UNIVERSITY OF JOS

FACULTY OF SOCIAL SCIENCES

DEPARTMENT OF GENERAL AND APPLIED PSYCHOLOGY
Dear Sir/Ma,
This is questionnaire is purely for an academic research. And being such, no response
is “right” or “wrong”. The required responses are the ones that best represent how you feel.
Please, Institute’s respondents and responses will be treated with utmost confidentiality.
Thank you.
SECTION A
This section is on your biographical and structural data. Indicate your responses by marking
“X” in the appropriate box and filling in the blank space where appropriate.
1. Gender: Male [ ] Female [ ]
2. Marital Status: Single [ ] Married [ ] Divorced [ ] Widowed [ ]
3. Religion: Christian [ ] Muslim [ ] Others [ ]
4. Age: Below 16 years [ ] 16-20 years [ ] 21-26 years [ ] 26-30 years [ ]
31-35 years [ ] above 45 years [ ]
SECTION B
Below are a set of questions on the implications of what could happen if you are caught using drugs.
Please, tick the answer that best talks about your fears.
1= Strongly Disagree, 2 = Disagree, 3 = Agree, 4= Strongly agree

s/n ITEMS SA A D SD
1. I am afraid of being persecuted by law for illegal possession of drugs

2. Those arrested by enforcement agencies never get to face a normal

life

3. my parents will disown me if I am arrested

4. It is shameful to be labelled an addict by the community

5. If I am arrested for drugs possession I will be shamed by members of

my community

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 6. If I am arrested, I will be expelled from school

7. If I am arrested for using illegal substance, I will fired from my job

8. If I am arrested for using illegal substance, I, My life could be

destroyed if I am every arrested

9. If I am arrested for drug use, I will be labeled a "criminal"

10. If I am arrested for drug use I could lose social privileges

SECTION C
INSTRUCTIONS: Please read the following statements carefully. Each one describes a way that
you might (or might not) feel about your drinking. For each statement, circle one number from 1 to
5, to indicate how much you agree or disagree with it right now. Please circle one and only one
number for every statement.

Items
NO! No ? Yes YES!
Strongly Undecided Strongly
Disagree Disagree or Unsure Agree Agre

1. I really want to make changes in my use of drugs.

2. Sometimes I wonder if I am an addict.

3. If I don't change my drug use soon, my problems are

going to get worse.
4. I have already started making some changes in my use of
drugs.

5. I was using drugs too much at one time, but I've managed
to change that.
6. Sometimes I wonder if my drug use is hurting other
people.
7. I have a drug problem.

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8. I'm not just thinking about changing my drug use, I'm
already doing something about it.

9. I have already changed my drug use, and I am looking

for ways to keep from slipping back to my old pattern.

10. I have serious problems with drugs.

11. Sometimes I wonder if I am in control of my drug use.

12. My drug use is causing a lot of harm.
13. I am actively doing things now to cut down or stop my
use of drugs.

14. I want help to keep from going back to the drug

problems that I had before.
15. I know that I have a drug problem.

16. There are times when I wonder if I use drugs too much.
17. I am a drug addict.

18. I am working hard to change my drug use.

19. I have made some changes in my drug use, and I want

some help to keep from going back to the way I used before.