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Please answer the following questions by circling your answer based on your personal opinion or

knowledge that you have. Your identity will be strictly confidential; please do not write your

name on this paper.


   1. Are you aware of the drug and alcohol policy of your college campus?

               Yes                           No

   2. Do you believe that underage drinking is present on this campus?

       Strongly Agree

       Agree

       Uncertain

       Disagree

       Strongly Disagree

   3. Would you ever participate in underage drinking?

               Yes                           No

   4. Do you think a lot of people drive while being under the influence?

       Strongly Agree

       Agree

       Uncertain

       Disagree

       Strongly Disagree

   5. Would you ever drive after having too many drinks?

               Yes                           No

   6. Do you know what “buzzed driving” is? If yes, please explain.
7. Do you agree or disagree that providing alcohol to minors is something that goes on a lot

   in college?

   Strongly Agree

   Agree

   Uncertain

   Disagree

   Strongly Disagree

8. If you were underage and wanted to get alcohol, do you know of someone that would

   provide it to you?

           Yes                           No

9. Are you aware of what “binge drinking” is? If yes, please explain.




10. If you are aware of what binge drinking is, do you believe it occurs a lot on this campus?

   Strongly Agree

   Agree

   Uncertain

   Disagree

   Strongly Disagree

11. Do you thing binge drinking is a problem?

           Yes                           No

12. Have you ever been around any type of harmful drug use before?
Yes                           No

13. Are you aware of the overuse of medical prescription drugs as a means of getting high?

           Yes                           No

14. If you are aware of the abuse of medical prescription drugs, please list some names of the

   different kinds that you know are being overused to get high.




15. Do you value the higher education you are able to receive at this university?

           Yes                           No

16. Do you know of anyone that no longer attends a university due to drugs and or alcohol?

           Yes                           No

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Survey

  • 1. Please answer the following questions by circling your answer based on your personal opinion or knowledge that you have. Your identity will be strictly confidential; please do not write your name on this paper. 1. Are you aware of the drug and alcohol policy of your college campus? Yes No 2. Do you believe that underage drinking is present on this campus? Strongly Agree Agree Uncertain Disagree Strongly Disagree 3. Would you ever participate in underage drinking? Yes No 4. Do you think a lot of people drive while being under the influence? Strongly Agree Agree Uncertain Disagree Strongly Disagree 5. Would you ever drive after having too many drinks? Yes No 6. Do you know what “buzzed driving” is? If yes, please explain.
  • 2. 7. Do you agree or disagree that providing alcohol to minors is something that goes on a lot in college? Strongly Agree Agree Uncertain Disagree Strongly Disagree 8. If you were underage and wanted to get alcohol, do you know of someone that would provide it to you? Yes No 9. Are you aware of what “binge drinking” is? If yes, please explain. 10. If you are aware of what binge drinking is, do you believe it occurs a lot on this campus? Strongly Agree Agree Uncertain Disagree Strongly Disagree 11. Do you thing binge drinking is a problem? Yes No 12. Have you ever been around any type of harmful drug use before?
  • 3. Yes No 13. Are you aware of the overuse of medical prescription drugs as a means of getting high? Yes No 14. If you are aware of the abuse of medical prescription drugs, please list some names of the different kinds that you know are being overused to get high. 15. Do you value the higher education you are able to receive at this university? Yes No 16. Do you know of anyone that no longer attends a university due to drugs and or alcohol? Yes No