Data Management Survey Tool

JCPS CSS Safe and Drug Free Student Survey 2017

For questions about the survey, please ask your teacher or your principal


Survey Key:
SA = Strongly Agree; A = Agree; D = Disagree; SD = Strongly Disagree; N/A = Not Applicable
Y = Yes; N = No

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Student Characteristics

Student Characteristics

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Gender

1

1. Your gender

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Race

2

2. Your ethnicity

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2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
Grade

3

3. Your grade in school

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middleAndHighAge

4

4. Your Age

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5 4 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
Zip

5

5. Zip Code

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2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
schoolLocation

6

6. Your School

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School

School

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2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B1

7

7. During the past 30 days did you drink one or more drinks of an alcoholic beverage?

Y

N

N/A

YN_with_out
9 7 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B2

8

8. During the past 30 days did you smoke part or all of a cigarette?

Y

N

N/A

YN_with_out
10 8 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B3

9

9. During the past 30 days have you used marijuana or hashish?

Y

N

N/A

YN_with_out
11 9 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B4

10

10. During the past 30 days have you used prescriptions drugs not prescribed to you?

Y

N

N/A

YN_with_out
12 10 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B24

11

11. During the past 30 days did you use an electronic vapor product like e-cigarettes, c-cigars, e-pipes, vaping pens, e-hookahs, or hookah pens?

Y

N

N/A

YN_with_out
13 11 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B5

12

12. Have you ever been physically hurt (hit, pushed, hair pulled, etc.) by a boyfriend, girlfriend, partner, on purpose?

Y

N

N/A

YN_with_out
14 12 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B6

13

13. Have you ever been emotionally hurt (threatened, threatened through phone calls/texts, called names, harassed online, cut-off from friends/family) by a boyfriend, girlfriend or partner?

Y

N

N/A

YN_with_out
15 13 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B7

14

14. 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 once or twice a week?

No Risk

Slight Risk

Moderate Risk

Great Risk

Don't know or Can't Say

Risk
16 14 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B8

15

15. 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

Don't know or Can't Say

Risk
17 15 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B9

16

16. 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

Don't know or Can't Say

Risk
18 16 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B10

17

17. 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

Don't know or Can't Say

Risk
19 17 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B11

18

18. How much do you think people risk harming themselves (physically or in other ways) if they take one or two drinks of an alcoholic beverage nearly every day?

No Risk

Slight Risk

Moderate Risk

Great Risk

Don't know or Can't Say

Risk
20 18 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B12

19

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

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
21 19 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B13

20

20. How wrong do your parents feel it would be for you to smoke tobacco?

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
22 20 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B14

21

21. How wrong do your parents feel it would be for you to smoke marijuana?

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
23 21 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B15

22

22. How wrong do your parents feel it would be for you to use prescription drugs not prescribed to you?

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
24 22 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B16

23

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

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
25 23 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B17

24

24. How wrong do your friends feel it would be for you to smoke tobacco?

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
26 24 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B18

25

25. How wrong do your friends feel it would be for you to smoke marijuana?

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
27 25 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B19

26

26. How wrong do your friends feel it would be for you to use prescription drugs not prescribed to you?

Not Wrong at all

A Little Bit Wrong

Wrong

Very Wrong

Don't know or Can't Say

Wrong
28 26 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B20

27

27. How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day?

Neither Approve nor Disapprove

Somewhat Disapprove

Strongly Disapprove

Don't know or Can't Say

Approval
29 27 0
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B21

28

28. Punishments for student misbehavior at this school are fair.

SA

A

D

SD

N/A

AG_with_out
30 28 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B22

29

29. Students at this school understand expectations for their behavior.

SA

A

D

SD

N/A

AG_with_out
31 29 0
2902B374-1B9B-49FB-876F-B4BD5489F212 safeDrug2017
B23

30

30. Students receive the same punishments for breaking the same rules.

SA

A

D

SD

N/A

AG_with_out
32 30 0