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  2. 2015
  3. March
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  5. Juvenile Delinquency Survey
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Please indicate your age, gender, and race.
 
18-25
 
25-40
 
40+
 
Male
 
Female
 
Other
 
Caucasian
 
African American
 
Asian
 
Hispanic
 
Arab
 
Other

 
 
 
Please identify your level of education.
 
High School diploma or GED
 
2 Year degree
 
4 Year degree
 
Masters
 
Doctorate
 
None of the above
 
 
 
Which of the following parenting styles best describes what your parents used AND the option that best describes your relationship with your parent under the age of 18 (select all that apply):
 
Authoritarian-Extremely strict, frequent use of punishment with little to no input from the child
 
Authoritative-Strict, demands respect, attentive, but includes child in decision making, focus on communication
 
Permissive-Possibly caring relationship but no expectations/rules for the child’s behavior
 
Neglectful-Emotionally and physically absent from the relationship with their child to the point where almost none of the child’s needs are being met
 
Hostile/Unstable
 
Abusive
 
Loving
 
Open
 
Stable
 
Other. Describe:
 

 
 
 
Did you experiment with any type of drugs under the age of eighteen? If yes, what age?
 
No
 
Yes. Age:
 
 
 
 
Did you ever participate in the consumption of alcohol under the age of eighteen? If yes, what age?
 
No
 
Yes. Age:
 
 
 
 
At what age did you become sexually active?
 
Under 12
 
12-15
 
15-18
 
18+
 
 
 
Which option best describes your level of success in high school academics?
 
Honor Student
 
Average
 
Underachieving
 
 
 
Were you ever arrested under the age of 18?
 
Yes
 
No
 
 
 
Did you ever commit a status offense (Ex: Underage drinking, truancy, curfew, etc.)
 
Yes
 
No
 
 
 
Describe your overall attitude towards parents, school, and society as a teenager.
   
 
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