ARIZONA YOUTH SURVEY

1. Thank you for agreeing to participate in this survey. The purpose of this survey is to learn how students in our schools feel about their community, family, peers, and school. The survey also asks about health behaviors.

2. The survey is completely voluntary and anonymous. DO NOT put your name on the questionnaire.

3. This is not a test, so there are no right or wrong answers. We would like you to work quickly so you can finish.

4. All of the questions should be answered by completely filling in one of the answer spaces. If you do not find an answer that fits exactly, use the one that comes closest. If any question does not apply to you, or you are not sure what it means, just leave it blank. You can skip any question that you do not wish to answer.

5. For questions that have the following answers: NO! no yes YES! Mark (the BIG) NO! if you think the statement is DEFINITELY NOT TRUE for you. Mark (the little) no if you think the statement is MOSTLY NOT TRUE for you. Mark (the little) yes if you think the statement is MOSTLY TRUE for you. Mark (the BIG) YES! if you think the statement is DEFINITELY TRUE for you. Example: is the best ice cream flavor.

NO! no yes YES! In the example above, the student marked "yes" because he or she thinks the statement is mostly true.

6. Please mark only one answer for each question by completely filling in the circle with a #2 pencil.

Please fill in the following information with the help of your teacher/survey assistant. County: Type: District: District Site: Student's Zip Code:

0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 1 1 1 1 1 1 1 1 1 1 1 1 1 1 42 2 2 2 2 2 2 2 2 2 2 2 2 2 2 41 3 3 3 3 3 3 3 3 3 3 3 3 3 3 40 4 4 4 4 4 4 4 4 4 4 4 4 4 4 39 5 5 5 5 5 5 5 5 5 5 5 5 5 5 38 6 6 6 6 6 6 6 6 6 6 6 6 6 6 37 7 7 7 7 7 7 7 7 7 7 7 7 7 7 36 8 8 8 8 8 8 8 8 8 8 8 8 8 8 35 9 9 9 9 9 9 9 9 9 9 9 9 9 9 34

1. Are you: MALE FEMALE 31 5. Are you Hispanic or Latino? Yes No 30 2. How old are you? 6. What is the language you use most often at home? 10 or younger 12 14 16 18 27 English Spanish Another language 26 11 13 15 17 19 or older 25 7. Think of where you live most of the time. Which of 3. What grade are you in? the following people live there with you? (Mark 6th 7th 8th 9th 10th 11th 12th all that apply.) 21 Mother Uncle 20 4. What is your race? (Mark all that apply.) Stepmother Other Adult(s) 18 American Indian or Alaska Native 17 Father Brother(s) 16 Asian 15 Stepfather Stepbrother(s) 14 Black or African American 13 Foster Parent(s) Sister(s) 12 Hawaiian or Other Pacific Islander 11 Grandparent(s) Stepsister(s) 10 White 9 Aunt Other Children 8

PLEASE DO NOT WRITE IN THIS AREA [SERIAL] 4 The next section asks about your experiences at school. 22. How interesting are most of your courses to you? 78 Very interesting and stimulating Slightly interesting NO! no yes YES! 76 Quite interesting Not at all interesting 8. In my school, students have lots 74 of chances to help decide things Fairly interesting like class activities and rules. 9. Teachers ask me to work on 70 23. During the LAST FOUR WEEKS how many whole days special classroom projects. of school have you missed because you skipped or 'cut'? 10. My teachers notice when 67 I am doing a good job and let None 2 days 4-5 days 11 or more days me know about it. 65 1 day 3 days 6-10 days 11. There are lots of chances for students in my school to get 62 involved in sports, clubs, and other 24. Do you get a free or reduced cost lunch at school? school activities outside of class. 60 Free lunch 12. There are lots of chances 58 for students in my school to talk Reduced cost lunch with a teacher one-on-one. 56 Neither 55 13. I feel safe at my school. 14. The school lets my parents 52 know when I have done The next questions ask about your feelings and something well. experiences in other parts of your life. 15. My teachers praise me when 48 I work hard in school. 16. Are your school grades better 25. Think of your four best friends (the 45 than the grades of most students friends you feel closest to). In the Number in your class? past year (12 months), how many of your best friends have: of friends 0 1 2 3 4 17. I have lots of chances to be 41 part of class discussions or a. participated in clubs, organizations or 40 activities. activities at school? 38 b. smoked ? Almost always 18. Now thinking back over the Often c. tried , or hard liquor (for 35 past year in school, Sometimes example, vodka, whiskey, or gin) when how often did you: Seldom their parents didn't know about it? Never 32 d. made a commitment to stay 31 a. enjoy being in school? drug-free? 29 b. hate being in school? e. used marijuana? 27 c. try to do your best work f. tried to do well in school? 26 in school? 25 g. used LSD, , , 19. How often do you feel that or other illegal drugs? the school work you are 22 assigned is meaningful and h. been suspended from school? important? 20 i. liked school? 18 20. Putting them all together, what were your grades like j. carried a handgun? last year? 16 Mostly F's Mostly B's k. sold illegal drugs? 14 Mostly D's Mostly A's l. stolen or tried to steal a motor vehicle such as a car or motorcycle? 12 Mostly C's 11 m. been arrested? 9 21. How important do you think the things you are learning n. dropped out of school? in school are going to be for your later life? 7 Very important Slightly important o. been members of a gang? 5 Quite important Not at all important 3 Fairly important 2 29. How wrong do you think Not wrong at all A little bit wrong Very good chance it is for someone your Wrong 26. What are the chances Pretty good chance age to: Very wrong you would be Some chance seen as cool Little chance a. take a handgun to school? if you: No or very little chance b. steal anything worth more than $5?

a. smoked cigarettes? c. pick a fight with someone? 73 b. worked hard at school? d. attack someone with the idea 71 of seriously hurting them? c. began drinking alcoholic beverages 69 regularly, that is, at least once or twice e. stay away from school all day when 68 a month? their parents think they are at school? 66 d. defended someone who was being f. drink beer, wine or hard liquor (for example, verbally abused at school? vodka, whiskey, or gin) regularly? 64 e. smoked marijuana? g. smoke cigarettes? 62 f. carried a handgun? h. smoke marijuana? 59 g. regularly volunteered to do i. use LSD, cocaine, amphetamines community service? or another illegal drug? 56 55 40+ times 17 or older 30. How many times in 30 to 39 times 16 53 the past year (12 months) 20 to 29 times 15 27. How old were you have you: 10 to 19 times 14 51 when you first: 6 to 9 times 13 50 3 to 5 times 12 1 to 2 times 11 48 Never 10 or younger Never a. been suspended from school? 46 a. smoked marijuana? b. carried a handgun? 43 b. smoked a , even c. sold illegal drugs? just a puff? d. stolen or tried to steal a c. had more than a sip or two motor vehicle such as a car 39 of beer, wine or hard liquor or motorcycle? (for example, vodka, whiskey, or gin)? e. participated in clubs, organizations or activities at 35 d. began drinking alcoholic school? beverages regularly, that is, at least once or twice a f. been arrested? 32 month? g. done extra work on your 30 e. used own for school? 29 (meth, crystal)? 28 h. attacked someone with the f. got suspended from school? idea of seriously hurting them? 25 g. got arrested? i. been drunk or high at school?

h. carried a handgun? j. volunteered to do community 22 service? i. attacked someone with the idea of seriously hurting k. taken a handgun to school? 19 them? 18 l. been hit, slapped, pushed, 17 j. belonged to a gang? shoved, kicked or any other way physically assaulted by your 15 k. gambled or bet on anything boyfriend or girlfriend? (cards, lottery, sports, bingo, dice, raffles, casino, internet m. seen someone punched with a 12 or video games, etc.)? fist, kicked, choked, or beaten up? 9 28. I do the opposite of what people tell me, just to get n.seen someone attacked with a 8 them mad. weapon, other than a gun, such Very False Somewhat True as a knife, bat, bottle, or chain? 6 Somewhat False Very True o. seen someone shot or shot at? 4

3 31. I like to see how much I can get away with. 80 Very False Somewhat True 39. During the past 30 days, on how many days did you 79 Somewhat False Very True NOT go to school because you felt you would be unsafe at school or on the way to or from school? 77 32. I ignore rules that get in my way. 0 days 4-5 days 76 Very False Somewhat True 75 Somewhat False Very True 1 day 6 or more days

73 33. How often have you done the following for money, 2-3 days possessions, or anything of value: 40. During the past 30 days, on how many days did you Almost every day carry a weapon such as a gun, knife, or club ON Once or twice a week SCHOOL PROPERTY? 68 Once or twice a month At least once in the past 12 months 0 days 4-5 days 66 Before, but not in the past 12 months Never 1 day 6 or more days 64 a. Played a slot machine, poker machine 2-3 days 63 or other gambling machine? NO! no yes YES! 61 b. Played the lottery or scratch off tickets? 41. I think sometimes it's okay to 59 cheat at school. 58 c. Bet on sports? 42. It is all right to beat up people if 56 d. Played cards? they start the fight. 54 e. Bought a raffle ticket? 43. I think it is okay to take 53 something without asking if you 52 f. Played bingo? can get away with it. 50 g. Gambled on the internet? 44. Have you ever used smokeless (chew, , 48 h. Played a dice game? plug, dipping tobacco, or )? 47 Never Regularly in the past 46 i. Bet on a game of personal skill such as 45 pool or a video game? Once or twice Regularly now 43 j. Bet on a horse or other animal race? Once in a while but not regularly 45. How frequently have you used 34. During the past 30 days, how many times did you during the past 30 days? 39 RIDE in a car or other vehicle driven by someone 0 days 10 to 19 days who had been drinking ? 37 0 times 4 or 5 times 1 or 2 days 20 to 29 days 36 1 time 6 or more times 35 2 or 3 times 3 to 5 days All 30 days 33 35. During the past 30 days, how many times did you 6 to 9 days DRIVE a car or other vehicle when you had been drinking alcohol? 46. Think back over the LAST TWO WEEKS. How many 30 0 times 4 or 5 times times have you had five or more alcoholic drinks in a 29 1 time 6 or more times row? 28 2 or 3 times None 3-5 times 26 36. During the past 12 months, how many times has Once 6-9 times someone threatened or injured you with a weapon 24 such as a gun, knife, or club ON SCHOOL Twice 10 or more times PROPERTY? More than 10 times 22 0 times 6-7 times 47. In the last 30 21 7-10 times 1 time 8-9 times days, about how 4-6 times 20 2-3 times 10-11 times many times were 19 2-3 times 4-5 times 12 or more times you offered: Once 37. During the past 12 months, how many times were Never 16 you in a physical fight ON SCHOOL PROPERTY? a. alcohol? 15 0 times 6-7 times 14 1 time 8-9 times b. cigarettes? 13 2-3 times 10-11 times 12 4-5 times 12 or more times c. marijuana? 10 38. During the past 12 months, how often have you been d. other drugs? picked on or bullied by a student ON SCHOOL PROPERTY? 48. In the last 30 days, how often have 7 0 times 6-7 times you avoided people or places 6 1 time 8-9 times because you might be offered 5 2-3 times 10-11 times alcohol, cigarettes, marijuana, or 4 4-5 times 12 or more times other drugs? 4 On how many occasions (if any) have you: OCCASIONS

0 1-2 3-5 6-9 10-19 20-39 40+

49. had alcoholic beverages (beer, wine or hard liquor) to drink in your lifetime -- more than just a few sips? 75

50. had beer, wine or hard liquor to drink during the past 30 days? 73 51. used marijuana in your lifetime? 71 52. used marijuana during the past 30 days? 69 53. used LSD or other in your lifetime? 67 54. used LSD or other hallucinogens during the past 30 days? 65 55. used cocaine or crack in your lifetime? 63 56. used cocaine or crack during the past 30 days? 61 57. sniffed glue, breathed the contents of an aerosol spray can, or inhaled other 59 gases or sprays, in order to get high in your lifetime? 58. sniffed glue, breathed the contents of an aerosol spray can, or inhaled other 56 gases or sprays, in order to get high during the past 30 days? 59. used phenoxydine (pox, px, breeze) in your lifetime? 53 60. used phenoxydine (pox, px, breeze) during the past 30 days? 51 61. used methamphetamines (meth, crystal meth) in your lifetime? 49 62. used methamphetamines (meth, crystal meth) in the past 30 days? 47 63. used or other opiates in your lifetime? 45 64. used heroin or other opiates during the past 30 days? 43 65. used Ecstasy (‘X’, ‘E’, or MDMA) in your lifetime? 41 66. used Ecstasy (‘X’, ‘E’, or MDMA) in the past 30 days? 39 67. used steroids or anabolic steroids (such as Anadrol, Oxandrin, Durabolin, 37 Equipoise or Depotesterone) in your lifetime? 68. used steroids or anabolic steroids (such as Anadrol, Oxandrin, Durabolin, 34 Equipoise or Depotesterone) in the past 30 days? 69. used prescription pain relievers (such as Vicodin, Oxycontin, Percocet, or 31 ) without a doctor telling you to take them in your lifetime? 70. used prescription pain relievers (such as Vicodin, Oxycontin, Percocet, or 28 Codeine) without a doctor telling you to take them during the past 30 days? 71. used prescription (such as Ritalin, Adderal, or Dexedrine) 25 without a doctor telling you to take them in your lifetime? 72. used prescription stimulants (such as Ritalin, Adderal, or Dexedrine) 22 without a doctor telling you to take them during the past 30 days? 73. used prescription sedatives (tranquilizers, such as Valium or Xanax, 19 , or sleeping pills) in your lifetime? 74. used prescription sedatives (tranquilizers, such as Valium or Xanax, 16 barbiturates, or sleeping pills) during the past 30 days? 75. used over the counter drugs (such as cough syrup, cold medicine, or diet pills) 13 for the purposes of getting high in your lifetime? 76. used over the counter drugs (such as cough syrup, cold medicine, or diet pills) 10 for the purposes of getting high during the past 30 days?

5 77. In the last 30 days, how often did you respond in the 84. If you have ever used prescription drugs in order to get following ways when alcohol, cigarettes, marijuana high, not for a medical reason, how did you get them? or other drugs were offered to (Mark all that apply.) 78 I never got offers you? (Fill in an answer Four or more times I’ve never used prescription drugs to get high 77 for each way Friends 76 Three times of responding) Twice Family/Relatives 75 Parties 74 Once Never Home (e.g., Medicine Cabinet) 73 Doctor/Pharmacy 72 a. say “No” without giving a reason School 71 why? Other 70 Over the Internet 69 b. give an explanation or excuse to Outside the United States (e.g., Mexico, Canada) turn down the offer? 66 c. decide to leave the situation without These questions ask about the neighborhood and accepting the offer? community where you live 63 d. use some other way to not accept the Very easy alcohol or drugs? Sort of easy Sort of hard Very hard 78. Have you ever smoked cigarettes? 58 Never Regularly in the past 85. If you wanted to get some cigarettes, how 57 Once or twice Regularly now easy would it be for you to get some? 56 Once in a while but not regularly 55 86. If you wanted to get some beer, wine or 79. During the past 30 days, on how many days did you hard liquor (for example, vodka, whiskey, or 53 smoke cigarettes? gin), how easy would it be for you to get 52 0 days 10 to 19 days some? 51 1 or 2 days 20 to 29 days 50 3 to 5 days All 30 days 87. If you wanted to get a drug like cocaine, 49 LSD, or amphetamines, how easy would it 6 to 9 days be for you to get some?

46 80. During the past 30 days, on the days you smoked, how 88. If you wanted to get a handgun, how easy many cigarettes did you smoke per day? would it be for you to get one? 44 I did not smoke cigarettes during the past 30 days 43 Less than 1 cigarette per day 89. If you wanted to get some marijuana, how 42 One cigarette per day easy would it be for you to get some? 41 2 to 5 cigarettes per day 40 6 to 10 cigarettes per day 39 11 to 20 cigarettes per day 90. If during the past 30 days you drank alcohol, how did 38 More than 20 cigarettes per day you get it? (Mark all that apply.) 37 I did not drink alcohol in the past 30 days 36 I bought it in a store such as a liquor store, convenience 81. Does anyone who lives with you now smoke store, supermarket, discount store, or gas station 34 cigarettes? (Mark all that apply.) I bought it at a restaurant, , or club 33 No one who lives with me now smokes cigarettes. I bought it at a public event such as a concert or sporting 32 A parent (or guardian) event 31 A brother or sister I gave someone else money to buy it for me 30 Another adult who lives with us My parent or guardian gave it to me 29 Another young person who lives with us Another family member who is 21 or older gave it to me 28 Someone not related to me who is 21 or older gave it to me 27 Someone under the age of 21 gave it to me 26 82. Which statement best describes the rules about I got it at a party 25 where you live? I took it from home 24 Smoking is not allowed anywhere I took it from a store or someone else's home 23 Smoking is allowed in some places or at some times I got it some other way 22 Smoking is allowed anywhere Number of Adults Great Risk 91. About how many adults 83. How much do you think Moderate Risk (over 21) have you known people risk harming Slight Risk personally who in the 0 1 2 3-4 5+ themselves (physically or No Risk past year have: in other ways) if they: a. used marijuana, crack, 15 a. smoke one or more packs of cigarettes per cocaine, or other drugs? day? 13 b. sold or dealt drugs? 12 b. try marijuana once or twice? c. done other things that 10 c. smoke marijuana regularly? could get them in trouble 9 with the police, like d. take one or two drinks of an alcoholic stealing, selling stolen 7 beverage (beer, wine, liquor) nearly every goods, mugging or day? assaulting others, etc? 4 e. have five or more drinks of an alcoholic d. gotten drunk or high? beverage in a row once or twice a week? 6 108. Which school-sponsored activities are you involved NO! no yes YES! in during after school hours? (Mark all that apply) 92. If a kid smoked marijuana in Sports Newspaper/Yearbook 79 your neighborhood would he or Music Mentoring or Tutoring 78 she be caught by the police? Drama Other school group or club 77 Foreign Language Club I am not involved in any 76 93. If a kid drank some beer, wine Student Council/ school-sponsored 75 or hard liquor (for example, Government 74 vodka, whiskey, or gin) in your activities neighborhood would he or she be caught by the police? 109. Which after-school activities, that are not school-sponsored, are you involved in? 94. If a kid carried a handgun in (Mark all that apply) 69 your neighborhood would he or Sports Big Brothers Big Sisters or 68 she be caught by the police? Religious group other mentoring program 67 Music/Dance/Drama Other after school activity 66 95. Have you ever belonged to a gang? Scouts/Campfire I am not involved in after 65 No Yes, belong now Boys and Girls Club/Junior school activities that are 64 No, but would like to Yes, but would like to get out Achievement/YMCA not school-sponsored 63 Yes, in the past 62 96. If you have ever belonged to a gang, what was the 110. During the past 12 months, have you talked with at one major reason you joined? least one of your parents about the dangers of Protection/safety Make money tobacco, alcohol, or drug use? By parents, we mean 58 Friendship Other your biological parents, adoptive parents, stepparents, 57 Parent(s) are in a gang I have never belonged to a or adult guardians – whether or not they live with you. 56 Sibling(s) are in a gang gang (Choose all that apply) 55 No, I did not talk with my parents about the dangers 54 97. If you have ever belonged to a gang, did the gang of tobacco, alcohol, or drug use. have a name? I have never belonged to a gang No Yes Yes, I talked with my parents about the dangers 51 of tobacco use. 98. How wrong would most Not Wrong at All adults (over 21) in your A little Bit Wrong Yes, I talked with my parents about the dangers 48 neighborhood Wrong of alcohol use. think it is for kids your age: Very Wrong Yes, I talked with my parents about the dangers 45 a. to use marijuana? of drug use. 44 b. to drink alcohol? 42 The next few questions ask about your family. When c. to smoke cigarettes? answering these questions please think about the people 40 you consider to be your family, for example, parents, stepparents, grandparents, aunts, uncles, etc. NO! no yes YES! 99. If I had to move, I would miss 111. My parents notice when I am doing a good job and the neighborhood I now live in. let me know about it. 34 Never or Almost Never Often 33 100. My neighbors notice when I am doing a good job and let Sometimes All the Time 31 me know about it. 101. I like my neighborhood. 112. How often do your parents tell you they're proud of 28 you for something you've done? 102. There are lots of adults in my Never or Almost Never Often 26 neighborhood I could talk to about something important. Sometimes All the Time 24 103. I'd like to get out of my Not wrong at all 22 neighborhood. 113. How wrong do your A little bit wrong parents feel it would be Wrong 104. There are people in my for YOU to: Very wrong neighborhood who are proud 18 of me when I do something a. drink beer, wine or hard liquor (for example, 17 well. vodka, whiskey or gin) regularly? 105. There are people in my b. smoke cigarettes? 14 neighborhood who encourage 13 me to do my best. c. smoke marijuana? 12 106. I feel safe in my d. steal something worth more than $5? 10 neighborhood. e. draw graffiti, write things, or draw 107. During the past 12 months, do you recall hearing, pictures on buildings or other property 7 reading, or watching an advertisement about the (without the owner's permission)? prevention of substance use? No Yes f. pick a fight with someone? 4

7 114. Has anyone in your family ever had severe alcohol or drug problems? NO! no yes YES! 78 No Yes 130. If I had a personal problem, I 76 could ask my mom or dad for 115. Have any of your brothers or sisters ever: help. I don't have any brothers or sisters 73 Yes 131. Do you feel very close to your No father?

70 a. drunk beer, wine or hard liquor (for example, 132. My parents give me lots of 69 chances to do fun things with vodka, whiskey or gin)? them. 67 b. smoked marijuana? 66 133. My parents ask if I've gotten my 65 c. smoked cigarettes? homework done.

63 134. People in my family have d. taken a handgun to school? serious arguments. 61 e. been suspended or expelled from school? 60 135. Would your parents know if you did not come home on time? 136. It is important to be honest with NO! no yes YES! 56 your parents, even if they 55 become upset or you get 116. The rules in my family are clear. punished. 53 117. People in my family often insult or yell at each other. 137. Have any of your relatives previously been in prison or jail? (Mark all that apply) 50 118. When I am not at home, one of Mother Uncle 49 my parents knows where I am Stepmother Other Adult(s) 48 and who I am with. Father Brother(s) 47 Stepfather Stepbrother(s) 46 119. We argue about the same things Foster Parent(s) Sister(s) 45 in my family over and over. Grandparent(s) Stepsister(s) 44 Aunt Other Children 120. If you drank some beer, wine or liquor (for example, vodka, whiskey, or gin) without your 138. Are any of your relatives currently in prison or jail? 40 parents' permission, would you (Mark all that apply) 39 be caught by your parents? Mother Uncle 38 Stepmother Other Adult(s) 37 121. My family has clear rules Father Brother(s) 36 about alcohol and drug use. Stepfather Stepbrother(s) 35 Foster Parent(s) Sister(s) 34 122. If you carried a handgun Grandparent(s) Stepsister(s) 33 without your parents' permission, Aunt Other Children would you be caught by your parents? 139. During a typical week, how many days do all or 123. If you skipped school would you most of your family eat at least one meal together? 28 be caught by your parents? Number of days: 0 1 2 3 4 5 6 7 124. My parents ask me what I think 25 before most family decisions 140. Have you ever heard of the gun violence prevention affecting me are made. program, Project Safe Neighborhoods (PSN)? 23 No Yes 22 125. Do you feel very close to your mother? 141. How did you hear about the gun violence prevention 19 126. Do you share your thoughts and program, Project Safe Neighborhoods? (Mark all that feelings with your mother? apply.) 17 T.V. Billboard Have not heard of PSN 127. Do you share your thoughts and 15 feelings with your father? Radio Other 13 128. Do you enjoy spending time with your mother? 142. How honest were you in filling out this survey? 11 I was very honest 10 129. Do you enjoy spending time with I was honest most of the time 9 your father? I was honest some of the time 8 I was honest once in a while 7 I was not honest at all

Bach Harrison, L.L.C. 116 South 500 East Thank you for completing the survey Salt Lake City, Utah 84102 Phone: 801-359-2064 8