QUESTIONNAIRE

Topic: DRUG ADDICTION IN YOUTH AGE

1 Ques:Name Sex Age : : : :

Phone No

2 Ques:- What is your perception about drug ? Excellent Good Neutral Bad Very Bad

3 Ques:- In your's view how many young generation is drug addictive ? High ----------------------------------------------------------------------------------------- Low

4 Ques:- According to you how much people take drug ? Below 20 % _____ 20-40 % _____ 40-60 % _____ Above 60 % _____

5 Ques:- what is the reason behind taking drug addiction ? Enjoyment____ Work load___ High Confidence___ Employeement___

6 Ques:- What type of drug is more consumable ? Eatable_____ Drinkable_____ Sniff able____ Above all____

7 Ques:- Major affect on ? Culture/society ---------------------------------------------------------------- Own/Family

8 Ques:- who is responsible maximum youth fall in this evil ? Friends____ Own____ Government policy____ Parents____

9 Ques:- According to rank, what type of loses you are facing ? Family____ Friends____ Job____ Health_____

10 Ques:- Have you gone to anyone for help for a drug problem ? Yes_______________ No________________

11 Ques:- Can you through the week without using drugs ? Yes___________ No________________

12 Ques:- Consumption of the drugs will increase what rate in the future ? Low Average High

13 Ques:- In your views, what affects/feelings are coming after taking drugs? (a) Reduce tension ________ (b) More work _________ (c)Enjoy _______________ (d) Both (b ) & (c) ___________

14 Ques:- What is your suggestions for the youth about drug addicition ?