Life Skills Curriculum Pre-Survey

Greetings Student,

Thank you for taking this survey, the data you provide will give us valuable insights on how effective our program is and where we can improve so that you and your fellow students will gain the maximum benefit of a solid education on the effects of alcohol, tobacco, and other drugs. The data you provide will be kept confidential, and will only be shared with the program's administration. Please give plenty of thought to your answers and be honest.

Thank you again.

If you have any questions about this survey, please contact:
David Rochman
Program Specialist
Evaluation. Assessment, and Data Center
(714) 966-4043
Drochman@ocde.us

1. Please enter your school district. *This question is required.

2. Please enter your school. *This question is required.

2. Please enter your school.

2. Please enter your school. *This question is required.

2. Please enter your teacher's name *This question is required.

In the box below please enter the first letter of your first name followed by the first letter of your last name followed by your two-digit birthday. For example; Thomas Jefferson was born on April 13 so he would write TJ13 and Harry Potter was born on July 31 so he would write HP31. *This question is required.

Life Skills Curriculum Pre-Survey

Introduction