Академический Документы
Профессиональный Документы
Культура Документы
* Required
17 years old
18 years old
19 years old
20 years old
21 years old
22 years old or above
Female
Male
Prefer not to say
Other:
O Grade
A+ grade
A grade
B+ grade
B grade
RA
https://docs.google.com/forms/d/1pM4MWUX6q2ujjcPK9YK37waBGfkd6zsy0lkctBc1xSQ/edit 1/4
3/31/2019 Survey on Drug Abuse
5. How many times in THE LAST 12 MONTHS have you smoked cigarettes? *
Mark only one oval per row.
6. How many times in THE LAST 30 DAYS have you smoked cigarettes? *
Mark only one oval per row.
8. How many times in THE LAST 12 MONTHS have you had any alcoholic beverage to drink (
more than just a few sips)? *
Mark only one oval per row.
9. How many times in THE LAST 30 DAYS have you had any alcoholic beverage to drink (
more than just a few sips)?
Mark only one oval per row.
https://docs.google.com/forms/d/1pM4MWUX6q2ujjcPK9YK37waBGfkd6zsy0lkctBc1xSQ/edit 2/4
3/31/2019 Survey on Drug Abuse
11. How many times IN YOUR LIFE have you used any of the following drugs? *
Cannabis ,Opiates ,Sedative and hypnotics
Mark only one oval per row.
12. how many times IN THE LAST 12 MONTHS have you used any of the following drugs? *
Cannabis ,Opiates ,Sedative and hypnotics
Mark only one oval per row.
13. how many times IN THE LAST 30 DAYS have you used any of the following drugs? *
Cannabis ,Opiates ,Sedative and hypnotics
Mark only one oval per row.
14. Have you used drugs other than those required for medical reasons? *
Mark only one oval.
Yes
No
Yes
No
16. Have you neglected your family because of your use of drug?
Mark only one oval.
Yes
No
Yes
No
https://docs.google.com/forms/d/1pM4MWUX6q2ujjcPK9YK37waBGfkd6zsy0lkctBc1xSQ/edit 3/4
3/31/2019 Survey on Drug Abuse
Teenagers curiosity
Joy-seeking
Somatic diseases
psychological disorder
Lack of Knowledge about complication of drugs
Positive attitude towards drug abuse
Low self-confidence
To eliminate shyness
Parents divorce
Lack of amusement facilities
Disability in resolving routine problems
Having strict parents
Presence of an addicted person in the Friends offer Family disputes Access to drugs
Lack of access to consultation centers
Low cost of drugs
Have a free time
Presence of an addicted person
residential/educational place
other
Yes
No
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