Monadnock Voices for Prevention Parent Tabloid Survey
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1. Default Section
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1
. What is your age range?
What is your age range?
Under 18
18 – 20
21 - 25
26 - 50
Over 50
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2
. Are you...
Are you...
Female
Male
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3
. What is your zip code?
What is your zip code?
ZIP:
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4
. How did you receive the Underage Drinking tabloid?
How did you receive the Underage Drinking tabloid?
Newspaper
School
Community Organization
Other (please specify)
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5
. Prior to reading this publication, how aware were you of the effects of alcohol on the developing adolescent brain?
Prior to reading this publication, how aware were you of the effects of alcohol on the developing adolescent brain?
Knew nothing.
Knew a little.
Knew a lot.
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6
. To what extent did you read the Underage Drinking tabloid?
Please check one.
To what extent did you read the Underage Drinking tabloid? Please check one.
Scanned whole publication.
Read selected articles.
Looked at the graphics.
Read the entire publication.
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7
. As a result of reading this publication, how likely are you to take steps to reduce the availability of alcohol to underage youth in your home?
As a result of reading this publication, how likely are you to take steps to reduce the availability of alcohol to underage youth in your home?
Much more likely.
No change.
No change. I already keep all alcohol locked up or protected
We never have alcohol in our home.
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8
. How do you plan to use the information contained in the publication? You can select multiple answers.
How do you plan to use the information contained in the publication? You can select multiple answers.
Share with family or friends.
Share with youth under 21.
Pass the publication on to someone else.
Request more copies to give to others.
Won't use.
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9
. Knowing that alcohol can damage the developing brains of adolescents, how strongly do you feel that alcohol must not be made available to youth in your community?
Knowing that alcohol can damage the developing brains of adolescents, how strongly do you feel that alcohol must not be made available to youth in your community?
No opinion.
I don’t see underage drinking as a problem.
Strongly.
Very strongly, and I will do my part to make it unavailable.
10
. Please make any comments about the Underage Drinking Tabloid below:
Please make any comments about the Underage Drinking Tabloid below:
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