The document contains a survey asking respondents to provide their opinions on topics related to drug and alcohol use and policies through multiple choice and short answer questions. It asks about the respondent's awareness of campus policies, their views on underage drinking and binge drinking on campus, whether they have participated in or would participate in underage drinking, driving under the influence, and obtaining alcohol for minors. It also asks about awareness of terms like "buzzed driving" and "binge drinking" and prescription drug abuse.
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