0925-XXXX
Exp:XX-XXXX
NIDA Survey of Community Personnel
Public reporting burden for this collection of information is estimated to average 0.08 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*). Do not return the completed form to this address.
Our records show that you first requested NGBTS materials in 2002.
Use of NGBTS Materials
1. Where did you first hear about the NGBTS materials?
From a colleague
At a conference
From an Internet site
Received information in the mail
Newsletter
ListServe
Email promotion
Print advertisement
Don’t know
Other:____________________
2. To what extent have you used the NGBTS materials you requested?
Very large extent
Fairly large extent
Fairly limited extent
Very limited extent
Not at all
Don’t recall
(If answer was among the first three choices, respondent is routed to Q3)
If Q2 = ‘very limited’ or ‘not at all’ respondent sees this question:
2a. Why haven’t you used the materials?
Check all that apply.
The materials are not relevant to the youth I serve.
No venue to use them.
Agenda did not have enough time to include them.
My needs changed.
I forgot about them.
Came too late to be included.
No time to get permission from event sponsor.
Other: ____________________
No real reason
Respondents to Q2a will jump to Question 1 in the section called Background Information on Organization/Community
The remaining questions are for respondents who have used the materials at least to a “fairly limited” extent (Question 2):
Use of NGBTS Material, continued
3. How have you used the NGBTS materials?
Check all that apply.
Read them for my own understanding.
Used the information in a presentation or activity.
Used the materials as a hand-out at a community event.
Used the materials as a hand-out in a counseling session.
Shared them with a colleague.
Used the materials to talk to children.
Used the materials to talk to parents.
My colleagues used the materials to talk to children.
My colleagues used the materials to talk to parents.
Other:________________________
4. What barriers, if any, have you experienced related to using the NGBTS materials at a community or civic event?
Check all that apply.
The topic is too sensitive an issue for the community.
Programmed event doesn’t have enough time to include NGBTS material.
Reading level of the material was too advanced.
Don’t feel I have sufficient background to use the materials
The reading level is too easy to use
The reading level is not ‘cool’ enough
Other: ____________________
Opinion of NGBTS Materials______________________________________________
1. How effective are the materials in educating youth about the dangers of drug use?
Very useful
Fairly useful
Not too useful
Not useful at all
Don’t know
1a. If not too effective or not effective at all:
What changes would make the materials more effective?
_________________________________________________
2. To what extent are your at-risk youth able to relate to the NGBTS materials?
Great extent
Moderate extent
Minor extent
No extent
Don’t know
2a. If small extent or very small extent:
What changes would enable the youth to relate to the materials more?
_________________________________________________
3. How have your at-risk youth typically reacted to NGBTS materials you’ve given them?
With interest and/or willingness to read
With disinterest and/or reluctance to read
Youth were interested buy it wasn’t ‘cool’ to show interest
Youth asked numerous questions indicating an interest.
Don’t know
Other: __________________________
4. In an effort to improve the NGBTS materials, please tell us things you disliked about them.
(Check all that apply.)
Not entirely accurate
Content is too complex
Content is too simple
Content is difficult to understand
Content does not hold the interest of students
Other: ____________________________
5. What is your overall opinion of the quality of NGBTS materials?
Excellent
Good
Average
Poor
Very poor
Background Information on Organization/Community
Please think back to 2002 [the relevant year will be inserted from the database] when you first requested the NIDA Goes Back to School (NGBTS) materials. Answer the following based on that point in time.
1. In 2002, was your organization public or private?
Public
Private
Don’t Know
2. Was your community predominantly rural, urban, or suburban?
Rural
Urban
Suburban
Don’t Know
3. Approximately how many youth was your organization serving at the time?
50 or fewer
51 - 100
101 – 200
201 - 300
More than 300
Don’t Know
4. In 2003-2004 approximately what was the minority composition of the community you serve?
Less than 10%
11-25%
26-50%
51-75%
Over 75%
Don’t know
5. In 2003-2004 approximately what percent of your youth received free school lunches?
Less than 10%
11-25%
26-50%
51-75%
Over 75%
Don’t know
6. In 2003-2004 approximately what percent of the community did not speak English?
Less than 10%
11-25%
26-50%
51-75%
Over 75%
Don’t know
7. When you requested materials in 2003-2004, what was the extent of substance abuse among children and adolescents in the community you served?
More than 30% of youth used or abused one or more drugs or were from families at-risk for substance abuse
About 20%-30% of youth used or abused one or more drugs or were from families at-risk for substance abuse
10%-19% of youth used or abused one or more drugs or were from families at-risk for substance abuse
Up to 9% known drug use among youth in the community at-risk for substance abuse
No known drug use among youth in the community
Don’t Know
8. At the present time, approximately what percentage of families you serve have access to the Internet?
Less than 10%
11-25%
26-50%
51-75%
Over 75%
Don’t know
Respondent Information
1. Which of the following NIDA-sponsored events have you attended?
Check all that apply, 2003-2004 Requestors
I have not attended any of these events.
NASRO National Conference, Dallas, Texas (June 2004)
None of the above, I received NIDA email letters on the NGBTS materials
None of the above, I went to a web link to the NGBTS information
None of the above, I saw a NIDA advertisement
Six Flags America Math and Science Day, Hanover, MD (June 2004)
Check all that apply, 2004-2005 Requestors
I have not attended any of these events.
Washington Area Boards of Education (WABE) Workshop (April 2005)
Howard County, MD Drug Free Schools Campaign – Prom Presentation (May 2005)
NASRO National Conference, Dallas TX (July 2005)
OSDFS National Conference, Washington, DC (August 2005)
NAHEC-AAHE Conference, Houston, Texas (August 2005)
Hamilton Fish Persistently Safe Schoools, Philadelphia, PA (September 2005)
Maryland Kids Fest, Baltimore, MD (July 2005)
NAEYC Festival of Organizations, Anaheim, CA (October 2004)
National Night Out, Howard County, MD (August 2005)
Check all that apply, 2005-2006 Requestors.
I have not attended any of these events.
NASRO National Conference, Dallas, Texas (2005-2006)
OSDFS National Conference, Washington, DC (2005-2006)
NAHEC-AAHE Conference, Houston, TX (2005-2006)
National After School Association, Louisville, KY (February 2006)
Pride Youth Programs World Drug Prevention Conference (2005-2006)
National Association of School Nurses, NYC, NY (June 2006)
2. Which format(s) do you prefer for receiving NGBTS materials?
Check all that apply.
Booklets, information sheets
CD-ROM or DVD
Videotape
Link to an Internet site
Other: ____________________________
3. What is your present occupation?
Church youth group leader
Community Health Nurse
Parent-Teacher Association Officer
Social worker/Case worker
At-risk Counselor
AIDS Awareness Counselor
Church-Sponsored Disadvantaged Youth Group Leader
Boys/Girls Club Leader
Scouts Troop Leader
Other:_______________________
4. How long have you been employed in your present occupation?
less than 3 years
3 to 5 years
6 to 10 years
11 to 15 years
16 to 20 years
over 20 years
6. Gender:
Male
Female
Open-Ended Comments
Please feel free to comment on the NGBTS materials and/or to make suggestions for their improvement.
| File Type | application/msword |
| File Title | School Personnel |
| Author | dealmeig |
| Last Modified By | curriem |
| File Modified | 2007-05-07 |
| File Created | 2007-05-07 |