Parent Attitude Survey
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1
. Gender
Gender
Male
Female
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2
. Which category below includes your age?
Which category below includes your age?
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
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3
. How old is your son(s)/daughter(s)?
How old is your son(s)/daughter(s)?
6-10 years old
11-14 years old
15-18 years old
19 or older
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4
. Would you allow your son(s)/daughter(s) to attend an unsupervised party?
Would you allow your son(s)/daughter(s) to attend an unsupervised party?
Yes
No
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5
. If your son(s)/daughter(s) wants to go to a party and tells you that parents will be there, do you call the parents to make sure they will be there?
If your son(s)/daughter(s) wants to go to a party and tells you that parents will be there, do you call the parents to make sure they will be there?
Yes
No
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6
. Would you allow your son(s)/daughter(s) to have a class of wine, smoke a cigarette, or do other drugs with you in your home?
Would you allow your son(s)/daughter(s) to have a class of wine, smoke a cigarette, or do other drugs with you in your home?
Yes
No
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7
. If you walked in on your son(s)/daughter(s) and his/her friends drinking in your house, smoking cigarettes, or doing drugs what would you do?
If you walked in on your son(s)/daughter(s) and his/her friends drinking in your house, smoking cigarettes, or doing drugs what would you do?
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8
. How much do you approve or disapprove of parents who serve alcohol to minors?
How much do you approve or disapprove of parents who serve alcohol to minors?
Strongly Approve
Approve
Neither Approve or Disapprove
Disapprove
Strongly Disapprove
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9
. How accessible do you think alcohol, cigarettes, and drugs are for children in your community?
How accessible do you think alcohol, cigarettes, and drugs are for children in your community?
Very Accessible
Moderately Accessible
Not Very Accessible
Not Accessible At All
Don't Know/Not Sure
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10
. In your community, do you think that alcohol, cigarettes, and drugs are a problem for:
In your community, do you think that alcohol, cigarettes, and drugs are a problem for:
Adults Only
Youth Only
Adults and Youth
Neither
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