Questionnaire for the Canadian Student Tobacco, Alcohol and Drugs Survey 2021-22

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Date published: 2024-03-##

Thousands of students across Canada, just like you, have been asked to take part in this survey. This important survey will help Health Canada to better understand tobacco, alcohol, and drug use among young people in Canada.

We value your help today.

Please use a pencil to complete this questionnaire.

radio buttons — Please mark all your answers with full, dark marks, like this:

Even if you don't use tobacco, alcohol, or drugs, please make sure you answer each question so that all students take the same amount of time to complete the questionnaire.
This is NOT a test. All of your answers will be kept confidential. No one, not even your parents or teachers, will ever know what you answered. Please be honest when you answer the questions.
Mark only ONE option per question unless the instructions tell you to do something else.
If you do not understand a question, or do not wish to answer a question, leave it blank and continue to the next question.
Choose the option that is the closest to what you think/feel is true for you.

Your answers are confidential

About You

What grade are you in?
- Grade 7
- Grade 8
- Grade 9
- Grade 10
- Grade 11
- Grade 12

Quebec students only
- Secondary I
- Secondary II
- Secondary III
- Secondary IV
- Secondary V

How old are you today?
- 11 years or younger
- 12 years
- 13 years
- 14 years
- 15 years
- 16 years
- 17 years
- 18 years
- 19 years or older
What was your sex at birth?
- Female
- Male
What is your gender?
Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.
- Woman / girl
- Man / boy
- Or please specify:
Which of the following best describes you?
- Gay or lesbian
- Straight, that is, not gay or lesbian
- Bisexual
- Asexual, that is, someone who doesn't experience sexual attraction
- I am not yet sure of my sexual identity
- Something else. I identify as:
- I am not sure what this question means
How would you describe yourself?
(Mark all that apply)
- White
- Black
- West Asian/Arab
- South Asian (Indian, ...)
- East/Southeast Asian (Chinese, ...)
- Latin American/Hispanic
- Aboriginal (First Nations, Métis, Inuit, ...)
- Other:
How many years have you lived in Canada?
- I was born in Canada
- 1 to 2 years
- 3 to 5 years
- 6 to 10 years
- 11 or more years
In general, would you say your physical health is excellent, very good, good, fair or poor?
- Excellent
- Very good
- Good
- Fair
- Poor
- I do not know
In general, would you say your mental health is excellent, very good, good, fair or poor?
- Excellent
- Very good
- Good
- Fair
- Poor
- I do not know

Tobacco Use

Have you ever tried cigarette smoking, even just a few puffs?
- Yes
- No
How old were you when you first tried smoking cigarettes, even just a few puffs?
- I have never done this
- I do not know
- 8 years or younger
- 9 years
- 10 years
- 11 years
- 12 years
- 13 years
- 14 years
- 15 years
- 16 years
- 17 years
- 18 years or older
At any time during the next 12 months do you think you will smoke a cigarette?
- Definitely yes
- Probably yes
- Probably not
- Definitely not
Have you ever smoked a whole cigarette?
- Yes
- No
Have you ever smoked 100 or more whole cigarettes in your life?
- Yes
- No
Thinking back over the last 7 days, how many whole cigarettes did you smoke each day?
Please use only numbers.
- Sunday:
- Monday:
- Tuesday:
- Wednesday:
- Thursday:
- Friday:
- Saturday:
During the past 12 months, how many times have you stopped for one day or longer because you were trying to quit smoking?
- I have not smoked cigarettes in the past 12 months
- I have never smoked
- 0 times
- 1 time
- 2 or 3 times
- 4 or more times
Where do you usually get your cigarettes?
(Mark only one)
- I do not smoke
- I buy them myself at a store
- I buy them from a First Nation Reserve (i.e., delivery service)
- I buy them on a First Nation Reserve
- I buy them from a friend
- I buy them from someone else
- I ask someone to buy them for me
- My brother or sister gives them to me
- My mother or father gives them to me
- A friend gives them to me
- Someone else gives them to me
- I take them from my mother, father, or siblings
- Other
In the last 30 days, how often did you use any of the following?
(Mark only one)
1. Cigarettes
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
2. Cigars, little cigars or cigarillos (plain or flavoured)
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
3. Smokeless tobacco (chewing tobacco, pinch, dip, snuff, or snus)
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
4. Nicotine patches, nicotine gum, nicotine lozenges, nicotine inhalers, or nicotine spray
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
5. A water-pipe (hookah) to smoke shisha (tobacco)
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
6. Heated tobacco products (iQOS™ or Glo™)
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried

Vaping

The following questions are about vaping or using e-cigarettes. “Vaping” involves using devices that heat liquid into vapour that you inhale.

When answering, include:

Vaping e-liquid with nicotine and without nicotine, i.e., just flavouring
All e-cigarettes, vape mods, vaporizers and vape pens

When answering, exclude: Vaping cannabis.

In the last 30 days, how often did you vape any of the following products?
1. An e-liquid or pod with nicotine
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
2. An e-liquid pod without nicotine
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
3. An e-liquid or pod, but you did not know what it contained
  - Daily
  - Less than daily, but at least once a week
  - Less than weekly, but at least once in the last 30 days
  - Tried, but did not use in the last 30 days
  - I have never tried
At any time during the next 12 months do you think you will use a vape?
- Definitely yes
- Probably yes
- Probably not
- Definitely not
Which did you try first: a cigarette or an e-cigarette (vape, vape pen, tank & mod)?
- I have never tried a cigarette nor an e-cigarette
- I have only tried a cigarette and never tried an e-cigarette
- I have only tried an e-cigarette and never tried a cigarette
- I have tried both and tried a cigarette first
- I have tried both and tried an e-cigarette first
- I do not remember
Which flavour do you vape most often?
(Mark only one)
- I do not vape
- Tobacco
- Fruit
- Candy
- Dessert
- Mint/Menthol
- Coffee/Tea
- Alcohol
- Flavourless
- No usual flavour
What is your main reason for trying vaping the first time?
(Mark only one)
- I do not vape
- Just to give it a try – to see what it’s like
- I like the flavours
- To have a good time with my friends
- Peer pressure
- I use them instead of smoking cigarettes
- I am trying to quit smoking cigarettes
- I enjoy them
- I am addicted to them
- To relax or relieve tension
- To feel good / to get a nicotine high
- Other reasons
What is your main reason for currently/continued vaping?
(Mark only one)
- I do not vape
- Just to give it a try – to see what it’s like
- I like the flavours
- To have a good time with my friends
- Peer pressure
- I use them instead of smoking cigarettes
- I am trying to quit smoking cigarettes
- I enjoy them
- I am addicted to them
- To relax or relieve tension
- To feel good / to get a nicotine high
- Other reasons
Where do you usually get your vaping devices and vaping e-liquids or pods?
(Mark only one for each)
If you get them from more than one place, please select where you get your devices and e-liquids or pods most often.
1. Your vaping devices (vape, vape pen, tank & mod)?
  - I do not vape
  - I buy them from a vape shop (in person, not online)
  - I buy them from a convenience store
  - I ask someone to buy them for me
  - I buy them online
  - A family member gives them to me (bought, borrowed, shared)
  - A friend gives them to me (bought, borrowed, shared)
  - Someone else gives them to me (bought, borrowed, shared)
  - I use my mother’s, father’s, or sibling’s without their permission
  - I use someone else’s without their permission
  - Other
2. Your vaping e-liquids or pods?
  - I do not vape
  - I buy them from a vape shop (in person, not online)
  - I buy them from a convenience store
  - I ask someone to buy them for me
  - I buy them online
  - A family member gives them to me (bought, borrowed, shared)
  - A friend gives them to me (bought, borrowed, shared)
  - Someone else gives them to me (bought, borrowed, shared)
  - I use my mother’s, father’s, or sibling’s without their permission
  - I use someone else’s without their permission
  - Other
During the past 12 months, how many times have you stopped for one day or longer because you were trying to quit vaping?
- I have not vaped in the past 12 months
- I have never vaped
- 0 times
- 1 time
- 2 or 3 times
- 4 or more times

Alcohol Use

A DRINK means: 1 regular sized bottle, can, or draft of beer; 1 glass of wine; 1 bottle or can of cooler; 1 shot of liquor (rum, whisky, Baileys®, etc.); or 1 mixed drink (1 shot of liquor with pop, juice, energy drink, etc.).

Have you ever had a drink of alcohol that was more than just a sip?
- Yes
- No
In the last 12 months, how often did you have a drink of alcohol that was more than just a sip?
- I have never had a drink of alcohol that was more than just a sip
- I did not drink alcohol in the last 12 months
- Less than once a month
- Once a month
- 2 or 3 times a month
- Once a week
- 2 or 3 times a week
- 4 to 6 times a week
- Every day
- I do not know
How old were you when you first had a drink of alcohol that was more than just a sip?
- I have never had a drink of alcohol that was more than just a sip
- I do not know
- 8 years or younger
- 9 years
- 10 years
- 11 years
- 12 years
- 13 years
- 14 years
- 15 years
- 16 years
- 17 years
- 18 years or older
In the last 30 days, how often did you have a drink of alcohol that was more than just a sip?
- I have never had a drink of alcohol that was more than just a sip
- I have not done this in the last 30 days
- Once or twice
- Once or twice a week
- 3 or 4 times a week
- 5 or 6 times a week
- Every day
- I do not know
In the last 12 months, how often did you have 5 or more drinks of alcohol on one occasion?
- I have never had 5 or more drinks of alcohol on one occasion
- I have not done this in the last 12 months
- Less than once a month
- Once a month
- 2 to 3 times a month
- Once a week
- 2 to 5 times a week
- Daily or almost daily
- I do not know
How old were you when you first had 5 or more drinks of alcohol on one occasion?
- I have never had 5 or more drinks of alcohol on one occasion
- I do not know
- 8 years or younger
- 9 years
- 10 years
- 11 years
- 12 years
- 13 years
- 14 years
- 15 years
- 16 years
- 17 years
- 18 years or older
In the last 30 days, how often did you have 5 or more drinks of alcohol on one occasion?
- I have never had 5 or more drinks of alcohol on one occasion
- I have not done this in the last 30 days
- Once or twice
- Once or twice a week
- 3 or 4 times a week
- 5 or 6 times a week
- Every day
- I do not know
In the last 12 months, did you drink any of the following?
1. An energy drink like Red Bull®, Monster® and Rockstar®, not sports drinks
  - Yes
  - No
2. Alcohol and an energy drink drank separately on one occasion
  - Yes
  - No
3. Alcohol and an energy drink hand-mixed together by you or someone else
  - Yes
  - No
4. Store-bought pre-mixed alcoholic beverages with energy drink names (such as Rockstar®+Vodka)
  - Yes
  - No
5. Sweetened beverages with high alcohol content (7% or higher), (such as Four Loko, FCKD UP, Clubtails)
  - Yes
  - No
In the last 12 months, how did you usually get the alcohol you consumed?
(Mark only one)
- If you get the alcohol from more than one place, please select where you get it most often
- I have never consumed alcohol
- I have not consumed alcohol in the last 12 months
- I took it from a friend or a family member without permission
- I took it from someone else without permission
- A parent (or guardian) gave it to me
- I got or bought it from a friend or a family member (not a parent or a guardian)
- I got or bought it from someone else
- It was shared at a party
- I got or bought it at a public event (e.g., concert, sporting event)
- I bought it or someone bought it for me at a store (e.g., liquor store, convenience store, grocery store)
- I bought it or someone bought it for me at a restaurant or bar
- Other

Marijuana/Cannabis Use

Have you ever used or tried marijuana or cannabis (a joint, pot, weed, hash, or hash oil)?
- Yes
- No
In the last 12 months, how often did you use marijuana or cannabis?
- I have never used marijuana or cannabis
- I have not done this in the last 12 months
- Less than once a month
- Once a month
- 2 or 3 times a month
- Once a week
- 2 or 3 times a week
- 4 to 6 times a week
- Every day
- I do not know
How old were you when you first used marijuana or cannabis?
- I have never used marijuana or cannabis
- I do not know
- 8 years or younger
- 9 years
- 10 years
- 11 years
- 12 years
- 13 years
- 14 years
- 15 years
- 16 years
- 17 years
- 18 years or older
In the last 30 days, how often did you use marijuana or cannabis?
- I have never used marijuana or cannabis
- I have not done this in the last 30 days
- Once or twice
- Once or twice a week
- 3 or 4 times a week
- 5 or 6 times a week
- Every day
- I do not know
Indicate whether you have used marijuana or cannabis (a joint, pot, weed, hash, or hash oil) in the following ways:
1. Smoked a joint, bong, pipe or blunt
  - No, I have never done this
  - Yes, I have done this in the last 30 days
  - Yes, I have done this in the last 12 months
  - Yes, I have done this, but not in the last 12 months
2. Eaten it in food such as brownies, cakes, cookies or candy
  - No, I have never done this
  - Yes, I have done this in the last 30 days
  - Yes, I have done this in the last 12 months
  - Yes, I have done this, but not in the last 12 months
3. Drank it in tea, cola, alcohol, or other drinks
  - No, I have never done this
  - Yes, I have done this in the last 30 days
  - Yes, I have done this in the last 12 months
  - Yes, I have done this, but not in the last 12 months
4. Vaped dried cannabis (e.g., using the same type of cannabis used in a joint)
  - No, I have never done this
  - Yes, I have done this in the last 30 days
  - Yes, I have done this in the last 12 months
  - Yes, I have done this, but not in the last 12 months
5. Vaped liquid cannabis (also known as ‘vaping concentrates’ and ‘vaping extracts’)
  - No, I have never done this
  - Yes, I have done this in the last 30 days
  - Yes, I have done this in the last 12 months
  - Yes, I have done this, but not in the last 12 months
6. Dabbed it (i.e., heated on a hot surface, including hot knife or nail, and the resulting smoke is then inhaled)
  - No, I have never done this
  - Yes, I have done this in the last 30 days
  - Yes, I have done this in the last 12 months
  - Yes, I have done this, but not in the last 12 months
7. Used it some other way
  - No, I have never done this
  - Yes, I have done this in the last 30 days
  - Yes, I have done this in the last 12 months
  - Yes, I have done this, but not in the last 12 months
In the last 12 months, how did you usually get the marijuana or cannabis you used?
(Mark only one)
If you get the marijuana or cannabis from more than one place, please select where you get it most often
- I have never used marijuana or cannabis
- I have not done this in the last 12 months
- I grow my own
- It was shared around a group of friends
- I took it from a family member or friend without their permission
- I took it from someone else without their permission
- I got or bought it online (e.g., website, social media store, etc.)
- I got or bought it from a family member or a friend
- I got or bought it from someone else
- I bought it from a store
- Someone bought it for me at a retail store
- Other
The use of cannabis was made legal for adults in Canada. Has it been easier to get marijuana or cannabis for yourself after legalization?
- I have never bought/got marijuana or cannabis
- It has been easier
- It has been harder
- Neither easier nor harder
In the last 12 months, how often did you have alcohol AND marijuana or cannabis on the same occasion? (e.g., at the same party, in the same evening, etc.)
- I have never had alcohol AND cannabis on one occasion
- I have not done this in the last 12 months
- Less than once a month
- Once a month
- 2 to 3 times a month
- Once a week
- 2 to 5 times a week
- Daily or almost daily
- I do not know

Other Drug Use

Have you ever used a drug or substance to get high without knowing what it was?
- No, I have never done this
- Yes, I have done this in the last 12 months
- Yes, I have done this, but not in the last 12 months
Have you ever used a drug or substance to get high that was not what you thought it was?
- No, I have never done this
- Yes, I have done this in the last 12 months
- Yes, I have done this, but not in the last 12 months
Indicate whether you have ever used or tried any of the following drugs:
1. Amphetamines (speed, crystal meth or ice, meth, crank, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
2. MDMA (ecstasy, E, X, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
3. Hallucinogens (LSD, acid, PCP, magic mushrooms or 'shrooms', mesc, ketamines, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
4. Heroin (smack, junk, horse, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
5. Cocaine (crack, blow, snow, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
6. Synthetic cannabinoids (spice, synthetic marijuana, scence, herbal mixtures, herbal incense, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
7. BZP/TFMPP (legal X, A2, piperazine, frenzy, nemesis, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
8. Bath salts (mephedrone, MDPV, meph, MCAT, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
9. 2C (nexus, 2C-B, 2C-I, 2C-C, …) or NBOMe (25C-NBOMe, 25B-NBOMe, 25I-NBOMe, …)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
10. Tryptamines (DMT, 'psychosis', AMT, foxy, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
11. Glue, gasoline, or other solvents to get high
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
12. Salvia (divine sage, magic mint, sally D, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
Have you ever used or tried any of the following medications for non-medical reasons or to get high?
1. Salvia (divine sage, magic mint, sally D, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
2. Sleeping medicine from a store (Nytol®, Unisom®, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
3. Stimulants (diet pills, stay awake pills, uppers, bennies, wake-ups, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
4. Dextromethorphan such as cold and cough medicine (Robitussin DM®, Benylin DM®, robos, dex, DXM, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
5. Gravol®
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months

Now we would like to ask you about medicines that are only available with a prescription from a Health Care Provider, such as a doctor, dentist, or a nurse practitioner.

In the last 12 months, were you given a prescription by a Health Care Provider for medicine to treat hyperactivity or concentration difficulty, also called ADHD (Ritalin®, Concerta®, Adderall®, Dexedrine®, ...)?
- Yes
- No
- I do not know
Have you ever used ADHD medicine for non-medical reasons or to get high (Ritalin®, Concerta®, Adderall®, Dexedrine®, ...)?
- No, I have never done this
- Yes, I have done this in the last 12 months
- Yes, I have done this, but not in the last 12 months
In the last 12 months, were you given a prescription by a Health Care Provider for sedatives or tranquilizers to help you sleep, calm down, or relax your muscles (Ativan®, Xanax®, Valium®, ...)?
- Yes
- No
- I do not know
Have you ever used sedatives or tranquilizers for non-medical reasons or to get high (Ativan®, Xanax®, Valium®, ...)?
- No, I have never done this
- Yes, I have done this in the last 12 months
- Yes, I have done this, but not in the last 12 months
In the last 12 months, were you given a prescription by a Health Care Provider for prescribed pain relievers (oxycodone, fentanyl, morphine, codeine, T3, ...)? This does not include pain relievers such as Advil®, Aspirin®, or regular Tylenol® that anyone can buy in a drug store.
- Yes
- No
- I do not know
Have you ever used the following prescription pain relievers for non-medical reasons or to get high?
1. Oxycodone (oxy, OC, APO, OxyContin®, percs, roxies, OxyNEO®, ...)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
2. Fentanyl
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
3. Other prescription pain relievers (morphine, codeine, etc.)
  - No, I have never used this
  - Yes, I have used this in the last 12 months
  - Yes, I have used this, but not in the last 12 months
In the last 12 months, if you did use prescribed pain relievers for non-medical reasons or to get high, how did you get them?
(Mark only one)
If you get the prescribed pain relievers from more than one place, please select where you get them most often
- I have never taken prescribed pain relievers for non-medical reasons or to get high
- I did not do this in the last 12 months
- I used pain relievers from my own prescription for non-medical reasons or to get high
- I took them from a family member or friend without their permission
- I took them from someone else without their permission
- I got or bought them from a family member or friend
- I got or bought them from someone else
- I got or bought them online (e.g., website, social media store, etc.)
- Other
In the last 12 months, have you used alcohol and any of the following drugs or medications to get high on the same occasion? (e.g., at the same party, in the same evening, etc.)
1. Amphetamines (speed, crystal meth or ice, meth, crank, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
2. MDMA (ecstasy, E, X, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
3. Hallucinogens (LSD, acid, PCP, magic mushrooms or 'shrooms', mesc, ketamines, ...)
  1. No, never
  2. Yes, less than once a month
  3. Yes, at least once a month
  4. Yes, I have done this, but not in the last 12 months
  5. I do not know
4. Heroin (smack, junk, horse, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
5. Cocaine (crack, blow, snow, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
6. ADHD medications (Ritalin®, Concerta®, Adderall®, Dexedrine®, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
7. Sedatives or tranquilizers (Ativan®, Xanax®, Valium®, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
8. Prescription pain relievers (oxycodone, fentanyl, morphine, codeine, etc.)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
9. Sleeping medicine from a store (Nytol®, Unisom®, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
10. Stimulants (diet pills, stay awake pills, uppers, bennies, wake-ups, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
11. Dextromethorphan such as cold and cough medicine (Robitussin DM®, Benylin DM®, robos, dex, DXM, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
12. Gravol®
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
In the last 12 months, have you used opioids and any of the following drugs or medications to get high on the same occasion? (e.g., at the same party, in the same evening, etc.)
Opioids include heroin, prescription pain relievers (oxycodone, fentanyl, morphine, codeine, etc.).
1. Amphetamines (speed, crystal meth or ice, meth, crank, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
2. MDMA (ecstasy, E, X, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
3. Cocaine (crack, blow, snow, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
4. ADHD medications (Ritalin®, Concerta®, Adderall®, Dexedrine®,...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
5. Stimulants (diet pills, stay awake pills, uppers, bennies, wake-ups, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
6. Sedatives or tranquilizers (Ativan®, Xanax®, Valium®, ...)
  - No, never
  - Yes, less than once a month
  - Yes, at least once a month
  - Yes, I have done this, but not in the last 12 months
  - I do not know
How much do you think people risk harming themselves when they do each of the following activities?
1. Smoke cigarettes once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
2. Smoke cigarettes on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
3. Smoke a water-pipe with tobacco (hookah) once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
4. Smoke a water-pipe with tobacco (hookah) on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
5. Use an e-cigarette with nicotine once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
6. Use an e-cigarette with nicotine on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
7. Use an e-cigarette without nicotine once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
8. Use an e-cigarette without nicotine on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
9. Drink alcohol once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
10. Drink alcohol on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
11. Smoke marijuana or cannabis once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
12. Smoke marijuana or cannabis on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
13. Other than smoking it, use marijuana or cannabis once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
14. Other than smoking it, use marijuana or cannabis on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
15. Use prescribed medication such as prescribed pain relievers, tranquilizers, or medicine to treat ADHD, "to get high" once in a while
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
16. Use prescribed medication such as prescribed pain relievers, tranquilizers, or medicine to treat ADHD, "to get high" on a regular basis
  - No risk
  - Slight risk
  - Moderate risk
  - Great risk
  - I do not know
How difficult or easy do you think it would be for you to get each of the following types of substances, if you wanted some?
1. A cigarette
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
2. An e-cigarette with nicotine
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
3. An e-cigarette without nicotine
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
4. Alcohol
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
5. Marijuana or cannabis
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
6. Amphetamines (speed, crystal meth or ice, meth, crank, ...)
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
7. MDMA (ecstasy, E, X, ...)
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
8. Hallucinogens (LSD, acid, PCP, magic mushrooms, mesc, ...)
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
9. Cocaine (crack, blow, snow, ...)
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
10. Prescribed pain relievers (oxycodone, fentanyl, morphine, codeine, T3, ...)
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
11. Medicine to treat ADHD (Ritalin®, Concerta®, Adderall®, Dexedrine®, ...)
  - Very difficult
  - Fairly difficult
  - Fairly easy
  - Very easy
  - I do not know
Have you ever driven a vehicle (e.g., car, snowmobile, motor boat, or all-terrain vehicle (ATV))…
1. within an hour of drinking one or more drinks of alcohol?
  - No, never
  - Yes, in the last 30 days
  - Yes, more than 30 days ago
2. within 2 hours of using marijuana or cannabis?
  - No, never
  - Yes, in the last 30 days
  - Yes, more than 30 days ago
Have you ever been a passenger in a vehicle (e.g., car, snowmobile, motor boat, or all-terrain vehicle (ATV))…
1. Driven by someone who had one or more drinks of alcohol in the last hour?
  - No, never
  - Yes, in the last 30 days
  - Yes, more than 30 days ago
2. Driven by someone who had been using marijuana or cannabis in the last 2 hours?
  - No, never
  - Yes, in the last 30 days
  - Yes, more than 30 days ago
Which behaviours are allowed, or do you think are allowed, at your house?
1. Smoking cigarettes?
  - Allowed inside and outside
  - Allowed inside only
  - Allowed outside only
  - Not allowed inside or outside
2. Smoking cannabis?
  - Allowed inside and outside
  - Allowed inside only
  - Allowed outside only
  - Not allowed inside or outside
3. Vaping e-cigarettes?
  - Allowed inside and outside
  - Allowed inside only
  - Allowed outside only
  - Not allowed inside or outside
4. Vaping cannabis?
  - Allowed inside and outside
  - Allowed inside only
  - Allowed outside only
  - Not allowed inside or outside

Bullying

In the last 30 days, in what ways were you bullied by other students?
1. Physical attacks (getting beaten up, pushed, or kicked, ...)
  - Yes
  - No
2. Verbal attacks (getting teased, threatened, or having rumours spread about you, ...)
  - Yes
  - No
3. Physical attacks (getting beaten up, pushed, or kicked, ...)
  - Yes
  - No
4. Non-verbal attacks (being ignored, being left out or excluded, being given dirty looks, …)
  - Yes
  - No
5. Cyber-attacks (being sent mean text messages or having rumours spread about you on the internet, ...)
  - Yes
  - No
6. Had someone steal from you or damage your things
  - Yes
  - No
In the last 30 days, how often have you been bullied by other students?
- I have not been bullied by other students in the last 30 days
- Less than once a week
- About once a week
- 2 or 3 times a week
- Daily or almost daily
In the last 30 days, in what ways did you bully other students?
1. Physical attacks (beat up, pushed, or kicked them, ...)
  - Yes
  - No
2. Verbal attacks (teased, threatened, or spread rumours about them, ...)
  - Yes
  - No
3. Non-verbal attacks (ignoring, leaving someone out or excluding them, giving dirty looks, …)
  - Yes
  - No
4. Cyber-attacks (sent mean text messages or spread rumours about them on the internet, ...)
  - Yes
  - No
5. Stole from them or damaged their things
  - Yes
  - No
In the last 30 days, how often did you bully other students?
- I have not bullied other students in the last 30 days
- Less than once a week
- About once a week
- 2 or 3 times a week
- Daily or almost daily

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Date modified:: 2024-03-19

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