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  1. Surveys
  2. 2015
  3. September
  4. S
  5. Substance use stats
0%
Exit Survey
 
 
Substance of use:
 
Alcohol
 
Marijuana
 
Tobacco
 
Other
 
 
 
At what age did you first use this substance?
 
10-12
 
13-15
 
15-17
 
18-20
 
21-23
 
 
 
How often do you use this substance?
 
Daily
 
4-6 days per week
 
2-3 days per week
 
About 1 day per week
 
At least 1 day per month
 
Less than 1 day per month
 
 
 
How much do you usually use?
 
7+
 
5-6
 
3-4
 
1-2
 
 
 
Reasons for use (Select all that apply)
 
Like the feeling
 
Try to forget problems
 
Cope with stress
 
Relieve physical pain
 
Cope with anxiety
 
Cope with depression
 
To relax or unwind
 
Makes it easier to talk with people
 
Partner encourages use
 
Most friends use
 
Cope with family/relationship problems
 
Afraid of withdrawal symptoms

 
 
 
Does anyone in your family have substance abuse issues?
 
 
 
Do you have any of the following diagnosis or concerns? (Select all that apply)
 
Mental Health
 
Eating disorder
 
Learning disability
 
Traumatic Brain Injury

 
 
 
What areas of your life have been impacted by your substance use? (Select all that apply)
 
Family/relationships
 
Legal/conduct
 
Education
 
Spiritual
 
Social
 
Financial
 
Health (physical/mental)

 
 
 
Have you ever discussed substance use with your parents?
 
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