Top Left BorderTop Right Border

Drug Survey

Hello
 
Thank you for choosing to participate in the Drug Survey for the project, Reducing illicit drug use in the Russian/Slavic Communities.
This survey is aimed at people aged between 14-29, who are of Russian background, speak Russian or a part of  the Russian Community and who are residing in Australia.
The survey takes about 3 -5 minutes to complete.
 
Please be honest and open, this survey is completely anonymous and confidential, your contact details are not required, either is your name. If you are concerned about anything regarding the survey please call Varia at RERC on 9415-6899 or email at barbara.karipoff@rerc.org.au.
 
Thank you for taking the questionnaire!!
 
P.S only take this survey once!
and if you know of any other people who this survey would be suitable for, please pass on the link as I'm looking to get 100 responses.
 
Ciao Cacao!
 
 
Drug Survey- 21/9/2007
Page 1 of 1

Question Separator
 1)   How old are you?

 
          
Question Separator
 2)   Your gender

 
  
Question Separator
 3)   State:

 
 
 
 
 
 
 
Question Separator
 4)   Country of Birth:
 
Question Separator
 5)   Ethnicity (what do you count yourself as?)
 
Question Separator
 6)   Language/s spoken at home:
 
Question Separator
 7)   Occupation
 
      
Question Separator
 8)   Highest educational level completed (for example: year 9 or bachelor degree etc)
 
Question Separator
 9)   Alcohol Consumption:
Please keep in mind that a standard drink is a nip of spirit, a light beer, small glass of wine.
 
How many standard drinks did you have in the last week?
 
        
Question Separator
 10)   How many days did you drink in the last week?
 
        
Question Separator
 11)   When you drink, you like to get drunk:
 
 
 
 
Question Separator
 12)   At a party or on a big night out, how many drinks would you normally have?
 
Question Separator
 13)   Is drinking alcohol a big part of social interaction with your friends?
 
  
Question Separator
 14)  
Illicit drugs
 
For the purpose of this survey, illicit drugs refers to any drug whose production, sale or possession is prohibited. Illicit drugs such as marijuana, heroin, ecstasy and cocaine; the inhaling of volatile substances- glue, petrol, solvents and non-medical use of prescribed drugs are all considered illicit in this survey
 
Please tick the answers which apply..
 
Have you used illicit drugs...
 
Question Separator
 15)   Which illicit drugs have you used?

 
Question Separator
 16)   How regularly do you use illicit drugs?
 
 
 
 
 
 
 
 
Question Separator
 17)   What do you think are the reasons for using illicit drugs?
 
Question Separator
 18)   In your group of friends
 
 
 
 
 
Question Separator
 19)   What do you lack most in your life?
Please choose all that apply
 
Question Separator
 20)   Roughly what percent of Australian youth (aged 14-29) has used illicit drugs?
 
 
 
 
 
 
 
Question Separator
 21)   In your opinion are illicit drugs easy to get hold of?
 
  
Question Separator
 22)   Do you rate drug use in the community as a big problem?
 
   
Question Separator
 23)   Do you want to stop using drugs?
 
  
Question Separator
 24)   What would make you stop using drugs?
 For example, growing out of it, counselling, a withdrawal program etc.
 
Question Separator
 25)   How well educated are you about the risks and problems of taking illicit drugs?
 
 
 
 
 
Question Separator
 26)   Are you interested in learning more about drugs and the risks?
 
 
 
 


Bottom Left BorderBottom Right Border


online survey software