The Cut: Post Survey (Print)

We would like to get your opinions on the following questions. Some of these questions you wrote answers to before but please answer them again. You can put different answers this time if you want. Thanks.
What was the nick name you picked during the first class? ___________________________________
Put the name of your school again: _______________________________________________________

Put the staff person's name who is leading this class: _________________________________________
What did you like most about this program (all three classes)?
What did you like least about this program (all three classes)?
Which of the following things are most important to you? Which is second and third in importance? (Put a 1 next to the most important, a 2 next to the second most important and a 3 next to the third most important.)

_____Money

_____ Health

_____ Friends

_____Dating

_____School

_____Fun
_____Future

_____Independence

_____Family

_____Popularity

_____Music

_____Sports

POST SURVEY
THE CUT™ (VER 3-04)

Do you usually buy things because you see them advertised?   yes         no
Do any of your friends smoke?   yes         no
Most times do you take the lead or follow others?   lead         follow
Does smoking cause lung cancer?   yes         no

If there was a 'good excuse' to smoke what would it be?

Can smoking cause health problems?   not really maybe sometimes   always
Can you become addicted to smoking if you only smoke 2 cigarettes a day?   yes         no

Why do kids smoke?

How likely is it that you would try a smoke?   not very a little pretty likely very likely

What could we do to make these classes better for other kids?

What do you think of kids who smoke?

Do you think this program helps kids decide not to smoke? Explain your answer.

Please return this form to the staff person.

**POST SURVEY**
*THE CUT™ (VER 3-04)*
We would like to get your opinions on the following questions. Some of these questions you wrote answers to before but please answer them again. You can put different answers this time if you want. Thanks. What was the nick name you picked during the first class? ___________________________________ Put the name of your school again: _______________________________________________________ Put the staff person's name who is leading this class: _________________________________________ What did you like most about this program (all three classes)? What did you like least about this program (all three classes)? Which of the following things are most important to you? Which is second and third in importance? (Put a 1 next to the most important, a 2 next to the second most important and a 3 next to the third most important.)
_____Money _____ Health _____ Friends _____Dating _____School _____Fun	_____Future _____Independence _____Family _____Popularity _____Music _____Sports
Do you usually buy things because you see them advertised? yes no Do any of your friends smoke? yes no Most times do you take the lead or follow others? lead follow Does smoking cause lung cancer? yes no If there was a 'good excuse' to smoke what would it be? Can smoking cause health problems? not really maybe sometimes always Can you become addicted to smoking if you only smoke 2 cigarettes a day? yes no Why do kids smoke? How likely is it that you would try a smoke? not very a little pretty likely very likely What could we do to make these classes better for other kids? What do you think of kids who smoke? Do you think this program helps kids decide not to smoke? Explain your answer.
Please return this form to the staff person.