The Drug Survey (13-18 please)

Do you take drug

• No, never have
• Yes, occasionally
• Yes, often
• I've experimented

What kind of drugs have you used?

Please select all that apply.

• Weed
• Oxycodone
• Hydrocodone
• Salvia
• Acid
• Alcohol
• Mushrooms
• Cocaine
• Tobacco
• Paint
• Other
• I don't do drugs

Do your parents do drugs of any kind?

• Yes, often
• Yes, sometimes
• I think they do secretly
• Not around me
• Only when they go out
• No, never
• I'm not sure

Do your friends do drugs of any kind?

• Yes, I do it with them
• Yes, often
• Yes, sometimes
• They have
• No, never
• They do but I don't
• None of us do