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Drugs
& Alcohol Survey
Questions
* All replies are confidential *
Age:
Gender: Male or Female
School:
Alcohol
1. Have you ever consumed alcohol.
a)Yes
b) No
c) I do not wish to answer
If you answered b or c do not answer question 2, 3, 4. Go to question 5.
2. How old were you when you first started consuming alcohol?
3. Why
did you start consuming alcohol? Pick one.
a) peer pressure
b) Curiosity
c) Because you felt like it
d) Influence of a adult
4. How often do you drink? Pick one.
a) Once a year
b) Once a month
c) Once a week
d) Every day
Drugs
5. Have you ever consumed illegal
drugs.
a)Yes
b) No
c) I do not wish to answer
If you answered b or c do not answer question 6, 7, 8.
6. If so, what types of drugs have you taken? Pick one or more answers.
a) Marijuanna
b) Acid
c) Mushrooms
d) Codine
e) Morphine
f) Cocaine
g) Heroin
h) LSD
i) Speed
j) Crack
k) Hash
l) Other Drugs
m) None
7. How old were you when you first started consuming illegal drugs?
8. Why did you start consuming
illegal drugs? Pick one.
a) peer pressure
b) Curiosity
c) Because you felt like it
d) Influence of a adult
Please reply back to 23714@ucdsb.on.ca
| Question 1 Results | Question 2 Results |
| Question 3 Results | Question 4 Results |
| Question 5 Results | Question 6 Results |
| Question 7 Results | Question 8 Results |