JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Anonymous AHS Student Survey 2019
THIS SURVEY IS COMPLETELY CONFIDENTIAL AND ANONYMOUS. No responses will be traced back to the respondent. Please answer all questions truthfully.
Sign in to Google
to save your progress.
Learn more
What grade are you in?
Freshman
Sophomore
Junior
Senior
Clear selection
What gender do you identify as?
Female
Male
Non-binary/non-conforming
Prefer not to say
Clear selection
Have you ever tried vaping?
Yes
No
Clear selection
During the past 30 days, on how many days did you vape?
0 days
1 or 2 days
3-5 days
6-9 days
10-19 days
20-29 days
All 30 days
Clear selection
If you have vaped in the last 30 days, please describe why you chose to do so (Please check all that apply):
Because it's fun
It helps relieve my stress and/or anxiety
I feel irritated when I don't do it
My friends were doing it and I wanted to join
I haven't vaped in the last 30 days
Other:
Which of the following BEST describes you:
I do vape, and I would like to reduce my use
I do vape, and I don't want to reduce my use
I don't vape, and I am thinking about trying it
I don't vape, and I have no interest in trying it
I have vaped only once before
I used to vape, but I quit
None of the above options describe me
Clear selection
Where do you see students vaping at school? (Please check all that apply):
Bathrooms
Locker Rooms
Hallways
Links
Stairwells
In class
I never see students vaping at school
How often do you see students vaping at school?
Never
Less than once a week
Once a week
3-5 times per week
Every day
Clear selection
Have you ever used a vape during the school day?
Yes
No
Clear selection
How easy do you think it is for students to buy or get vapes?
Very Easy
1
2
3
4
5
Very difficult
Clear selection
Have you ever been offered a vape?
Yes
No
Clear selection
If you answered "yes" to the question above, where have you been offered a vape? (Please check all that apply):
At school
At a sports event
At a party
I have never been offered a vape
Other:
Have you ever been taught about the health effects of vaping? If so, how? (Please check all that apply):
Yes, I was taught at school
Yes, I was taught by my parents
Yes, I taught myself by researching online
No, I have never been taught about this
Other:
Why do you think students choose to vape? (Please check all that apply):
Because it's fun
To cope with stress/anxiety
They are addicted and can't stop
Because their friends are doing it
Because they think it's cool
Other:
Have you ever felt pressured to vape?
Yes
No
Clear selection
How harmful do you consider vaping to be?
Not at all harmful
1
2
3
4
5
Very harmful
Clear selection
Please give your opinion: "I think vaping is _______ than cigarettes"
More harmful
Less harmful
Neither more or less harmful
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
