RESEARCH ON EFFECTS OF DRUG SUBSTANCE AMONG TEENEGERS

QUESTIONNAIRE ON THE EFFECTS OF DRUG AND SUBSTANCE ABUSE AMONG TEENAGERS Section A: Demographic Information Please tick (✔) or fill in the correct response. 1. Age: ___ years 2. Gender: ☐ Male ☐ Female 3. Class/Form: ☐ Form 1 ☐ Form 2 ☐ Form 3 ☐ Form 4 4. Type of School: ☐ Day ☐ Boarding 5. Who do you live with? ☐ Both parents ☐ Single parent ☐ Guardian ☐ Others (specify) ___________ Section B: Types of Drugs and Substances Used 6. Have you ever used any of the following substances? (Tick all that apply) | Substance | Ever used | Currently use | |------------|------------|----------------| | Alcohol | ☐ Yes ☐ No | ☐ Yes ☐ No | | Tobacco (Cigarettes) | ☐ Yes ☐ No | ☐ Yes ☐ No | | Bhang (Marijuana) | ☐ Yes ☐ No | ☐ Yes ☐ No | | Miraa/Khat | ☐ Yes ☐ No | ☐ Yes ☐ No | | Glue/Inhalants | ☐ Yes ☐ No | ☐ Yes ☐ No | | Prescription Drugs (misuse) | ☐ Yes ☐ No | ☐ Yes ☐ No | | Others (specify): ___________ | ☐ Yes ☐ No | ☐ Yes ☐ No | 7. At what age did you first use any substance? ____ years Section C: Factors Contributing to Drug and Substance Abuse Indicate the extent to which you agree with the following statements. (1 = Strongly Disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly Agree) Statement 1 2 3 4 5 My friends influence me to try drugs. ☐ ☐ ☐ ☐ ☐ Drugs are easily available around my school or home. ☐ ☐ ☐ ☐ ☐ Lack of parental supervision makes teenagers try drugs. ☐ ☐ ☐ ☐ ☐ Stress or depression can make teenagers take drugs. ☐ ☐ ☐ ☐ ☐ Curiosity or desire to experiment leads to drug use. ☐ ☐ ☐ ☐ ☐ Media and social networks influence drug use among teens. ☐ ☐ ☐ ☐ ☐ Section D: Effects of Drug and Substance Abuse Statement 1 2 3 4 5 Drug use affects my academic performance negatively. ☐ ☐ ☐ ☐ ☐ I have been absent from school because of drug use. ☐ ☐ ☐ ☐ ☐ I have had conflicts or disciplinary actions due to drug use. ☐ ☐ ☐ ☐ ☐ I feel anxious, sad, or moody after taking drugs. ☐ ☐ ☐ ☐ ☐ My relationship with parents and teachers has worsened due to drug use. ☐ ☐ ☐ ☐ ☐ I often get sick or injured after using drugs. ☐ ☐ ☐ ☐ ☐ Section E: Prevention and Control Statement 1 2 3 4 5 Guidance and counseling in schools can reduce drug use. ☐ ☐ ☐ ☐ ☐ Parental guidance helps prevent drug use. ☐ ☐ ☐ ☐ ☐ Strict school rules help reduce drug use. ☐ ☐ ☐ ☐ ☐ Awareness campaigns and NACADA programs are effective. ☐ ☐ ☐ ☐ ☐ Religious teachings discourage teenagers from using drugs. ☐ ☐ ☐ ☐ ☐ Section F: Open-Ended Questions 1. What do you think are the main reasons why teenagers use drugs? 2. What measures do you think can help reduce drug and substance abuse in your school or community? 3. How has drug use affected your school life or health (if applicable)?