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This resource corresponds to Module 4.

Name of Survey and Source Population Includes Questions Related To:
American Drug and Alcohol
Survey
Rocky Mountain Behavioral Science Institute
www.rmbsi.com

“Adolescent” version for students in grades 6–12; “children’s” version for students in grades 4–6
Students’ experience with alcohol, tobacco, and other drugs; attitudes about substance use, including perception of the harmfulness of drugs, intention to use in the future, peer influences on drug use, and how easy it would be to obtain drugs
Communities That Care Survey
Channing Bete Company
www.channing-bete.com/prevention-programs


Students in grades 6–12 Prevalence of risk and protective factors known to predict drug use, delinquency, and gang involvement among youth; current prevalence of these problem behaviors in the community
Monitoring the Future
National Institute on Drug Abuse
www.monitoringthefuture.org


Originally administered to students in grades 8, 10, and 12 Prevalence and incidence of ATOD use, perceived harm, disapproval of use, perceived availability

National Household Education Survey
National Center for Education Statistics
www.nces.ed.gov/nhes

Originally administered to household members, depending on topic (e.g., parents of children in grades 3–12 and youth in grades 6–12 who had participated in the School Safety and Discipline Survey) Adult education and lifelong learning, civic involvement, early childhood education and school readiness, household library use, parent involvement in education, and school safety and discipline

National Survey on Drug Use and Health
Substance Abuse and Mental Health
Services Administration
www.oas.samhsa.gov/nsduh.htm


Originally administered to household members; data sorted by ages 12–17, 18–25, 26–34, and over 35 Incidence and prevalence of alcohol and drug use
Pride Survey
www.pridesurveys.com/index.html


Separate questionnaires for students in grades 4–6 and 6–12, parents, and teachers Incidence and prevalence, age of onset, perception of health risk, and perception of social disapproval of drug use and violence
Profiles of Student Life: Attitudes and Behaviors Survey
The Search Institute
www.search-institute.org/surveys/ab.html

Students in grades 6–12 Forty developmental assets (i.e., positive relationships, opportunities, skills, and values that promote positive
development)

School Crime Supplement to the
National Crime Victimization Survey
National Center for Education Statistics and Bureau of Justice Statistics
http://webapp.icpsr.umich.edu/cocoon/ICPSR-STUDY/04182.xml

Originally administered to household members who had attended school during the six months preceding interview Experiences with and perceptions of crime and violence that occurred inside school, on school grounds, or on the way to or from school; preventive measures used by schools and school rules, after-school activities, availability of drugs and alcohol at school
Youth Risk Behavior Surveillance
System (YRBSS)
Centers for Disease Control and Prevention
www.cdc.gov/HealthyYouth/yrbs/index.htm

Originally administered to students in grades 9–12 Incidence and prevalence of ATOD use, sexual activity, vehicle safety, weapons, violence, depression and suicide, dietary behavior, physical activity


There are other sources of questionnaires as well. Questionnaire anthologies can be found in university libraries. The research literature on substance abuse also contains questionnaires developed to explore particular issues or used with specific types of people. Always check to see whether the questionnaire is copyrighted and, if so, if you are required to pay a fee for its use.

 

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