Underage Drinking Campaign Grant

Please take a minute to complete the following questions. All answers are anonymous.

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1. This ad motivates me to talk to my child/grandchild about underage drinking.

Strongly Agree

Agree

Disagree

Strongly Disagree

N/A

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2. How likely are you to visit the website displayed on this ad?

Very Likely

Likely

Not Likely

Definitely Not Likely

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3. What would make this ad better?

Different race/ethnicity of woman and child

Different genders

Less text on the ad

Different age of woman

Different message

Nothing

Other, (please specify)

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4. Please share additional comments you have about the ad.

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5. Are you a parent and/or grandparent?

Yes

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6. Are you a parent and/or grandparent of a 9 - 15 year old?

Yes

N/A

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7. Have you ever talked with your child/grandchild about underage drinking?

Yes

N/A

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8. What is your race/ethnicity? (select as many that apply)

Asian

Black or African American

Caucasian

Hispanic or Latino

Native American

Prefer Not to Answer

Other (please specify)

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9. What is your gender?

Male

Female

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1. This ad motivates me to talk to my child/grandchild about underage drinking.

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2. How likely are you to visit the website displayed on this ad?

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3. What would make this ad better?

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4. Please share additional comments you have about the ad.

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5. Are you a parent and/or grandparent?

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6. Are you a parent and/or grandparent of a 9 - 15 year old?

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7. Have you ever talked with your child/grandchild about underage drinking?

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8. What is your race/ethnicity? (select as many that apply)

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9. What is your gender?

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10. What is your age?