MSACD Website Survey

Please take a moment to fill out the following anonymous one page questionnaire. This survey itself is completely voluntary. We ask for your participation for evaluation purposes only. Your responses will help us evaluate our website and make improvements to serve you better in the future.

1. Sex

Sex Male

Female

2. Age

Age

3. Your place of residence.

Your place of residence.

4. Race/Ethnicity

Race/Ethnicity

5. Was your visit to this website for professional or personal use?

Was your visit to this website for professional or personal use? Professional

Personal

6. Please choose occupation or category that best describes you.

Please choose occupation or category that best describes you.

7. How did you hear about the MSACD website?

How did you hear about the MSACD website?

8. Website Performance Questions.
We take what you have to say very seriously and will use your constructive criticisms to improve the MSACD ongoing website development. Our goal is to bring the up-to-date information to you in timely manner.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Did you find the website easy to use?	Website Performance Questions. We take what you have to say very seriously and will use your constructive criticisms to improve the MSACD ongoing website development. Our goal is to bring the up-to-date information to you in timely manner. Did you find the website easy to use? Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Did you find the information you were looking for?	Did you find the information you were looking for? Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Would you refer this website to others?	Would you refer this website to others? Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree

9. What information would you like to see on the website that you could not find?

What information would you like to see on the website that you could not find?

10. Questions about substance use and communication.
These four National Outcome Measures focus on perceptions of how harmful these substances are and how often parents discuss these topics with their children.

	No Risk	Slight Risk	Moderate Risk	Great Risk
How much do people risk harming themselves physically and in other ways when they smoke one or more packs of cigarettes per day?	Questions about substance use and communication. These four National Outcome Measures focus on perceptions of how harmful these substances are and how often parents discuss these topics with their children. How much do people risk harming themselves physically and in other ways when they smoke one or more packs of cigarettes per day? No Risk	Slight Risk	Moderate Risk	Great Risk
How much do people risk harming themselves physically and in other ways when they smoke marijuana one or twice a week?	How much do people risk harming themselves physically and in other ways when they smoke marijuana one or twice a week? No Risk	Slight Risk	Moderate Risk	Great Risk
How much do people risk harming themselves physically and in other ways when they have five or more drinks of an alcoholic beverage once or twice a week?	How much do people risk harming themselves physically and 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
During the past 12 months, how many times have you talked with your child about the dangers or problems associated with the use of tobacco, alcohol, or other drugs?	During the past 12 months, how many times have you talked with your child about the dangers or problems associated with the use of tobacco, alcohol, or other drugs? No Risk	Slight Risk	Moderate Risk	Great Risk

11. Other Comments:

Other Comments:

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