Introduction

 
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Community Survey

 
 
This survey is voluntary and confidential. The questions that ask about your background will be used only to describe the varied adults completing this survey. 

This survey asks about your experience and opinion on a number of topics related to alcohol and other drugs. This survey asks questions specifically about youth under 21, this does not indicate that the coalition condones the use of alcohol by anyone under the legal drinking age of 21.

Thank you for agreeing to participate in this survey.

* 1. What is today's date?

Today's date:
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* 2. What is your current zip code where you live?

* 3. What is your gender?

* 4. What is your age?

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