Coalition MS Short Survey (506)

Please complete the following survey. Thank you for taking the time to complete this short survey.



A red asterisk (*) indicates required questions.


  1. What is your current grade level?*
    6th
    7th
    8th


  1. What is your gender?*
    Male
    Female


  1. During the past 30 days did you drink one or more drinks of an alcoholic beverage?
    Yes
    No


  1. During the past 30 days have you used marijuana or hashish?
    Yes
    No


  1. During the past 30 days did you smoke part or all of a cigarette?
    Yes
    No


  1. How much do you think people risk harming themselves (physically or in other ways) when they have five or more drinks of an alcoholic beverage (beer, wine, liquor) once or twice a week?
    No Risk
    Slight Risk
    Moderate Risk
    Great Risk


  1. How much do you think people risk harming themselves (physically or in other ways) if they smoke one or more packs of cigarettes per day?
    No Risk
    Slight Risk
    Moderate Risk
    Great Risk


  1. How much do you think people risk harming themselves (physically or in other ways) if they smoke marijuana once or twice a week?
    No Risk
    Slight Risk
    Moderate Risk
    Great Risk


  1. How much do you think people risk harming themselves (physically or in other ways) if they use prescription drugs that are not prescribed to them?
    No Risk
    Slight Risk
    Moderate Risk
    Great Risk


  1. How wrong do your parents feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day?
    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong


  1. How wrong do your parents feel it would be for you to smoke tobacco?
    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong


  1. How wrong do your parents feel it would be for you to smoke marijuana?
    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong


  1. How wrong do your parents feel it would be for you to use prescription drugs not prescribed to you?
    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong


  1. How wrong do your friends feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day?

    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong


  1. How wrong do your friends feel it would be for you to smoke tobacco?
    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong


  1. How wrong do your friends feel it would be for you to smoke marijuana?
    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong


  1. How wrong do your friends feel it would be for you to use prescription drugs not prescribed to you?
    Very wrong
    Wrong
    A little bit wrong
    Not at all wrong