B. Began drinking alcoholic beverages regularly, c. yes
that is, at least once or twice a month? d. YES!
a. No or very little chance
b. Little chance 51. It is important to be honest with your parents, even
c. Some chance if they become upset or you get punished.
d. Pretty good chance a. NO!
e. Very good chance b. no
c. yes
C. Smoked marijuana? d. YES!
a. No or very little chance
b. Little chance
c. Some chance
d. Pretty good chance
e. Very good chance

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The next questions ask about what you The next section asks questions about you
would do in certain situations. and your friends.

52. You're looking at CDs in a music store with a Remember, no one but you will know how
friend. You look up and see her slip a CD under her you answered.
coat. She smiles and says, “Which one do you
want? Go ahead, take it while nobody's around.” 56. Think of your four best friends (the friends you feel
There is nobody in sight, no employees, and no closest to). In the past year (12 months), how many
other customers. What would you do now? of your best friends have:
a. Ignore her
b. Grab a CD and leave the store A. Been suspended from school?
c. Tell her to put the CD back a. None of my friends
d. Act like it’s a joke and ask her to put the b. 1 of my friends
CD back c. 2 of my friends
d. 3 of my friends
53. It's 8:00 on a weeknight and you are about to go e. 4 of my friends
over to a friend's house when your mom asks you
where you are going. You say, “Oh, just going to B. Carried a handgun?
hang out with some friends.” She says, “No, you'll
a. None of my friends
just get into trouble if you go out. Stay home
tonight.” What would you do now? b. 1 of my friends
a. Leave the house anyway c. 2 of my friends
b. Explain what you are going to do with your d. 3 of my friends
friends, tell her when you will get home, and e. 4 of my friends
ask if you can go out
c. Not say anything and start watching TV C. Sold illegal drugs?
d. Get into an argument with her a. None of my friends
b. 1 of my friends
54. You are visiting another part of town and you don't c. 2 of my friends
know any of the people your age there. You are d. 3 of my friends
walking down the street and some teenager you e. 4 of my friends
don't know is walking toward you. He is about
your size. As he is about to pass you, he
D. Stolen or tried to steal a motor vehicle such
deliberately bumps into you and you almost lose
your balance. What would you say or do? as a car or motorcycle?
a. Push the person back a. None of my friends
b. Say nothing and keep on walking b. 1 of my friends
c. Say, “Watch where you’re going,” and keep c. 2 of my friends
on walking d. 3 of my friends
d. Swear at the person and walk away e. 4 of my friends

55. You are at a party at someone's house and one of E. Been arrested?
your friends offers you a drink containing alcohol. a. None of my friends
What would you say or do? b. 1 of my friends
a. Drink it c. 2 of my friends
b. Tell your friend, “No thanks. I don’t drink,” and d. 3 of my friends
suggest that you and your friend go and do e. 4 of my friends
something else
c. Just say, “No, thanks,” and walk away
d. Make up a good excuse, tell your friend you had
something else to do, and leave

-6-
F. Dropped out of school? F. Use methamphetamines (meth, crystal meth, ice,
a. None of my friends crank)? Do not include other types of
b. 1 of my friends amphetamines.
c. 2 of my friends a. None
d. 3 of my friends b. 1 – 2 days
e. 4 of my friends c. 3 – 5 days
d. 6 – 9 days
57. During the past 30 days, on how many days e. 10 or more days
did you:
G. Use derbisol (wagon wheels, hope)?
A. Smoke cigarettes? a. None
a. None b. 1 – 2 days
b. 1 – 2 days c. 3 – 5 days
c. 3 – 5 days d. 6 – 9 days
d. 6 – 9 days e. 10 or more days
e. 10 – 29 days
f. All 30 days H. Use Ritalin without a doctor's orders?
a. None
B. Use chewing tobacco, snuff, or dip? b. 1 – 2 days
a. None c. 3 – 5 days
b. 1 – 2 days d. 6 – 9 days
c. 3 – 5 days e. 10 or more days
d. 6 – 9 days
e. 10 – 29 days I. Use inhalants (things you sniff to get high)?
f. All 30 days a. None
b. 1 – 2 days
C. Drink a glass, can, or bottle of alcohol (beer, c. 3 – 5 days
wine, wine coolers, hard liquor)? d. 6 – 9 days
a. None e. 10 or more days
b. 1 – 2 days
c. 3 – 5 days J. Use a pain killer TO GET HIGH, like Vicodin,
d. 6 – 9 days OxyContin (sometimes called Oxy or OC) or
e. 10 or more days Percocet (sometimes called Percs)?
a. None
D. Use marijuana or hashish (grass, hash, pot)? b. 1 – 2 days
a. None c. 3 – 5 days
b. 1 – 2 days d. 6 – 9 days
c. 3 – 5 days e. 10 or more days
d. 6 – 9 days
e. 10 or more days

E. Not counting alcohol, tobacco, or marijuana,


use another illegal drug?
a. None
b. 1 – 2 days
c. 3 – 5 days
d. 6 – 9 days
e. 10 or more days

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58. If you have EVER used pain killers to get high, 63. During the past 30 days, how did you get alcohol
where did you usually get them? (beer, wine, or hard liquor)? Choose all that apply.
a. I did not use pain killers to get high a. I did not get alcohol in the past 30 days
b. I used my own prescription (from a b. I bought it from a store
doctor or dentist) c. I got it from friends
c. A family member gave them to me d. I gave money to someone to get it for me
d. I took them from my home or someone e. I took it from home without my parents'
else's home without permission permission
e. I got them from a friend f. I got it at home with my parents' permission
f. I got them from an acquaintance g. I got it at a party
g. I got them from a drug dealer h. I got it from the Internet
h. I got them from the internet i. I stole it from a store
i. I got them some other way j. I got it some other way

59. During the last year, have you felt that you 64. If one of your best friends offered you a cigarette,
needed help (such as counseling or treatment) would you smoke it?
for your alcohol, tobacco, or other drug use? a. Definitely no
a. I have not used alcohol, tobacco, or other b. Probably no
drugs c. Probably yes
b. I have used alcohol, tobacco, and/or other d. Definitely yes
drugs, but I haven't needed help
c. Yes, I felt I have needed help 65. Do you think that you will smoke a cigarette
d. Not sure anytime in the next year?
a. Definitely no
60. Does your school provide a counselor, b. Probably no
intervention specialist, or other school staff c. Probably yes
member for students to discuss problems with d. Definitely yes
alcohol, tobacco, or other drugs?
a. No
66. How old were you the first time you:
b. Yes
c. I'm not sure
A. Smoked marijuana?
This section asks other questions about a. Never have f. 14
alcohol and tobacco: b. 10 or younger g. 15
c. 11 h. 16
61. Think back over the last 2 weeks. How many times d. 12 i. 17 or older
have you had five or more drinks in a row? (A e. 13
drink is a glass of wine, a bottle of beer, a shot glass
of liquor, or a mixed drink.)
B. Smoked a cigarette, even just a puff?
a. None
a. Never have f. 14
b. Once
b. 10 or younger g. 15
c. Twice
c. 11 h. 16
d. 3 – 5 times
d. 12 i. 17 or older
e. 6 – 9 times
e. 13
f. 10 or more times

C. Smoked a whole cigarette?


62. How many times in the past year (12 months) have
a. Never have f. 14
you been drunk or high at school?
b. 10 or younger g. 15
a. Never
c. 11 h. 16
b. 1 – 2 times
d. 12 i. 17 or older
c. 3 – 5 times
d. 6 – 9 times e. 13
e. 10 or more times

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D. Had more than a sip or two of beer, wine, or hard The next questions ask about other behaviors.
liquor (for example, vodka, whiskey, or gin)?
a. Never have f. 14 67. How old were you when you first:
b. 10 or younger g. 15
c. 11 h. 16 A. Got suspended from school?
d. 12 i. 17 or older a. Never have f. 14
e. 13 b. 10 or younger g. 15
c. 11 h. 16
E. Began drinking alcoholic beverages regularly, d. 12 i. 17 or older
that is, at least once or twice a month? e. 13
a. Never have f. 14
b. 10 or younger g. 15 B. Got arrested?
c. 11 h. 16 a. Never have f. 14
d. 12 i. 17 or older b. 10 or younger g. 15
e. 13 c. 11 h. 16
d. 12 i. 17 or older
F. Used inhalants? e. 13
a. Never have f. 14
b. 10 or younger g. 15 C. Carried a handgun?
c. 11 h. 16 a. Never have f. 14
d. 12 i. 17 or older b. 10 or younger g. 15
e. 13 c. 11 h. 16
d. 12 i. 17 or older
G. Used heroin? e. 13
a. Never have f. 14
b. 10 or younger g. 15 D. Attacked someone with the idea of seriously
c. 11 h. 16 hurting them?
d. 12 i. 17 or older a. Never have f. 14
e. 13 b. 10 or younger g. 15
c. 11 h. 16
H. Used methamphetamines (meth, crystal meth, ice, d. 12 i. 17 or older
crank)? Do not include other types of e. 13
amphetamines.
a. Never have f. 14 68. During the past 12 months, have you been a
b. 10 or younger g. 15 member of a gang?
c. 11 h. 16 a. No
d. 12 i. 17 or older b. Yes
e. 13
69. A student is being bullied when another student
I. Used cocaine? (or group of students) says or does nasty or
a. Never have f. 14 unpleasant things to him or her. It is also bullying
b. 10 or younger g. 15 when a student is teased repeatedly in a way he or
she doesn't like. It is NOT bullying when two
c. 11 h. 16
students of about the same strength argue or fight.
d. 12 i. 17 or older
e. 13
In the last 30 days, how often have you been
bullied?
a. I have not been bullied
b. Once
c. 2 – 3 times
d. About once a week
e. Several times a week

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The next questions ask for your opinions. C. Smoke marijuana?
a. Very wrong
70. How wrong do you think it is for someone your b. Wrong
age to: c. A little bit wrong
d. Not wrong at all
A. Take a handgun to school?
a. Very wrong D. Use LSD, cocaine, amphetamines, or another
b. Wrong illegal drug?
c. A little bit wrong a. Very wrong
d. Not wrong at all b. Wrong
c. A little bit wrong
B. Steal anything worth more than $5? d. Not wrong at all
a. Very wrong
b. Wrong 72. In the past 12 months, how often have you
c. A little bit wrong gambled (bet) for money or possessions?
d. Not wrong at all a. Never in the past year
b. Once or twice in the past year
C. Pick a fight with someone? c. A few times in the past year
a. Very wrong d. Once or twice a month
b. Wrong e. At least once a week
c. A little bit wrong
d. Not wrong at all 73. Has YOUR gambling ever caused you problems at
home, school or with your friends?
D. Attack someone with the idea of seriously a. I have not gambled
hurting them? b. Yes
a. Very wrong c. No
b. Wrong
c. A little bit wrong 74. Think about your four best friends (the friends you
d. Not wrong at all feel closest to). In the past year (12 months), how
many of your best friends have. . .
E. Stay away from school all day when their
parents think they are at school? A. Participated in clubs, organizations or activities
a. Very wrong at school?
b. Wrong a. None of my friends
c. A little bit wrong b. 1 of my friends
d. Not wrong at all c. 2 of my friends
d. 3 of my friends
71. How wrong do you think it is for someone your e. 4 of my friends
age to:
B. Made a commitment to stay drug-free?
A. Drink beer, wine, or hard liquor (for example, a. None of my friends
vodka, whiskey, or gin) regularly? b. 1 of my friends
a. Very wrong c. 2 of my friends
b. Wrong d. 3 of my friends
c. A little bit wrong e. 4 of my friends
d. Not wrong at all
C. Liked school?
B. Smoke cigarettes? a. None of my friends
a. Very wrong b. 1 of my friends
b. Wrong c. 2 of my friends
c. A little bit wrong d. 3 of my friends
d. Not wrong at all e. 4 of my friends

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D. Regularly attended religious services? 76. During the past 12 months, did you ever feel so sad
a. None of my friends or hopeless almost every day for two weeks or
b. 1 of my friends more in a row that you stopped doing some usual
activities?
c. 2 of my friends
a. Yes
d. 3 of my friends
b. No
e. 4 of my friends

77. During the past 12 months, did you ever seriously


E. Tried to do well in school?
consider attempting suicide?
a. None of my friends
a. Yes
b. 1 of my friends
b. No
c. 2 of my friends
d. 3 of my friends
e. 4 of my friends Sometimes we don't know what we will do as
adults, but we may have an idea. Please try to
75. Think of your four best friends (the friends you feel guess how true these statements may be for
closest to). In the past year (12 months), how many you as an adult.
of your best friends have. . .
78. When I am an adult I will smoke cigarettes.
A. Smoked cigarettes? a. NO!
a. None b. no
b. 1 of my friends c. yes
c. 2 of my friends d. YES!
d. 3 of my friends
e. 4 of my friends 79. When I am an adult I will drink beer, wine, or liquor.
a. NO!
B. Tried beer, wine, or hard liquor (for example, b. no
vodka, whiskey, or gin) when their parents c. yes
didn’t know about it? d. YES!
a. None
b. 1 of my friends 80. When I am an adult I will smoke marijuana.
c. 2 of my friends a. NO!
d. 3 of my friends b. no
e. 4 of my friends c. yes
d. YES!
C. Used marijuana?
a. None 81. How honest were you in filling out this survey?
b. 1 of my friends a. I was very honest
c. 2 of my friends b. I was honest pretty much of the time
d. 3 of my friends c. I was honest some of the time
e. 4 of my friends d. I was honest once in a while
e. I was not honest at all
D. Used LSD, cocaine, amphetamines, or other
illegal drugs?
a. None
b. 1 of my friends
c. 2 of my friends
d. 3 of my friends
e. 4 of my friends

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88. My parents ask me what I think before most
The next set of questions asks about your family decisions affecting me are made.
family. When answering these questions, a. NO!
please think about the people you consider to b. no
be your family —parents, stepparents,
c. yes
grandparents, aunts, uncles, etc.
d. YES!

82. My parents ask if I've gotten my homework done.


89. My parents notice when I am doing a good job
a. NO!
and let me know about it.
b. no
a. Never or almost never
c. yes
b. Sometimes
d. YES!
c. Often
d. All the time
83. When I am not at home, one of my parents knows
where I am and who I am with.
90. How often do your parents tell you they're proud
a. NO!
of you for something you've done?
b. no
a. Never or almost never
c. yes
b. Sometimes
d. YES!
c. Often
d. All the time
84. If I had a personal problem, I could ask my mom
or dad for help.
91. Do you enjoy spending time with your mother?
a. NO!
a. NO!
b. no
b. no
c. yes
c. yes
3/8” spine perf

d. YES!
d. YES!
85. The rules in my family are clear.
a. NO! 92. Do you enjoy spending time with your father?
b. no a. NO!
c. yes b. no
d. YES! c. yes
d. YES!
86. My family has clear rules about alcohol and 93. How wrong do your parents feel it would be for
drug use. you to:
a. NO!
b. no
A. Drink beer, wine, or hard liquor (for example:
c. yes vodka, whiskey, or gin) regularly (at least once or
d. YES! twice a month)?
a. Very wrong
87. My parents give me lots of chances to do fun b. Wrong
things with them. c. A little bit wrong
a. NO! d. Not wrong at all
b. no
c. yes B. Smoke cigarettes?
d. YES! a. Very wrong
b. Wrong
c. A little bit wrong
d. Not wrong at all

-12-
C. Smoke marijuana?
a. Very wrong
b. Wrong
c. A little bit wrong
d. Not wrong at all

94. If you drank some beer, wine, or liquor (for example


vodka, whiskey, or gin) without your parent's
permission, would you be caught by them?
a. NO!
b. no
c. yes
d. YES!

95. Would your parents know if you did not come home
on time?
a. NO!
b. no
c. yes
d. YES!

96. If you carried a handgun without your parent's


permission, would you be caught by them?
a. NO!
b. no

3/8” spine perf


c. yes
d. YES!

97. If you skipped school, would you be caught by


your parents?
a. NO!
b. no
c. yes
d. YES!

-13-
C
C

2008 Healthy Youth Survey Answer Sheet


1. A B C D E F G H 25. A B C D E 46 B. A B C D E

2. A B C D E F G 26. A B C D E C. A B C D E

3. A B 27 A. A B C D E D. A B C D E

4. A B C D E F G B. A B C D E 47. A B C D E

Your Opinions
5. A B C D E F G H I C. A B C D E

48. A B C D
Neighborhood
28. A B C D E F G

6. A B C D 49. A B C D

29. A B C D

7. A B C D 50. A B C D

30. A B C D

8. A B C D 51. A B C D

31. A B C D
What Would You Do?
9 A. A B C D

32. A B C D 52. A B C D

B. A B C D

33. A B C D 53. A B C D

C. A B C D

34. A B C D 54. A B C D

10. A B C D

35. A B C D 55. A B C D

11. A B C D
3/8” spine perf

You & Your Friends


36. A B C D

12. A B C D 56 A. A B C D E

37. A B C D

13. A B C D B. A B C D E

38. A B C D E

14. A B C D C. A B C D E

39. A B C D

15. A B C D D. A B C D E

40. A B C D E F G

16. A B C D E. A B C D E

41. A B C D E F G

17. A B C D F. A B C D E

42. A B C

18. A B C D 57 A. A B C D E F
Alcohol & Drugs
19 A. A B 43. A B C D E B. A B C D E F

B. A B 44. A B C D C. A B C D E

C. A B 45 A. A B C D E D. A B C D E

20. A B C B. A B C D E E. A B C D E

21. A B C D C. A B C D E F. A B C D E

22. A B C D D. A B C D E G. A B C D E

23. A B C D E. A B C D E H. A B C D E

School
46 A. A B C D E I. A B C D E

24. A B C D E

Mark Reflex® EM-245049-4:654321 HC03


C
C
2008 Healthy Youth Survey Answer Sheet
57 J. A B C D E 70 D. A B C D 87. A B C D

58. A B C D E F G H I E. A B C D 88. A B C D

59. A B C D 71 A. A B C D 89. A B C D

60. A B C B. A B C D 90. A B C D

Alcohol & Tobacco Use


C. A B C D 91. A B C D

61. A B C D E F

D. A B C D 92. A B C D

62. A B C D E

72. A B C D E 93 A. A B C D

63. A B C D E F G H I J

73. A B C B. A B C D

64. A B C D

74 A. A B C D E C. A B C D

65. A B C D

B. A B C D E 94. A B C D

66 A. A B C D E F G H I

C. A B C D E 95. A B C D

B. A B C D E F G H I

D. A B C D E 96. A B C D

C. A B C D E F G H I

E. A B C D E 97. A B C D

D. A B C D E F G H I

3/8” spine perf


75 A. A B C D E

E. A B C D E F G H I

B. A B C D E

F. A B C D E F G H I

C. A B C D E

G. A B C D E F G H I

D. A B C D E

H. A B C D E F G H I

76. A B

I. A B C D E F G H I

77. A B
Other Behaviors
When you are an adult
67 A. A B C D E F G H I

78. A B C D

B. A B C D E F G H I

79. A B C D

C. A B C D E F G H I

80. A B C D

D. A B C D E F G H I

81. A B C D E

68. A B
Family
69. A B C D E 82. A B C D

Your Opinions
83. A B C D

70 A. A B C D

84. A B C D

B. A B C D

85. A B C D

C. A B C D

86. A B C D

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