Social Norms High School Survey

The purpose of this survey is to learn more about students' beliefs and experiences regarding alcohol, tobacco, and other drugs. The questions ask about what you think and what you do. In order for this survey to be helpful, it is important that you answer each questions as thoughtfully and honestly as possible. Remember, your participation is voluntary, but we want you to know that your answers are very important, and no one will be able to tie your responses to you.
- This is not a test, so there are no right or wrong answers.
- All of the questions should be answered by marking one of the answer spaces. If you do not find an answer that fits exactly for you, use the one that comes closest.
- Your answers are important to us, so please follow these instructions carefully.
- Do not put your name, identifier or any information, other than the requested response to the questions.
- Complete the survey silently.



A red asterisk (*) indicates required questions.


  1. Since the first day of school, how often have you:
    A) Smoke cigarettes?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. B) Used smokeless tobacco (this includes chewing tobacco, Skoal, and dip?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. C) Drunk beer, wine or "hard" liquor, not counting religious occasions?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. D) Smoked marijuana?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. E) Used inhalants?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. F) Used hallucinogens?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. G) Used prescription drugs without a prescription?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. H) Used any other illegal drug?*
    Not at all
    Once or Twice
    A few times a week
    Every day


  1. Since the beginning of the school year, have you experienced any of the following as a result of drinking alcohol?
    A) I have not drank alcohol since the first day of school (If yes, skip to question set #3).*
    Yes
    No


  1. B) Getting sick (hangover, nausea, illness).*
    Yes
    No


  1. C) Helping you get away from your problems.*
    Yes
    No


  1. D) Fighting.*
    Yes
    No


  1. E) Letting you have more fun.*
    Yes
    No


  1. F) Getting you into trouble at school.*
    Yes
    No


  1. G) Getting you into trouble at home.*
    Yes
    No


  1. H) Missing school or work.*
    Yes
    No


  1. I) Making you feel better about yourself.*
    Yes
    No


  1. J) Trouble with the police.*
    Yes
    No


  1. K) Feeling more at ease with others.*
    Yes
    No


  1. Since the beginning of the school year, have you experienced any of the following as a result of using marijuana?
    A) I have not used marijuana since the first day of school (if yes, skip to questions set #4).*
    Yes
    No


  1. B) Making it hard to remember things.*
    Yes
    No


  1. C) It was relaxing.*
    Yes
    No


  1. D) Making you do poorly in school.*
    Yes
    No


  1. E) Making you lose control of yourself.*
    Yes
    No


  1. F) Missing school or work*
    Yes
    No


  1. G) Have you ever ridden in a motor vehicle driven by someone your own age who drank alcohol before driving?*
    Yes
    No


  1. H) If you have (answered yes), did you think the driver was drunk?*
    Yes
    No


  1. I) Have you ever ridden in a motor vehicle driven by anyone other than someone your age who drank alcohol before driving?*
    Yes
    No


  1. J) If you have (answered yes), did you think the driver was drunk?*
    Yes
    No


  1. How wrong is it for someone your age to do each of the following things.
    A) Smoke cigarettes?*
    No wrong at all
    A little bit wrong
    Wrong
    Very wrong


  1. B) Use marijuana.*
    No wrong at all
    A little bit wrong
    Wrong
    Very wrong


  1. C) Use alcohol.*
    No wrong at all
    A little bit wrong
    Wrong
    Very wrong


  1. D) Get drunk sometimes.*
    No wrong at all
    A little bit wrong
    Wrong
    Very wrong


  1. E) Give or sell alcohol to someone under 21.*
    No wrong at all
    A little bit wrong
    Wrong
    Very wrong


  1. F) Use prescription drugs without a prescription.*
    No wrong at all
    A little bit wrong
    Wrong
    Very wrong


  1. Since the beginning of the school year, how many kids your age would you say:
    A) Have drunk beer, wine or "hard"liquor, not counting religious occasions?*
    None
    Some
    Most


  1. B) Have gotten drunk?*
    None
    Some
    Most


  1. C) Have sold or given beer, wine, or "hard" liquor to another student?*
    None
    Some
    Most


  1. D) Used marijuana?*
    None
    Some
    Most


  1. E) Used hallucinogens?*
    None
    Some
    Most


  1. F) Used prescripton drugs without a prescription?*
    None
    Some
    Most


  1. G) Used any other illegal drugs?*
    None
    Some
    Most


  1. H) Sold drugs?*
    None
    Some
    Most


  1. Overall, what percentage of students your age do you think have consumed (5) or more drinks in a row on at least one occasion since the first day of school?*
    100-90%
    89-80%
    79-70%
    69-60%
    59-50%
    49-40%
    39-30%
    29-20%
    19-10%
    9-1%


  1. Overall, what percentage of students your age do you think have driven with a drunk driver?*
    100-90%
    89-80%
    79-70%
    69-60%
    59-50%
    49-40%
    39-30%
    29-20%
    19-10%
    9-1%


  1. On a scale of 1 to 10, (10 being very safe, 1 being not safe at all), how safe is your school?*
    10
    9
    8
    7
    6
    5
    4
    3
    2
    1


  1. I belong at this school.*
    True
    False


  1. I think this is a good school to go to.*
    True
    False


  1. I don't want to go to this school.*
    True
    False


  1. If you saw drugs (other than beer, wine, "hard" liquor, or tobacco), at school would you tell:
    A) The principal or assistant principal*
    Yes
    No


  1. B) A teacher*
    Yes
    No


  1. C) Counselor*
    Yes
    No


  1. D) A police officer or security guard*
    Yes
    No


  1. E) A friend*
    Yes
    No


  1. F) A parent or family member*
    Yes
    No


  1. G) I would not tell anyone*
    Yes
    No


  1. Since the beginning of the school year:
    A) Did anyone try to sell or give you an illegal drug other than alcohol or tobacco at your school?*
    Yes
    No


  1. B) Do you know if any students have brought a weapon to your school?*
    Yes
    No


  1. C) Have you actually seen another student with a weapon on school grounds?*
    Yes
    No


  1. If you saw a gun at school, would you tell:
    A) The principal or assistant principal?*
    Yes
    No


  1. B) A teacher?*
    Yes
    No


  1. C) A counselor?*
    Yes
    No


  1. D) A police office or security guard?*
    Yes
    No


  1. E) A friend?*
    Yes
    No


  1. F) A parent or family member?*
    Yes
    No


  1. G) I would not tell anyone.*
    Yes
    No


  1. If you saw a knife or another object, other than a gun, that could hurt someone at school, would you tell:
    A) The principal or assistant principal?*
    Yes
    No


  1. B) A teacher?*
    Yes
    No


  1. C) A counselor?*
    Yes
    No


  1. D) A police officer or security guard?*
    Yes
    No


  1. E) A friend?*
    Yes
    No


  1. F) A parent or family member?*
    Yes
    No


  1. G) I would not tell anyone.*
    Yes
    No


  1. Are you a:*
    Boy
    Girl


  1. How old are you?*
    12 or younger
    13
    14
    15
    16
    17 or older


  1. What grade are you in?*
    9th
    10th
    11th
    12th


  1. Are you currently licensed to drive in automobile?*
    Yes
    No


  1. How would you best describe yourself?*
    White
    African-American
    Latino or Latina
    Asian American or Pacific Islander
    Native American or Alaskan Native
    Multi-Racial


  1. What grades do you earn in school?*
    Mostly As
    About Half As and Bs
    Mostly Bs
    About Half Bs and Cs
    Mostly Cs
    About half Cs and Ds
    Mostly Ds and below


  1. While you were at school, have you seen or heard information about student use of alcohol, drugs, or tobacco use?*
    Yes
    No


  1. If YES, where do you recall seeing or hearing this information? Did you see it or hear it:
    A) On posters in school?*
    Yes
    No


  1. B) On other printed material?*
    Yes
    No


  1. C) At a school assembly or pep rally?*
    Yes
    No


  1. D) School announcements over the PA system?*
    Yes
    No


  1. E) School Newsletter?*
    Yes
    No


  1. F) School TV, computer, or video?*
    Yes
    No


  1. G) School webpage or screensaver?*
    Yes
    No


  1. H) Teacher taked about it in class?*
    Yes
    No


  1. I) From talking with other students?*
    Yes
    No


  1. J) From talking with my parents?*
    Yes
    No


  1. In the last month, how often do you recall seeing or hearing these messages about how students at this school treat each other?*
    1-9 times
    10-20 times
    Morth than 20 times
    I didn't see any messages in the last month