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| Hello: You are invited to participate in our survey for our grade 10, Physical Recreation Report on Substance Abuse within our school communtiy (Mackay State High School). In this survey, a minimmum of 20 people will be asked to complete a survey that asks questions about there personal relationship with Substance Abuse. It will take approximately 3 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only by us. If you have any further questions feel free to ask! Thanks for your cooperation! |
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| In the Last 30 days, (if any) have you used...? |
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Cigarettes/Cigar/Or used tobacco with marijuana (spin)
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Marijuana (pot, hash, weed, kush, Mary Jane)
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Cocaine/crack (coke, blow, snow, rock, girl)
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Hallucinogens/Ecstasy (Molly, X, E, LSD, MDMA, ACID)
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Methamphetamine (meth, crystal, speed, Ice)
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Prescription painkillers not prescribed to you (like OxyContin, Vicodin, Codeine, etc.
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Inhalants (whip-its, huffing, aerosol spray can, etc.)
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| How many times over the last 30 days have you drank alcohol? |
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| When did you first start using (if you have) any of the substances that were listed above? |
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What methods have you used to buy alcohol from a retailer in the last 30 days?
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| Do you know someone that deals or supplies drugs or alcohol to other students within school? |
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| Have you ever experience consequences (such as; hangovers, sickness, ect.) from doing illegal/Legal substances |
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