Questionnaire Guide
Put a tick in the box next to the answer of your choice or write in the space provided as the case
may be.
Gondar town, Community Attitudes towards mitigating Drug Addiction Survey
1. Nationality 2. Age group
o Amhara Nationals o 15 – 18
o Other o 19 - 29
o 30 - 39
o 40 – 49
o 50+
3. Religion 4. Sex
o Orthodox o Male
o Protestants o Female
o Muslim/
o Catholic
o Other
5. Occupation: 6. What type of family are you from?
o Student o Single
o Employed o Married
o Unemployed
o Self-employed
o Other (Please specify)
____________________________
7. What types of drugs are used by the youth 8. How often do use drugs?
population in your community? o Every day
o Alcohol o Every 3-4 days a week
o Khat o Every 1-2 days a week
o Nicotine o Once a month
o Hashish
o Inhalants like Mastish & Benzene
o Other
If other please specify________________
9. Who introduce you to drugs?
o Friends 10. Do you use more than one drug at a
o Family time?
o Other
If other please specify_________________
o Yes
o No
11. Which of the following are reasons why you 12. Can you get through the week
and the youth in your community use drugs? without using drugs?
o Peer pressure
o Depression o Yes
o Curiosity o No
o In the influence of the media
o To cope with home problem
o Lack of parental guidance
o Other
If others, please specify________________
13. If your answer is yes on question 12 (twelve), 14. Have you ever tried to stop abusing
approximately how much do you spend on drugs?
drugs on a monthly basis? o Yes
o 500br o No
o 800br
o 1000br
o >1000br
15. Have you had "blackouts" or "flashbacks" as a 16. Do you ever feel bad or guilty about
result of drug use? your drug use?
o Yes
o No o Yes
o No
17. Does your spouse (or parents) ever complain 18. Have you lost friends or job
about your involvement with drugs? because of your use of drugs?
o Yes
o No o Yes
o No
19. Has drug abuse created problems between you 20. Have you gotten into fights when
and your spouse or your parents? under the influence of drugs?
o Yes
o No o Yes
o No
21. Have you engaged in illegal activities in order 22. Have you been arrested for
to obtain drugs? possession of illegal drugs?
o Yes o Yes
o No o No
23. Have you ever experienced withdrawal 24. Have you gone to anyone for help
symptoms (felt sick) when you stopped taking for a drug problem?
drugs?
o Yes
o Yes
o No
o No
25. Have you had medical problems as a result of 26. Have you been involved in a
your drug use (e.g. memory loss, hepatitis, treatment program specifically
bleeding, etc.)? related to drug use?
o Yes o Yes
o No o No
27. What do you think can be done to solve the drug abuse problem among youth?
o Greater education of young people in the community
o The establishment of more youth groups and clubs
o The establishment of recreational facilities
o The establishment of recovery center
o Greater parental guidance
In your opinion, what else can you recommend to be done to solve the drug addiction problem
among youth in Gondar City ?
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THANK YOU!