Personal Risk Factors Assessment Test - the question form
Questions: 53 · 10 minutes
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1. When I do something good, my parents notice it and praise me.
Always
Often
Rarely
Never
2. When I have personal problems, I seek help from my parents.
Always
Often
Rarely
Never
3. Family members argue and shout at each other.
Always
Often
Rarely
Never
4. I feel that my parents do not love me.
Always
Often
Rarely
Never
5. When I am with my family, I feel safe.
Always
Often
Rarely
Never
6. I am not sure who to listen to: my father says one thing and my mother says another.
Yes
No
7. If I am running late, I call my parents.
Yes
No
8. In my family, alcohol use is prohibited.
Yes
No
9. In my family, drug use is prohibited.
Yes
No
10. If I drink beer, wine, or spirits, my parents:
Would probably notice
Would probably not notice
11. Do you smoke?
Never
Rarely
Often
Always
12. Drink alcohol
Never
Rarely
Often
Always
13. Use drugs
Never
Rarely
Often
Always
14. Smoking cigarettes
Very harmful
More harmful than beneficial
More beneficial than harmful
Beneficial
15. Drinking beer
Very harmful
More harmful than beneficial
More helpful than harmful
Beneficial
16. Use of strong alcoholic beverages
Very harmful
More harmful than beneficial
More helpful than harmful
Useful
17. Using drugs (including synthetic cannabinoids such as “spice”)
Very harmful
More harmful than beneficial
More beneficial than harmful
Useful
18. Cigarettes
Never used
Used to, but stopped
I use them occasionally
I use them daily
19. Beer
Never used
Used to, but quit
Sometimes use
I use it daily
20. Strong alcoholic beverages
Never used
Used to, but quit
I sometimes use
I use daily
21. Drugs (including synthetic cannabinoids/spice)
Never used
Used in the past but quit
Sometimes I use it
I use it daily
22. I think before I do anything.
Always
Often
Sometimes
Never
23. I have mood swings.
Always
Often
Sometimes
Never
24. I feel that I am in hopeless situations in my life.
Always
Often
Sometimes
Never
25. I feel lonely.
Always
Often
Sometimes
Never
26. I feel lethargic and indifferent.
Always
Often
Sometimes
Never
27. I agree when I am asked to do something wrong.
Always
Often
Sometimes
Never
28. I put off until tomorrow what I need to do today.
Always
Often
Sometimes
Never
29. I need thrills.
Always
Often
Sometimes
Never
30. I feel helpless.
Always
Often
Sometimes
Never
31. I feel safe when I am with my friends.
Always
Often
Sometimes
Never
32. When dealing with my problems, I take my friends' opinions into account.
Always
Often
Sometimes
Never
33. Smoke
No one
Several people
About half
Most
34. How many students drink beer?
None
Several people
About half
Most
35. Use strong alcoholic beverages.
Nobody
Several people
About half
Most
36. How many people use drugs, including synthetic cannabinoids (spice)?
No one
A few people
About half
Most
37. How many people smoke?
No one
A few people
About half
Most
38. Drink beer
No one
A few people
About half
Majority
39. Use strong alcoholic beverages
Nobody
A few people
About half
Most people
40. How many people use drugs (including synthetic cannabinoids such as spice)?
No one
A few people
About half
Majority
41. If one of my friends wanted to buy cigarettes, how easy would it be for them to do so?
Very easy
Fairly easy
Fairly difficult
Impossible
42. If one of my friends wanted to buy beer, how easy would it be for them to do so?
Very easy
Quite easy
Quite difficult
Impossible
43. If one of my friends wanted to buy spirits, how easy would it be for them to do so?
Very easy
Pretty easy
Quite difficult
Impossible
44. If one of my friends wanted to buy synthetic cannabinoids (spice), how easy would it be for them to do so?
Very easy
Fairly easy
Fairly difficult
Impossible
45. If one of my friends wanted to obtain drugs, how easy would it be for them to do so?
Very easy
Fairly easy
Fairly difficult
Impossible
46. I know adults who have used (or currently use) drugs.
Yes
No
47. Compared with my classmates, my academic performance is:
Better
About the same
Worse
48. I skip classes without a valid reason:
Often
Rarely
Never
49. I attend a sports team, interest club, hobby group, music (art) school, etc.:
Yes
No
50. Teachers encourage my efforts.
Always
Often
Sometimes
Never
51. Teachers inform my parents about my successes or failures:
Always
Often
Sometimes
Never
52. Lately, my academic work has been:
Very interesting
Interesting
Uninteresting
Not interesting at all
53. In my lifetime, I have had to change educational institutions:
Never
Once
Twice
3 or more times
1. When I do something good, my parents notice it and praise me.
Always
Often
Rarely
Never
2. If I have personal problems, I seek help from my parents.
Always
Often
Rarely
Never
3. Family members argue and shout at each other.
Always
Often
Rarely
Never
4. I feel that my parents do not love me.
Always
Often
Rarely
Never
5. When I am with my family, I feel safe.
Always
Often
Rarely
Never
6. I am not sure whom to listen to: my father says one thing, and my mother says another.
Yes
No
7. If I am running late, I call my parents.
Yes
No
8. In my family, alcohol use is prohibited.
Yes
No
9. In my family, drug use is prohibited.
Yes
No
10. If I drink beer, wine, or spirits, my parents will:
Most likely notice
Most likely not notice
11. Smoke
Never
Rarely
Often
Always
12. Drink alcohol
Never
Rarely
Often
Always
13. Use drugs
Never
Rarely
Often
Always
14. Cigarette smoking
Very harmful
More harmful than helpful
More beneficial than harmful
Beneficial
15. Drinking beer
Very harmful
More harmful than beneficial
More beneficial than harmful
Useful
16. Use of strong alcoholic beverages
Very harmful
More harmful than helpful
More beneficial than harmful
Beneficial
17. Use of drugs (including synthetic cannabinoids such as “spice”)
Very harmful
More harmful than beneficial
More helpful than harmful
Beneficial
18. Cigarettes
Never used it
Used to, but quit
I use occasionally
I use daily
19. Beer
Never used
I used it in the past but have stopped
Sometimes I use it
I use it daily
20. Strong alcoholic beverages
Never used
Used to use it, but quit
I drink occasionally
I drink daily
21. Drugs (including synthetic cannabinoids, e.g., “spice”)
I have never used
Used to take it, but quit
Sometimes I use it
I use daily
22. I think before I do something.
Always
Often
Sometimes
Never
23. I have mood swings.
Always
Often
Sometimes
Never
24. I feel that I face hopeless situations in my life.
Always
Often
Sometimes
Never
25. I feel lonely.
Always
Often
Sometimes
Never
26. I feel sluggish and indifferent.
Always
Often
Sometimes
Never
27. I go along with it when I am asked to do something wrong.
Always
Often
Sometimes
Never
28. I put off until tomorrow what I need to do today.
Always
Often
Sometimes
Never
29. I need excitement and thrills.
Always
Often
Sometimes
Never
30. I feel helpless.
Always
Often
Sometimes
Never
31. I feel safe when I am with my friends.
Always
Often
Sometimes
Never
32. When dealing with my problems, I take my friends' opinions into account.
Always
Often
Sometimes
Never
33. How many people smoke?
No one
A few people
About half
Most
34. Drink beer
No one
A few people
About half
Most
35. Drink strong alcoholic beverages.
No one
A few people
About half
Majority
36. How many people use drugs or spice?
No one
A few people
About half
Most
37. Smoke.
No one
Several people
About half
Most
38. How many students drink beer?
No one
A few
About half
Most
39. How many students use strong alcoholic beverages?
No one
Several people
About half
Most
40. Use drugs or synthetic cannabinoids (spice)
No one
A few people
About half
Most
41. If one of my friends wanted to buy cigarettes, how easy would it be for them to do so?
Very easy
Quite easy
Rather difficult
Impossible
42. If one of my friends wanted to buy beer, how easy would it be for them to do so?
Very easy
Pretty easy
Quite difficult
Impossible
43. If one of my friends wanted to buy strong alcohol, how easy would it be for them to do so?
Very easy
Fairly easy
Quite challenging
Impossible
44. If one of my friends wanted to buy synthetic cannabinoids (spice), how easy would it be for them to do so?
Very easy
Fairly easy
Quite difficult
Impossible
45. If one of my friends wanted to buy drugs, how easy would it be for them to do so?
Very easy
Pretty easy
Fairly difficult
Impossible
46. I know adults who have used (or currently use) drugs.
Yes
No
47. Compared with my classmates (groupmates), I do at school:
Better
About the same
Worse
48. I skip classes without a valid reason.
Often
Rarely
Never
49. I attend a sports team, interest-based club, extracurricular group, music (art) school, etc.:
Yes
No
50. Teachers encourage my efforts.
Always
Often
Sometimes
Never
51. Teachers inform my parents about my successes or failures:
Always
Often
Sometimes
Never
52. Lately, my schoolwork has been:
Very interesting
Interesting
Of little interest
Not interesting at all
53. In my lifetime, I have changed educational institutions:
Not once
Once
Twice
Three or more times