Vaping Intervention Checklist

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Date: 

Student:  
 
Purpose: ​The goal of this Vaping Intervention is to decrease incidents of vaping 
in our school by educating students about the harmful effects of vaping. Also, we 
hope to increase your social-emotional awareness and capacity so you are better 
able to handle these and other risky situations in the future.   
 
Phases of Vaping Intervention 
 
Phase 1: Getting to Know Myself 
❏ Conversation with in-school adult 
❏ Task 1- Review the results from the Student Self-Reflection 
Survey 
 
Phase 2: Let’s Learn about Vaping and E-Cigarettes 
Assignment 1: 
❏ Task 1- Review Strengths 
❏ Task 2- Influences 
❏ Task 3- Video 
❏ Task 4- Video- Myth and Fact 
❏ Task 5- Reflection 
❏ Task 6- Put It All Together 
❏ Click TURN IN 
 
Phase 3: Time to Restore 
Assignment 2: 
❏ Task 1- Question 
❏ Task 2- Writing 
❏ Click TURN IN 
 
 

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