This survey should take around 15 minutes to fill in. Please be as honest as you can.
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- Merryl Walton
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1 The Matthew Project, Norfolk Drug and Alcohol Action Team and Norfolk Children's Services would like to find out what young people think about drugs and alcohol. This survey should take around 1 minutes to fill in. Please be as honest as you can. Your answers will be anonymous. This means nobody will know what you have said. Please fill out the questionnaire honestly, without talking to your friends.
2 About you: 1. Are you... Male Female 2. How old are you? What is the closest town to where you live? 4. What is you ethnic background? White British Other black White and Black Caribbean White Irish Indian White and Black African Other White Pakistani White and Asian Caribbean Bangladeshi Other Mixed African Chinese Other (please specify)
3 Your knowledge:. Have you heard of these substances? (Please tick one box for each substance): I have heard of it - I have heard of it - I have heard of it - I have never heard of but don't know and think its safe if and think its always it anything about it used properly unsafe Cigarettes Alcohol Cannabis-herbal (weed) Cannabis-resin (hash, solid) Amphetamine (speed, wizz) Barbiturates Cocaine (coke, charlie) Crack (rocks) Crystal Meth Ecstasy & MDMA Ketamine Magic Mushrooms LSD (acid) Heroin (scag, smack) Poppers Solvents (glue, gas, aerosols) Tranquilisers (mazzies, Valium) Mephedrone Muscle building steroids Methadone NOS - Nitros Oxide Other (please say what, and whether you think its safe to use)
4 . Do you know anyone who uses the following (tick as many as apply): No Yes - used by Yes - Used by Yes - used by Yes - used by brothers and people I don't parents friends sisters hang out with Cigarettes Alcohol Cannabis-herbal (weed) Cannabis-resin (hash, solid) Amphetamine (speed, wizz) Barbiturates Cocaine (coke, charlie) Crack (rocks) Crystal Meth Ecstasy & MDMA Ketamine Magic Mushrooms LSD (acid) Heroin (scag, smack) Poppers Solvents (glue, gas, aerosols) Tranquilisers (mazzies, Valium) Mephedrone Muscle building steroids Methadone NOS - Nitros Oxide Other (please say what, and who you know uses it)
5 Your Use: 7. Have you ever taken any of the substances listed below? (Please tick one box for each substance): No Yes - Once Yes - Yes - Every Yes - Every Sometimes week day Cigarettes Alcohol Cannabis-herbal (weed) Cannabis-resin (hash, solid) Amphetamine (speed, wizz) Barbiturates Cocaine (coke, charlie) Crack (rocks) Crystal Meth Ecstasy & MDMA Ketamine Magic Mushrooms LSD (acid) Heroin (scag, smack) Poppers Solvents (glue, gas, aerosols) Tranquilisers (mazzies, Valium) Mephedrone Muscle building steroids Methadone NOS - Nitros Oxide Other (please say what, and how often you take it) 8. If you answered yes to having taken any of the above, how old were you when you first tried each substance? 9. Have you ever had so much alcohol that you were really drunk? No - never Yes times Yes - More than 10 times Yes - Once Yes times
6 Your recent use: 10. In the last month have you ever used any of the following? (Please tick one box for each substance): No Yes - once or Yes - a few Yes - many Yes - every twice times (3-) times (+) day Cigarettes Alcohol Cannabis-herbal (weed) Cannabis-resin (hash, solid) Amphetamine (speed, wizz) Barbiturates Cocaine (coke, charlie) Crack (rocks) Crystal Meth Ecstasy & MDMA Ketamine Magic Mushrooms LSD (acid) Heroin (scag, smack) Poppers Solvents (glue, gas, aerosols) Tranquilisers (mazzies, Valium) Mephedrone Muscle building steroids Methadone NOS - Nitros Oxide Other (please say what and how often you've used it)
7 The Matthew Project 11. Have you heard of the Matthew Project? (Please tick all that apply) No Yes - but I don't know what it does Yes - I know what it does but haven't used any of their services Yes - I have attended a lesson or assembly Yes - I have called the Matthew Project helpline Yes - I have been on the Voicebox caravan Yes - I have had one-to-one support or counselling
8 Drug and Alcohol Services: 12. What does a young person's drug and alcohol service do? (tick all that apply) Yes Give information about the effects of drugs and alcohol No Give information about drugs and the law Tell you to stop taking drugs and alcohol Give assemblies and lessons in school/college about drugs and alcohol Offer counselling Offer information on the internet Offer advice and support by phone Provide drug and alcohol awareness sessions at youth clubs and groups Help people make good choices around drugs and alcohol Give support to parents whose children use drugs Meet up with young people to offer support and help with change Take a mobile caravan to different places for young people to go on and talk about drugs and alcohol Help people who have serious drug or alcohol problems Help people who sometimes use drugs or alcohol Support young people whose parents use drugs and alcohol
9 Drug and Alcohol Services: 13. If you or your friends needed help or advice about drugs and alcohol, what kind of support would you like to see? Yes - Would help No - Wouldn't help Appointments available in school or collage Appointment available out of school or college A visit at my home Advice and information by text Advice and information by phone Advice and information by Advice and information on a website A confidential service Lessons at my school or college Assembly at my school or college 14. Is there any other help or support you or anyone else you know needs with drugs and alcohol? If so, please say what in the box below:
10 Thanks! Thank you for taking part. Your views are important to us. 1. If you would like to be entered into a prize draw for the chance to win a 10, 20 or 30 voucher of your choice - please enter your in the box below: This address will not be used for any other reason and will not be linked with your answers to the questionnaire. All responses will be dealt with in line with the data protection act; we will store this information securely and then destroy it when we no longer need it. If you have any questions about this research or would like to talk to someone about drugs and alcohol please contact The Matthew Project on or or check out
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