What are your thoughts about using substances?
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1.
How old are you?
(Required.)
15-18
19-21
22-24
25+
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2.
What is your gender?
(Required.)
Female
Male
Prefer not to say
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3.
Which city do you live in?
(Required.)
4.
Do you use substances?
Yes
No
5.
Which substances have you tried? (Select all that apply)
Alcohol
Cigarettes, hubbly or vape
Marijuana
MDMA or Ecstasy
Codeine/cough syrup
Kat
Tik/crystal meth
I’ve never tried any substances
Other (please specify)
6.
What would make you try a substance? (Select all that apply)
Wanting to feel more relaxed
It looks fun
Joining my friends because they use it
I’m just curious about it
I’d never try any substance
Other (please specify)
7.
Do you believe that you could try a substance once, and not get addicted to it?
Yes, I can do that
No, I wouldn’t risk it
Only with certain substances (please specify)
8.
Is substance use common in your family or social circle?
Yes, it’s common both in my family and with my friends
It’s only common in my family
It’s only common with my friends
No, it’s not common at all
9.
How many of your friends use substances?
All my friends use substances
Almost all my friends use substances
Around half of my friends use substances
A few of my friends use substances
None of my friends use substances
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10.
Do you know about Choma?
(Required.)
Yes
No
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11.
If you answered yes, have you used the Choma platforms (Website, Social Media)?
(Required.)
Yes
No
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12.
How long have you used the Choma platforms?
(Required.)
Less than 6 months
6 Months to a year
More than a year
Current Progress,
0 of 12 answered