ADAPT Coalition Young Adult Survey 2017

ADAPT Coalition Young Adult Survey

The ADAPT (Alcohol & Drug Abuse Prevention Team) Coalition of Columbiana County seeks to plan and implement strategies to prevent and reduce youth substance use.

You are being asked to participate in a Young Adult Survey which is being conducted by The ADAPT Coalition of Family Recovery Center to determine the use and perceptions of young adults about alcohol use. This survey is anonymous. No one, including any staff or volunteer member of the ADAPT Coalition will be able to associate your responses with your identity. Your participation is voluntary. You may choose not to take the survey, to stop responding at any time, or to skip any questions that you do not want to answer. You must be at least 18 years of age to participate in this study. Your completion of the survey serves as your voluntary agreement to participate in this needs assessment project and your certification that you are 18 or older.

If you have questions about the survey or would like information about the ADAPT Coalition, please contact Brenda Foor, Coalition Coordinator at 330-424-0531, or e-mail at bfoor@familyrecovery.org.

In this survey, the phrase "Underage Youth" refers to persons under the age of 21. A drink is defined as a glass of wine, a bottle or can of beer, a shot of liquor, or a mixed drink. References to the use of alcohol do not include a few sips for religious purposes.

Question Title

* 1. My zip code is:

Question Title

* 2. What is your age?

Question Title

* 3. What is your gender?

Female

Male

Transgender

Question Title

* 4. Would you say you are:

Heterosexual

Bisexual

Lesbian

Gay

Question Title

* 5. Please check your Race/Ethnicity

American Indian or Alaskan Native

Asian

Black or African American

White

Hispanic or Latino

Two or more races

Question Title

* 6. Think about the first time you had a drink of an alcoholic beverage. How old were you the first time you had a drink of an alcoholic beverage? (Please do not include any time when you had only a sip or two from a drink)

I never drink alcohol

Before the age of 12

21 or older

Question Title

* 7. During the past 30 days, on how many days did you drink one or more drinks of an alcoholic beverage?

I have never had an alcoholic beverage

1-2

3-5

6-9

10-19

20-30

31+

Question Title

* 8. Thinking back over the past two weeks, how many times have you had five or more drinks in a row?

None

Once

Twice

3-5 times

6-9 times

10 or more times

Question Title

* 9. How much do people risk harming themselves (physically or in other ways) when they have five or more drinks of an alcoholic beverage once or twice a week?

No risk

Slight risk

Moderate risk

Great risk

Question Title

* 10. Where do you believe persons under the age of 21 obtain alcohol? Please check all responses that you think are true in Columbiana County:

At home with parent’s knowledge

At home without parent's knowledge

Adults hosting parties

Friends hosting parties

Older friend or relative

Stores that do not enforce ID checking

Bars/Restaurants that do not enforce ID checking

Other (please specify)

Question Title

* 11. During the past twelve months, how often did you have five or more drinks containing any kind of alcohol within a two hour period?

Never

One to two days in the past year

3-11 days in the past year

One day a month

2-3 days a month

one day a week

Two days a week

5-6 days a week

Everyday

Question Title

* 12. If a woman is pregnant or believes she may be pregnant, she should:

Not drink alcohol at all

Try to reduce her drinking

Have one or two drinks on special occasions

Have one or two drinks a week

Use alcohol as often as she wants

Question Title

* 13. Do you support the minimum drinking age of 21?

Yes

Unsure

If no, what age do you recommend?

Question Title

* 14. Are you aware of the Center for Disease Control's Guidelines for moderate alcohol consumption?

Yes

Unsure

Question Title

* 15. How much alcohol do you believe is safe to drink on a daily basis?

One drink for a woman and two drinks for a man

Two drinks for a woman and three drinks for a man

Three drinks for a woman and four drinks for a man

Four drinks for a woman and five drinks for a man

Question Title

* 16. My opinions about underage drinking:

	Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree
Youth under the age of 21 should never drink alcohol	Youth under the age of 21 should never drink alcohol Strongly Agree	Youth under the age of 21 should never drink alcohol Agree	Youth under the age of 21 should never drink alcohol Undecided	Youth under the age of 21 should never drink alcohol Disagree	Youth under the age of 21 should never drink alcohol Strongly Disagree
It is okay for underage youth to drink alcohol as long as their parents permit it	It is okay for underage youth to drink alcohol as long as their parents permit it Strongly Agree	It is okay for underage youth to drink alcohol as long as their parents permit it Agree	It is okay for underage youth to drink alcohol as long as their parents permit it Undecided	It is okay for underage youth to drink alcohol as long as their parents permit it Disagree	It is okay for underage youth to drink alcohol as long as their parents permit it Strongly Disagree
It is okay for underage youth to drink alcohol as long as it does not interfere with school, work, or home responsibilities	It is okay for underage youth to drink alcohol as long as it does not interfere with school, work, or home responsibilities Strongly Agree	It is okay for underage youth to drink alcohol as long as it does not interfere with school, work, or home responsibilities Agree	It is okay for underage youth to drink alcohol as long as it does not interfere with school, work, or home responsibilities Undecided	It is okay for underage youth to drink alcohol as long as it does not interfere with school, work, or home responsibilities Disagree	It is okay for underage youth to drink alcohol as long as it does not interfere with school, work, or home responsibilities Strongly Disagree
Underage drinking is a part of growing up and there isn't much that can be done to stop it	Underage drinking is a part of growing up and there isn't much that can be done to stop it Strongly Agree	Underage drinking is a part of growing up and there isn't much that can be done to stop it Agree	Underage drinking is a part of growing up and there isn't much that can be done to stop it Undecided	Underage drinking is a part of growing up and there isn't much that can be done to stop it Disagree	Underage drinking is a part of growing up and there isn't much that can be done to stop it Strongly Disagree
The younger a person is when he/she first uses alcohol, the more likely he/she is to develop alcohol dependency sometime in his/her life	The younger a person is when he/she first uses alcohol, the more likely he/she is to develop alcohol dependency sometime in his/her life Strongly Agree	The younger a person is when he/she first uses alcohol, the more likely he/she is to develop alcohol dependency sometime in his/her life Agree	The younger a person is when he/she first uses alcohol, the more likely he/she is to develop alcohol dependency sometime in his/her life Undecided	The younger a person is when he/she first uses alcohol, the more likely he/she is to develop alcohol dependency sometime in his/her life Disagree	The younger a person is when he/she first uses alcohol, the more likely he/she is to develop alcohol dependency sometime in his/her life Strongly Disagree