LOUISIANA CARING COMMUNITIES YOUTH SURVEY

** 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.

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

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

** 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.

** 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.

** Please mark each question by completely filling in the circle or circles. ONLY USE A #2 PENCIL.

5. What is your race? (Choose all that apply.) Please fill in the American Indian or Alaska Native following information 0 0 0 0 0 0 Asian with the help of your 1 1 1 1 1 1 Black or African American 44 2 2 2 2 2 2 Native Hawaiian or Other Pacific Islander teacher/survey 3 3 3 3 3 3 White 42 assistant. 4 4 4 4 4 4 Unknown/Other______41 5 5 5 5 5 5 40 6 6 6 6 6 6 39 School 7 7 7 7 7 7 6. Think of where you live most of the time. Which of the 38 following people live there with you? Number: 8 8 8 8 8 8 37 9 9 9 9 9 9 (Mark ALL that apply.) 36 A A A A A A Mother Uncle 35 B B B B B B Stepmother Other Adult(s) 34 M M M M M M Father Brother(s) 33 N N N N N N Stepfather Stepbrother(s) 32 O O O O O O Foster Parent(s) Sister(s) P P P P P P Grandparent(s) Stepsister(s) 30 W W W W W W Aunt Other Children X X X X X X Z Z Z Z Z Z 27 7. Think of the adults you live with. What is the 26 highest level of schooling any of them completed? 25 Completed grade school Completed college 24 1. Are you: MALE FEMALE or less 23 Some high school Graduate or professional school after college 21 20 2. How old are you? Completed high school Don't know 10 or younger 12 14 16 18 Some college Does not apply 11 13 15 17 19 or older 17

The next section asks about your experiences at school.

3. What grade are you in? 13 8. Putting them all together, what were your grades like 6th 7th 8th 9th 10th 11th 12th 12 last year? 11 Mostly F's Mostly B's 10 4. Are you Hispanic or Latino? Yes No Mostly D's Mostly A's 9 Mostly C's 8 7

PLEASE DO NOT WRITE IN THIS AREA [SERIAL] 4 23. During the LAST FOUR WEEKS, how many whole days NO! no yes YES! of school have you missed because you skipped 9. In my school, students have lots or 'cut'? 78 of chances to help decide things 77 like class activities and rules. None 2 days 4-5 days 11 or more days 75 10. Teachers ask me to work on 1 day 3 days 6-10 days special classroom projects. 11. My teachers notice when The next questions ask about your feelings and 71 I am doing a good job and let experiences in other parts of your life. me know about it. 12. There are lots of chances for Number 24. Think of your four best friends (the students in my school to get of friends 66 involved in sports, clubs, and friends you feel closest to). In the other school activities outside past year (12 months), how many 0 1 2 3 4 of class. of your best friends have: 63 a. participated in clubs, organizations or 13. There are lots of chances activities at school? 61 for students in my school to talk 60 with a teacher one-on-one. b. smoked ? 58 14. I feel safe at my school. c. tried , , or hard liquor (for 57 example, vodka, whiskey, or gin) when 15. The school lets my parents their parents didn't know about it? 55 know when I have done 54 something well. d. made a commitment to stay drug-free? 52 16. My teachers praise me when 51 I work hard in school. e. used marijuana? 49 17. Are your school grades better f. tried to do well in school? 48 than the grades of most students 47 in your class? g. used LSD, , , or other illegal drugs? 18. I have lots of chances to be 44 part of class discussions or h. been suspended from school? activities. 42 i. liked school?

40 19. Now thinking back over the Almost always j. carried a handgun? past year in school, Often 38 how often did you: Sometimes k. sold illegal drugs? Seldom 36 Never l. regularly attended religious services? 34 a. enjoy being in school? m. stolen or tried to steal a motor vehicle such as a car or motorcycle? 32 b. hate being in school? 31 n. been arrested? 30 c. try to do your best work 29 in school? o. dropped out of school?

20. How often do you feel 26 that the school work you Very good chance are assigned is 25. What are the chances Pretty good chance meaningful and you would be Some chance important? seen as cool Little chance if you: No or very little chance

20 a. smoked cigarettes? 21. How important do you think the things you are learning 18 in school are going to be for your later life? b. worked hard at school? 17 Very important Slightly important 16 c. began drinking alcoholic beverages 15 Quite important Not at all important regularly, that is, at least once or twice a month? 13 Fairly important 12 d. defended someone who was being verbally abused at school? 22. How interesting are most of your courses to you? 9 Very interesting and stimulating Slightly interesting e. smoked marijuana? 7 Quite interesting Not at all interesting f. carried a handgun? 5 Fairly interesting g. regularly volunteered to do community service? 2 17 or older 16 26. How old were you 15 29. Now think about all when you first: 14 the students in your Almost all (91-100%) 13 grade at your school. Most (71-90%) 12 Half to most (51-70%) 11 How many of them Some to half (31-50%) 10 or younger do you think: Some (11-30%) Never Few (1-10%) None (0%) a. smoked marijuana? a. smoke one or more cigarettes 70 b. smoked a , even a day? 69 just a puff? b. drank sometime in the 67 c. had more than a sip or two past month? of beer, wine, or hard liquor (for example, vodka, whiskey, c. used marijuana sometime in 64 or gin)? the past month? 63 d. began drinking alcoholic d. used an illegal drug in the past beverages regularly, that is, month (not including 60 at least once or twice a marijuana)? month? 58 e. sniffed glue, breathed the contents of an aerosol spray 40+ times can, or inhaled other gases 30. How many times in 30 to 39 times or sprays, in order to get the past year (12 months) 20 to 29 times 53 high? have you: 10 to 19 times 6 to 9 times f. got suspended from school? 3 to 5 times 1 to 2 times g. got arrested? Never 48 h. carried a handgun? a. been suspended from 46 school? 45 i. attacked someone with the 44 idea of seriously hurting b. carried a handgun? 43 them? c. sold illegal drugs? 41 27. On how many occasions (if any) have you used over d. stolen or tried to steal a the counter drugs (such as cough syrup, cold motor vehicle such as a car 38 medicine, or diet pills) for the purposes of getting or motorcycle? high during the past 30 days? 0 Occasions 10 to 19 Occasions e. participated in clubs, 1 or 2 Occasions 20 to 39 Occasions organizations or activities at 34 3 to 5 Occasions 40 or more Occasions school? 6 to 9 Occasions f. been arrested? 31

28. How wrong do you think Not wrong at all g. done extra work on your 29 it is for someone your A little bit wrong own for school? age to: Wrong 27 Very wrong h. attacked someone with the idea of seriously hurting 25 a. take a handgun to school? them? 23 b. steal anything worth more than $5? i. been drunk or high at 22 school? c. pick a fight with someone? 20 j. volunteered to do community 19 d. attack someone with the idea service? of seriously hurting them? 17 k. taken a handgun to school? 16 e. stay away from school all day when their parents think they are at school? 14 f. drink beer, wine, or hard liquor (for example, 31. Have you ever belonged to a gang? 12 vodka, whiskey, or gin) regularly? No Yes, belong now 11 10 g. smoke cigarettes? No, but would like to Yes, but would like to get out 9 h. smoke marijuana? Yes, in the past 7 i. use LSD, cocaine, amphetamines, or another illegal drug? 3 36. During the past 12 months, do you recall hearing, 32. How often have you done the following for money, reading, or watching an advertisement about the possessions, or anything of value: prevention of substance use? (Choose all that apply.) 77 No Yes, about alcohol use 76 Almost everyday Yes, about use Yes, about drug use Once a week or more Once a month A few times in the past year 37. During the past 12 months, have you talked with at Before, but not in the past year least one of your parents about the dangers of Never tobacco, alcohol, or drug use? (Choose all that apply.) 69 a. gambled at a casino? No Yes, about alcohol use 68 Yes, about tobacco use Yes, about drug use 67 b. played the lottery or lottery scratch-off tickets? NO! no yes YES! 64 c. bet on sporting events? 63 38. I think sometimes it's okay to 62 d. played cards for money? cheat at school. 60 e. bet money on horse races? 39. Sometimes I think that life is not worth it. 58 f. played bingo for money or prizes? 57 40. At times I think I am no good at all. 56 g. gambled on the internet? 55 41. All in all, I am inclined to think 54 h. bet on dice games such as craps? that I am a failure. 52 i. bet on games of personal skill 42. In the past year, have you felt 51 such as pool, darts, or bowling? depressed or sad MOST days, even if you felt okay sometimes? 49 j. bet on video poker or other gambling 48 machines? 43. It is all right to beat up people if they start the fight. 44. I think it is okay to take 44 33. During the past 30 days, how many times did you something without asking if you DRIVE a car or other vehicle when you had been can get away with it. drinking alcohol? 41 I do not drive. 40 0 times 45. Are you currently taking any medication that was 39 1 time prescribed for you because you had problems with 38 2 or 3 times your behavior or emotions? 37 4 or 5 times Yes No 36 6 or more times

Great risk 34. During the past 30 days, how many times did you RIDE 46. How much do you think people risk harming Moderate risk in a car or other vehicle driven by someone who had Slight risk been drinking alcohol? themselves (physically or in other ways) if they: No risk 30 0 times 29 1 time a. smoke one or more packs of cigarettes 28 2 or 3 times per day? 27 4 or 5 times 26 6 or more times b. try marijuana once or twice?

24 None of the time c. smoke marijuana regularly? 35. During the past 30 days, A little of the time how often did you: d. take one or two drinks of an alcoholic 21 Some of the time Most of the time beverage (beer, wine, liquor) nearly All of the time every day? 18 a. feel nervous? e. have five or more drinks of an alcoholic beverage once or twice a week? 16 b. feel hopeless? 15 f. smoke marijuana once or twice a week? 14 c. feel restless or fidgety? 13 g. use prescription drugs that are not d. feel so depressed that prescribed to them? 11 nothing could cheer you up? 47. Think back over the last two weeks. How many times 8 e. feel that everything was have you had five or more alcoholic drinks in a row? 7 an effort? None 3-5 times 6 Once 6-9 times 5 f. feel worthless? Twice 10 or more times

4 OCCASIONS On how many occasions (if any) have you: 0 1-2 3-5 6-9 10-19 20-39 40+ 48. had alcoholic beverages (beer, wine, or hard liquor) to drink in your lifetime -- more than just a few sips? 77

49. had beer, wine, or hard liquor to drink during the past 30 days? 75 50. been drunk or very high from drinking alcoholic beverages during the past 30 days? 73 51. used marijuana (grass, pot) or (hash, ) in your lifetime? 71 52. used marijuana (grass, pot) or hashish (hash, hash oil) during the past 30 days? 69

53. used LSD (acid, blotter) or other (like PCP, , , 67 "shrooms", or ) in your lifetime?

54. used LSD (acid, blotter) or other hallucinogens (like PCP, mescaline, peyote, 64 "shrooms", or ketamine) during the past 30 days? 55. used cocaine or crack in your lifetime? 61 56. used cocaine or crack during the past 30 days? 59 57. sniffed glue, breathed the contents of an aerosol spray can, or inhaled other 57 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 54 gases or sprays, in order to get high during the past 30 days? 59. used phenoxydine (pox, px, breeze) in your lifetime? 51 60. used phenoxydine (pox, px, breeze) during the past 30 days? 49 61. used (meth, speed, crank, crystal meth) in your lifetime? 47 62. used methamphetamines (meth, speed, crank, crystal meth) in the past 30 days? 45 63. used , other than methamphetamines (such as amphetamines, Adderall, 43 Dexedrine, Ritalin, ) without a doctor telling you to take them, in your lifetime? 64. used stimulants, other than methamphetamines (such as amphetamines, Adderall, 40 Dexedrine, Ritalin) without a doctor telling you to take them, during the past 30 days? 65. used sedatives (tranquilizers, such as Ativan, Klonopin, Valium, Xanax, , 37 or sleeping pills) without a doctor telling you to take them, in your lifetime? 66. used sedatives (tranquilizers, such as Ativan, Klonopin, Valium, Xanax, barbiturates, 34 or sleeping pills) without a doctor telling you to take them, during the past 30 days? 67. used in your lifetime? 31 68. used heroin during the past 30 days? 29

69. used narcotic prescription drugs (such as OxyContin, , , 27 , Demerol, Vicodin, Percocet, Suboxone, , carfentanyl, or other opiates) without a doctor telling you to take them, in your lifetime? 70. used narcotic prescription drugs (such as OxyContin, methadone, morphine, codeine, Demerol, Vicodin, Percocet, Suboxone, fentanyl, carfentanyl, or other 23 opiates) without a doctor telling you to take them, during the past 30 days? 71. used MDMA (X,E, "Molly", or ecstasy) in your lifetime? 20 72. used MDMA (X,E, "Molly", or ecstasy) in the past 30 days? 18 73. used synthetic marijuana or herbal incense products (such as K2, Spice, or Gold) 16 in the past 30 days? 74. used other synthetic drugs (such as Bath Salts like Ivory Wave or White Lightning) 13 in the past 30 days?

75. Have you ever used (chew, , 76. How frequently have you used smokeless tobacco plug, dipping tobacco, or )? during the past 30 days? Never Regularly in the past Never 3-5 times per week 6 Once or twice Regularly now Once or twice About once a day 5 Once in a while, but not regularly Once or twice per week More than once a day 4 5 Very easy 77. Have you ever smoked cigarettes? Sort of easy 79 Never Regularly in the past Sort of hard 78 Once or twice Regularly now Very hard 77 Once in a while, but not regularly 76 88. If you wanted to get some cigarettes, how 78. How frequently have you smoked cigarettes during the easy would it be for you to get some? past 30 days? 73 Not at all 89. If you wanted to get some beer, wine or hard 72 Less than one cigarette per day liquor (for example, vodka, whiskey, or gin), 71 One to five cigarettes per day how easy would it be for you to get some? 70 About one-half pack per day 69 About one pack per day 90. In your community, how easy would it be 68 About one and one-half packs per day for someone under 21 to buy alcohol from 67 Two packs or more per day a store?

65 91. If you wanted to get a drug like cocaine, 79. Have you ever tried electronic cigarettes, e-cigarettes, LSD, or amphetamines, how easy would it vape pens, or e-hookahs? be for you to get some? 62 No Yes 61 All 30 days 92. If you wanted to get a handgun, how easy 20 to 29 days would it be for you to get one? 10 to 19 days 80. During the past 30 days, on 93. If you wanted to get some marijuana, how 58 how many days did you: 6 to 9 days 3 to 5 days easy would it be for you to get some? 1 or 2 days 0 days 54 a. smoke cigarettes? 94. How wrong do your Not wrong at all 52 b. smoke tobacco in a hookah or friends feel it would be A little bit wrong waterpipe? for YOU to: Wrong 50 Very wrong b. use electronic cigarettes, 48 e-cigarettes, vape pens, or a. have one or two drinks of an alcoholic e-hookahs? beverage nearly every day? 45 b. smoke tobacco? These questions ask about the neighborhood and 43 community where you live c. smoke marijuana?

41 81. How wrong would most Not wrong at all d. use prescription drugs not prescribed to adults (over 21) in your A little bit wrong you? neighborhood think it is Wrong for kids your age: Very wrong 36 a. to use marijuana? 95. How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day? 34 b. to drink alcohol? Neither approve nor disapprove 33 Somewhat disapprove 32 c. to smoke cigarettes? Strongly disapprove 31 Don’t know or can’t say

NO! no yes YES! 27 82. I feel safe in my neighborhood. The next few questions ask about your family. When answering these questions please think about the people 83. If a kid smoked marijuana in you consider to be your family, for example, parents, 24 your neighborhood, would he stepparents, grandparents, aunts, uncles, etc. or she be caught by the police? 84. If a kid drank some beer, wine, or hard liquor (for example, 96. Have any of your brothers or sisters ever: 19 vodka, whiskey, or gin) in your neighborhood, would he or she I don't have any brothers or sisters 17 be caught by the police? Yes No 85. If a kid carried a handgun in your 14 neighborhood, would he or she a. drunk beer, wine, or hard liquor (for example, 13 be caught by the police? vodka, whiskey, or gin)? 11 86. If someone was drinking and b. smoked marijuana? 10 driving in your neighborhood, 9 would they get caught by c. smoked cigarettes? the police? 7 d. taken a handgun to school? 87. If the police caught a kid 5 drinking alcohol in your e. been suspended or expelled from school? neighborhood, would he or she be in serious trouble? 6 97. How wrong do your Not wrong at all parents feel it would be A little bit wrong for YOU to: Wrong 78 Very wrong 111. Have you ever considered attempting suicide? a. drink beer, wine, or hard liquor (for No Yes example, vodka, whiskey, or gin) 75 regularly? 112. Have you ever attempted suicide? 73 b. smoke cigarettes? No Yes 72 71 c. smoke marijuana? 70 113. Has there ever been a time in your life when you 69 d. steal something worth more than $5? experienced a loss by suicide? 68 No Yes e. draw graffiti, write things, or draw pictures on buildings or other property 65 (without the owner's permission)? 114. If you marked “Yes” to question 113 above, 64 how long ago did the suicide happen? f. pick a fight with someone? I marked "No" to the question above. 62 Within the last year. g. have one or two drinks of an alcoholic Within the past two or three months (60-90 days). 60 beverage nearly every day? In the past month (30 days). h. smoke tobacco? 57 115. If you marked “Yes” to question 113 above, i. use prescription drugs not prescribed to was the loss a blood relative or friend?(Mark 55 you? all that apply.) I marked "No" to the question above. Friend/peer Blood relative Friend/family 50 NO! no yes YES! Best friend 49 48 98. I feel safe at home where I live. 47 116. If you marked “Yes” to question 113, have you 99. The rules in my family are clear. spoken to anyone about your loss? 45 I marked "No" to the question above. 100. People in my family often insult No 43 or yell at each other. Yes 41 101. When I am not at home, one 40 of my parents knows where I 117. If you marked “Yes” on q113 above, please 39 am and who I am with. rate on a scale of 1-5 how it impacted you. 38 I marked "No" to the question above. 37 102. We argue about the same 1 (It had no effect on me.) things in my family over 2 (It had little effect on me.) 35 and over. 3 (It had some effect on me.) 4 (It had considerable effect on me.) 103. If you drank some beer, wine, or 5 (It had great effect on me.) 32 hard liquor (for example, vodka, 31 whiskey, or gin) without your 30 parents' permission, would you 118. During the past 12 months, did you ever seriously be caught by your parents? consider attempting suicide? No Yes 104. My family has clear rules 26 about alcohol and drug use. 25 119. During the past 12 months, did you make a plan about 105. If you carried a handgun without how you would attempt suicide? your parents' permission, would No Yes 22 you be caught by your parents? 20 106. If you skipped school, would 120. During the past 12 months, how many times did you 19 you be caught by your parents? actually attempt suicide? 0 times 4 to 5 times 107. My parents ask if I've gotten 1 time 6 or more times 16 my homework done. 2 to 3 times 15 14 108. People in my family have 13 serious arguments. 121. During the past 12 months, how many times did you do something to purposefully hurt yourself without 109. Would your parents know if wanting to die, such as cutting or burning yourself you did not come home on on purpose? 9 time? 0 times 4 or 5 times 1 time 6 or more times 110. It is important to be honest 2 or 3 times 6 with your parents, even if they 5 become upset or you get 4 punished. 7 122. Has anyone in your family ever had severe alcohol or 133. Where did you get the prescription drugs you drug problems? misused during the past year? (Select all that apply.) 78 No Yes 77 I did not misuse prescription drugs in the past year. From a prescription I had. 75 123. How wrong do you think it is for adults over 21 to A friend or family member gave it to me for free. drink alcohol in public? I took it from a family member or friend. 73 Very wrong A little bit wrong I got it at a party. 72 Wrong Not wrong at all I bought it from a dealer or stranger. I bought it from a friend or family member. I bought it on the internet. 124. How wrong do you think it is for adults over 21 to get I got it some other way. drunk or be drunk in public? 67 Very wrong A little bit wrong 66 Wrong Not wrong at all 134. During the past 30 days, on how many days did you 65 NOT go to school because you felt you would be unsafe at school or on your way to or from school? 63 125. During a typical week, how many days do all or 0 days 4 or 5 days most of your family eat at least one meal together? 1 day 6 or more days Number of days: 2 or 3 days 60 0 1 2 3 4 5 6 7 59 135. During the past 12 months, how often have you been picked on or bullied by a student ON SCHOOL 57 126. About how many adults PROPERTY? Number of Adults (over 21) have you known 0 days 4 or 5 days personally who in the 1 day 6 or more days past year have: 0 1 2 3-4 5+ 2 or 3 days 52 a. used marijuana, crack, cocaine, or other drugs? 136. Did you drink alcohol in the past year? No (GO TO QUESTION 138) 49 b. sold or dealt drugs? Yes (GO TO QUESTION 137) c. done other things that 46 could get them in trouble 137. If you drank alcohol (not just a sip or taste) in the 45 with the police, like past year, how did you get it? (Mark the number of stealing, selling stolen times for each). 43 goods, mugging or More than 5 times assaulting others, etc.? 3to5times 1 or 2 times 40 d. gotten drunk or high? 0times 38 a. I bought it myself from a store, restaurant, , or club with fake ID. Alcohol Drugs 35 Don't use Don't use b. I bought it myself from a store, restaurant, In the past 12 months : Yes Yes bar, or club without fake ID. No No 32 c. A stranger bought it for me. 127. have you spent more 30 time using alcohol or d. I got it from someone I know age 21 29 drugs than you intended? or older. 128. have you neglected some e. I got if from someone I know under age 26 of your usual 21. responsibilities because of using alcohol or drugs? f. I got it from a family member or relative 23 other than my parents. 129. have you wanted to cut 21 down on your alcohol or g. I got it from home with my parents' drug use? permission.

18 130. has anyone objected to h. I got it from home without my parents' 17 your alcohol or drug use? permission. 15 131. did you frequently find i. I got it in another way. 14 yourself thinking about 13 using alcohol or drugs? 11 132. did you use alcohol or 138. How honest were you in filling out this survey? 10 drugs to relieve feelings I was very honest. 9 such as sadness, anger, or I was honest most of the time. boredom? I was honest some of the time. I was honest once in a while. I was not honest at all.

Bach Harrison, L.L.C. 116 South 500 East Salt Lake City, Utah 84102 Phone: 801-359-2064 8