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Abstinence & Refusal Skills

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Which statement best defines risk behaviors?

a)

Actions or choices that may harm you or others

b)

Habits that guarantee perfect health for everyone

c)

Activities always approved by teachers and parents

d)

Choices that never affect you or other people

2.

What is abstinence in health decisions?

a)

Letting friends decide which activities you should do

b)

Ignoring peer pressure without saying anything at all

c)

Agreeing to try risky activities only once or twice

d)

The conscious, active choice not to participate in high‑risk behaviors

3.

You are pressured to vape at a party. Which response shows strong refusal skills?

a)

Explain you might try later if more people join

b)

Take one puff to avoid hurting anyone’s feelings

c)

Stand silently until the person gives up asking you

d)

Say, "No, I don’t vape," and walk away with a friend

4.

Which statement best defines risk behaviors in health decision-making?

a)

Decisions that carry no possible harm

b)

Activities that guarantee personal growth

c)

Choices that always lead to success

d)

Actions that may harm you or others

5.

What is the most responsible teen response when faced with high-risk behaviors?

a)

Choose any risk that seems exciting

b)

Ignore advice and try it once

c)

Take the risk to gain experience

d)

Practice abstinence from high-risk behaviors

6.

A friend invites you to join a dangerous online challenge. Which choice shows personal responsibility and avoids negative consequences?

a)

Try it once to see the possible outcomes

b)

Decline and choose abstinence from the challenge

c)

Join but set strict time limits for safety

d)

Participate only if adults are watching

7.

Which consequence shown in the diagram best explains why substance use can make it hard to play sports or stay active?

a)

Having trouble with the law and rules

b)

Not reaching your long-term goals

c)

Risk of becoming dependent over time

d)

Harm to your physical health and body

8.

A student starts vaping and finds it difficult to stop, even when they want to. Which danger from the diagram does this illustrate?

a)

Failure to plan daily homework routines

b)

Immediate harm to social relationships

c)

Risk of becoming dependent on substances

d)

Legal consequences with law enforcement

9.

You want to make the soccer team this year. Which choice aligns with avoiding the diagram’s listed dangers and supports your goal?

a)

Use alcohol on weekends with friends

b)

Try nicotine to manage stress during exams

c)

Ignore school rules about drug-free events

d)

Choose abstinence from tobacco and alcohol

10.

Which statement best describes a core reason teens may choose abstinence from sexual activity?

a)

It prevents unplanned pregnancy and STDs

b)

It guarantees lifelong relationships and love

c)

It improves athletic performance and grades

d)

It makes parents automatically trust you more

11.

A friend says abstinence only helps with emotions, not health. Which response uses accurate information to correct this?

a)

Abstinence raises heart rate during exercise

b)

Abstinence reduces risks of STDs and pregnancy

c)

Abstinence changes your diet and sleep schedule

d)

Abstinence requires medical checkups every month

12.

Which statement best defines refusal skills?

a)

Habits that make you agree with peers

b)

Plans that help you say no effectively

c)

Methods to stay silent during pressure

d)

Techniques for avoiding all social events

13.

What is the correct order of the S.T.O.P. steps?

a)

Promptly leave, Say no, Tell why, Offer idea

b)

Offer idea, Say no, Promptly leave, Tell why

c)

Tell why, Offer idea, Say no, Promptly leave

d)

Say no, Tell why, Offer idea, Promptly leave

14.

You are pressured to vape after school. Which response uses firm body language and a brief reason?

a)

I’ll watch you this time, but not do it

b)

I can’t, my parents might find out

c)

No, I don’t vape; it’s bad for my lungs

d)

Um, maybe later, I’m not sure

15.

Which statement best defines abstinence in health decision-making?

a)

Choosing to delay sexual activity completely

b)

Sometimes avoiding risky choices on weekends

c)

Limiting unhealthy habits only during school

d)

Reducing contact with peers who pressure you

16.

Which pair lists risk behaviors for teens?

a)

Scheduling checkups, getting vaccinations

b)

Wearing helmets, using seat belts

c)

Eating vegetables daily, staying hydrated

d)

Texting while biking, vaping nicotine

17.

Which long-term effect can result from repeated risk behaviors like vaping?

a)

Guaranteed protection from common colds

b)

Instant improvement in athletic endurance

c)

Permanent boost in memory and focus

d)

Increased chance of lung disease and addiction

18.

A friend encourages you to ride in a car without seat belts. Which plan uses refusal skills and safety?

a)

Say no, insist on belts, call for another ride

b)

Ignore the rule and sit in the back quietly

c)

Agree but promise to be extra careful today

d)

Wait until the car starts, then unbuckle later

19.

Which statement is a health-promoting alternative to a risk behavior?

a)

Choose supervised sports instead of substance use

b)

Share medications with friends to help them

c)

Skip sleep to study longer for tests

d)

Drive faster to arrive early to practice

20.

Which response shows planning to avoid risky situations at a party?

a)

Hide plans from parents to avoid rules

b)

Leave phone at home and wander alone

c)

Accept drinks from strangers to fit in

d)

Go with trusted friends and set a curfew