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**Teen Substance Abuse Survey**?

1. How old are you and what grade are you in?

2. Boy/Girl?

3. Do you get along with your mom? Dad?

4. Do you drink? If yes answer:
-When did you start?
-Why did you start?
-Do your parents know?
-How often?
-Do you wish you hadn't?

5. Do you smoke? If yes answer:
-When did you start?
-Why did you start?
-Do you parents know?
-How often?
-Do you wish you hadn't?

6. Have you ever abused any other substances? If yes answer:
-What substance(s)?
-When did you start?
-Why did you start?
-Do your parents know?
-How often?
-Do you wish you hadn't?

7. Have you ever lured someone else into substance abuse?

8. Do you behave and/or do well in school? How has substance abuse positively or negatively affected this?

9. If you could change one thing about your life, what would it be?

1.I'm 18 and I'm a senior.
2.I'm a girl.
3.I get along with my dad just fine.My mom.....not so much.
4.Yes.
When I was 14 when I started.
It was/is fun.
No.
I partied/party every weekend.
No.
5.No.Smoking is disgusting.
6.Yes.
Meth.
16.
I wanted to try it.
No.
Once.It was horrible.I never tried it again.
Yes.
7.No.
8.Yes I behave well in school.I am a straight A student,class president,and graduating valedictorian and top of my class.I think that my drinking has made a positive affect on my schooling,because it gives me the escape that I need sometimes when my mother gets to bad.
9.If I could change one thing in my life...........I don't think that I would change anything.Everything that has happened in my life has got me were I am to day.A full scholarship to the college of my dreams.The love of my life that i'm engaged to.And all of my high school achievements.

Your welcome. Report Abuse

1. 15 years old , in grade 9.
2. Girl
3. Yes , most of the time.
4. No
5. No
6. No
7. No.
8. I behave well in school most of the time.
9. hmm, idk.

Tags
Skin Health Sleep Disorders Smoking Stress Stroke Substance Abuse Pain Management Pelvic Pain Polycystic Ovary Syndrome Pregnancy
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