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<br /> <br />Healthy Carolinians of Orange County <br />Youth Survey and Focus Group Questions <br /> <br /> <br /> <br />We want to know a few things about you, your thoughts and opinions. All responses are completely <br />confidential, so please be honest when answering. <br /> <br />1. I go to… <br />Carrboro High School ...................................................................................................................... 11 <br />Chapel Hill High School ................................................................................................................... 22 <br />East Chapel Hill High School ............................................................................................................ 33 <br /> <br />2. I am a… <br />Freshman ......................................................................................................................................... 11 <br />Sophomore ...................................................................................................................................... 22 <br />Junior ............................................................................................................................................... 33 <br />Senior .............................................................................................................................................. 44 <br /> <br />3. I am… <br />Male ................................................................................................................................................ 11 <br />Female ............................................................................................................................................. 22 <br /> <br />4. I am… <br />13 ..................................................................................................................................................... 22 <br />14 ..................................................................................................................................................... 33 <br />15 ..................................................................................................................................................... 44 <br />16 ..................................................................................................................................................... 55 <br />17 ..................................................................................................................................................... 66 <br />18 or older ....................................................................................................................................... 77 <br /> <br />5. I am… (Select all that apply.) <br />American Indian or Alaska Native .................................................................................................. 11 <br />Asian ............................................................................................................................................... 11 <br />Black or African American .............................................................................................................. 11 <br /> Hispanic or Latino ........................................................................................................................... 11 <br />Native Hawaiian or other Pacific Islander ...................................................................................... 11 <br />White .............................................................................................................................................. 11 <br /> <br />6. My parent(s) talk to me about… <br /> Never Seldom Sometimes Frequently Always <br />a. Staying away from alcohol ................................11 22 33 44 55 <br />b. Staying away from tobacco (including <br />cigarettes, chewing tobacco, e-cigarettes, <br />hookah, etc.) ................................................................11 22 33 44 55 <br />c. Staying away from prescription drugs that <br />are not prescribed to me ................................................................11 22 33 44 55