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About The Program
For Teachers
GRADES 5 & 6
GRADE 7
GRADES 8 & 9
For Parents & Community Leaders
Resources
Part 1
Have you ever tried cigarette smoking, even one or two puffs?
Yes
No
Have you ever tried an e-cigarette or vape?
Yes
No
Have you ever used chewing tobacco, snuff, or dip?
Yes
No
How many of your four closest friends smoke cigarettes?
None
One
Two
Three
Four
Not Sure
How many of your four closest friends use vapes or another product like chewing tobacco, snuff or dip?
None
One
Two
Three
Four
Not Sure
If one of your best friends offered you a cigarette, vape or other tobacco or nicotine product, would you try it?
Definitely Yes
Probably Yes
Probably Not
Definitely Not
Do you think it is safe to smoke or use vapes or other tobacco or nicotine products for only a year or two, as long as you quit after that?
Definitely Yes
Probably Yes
Probably Not
Definitely Not
Part 2
Do you think most middle school students smoke?
Yes
No
Do you think most middle school students use vapes?
Yes
No
Why do you think young people smoke cigarettes or use vapes or other tobacco and nicotine products?
Have you ever felt pressured to use tobacco or nicotine?
Yes
No
If you have, what did you do?
Do you think there are health consequences with using tobacco and nicotine?
Yes
No
Not Sure
If you think there are health consequences, what do you think they are?
Do you think it's easy or difficult for people to quit using tobacco or nicotine?
Yes
No
Not Sure
Explain why you think it's easy or difficult to quit:
How do you feel about hanging out with young people who use tobacco or nicotine?
I'd rather have friends who don't use tobacco and nicotine
I'm okay with friends who use tobacco and nicotine
Explain why:
Type in your teacher's email address and submit your anonymous survey answers!
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