cafs irp---smoking and drinking (1 Viewer)

[alex90]

hay everyone...im doing my irp on smoking an drinking amongst teenagers.....anyone can fill this out..even if u dont smoke or drink thats great anyway......im running out of time to do this...lol.....please fill out thanks a bunch


Age:
Gender:
ÿ Male
ÿ Female
1. Which suburb do you live in?

2. What are the main types of nationalities living in your area?
ÿ Australian
ÿ Greek
ÿ Italian
ÿ Lebanese
ÿ Asian
ÿ Croatian
ÿ Other (please specify)
3. Do you still attend school?
ÿ Yes
ÿ No
4. What type of school is this?
ÿ Private
ÿ Catholic
ÿ Government
ÿ Other (please specify)
5. What are the different types of nationalities attending your school? Please tick.
ÿ Australian
ÿ Greek
ÿ Italian
ÿ Lebanese
ÿ Asian
ÿ Croatian
ÿ Other (please specify)
6. Do you have any career goals/intentions when you finish school? Please specify.
7. How would you rate your school facilities?
ÿ Excellent
ÿ Good
ÿ Average
ÿ Poor
ÿ Very poor
8. Do you have a history of smoking/drinking in your family? Please state whom and what.

9. Do you yourself smoke or drink? How regularly?(if no, please skip down to question 19)
ÿ Smoke
ÿ Drink
ÿ Both
ÿ None

10. On average, how many times a week do you smoke?

11. On average, how many times a week do you drink?
12. How did you start smoking? What influenced you? Please tick.
ÿ Peers
ÿ Media
ÿ Parents
ÿ Movies
ÿ Advertising
ÿ Other (specify)

13. How did you start drinking? What influenced you? Please tick.
ÿ Peers
ÿ Media
ÿ Parents
ÿ Movies
ÿ Advertising
ÿ Other (specify)

14. Do you think you will you continue to smoke or drink?
ÿ Yes
ÿ No





15. Are you aware of the consequences of smoking?

16. Are you are aware of the consequences of drinking?

17. In what social environment are you most likely to smoke?
ÿ With family
ÿ With friends only
ÿ At parties/social gatherings
ÿ At home by yourself
ÿ At work
ÿ Other

18. In what social environment are you most likely to drink?
ÿ With family
ÿ With friends only
ÿ At parties/social gatherings
ÿ At home by yourself
ÿ At work
ÿ Other

19. How many members in your family?
ÿ 1
ÿ 2
ÿ 3
ÿ 4
ÿ >5

20. How many hours of quality time do you spend with your family?
ÿ 1
ÿ 2
ÿ 3
ÿ 4
ÿ >5

21. What does your family do for quality time?
ÿ Go to the movies
ÿ Go to the shops
ÿ Play board games
ÿ Watch television
ÿ Go on picnics
ÿ Other. Please specify
ÿ
22. Who are you most close to within your family?
ÿ Mum
ÿ Dad
ÿ Brother
ÿ Sister
ÿ No-one

23. Do your parents work?
ÿ Yes
ÿ No
24. What occupations are your parents in? Please state.

25. Do you consider either of your parents as role models, people that you would someday aspire to be or follow in their footsteps? Why/why not? Please state/


26. Please rate your health. With 1 being low, 3 being average and 5 being high.

1 2 3 4 5
Low average high

[FONT='Calibri','sans-serif'] Thank you for [/FONT]

 

[me121]

I would be more compelled to do this survey if you took the time to format it a bit better.

 

[mr_brightside]

I would be more compelled to do this survey if you took the time to format it a bit better.

quoted for truths

 

[nicole21290]

Age: 18
Gender:
ÿ Male
ÿ Female
1. Which suburb do you live in?
Dapto, Wollongong
2. What are the main types of nationalities living in your area?
ÿ Australian
ÿ Greek
ÿ Italian
ÿ Lebanese
ÿ Asian
ÿ Croatian
ÿ Other (please specify)
3. Do you still attend school?
ÿ Yes
ÿ No
4. What type of school was this?
ÿ Private
ÿ Catholic
ÿ Government
ÿ Other (please specify)
5. What are the different types of nationalities attended your school? Please tick.
ÿ Australian
ÿ Greek
ÿ Italian
ÿ Lebanese
ÿ Asian
ÿ Croatian
ÿ Other (please specify) - Sth African, Sudanese
6. Do you have any career goals/intentions when you finish school? Please specify. I have finished and am at uni now
7. How would you rate your school facilities?
ÿ Excellent
ÿ Good
ÿ Average
ÿ Poor
ÿ Very poor
8. Do you have a history of smoking/drinking in your family? Please state whom and what.
Yes - my grandparents smoke a lot and drink some alcohol regularly
9. Do you yourself smoke or drink? How regularly?(if no, please skip down to question 19)
ÿ Smoke
ÿ Drink
ÿ Both
ÿ None

10. On average, how many times a week do you smoke?

11. On average, how many times a week do you drink?
12. How did you start smoking? What influenced you? Please tick.
ÿ Peers
ÿ Media
ÿ Parents
ÿ Movies
ÿ Advertising
ÿ Other (specify)

13. How did you start drinking? What influenced you? Please tick.
ÿ Peers
ÿ Media
ÿ Parents
ÿ Movies
ÿ Advertising
ÿ Other (specify)

14. Do you think you will you continue to smoke or drink?
ÿ Yes
ÿ No





15. Are you aware of the consequences of smoking?

16. Are you are aware of the consequences of drinking?

17. In what social environment are you most likely to smoke?
ÿ With family
ÿ With friends only
ÿ At parties/social gatherings
ÿ At home by yourself
ÿ At work
ÿ Other

18. In what social environment are you most likely to drink?
ÿ With family
ÿ With friends only
ÿ At parties/social gatherings
ÿ At home by yourself
ÿ At work
ÿ Other

19. How many members in your family?
ÿ 1
ÿ 2
ÿ 3
ÿ 4
ÿ >5

20. How many hours of quality time do you spend with your family?
ÿ 1
ÿ 2
ÿ 3
ÿ 4
ÿ >5

21. What does your family do for quality time?
ÿ Go to the movies
ÿ Go to the shops
ÿPlay board games
ÿ Watch television
ÿ Go on picnics
ÿ Other. Please specify - talk, read, do puzzles
ÿ
22. Who are you most close to within your family?
ÿ Mum
ÿ Dad
ÿ Brother
ÿ Sister
ÿ No-one

23. Do your parents work?
ÿ Yes
ÿ No
24. What occupations are your parents in? Please state.
Dad is a teacher
25. Do you consider either of your parents as role models, people that you would someday aspire to be or follow in their footsteps? Why/why not? Please state/
Yes - they try and do what is right and understand their purpose. They work hard and show unconditional love to me.

26. Please rate your health. With 1 being low, 3 being average and 5 being high.

1 2 3 4 5
Low average high

 

[pale-perfect]

Age:
Gender:
ÿ Male
ÿFemale
1. Which suburb do you live in?
marrickville, sydney

2. What are the main types of nationalities living in your area?
ÿ Australian
ÿ Greek
ÿ Italian
ÿ Lebanese
ÿ Asian
ÿ Croatian
ÿ Other (please specify) Islanders eg tongan
3. Do you still attend school?
ÿ Yes
ÿ No
4. What type of school is this?
ÿ Private
ÿ Catholic
ÿ Government
ÿ Other (please specify)
5. What are the different types of nationalities attending your school? Please tick.
ÿ Australian
ÿ Greek
ÿ Italian
ÿ Lebanese
ÿ Asian
ÿ Croatian
ÿ Other (please specify)
6. Do you have any career goals/intentions when you finish school? Please specify.
yes. I want to be a pastry chef!

7. How would you rate your school facilities?
ÿ Excellent
ÿ Good
ÿ Average
ÿ Poor
ÿ Very poor
8. Do you have a history of smoking/drinking in your family? Please state whom and what.
smoking- parents both used to but quit around 10 yrs back. older sister took it up around 2 years ago.

9. Do you yourself smoke or drink? How regularly?(if no, please skip down to question 19)
ÿ Smoke
ÿ Drink
ÿ Both
ÿ None

perhaps one or twice a month

10. On average, how many times a week do you smoke?

11. On average, how many times a week do you drink?
not weekly, see above
12. How did you start smoking? What influenced you? Please tick.
ÿ Peers
ÿ Media
ÿ Parents
ÿ Movies
ÿ Advertising
ÿ Other (specify)

13. How did you start drinking? What influenced you? Please tick.
ÿ Peers
ÿ Media
ÿ Parents
ÿ Movies
ÿ Advertising
ÿ Other (specify)

14. Do you think you will you continue to smoke or drink?
ÿ Yes
ÿ No

15. Are you aware of the consequences of smoking?
yep.
16. Are you are aware of the consequences of drinking?
sure am.
17. In what social environment are you most likely to smoke?
ÿ With family
ÿ With friends only
ÿ At parties/social gatherings
ÿ At home by yourself
ÿ At work
ÿ Other

18. In what social environment are you most likely to drink?
ÿ With family
ÿ With friends only
ÿ At parties/social gatherings
ÿ At home by yourself
ÿ At work
ÿ Other

19. How many members in your family?
ÿ 1
ÿ 2
ÿ 3
ÿ 4
ÿ >5

20. How many hours of quality time do you spend with your family?
ÿ 1
ÿ 2
ÿ 3
ÿ 4
ÿ >5

21. What does your family do for quality time?
ÿ Go to the movies
ÿ Go to the shops
ÿ Play board games
ÿ Watch television
ÿ Go on picnics
ÿ Other. Please specify
eat together, talk to each other

22. Who are you most close to within your family?
ÿ Mum
ÿ Dad
ÿ Brother
ÿ Sister
ÿ No-one

23. Do your parents work?
ÿ Yes
ÿ No
24. What occupations are your parents in? Please state.
mums a jeweller, dads a chef
25. Do you consider either of your parents as role models, people that you would someday aspire to be or follow in their footsteps? Why/why not? Please state/
yes. they both do what they enjoy for a living and are good providers and loving parents.


26. Please rate your health. With 1 being low, 3 being average and 5 being high.

1 2 3 4 5
Low average high

 

[terminator69]

Age:
Gender:
ÿ Male

1. Which suburb do you live in?

Mount Annan

2. What are the main types of nationalities living in your area?
ÿ Australian
ÿ

3. Do you still attend school?
ÿ Yes

4. What type of school is this?
ÿ Private

5. What are the different types of nationalities attending your school? Please tick.
ÿ Australian

6. Do you have any career goals/intentions when you finish school? Please specify.
A career in IT.
7. How would you rate your school facilities?
ÿ Good

8. Do you have a history of smoking/drinking in your family? Please state whom and what.
no

9. Do you yourself smoke or drink? How regularly?(if no, please skip down to question 19)
ÿ None


19. How many members in your family?

ÿ >5

20. How many hours of quality time do you spend with your family?

none

21. What does your family do for quality time?

N/A

22. Who are you most close to within your family?
ÿ Mum

23. Do your parents work?
ÿ Yes
ÿ No
Parents plural? none. Just dad.

24. What occupations are your parents in? Please state.

Accountant

25. Do you consider either of your parents as role models, people that you would someday aspire to be or follow in their footsteps? Why/why not? Please state/

Definately not. I can't elaborate.


26. Please rate your health. With 1 being low, 3 being average and 5 being high.

4.

 

[fernando]

Age: 20
Gender: Female
1. Which suburb do you live in? Castle Hill
2. What are the main types of nationalities living in your area?
ÿ Australian
ÿ Lebanese
ÿ Asian

3. Do you still attend school?
ÿ No

4. What type of school is this?
ÿ Government

5. What are the different types of nationalities attending your school? Please tick.
ÿ Australian
ÿ Greek
ÿ Italian
ÿ Lebanese
ÿ Asian
ÿ Croatian
ÿ Other (please specify)

6. Do you have any career goals/intentions when you finish school? Please specify.
get a decent job and work myself up. whether that's working for placing like the UN or similar.

7. How would you rate your school facilities?
ÿ Good

8. Do you have a history of smoking/drinking in your family? Please state whom and what.
no

9. Do you yourself smoke or drink? How regularly?(if no, please skip down to question 19)
ÿ None


19. How many members in your family?
ÿ >5

20. How many hours of quality time do you spend with your family?
If it's a day:
ÿ 2


21. What does your family do for quality time?
ÿ Watch television


22. Who are you most close to within your family?
ÿ Mum


23. Do your parents work?
ÿ Yes

24. What occupations are your parents in? Please state.
dad works for IT company

25. Do you consider either of your parents as role models, people that you would someday aspire to be or follow in their footsteps? Why/why not? Please state/
yeah in some aspects. in terms of how they brought our family up..and the values they have instilled in us.

26. Please rate your health. With 1 being low, 3 being average and 5 being high.
3