Title: Survey on Drug Usage among University Students

Section 1: Demographic Information.

1.What is your name?

_______________________________________________

_ 2. What is your age? ____

3. Gender? Male / Female / Other

4. Which city are you from?

__________________________ 5.Current year of study:

Freshman/First Year

Sophomore/Second Year

Junior/Third Year

Senior/Fourth Year or above

6.Field of study: ___

Section 2: Drug Usage

(Please Give Right marks in your answer)

1.Have you ever used any recreational drugs?

Yes
No

2.Which of the following drugs have you used? (Select all that

apply)

Marijuana/Cannabis

Alcohol

Tobacco/Cigarettes

Prescription drugs (not prescribed to you)

Cocaine

LSD

Methamphetamine/Crystal meth
 Heroin

3.How often do you use drugs?

Daily
Weekly
Monthly
Occasionally (a few times a year)
Rarely (once or twice)
None

4.What are the reasons for your drug usage? (Select all that

apply)

Recreation/leisure

Stress relief
Peer pressure
Curiosity/experimentation
Escapism
Self-medication

Other (please specify): ___

5.How do you typically acquire drugs? (Select all that

apply) Friends/acquaintances

Drug dealers
Online sources
Parties/events

Other (please specify): ___

6.Have you ever experienced negative consequences as a result of drug

usage?

Yes

No

7.What negative consequences have you experienced? (Select all that

apply)

Decline in academic performance

 Health issues
Financial problems
Legal issues
Relationship difficulties
Social isolation

Other (please specify): ___

Section 3:Perception and Attitudes :

1.In your opinion, how prevalent is drug usage among university students?

Very prevalent
Somewhat prevalent
Not prevalent
Not sure

2.Do you believe drug usage is a problem among university students?

Yes
No
Unsure

3.Are you aware of any drug prevention or education programs at your

university?

Yes

No

4.Do you think universities should provide more support for students struggling with drug

issues?

Yes

No

5.Has drug addiction affected your academic performance ?(e.g. grades ,attendance ,class
performance, )

Yes
No

6.Have You Sought any professional help or treatment for drug addiction?

Yes
 No
If So How did it helped you to cured drug addiction?
7.Are you willing to participate in educational programs or awareness campaigns regarding drug
addiction?

8.Is there anything else you would like to share about drug usage among university students?

Thank you for taking the time to complete this questionnaire. Your input is
valuable and will help inform our research on drug usage among university
students