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Local Solutions

Grades 4-6 questionnaire

This questionnaire asks the younger student to report:

  • alcohol, tobacco and drug use within past year;
  • friends' drug use;
  • perception of harmful effects of drugs;
  • tolerance for drug use;
  • drug use and violent behaviors at school and outside school;
  • cigarette smoking;
  • source of drugs;
  • accessibility of drugs, cigarettes, weapons;
  • student information;
  • student characteristics;
  • academic achievement;
  • conduct at school;
  • family life and discipline;
  • leisure-time activities;
  • violent behaviors;

With your order, you receive:

  • questionnaire forms (you decide the quantity);
  • instructions on how to administer the questionnaire;
  • the standard report as a pdf file on CD sample report
  • a printed executive summary (sample pages) of findings based on the machine-scored form and computerized data analyses.

 

 

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