Form B Survey

OMB #: 0925-0542

Expiration Date: 4-30-08

FORM B

Brain Power!

The NIDA Junior Scientists Program

Kindergarten and First Grade

Student Attitudes Interview

Note: Children will be interviewed individually and responses recorded by the interviewee.

1. Child’s grade ______

2. Child’s gender _____

3. [ask] Do you know what I mean when I use the word drug? [if yes, prompt their definition; if no, supply simple definition]

4. [ask] Have you ever talked with your parents about drugs? [if yes] What do you remember about what was said?

5. [ask] Where have you learned about drugs: parents, friends, school, TV, movies? What did you learn about drugs from these people or places?

[For the following question, prompts may include pictures, smiley faces, or glasses filled with water to illustrate the range from very to not so bad.]

3. [ask] How dangerous do you think it is if people use alcohol? Smoke cigarettes? Use marijuana or any other illegal drugs?

[For the following questions, prompts may include pictures or dolls that portray persons of various ages.]

3. [ask] How old do you think someone is when they start drinking alcohol? When they start trying drugs?

[For the next question, trading cards will be used that picture the food pyramid, forms of exercise, sleeping habits, safety precautions (helmets, sunscreen, etc), and drugs such as nicotine, alcohol, Tylenol, and antibiotics]

8. Children will sort the cards into 2 piles: good/healthy and bad/unhealthy.

[For the following question, again use various smiley faces or glasses for each item.]

9. [ask] How do you feel about science?

a. Scientists are important people	Agree	Disagree	Not sure	Don’t know
b. Science is boring	Agree	Disagree	Not sure	Don’t know
c. I like to look at science books when I go to the library	Agree	Disagree	Not sure	Don’t know
d. I wish I didn’t have to take science	Agree	Disagree	Not sure	Don’t know
e. Science is fun	Agree	Disagree	Not sure	Don’t know
f. Thinking about math questions is easier than thinking about science questions	Agree	Disagree	Not sure	Don’t know
g. I would like to be a scientist when I grow up	Agree	Disagree	Not sure	Don’t know
h. The things we do in science class are too hard for me	Agree	Disagree	Not sure	Don’t know
i. Scientists don’t have much fun	Agree	Disagree	Not sure	Don’t know
j. Scientists are nerds and geeks	Agree	Disagree	Not sure	Don’t know
k. Science is useful in everyday life	Agree	Disagree	Not sure	Don’t know

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