3. Who do you live with most of the time (pick only one)? and father father relative Mother Only Other mother and father or foster parent Only Stepmother Guardian and stepfather with mother/some with father or with friends Mother Some Alone 4. Are you Hispanic or Latino? Yes No (Select one or more) 5. What is your race? Indian/Alaska Native Hawaiian or Pacific American Native or African American Asian Black 6. What grade are you in? grade grade grade grade 6th 7th 8th 9th (Pick only one) 7. What grades do you generally get in school? A’s (90-100) C’s (70-79) or lower (less than 60) Mostly Mostly D’s B’s (80-89) D’s (60-69) Mostly Mostly (Pick only one) 8. how many days were you absent from school last year? days days days or more days None 1-2 3-6 7-15 16 Section B Directions: Read each statement below and indicate whether you think each is True or False by filling in the appropriate circle. True False   1. Most adults smoke cigarettes.   2. Smoking a cigarette causes your heart to beat slower.   3. Few adults drink wine, beer, or liquor every day.   4. Most people my age smoke marijuana.   5. Smoking marijuana causes your heart to beat faster.  
3. Who do you live with most of the time (pick only one)? Mother and father Only father Other relative Only mother Stepmother and father Guardian or foster parent Mother and stepfather Some with mother/some with father Alone or with friends 4. Are you Hispanic or Latino? Yes No 5. What is your race? (Select one or more) American Indian/Alaska Native Native Hawaiian or Pacific Asian Black or African American 6. What grade are you in? 6th grade 7th grade 8th grade 9th grade 7. What grades do you generally get in school? (Pick only one) Mostly A’s (90-100) Mostly C’s (70-79) D’s or lower (less than 60) Mostly B’s (80-89) Mostly D’s (60-69) 8. how many days were you absent from school last year? (Pick only one) None 1-2 days 3-6 days 7-15 days 16 or more days Section B Directions: Read each statement below and indicate whether you think each is True or False by filling in the appropriate circle. True  False  1. Most adults smoke cigarettes.   2. Smoking a cigarette causes your heart to beat slower.   3. Few adults drink wine, beer, or liquor every day.   4. Most people my age smoke marijuana.   5. Smoking marijuana causes your heart to beat faster.  
2-27-12%202011%20LST%20MS%20Survey%20plus%20E-scannable.docx