D Survey

OMB #: 0925-0542

Expiration Date: 4-30-08

FORM D

Brain Power!

The NIDA Junior Scientists Program

Grades 2-3

Student Attitudes Questionnaire

These questions will tell us what you think about alcohol and other drugs. Mark an to the best answer to each question below.

1. What grade are you in?

2nd

3rd

2. Are you a…

Boy

Girl

3. Have you ever talked with your parents about drugs?

Yes

No

4. There are many places kids can get information about drugs. How much have you learned about the dangers of taking drugs from each person or place? (Mark an for each line.)

a. Parents	A lot	Some	Not much	Nothing at all
b. Friends	A lot	Some	Not much	Nothing at all
c. Teachers or school counselors	A lot	Some	Not much	Nothing at all
d. TV, radio, newspapers, magazines	A lot	Some	Not much	Nothing at all
e. The lives of famous people like TV and movie stars or athletes	A lot	Some	Not much	Nothing at all
f. People in school who talk about D.A.R.E., Allstars, Life Skills, etc	A lot	Some	Not much	Nothing at all

6. How much harm is caused when people… (Mark an for each line.)

a. Use alcohol	A lot of harm	Some harm	Not much harm	No harm
b. Get drunk	A lot of harm	Some harm	Not much harm	No harm
c. Smoke cigarettes	A lot of harm	Some harm	Not much harm	No harm
d. Sniff glue, gas, or anything like that to get high	A lot of harm	Some harm	Not much harm	No harm
e. Use marijuana/pot/weed	A lot of harm	Some harm	Not much harm	No harm
f. Use any other illegal drugs	A lot of harm	Some harm	Not much harm	No harm

7. If one of your close friends asked you to try any of the following drugs, how easy would it be for you to say “no”? (Mark an for each line.)

a. Alcohol	Easy	Hard	I wouldn’t say no
b. Cigarettes	Easy	Hard	I wouldn’t say no
c. Marijuana	Easy	Hard	I wouldn’t say no
d. Another drug	Easy	Hard	I wouldn’t say no

8. If one of your close friends wanted you to try any of the drugs above, how easy would it be for you to stop him or her from doing so? (Mark one.)

Easy

Hard

I wouldn’t be able to do it

9. Below are statements that describe how you or your friends might feel about alcohol and drugs now and in the future. (Mark an for each line.)

a. Most kids my age do not talk about drinking alcohol	Agree	Disagree	Not sure	Don’t know
b. Most kids my age have not tried alcohol	Agree	Disagree	Not sure	Don’t know
c. Most kids my age do not talk about trying drugs	Agree	Disagree	Not sure	Don’t know
d. In middle school, I think I will drink alcohol	Agree	Disagree	Not sure	Don’t know
e. In high school, I think I will drink alcohol	Agree	Disagree	Not sure	Don’t know
f. When I am an adult, I think I will drink alcohol	Agree	Disagree	Not sure	Don’t know
g. In middle school, I think my friends will drink alcohol	Agree	Disagree	Not sure	Don’t know
h. In middle school, I think I will try drugs	Agree	Disagree	Not sure	Don’t know
i. In high school, I think I will try drugs	Agree	Disagree	Not sure	Don’t know
j. When I am an adult, I think I will try drugs	Agree	Disagree	Not sure	Don’t know

What I think about alcohol

10. These questions will tell us what you think about alcohol. (Mark an for each line.)

a. Drinking alcohol creates problems	Agree	Disagree	Not sure	Don’t know
b. Teenagers drink to get attention	Agree	Disagree	Not sure	Don’t know
c. A person may have a few drinks of alcohol to be part of the group	Agree	Disagree	Not sure	Don’t know
d. Drinking alcohol gets rid of aches and pains	Agree	Disagree	Not sure	Don’t know
e. People become loud and do strange or silly things when they drink alcohol	Agree	Disagree	Not sure	Don’t know
f. People drink when they have problems or are sad	Agree	Disagree	Not sure	Don’t know
g. People become mean and hurt others when they drink alcohol	Agree	Disagree	Not sure	Don’t know
h. Drinking alcohol makes people feel sick	Agree	Disagree	Not sure	Don’t know

What I think about other drugs

11. These questions will tell us what you think about drugs. (Mark an for each line.)

a. Drugs don’t get rid of problems; they just help people forget them.	Agree	Disagree	Not sure	Don’t know
b. Drugs can cause people to steal things so they can get more drugs	Agree	Disagree	Not sure	Don’t know
c. Drugs help people to play sports a lot better	Agree	Disagree	Not sure	Don’t know
d. Drugs make people feel powerful, like they are the boss	Agree	Disagree	Not sure	Don’t know
e. Smoking cigarettes is OK as long as someone only smokes a little	Agree	Disagree	Not sure	Don’t know
f. Marijuana or pot is not really that bad for people	Agree	Disagree	Not sure	Don’t know
g. Cocaine helps people to have more energy	Agree	Disagree	Not sure	Don’t know
h. Drugs are OK as long as people only use them on the weekends	Agree	Disagree	Not sure	Don’t know
i. A drug can be good for you if you are sick and a doctor tells you how and when to take it	Agree	Disagree	Not sure	Don’t know
j. When people are on drugs, they don’t know what is going on around them	Agree	Disagree	Not sure	Don’t know

How I feel about science

12. These last questions don’t have anything to do with drugs. They are about what you think about science. (Mark an for each line.)

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

 THANK YOU 

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