No Risk Slight Risk Moderate Great Risk Don’t Risk Know or Can’t Say When they smoke one or more packs of CIGARETTES per day? When they smoke MARIJUANA once or twice a week? When they use cocaine once or twice a week? When they use methamphetamine once or twice a week? When they have five or more drinks of an ALCOHOLIC BEVERAGE once or twice a week? This section asks just a few additional questions about your attitudes and experiences. Would you be more or less likely to want to work for an More Likely employer that tests its employees for drug or alcohol use Less Likely on a random basis? Would you say more likely, less likely, Would Make No Difference or would it make no difference to you? (Check one) Don’t Know or Can’t Say Would you be more or less likely to want to work for an More Likely employer that tests its employees for drug or alcohol use Less Likely on a random basis? Would you say more likely, less likely, Would Make No Difference or would it make no difference to you? (Check one) Don’t Know or Can’t Say DURING THE PAST 12 MONTHS, have you driven a. Yes No vehicle while you were under the influence of alcohol? Don’t Know or Can’t Say Now think about the past 12 months through today. Don’t have any children DURING THE PAST 12 MONTHS, how many times have 0 times you talked with your child about the dangers or problems 1 to 2 times associated with the use of tobacco, alcohol, or drugs? A few times Many times Don’t know or can’t say During the past 12 months, do you recall hearing, Yes No reading, or watching an advertisement about prevention
No Risk Slight Risk Moderate Risk Great Risk Don’t Know or Can’t Say When they smoke one or more packs of CIGARETTES per day? When they smoke MARIJUANA once or twice a week? When they use cocaine once or twice a week? When they use methamphetamine once or twice a week? When they have five or more drinks of an ALCOHOLIC BEVERAGE once or twice a week? This section asks just a few additional questions about your attitudes and experiences. Would you be more or less likely to want to work for an employer that tests its employees for drug or alcohol use on a random basis? Would you say more likely, less likely, or would it make no difference to you? (Check one) More Likely Less Likely Would Make No Difference Don’t Know or Can’t Say Would you be more or less likely to want to work for an employer that tests its employees for drug or alcohol use on a random basis? Would you say more likely, less likely, or would it make no difference to you? (Check one) More Likely Less Likely Would Make No Difference Don’t Know or Can’t Say DURING THE PAST 12 MONTHS, have you driven a. vehicle while you were under the influence of alcohol? Yes No Don’t Know or Can’t Say Now think about the past 12 months through today. DURING THE PAST 12 MONTHS, how many times have you talked with your child about the dangers or problems associated with the use of tobacco, alcohol, or drugs? Don’t have any children 0 times 1 to 2 times A few times Many times Don’t know or can’t say During the past 12 months, do you recall hearing, reading, or watching an advertisement about prevention Yes No
TA%20Resource%20Guide%202017.docx