Montgomery County School District

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Survey

The Pride Questionaire for Parents

1. Confidential and anonymous. You and your child can not be identified. 2. If you have more than one child in school, base your answers on your OLDEST qualifying child. 3. Anwer any questions based on what you think or feel about the issue. 4. It is important that you complete all items. However, you may leave blank, questions you do not wish to answer. 5. Form takes about 15 minutes to complete.

I am the student's:
I am:
I am:
My child is:
My child is in grade:
To my knowledge my child:
To my knowledge my child:
To my knowledge my child:
My child makes good grades in school.
My child gets into trouble at school.
My child attends church, synagogue, etc.
I set clear rules for my child.
I punish my child when he/she breaks the rules.
I talk to my child about the harmful effects of using tobacco, alcohol, and drugs.
Teachers talk to students about the harmful effects of tobacco, alcohol, and drug use.
Our school works with parents regarding drug abuse prevention.
Law enforcement is doing a good job in keeping alcohol away from students.
Law enforcement is doing a good job in keeping drugs away from students.
I am afraid my child will be hurt at school.
My child takes part in gang activities.
My child had been threatened with a gun, knife, or club at school.
A student has threatened to hit, slap or kick my child at school.
Our school sets clear rules on using drugs at school.
Our school sets clear rules on bullying or threatening behavior.
I see ads on TV that encourage me to talk to my child about drug use.
My child participates in community activities such as scouts, rec. teams, youth clubs, etc.
My child participates in school activities such as band, clubs, etc.
The school has a security (police) officer.
A security (police) officer helps prevent violence at school.
Every school needs a security (police) officer.
My child has skipped school without my permission.
Drug and alchohol use is a big problem facing youth in my community.
Youth violence of is a big problem in my community.
My child has friends who drink alcohol.
It would be okay with me for my child to use alcohol if he/she would not use other drugs.
Beer ads encourage underage drinking.
My child has friends who use tobacco.
My child has friends who use drugs.
It would be okay with me for my child to smoke a little pot if he/she would leave other drugs alone.
My child has had 5 or more glasses of beer, coolers or liquor within a few hours.
The alcohol industry does a good job of discouraging underage drinking.
Do you think the use of cigarettes is harmful to your child's health?
Do you think the use of Smokeless Tobacco (chew, etc.) is harmful to your child's health?
Do you think the use of cigars if harmful to your child's health?
Do you think the use of beer is harmful to your child's health?
Do you think the use of coolers, breezers, hard lemonade, etc. is harmful to your child's health?
Do you think the use of liquor is harmful to your child's health?
Do you think the use of marijuana is harmful to your child's health?
Do you think the use of cocaine (crack, etc.) is harmful to your child's health?
Do you think the use of crystal meth (ice, crank, etc.) is harmful to you child's health?
During the past year has your child used cigarettes?
During the past year has your child used smokeless tobacco (chew, etc.)?
During the past year has your child used cigars?
During the past year has your child drank beer?
During the past year has your child drank coolers, breezers, hard lemonade, etc.?
During the last year has your child drank liquor?
During the last year has your child used marijuana?
During the last year has your child used cocaine (crack, etc.)?
During the last year has your child used crystal meth (ice, crank, etc.)?
How easy is it for students in your child's grade to get cigarettes?
How easy is it for students in your child's grade to get smokeless tobacco (chew, etc.)?
How easy is it for students in your child's grade to get cigars?
How easy is it for students in your child's grade to get beer?
How easy is it for students in your child's grade to get coolers, breezers, hard lemonade, etc.?
How easy is it for students in your child's grade to get liquor?
How easy is it for students in your child's grade to get marijuana?
How easy is it for students in your child's grade to get cocaine (crack, etc.)?
How easy is it for students in your child's grade to get uppers (stimulants)?
How easy is it for students in your child's grade to get downers (depressants)?
How easy is it for students in your child's grade to get inhalants (glue, etc.)?
How easy is it for students in your child's grade to get hallucinogens (PCP, LSD, etc.)?
How easy is it for students in your child's grade to get heroin (opiates)?
How easy is it for students in your child's grade to get anabolic steroids?
How easy is it for students in your child's grade to get ecstasy (MDMA)?
How easy is it for students in your child's grade to get OxyContin?
How easy is it for students in your child's grade to get crystal meth (ice, crank, etc.)?
How easy is it for students in your child's grade to get a gun?
While at school my child feels safe in the classroom.
While at school my child feels safe in the cafeteria (lunchroom).
While at school my child feels safe in the halls.
While at school my child feels safe in the bathroom.
While at school my child feels safe in the gym.
While at school my child feels safe on the school bus.
While at school my child feels safe at school events (ballgames, etc.).
While at school my child feels safe on the playground.
While at school my child feels safe in the parking lot.
IN SOLVING THE DRUG & VIOLENCE PROBLEMS IN YOUR COMMUNITY-- THE FOLLOWING ARE EFFECTIVE
1. School-based education about the harmful effects of drug and alcohol use
2. TV ads on preventing drug use by youth.
3. TV ads on preventing alcohol use by youth.
4. Religious institutions providing drug education to young people.
5. Parents providing drug education to their children.
6. Parents taking responsibility for their children's use of drugs and alcohol.
7. News media keeping parents and public informed about student drug use and violence.
8. Schools keeping parents informed about the incidents of student drug use and violence.
9. Community anti-drug coalition for keeping students drug free.
10. After school activities for students at school.
11. After school activities for students in the community (not at school).
12. Treatment for students who are drug and/or alcohol dependent.
13. School policy on student use of drugs and alcohol at school.
14. School policy on student violence/bullying.
15. Having a security (police) officer at the school.
16. Drug screening of students by the school.

618 Summit Street
Winona, MS 38967

(662) 283-4533

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