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* 1. What town do you live in?

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* 2. Do you interact with youth? If so, how? (Choose all the apply)

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* 3. To which gender identity do you most identify?

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* 4. What is the primary language spoken in your family?

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* 5. Which of the following best describes your ethnicity or cultural background?

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* 6. Have you ever talked to your child or other children about (please check all that apply)

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* 7. Do you feel you have enough information to talk with high school aged youth about drugs and alcohol?

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* 8. Would you like to see more information on…

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Start Talking

Start Talking

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* 9. Have you seen the advertisement: “Start Talking”? Include the graphic

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* 10. Is the message, “Start Talking” clear to you?

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* 11. Has this ad provided you with any new tools for talking to youth about drugs/alcohol?

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* 12. Have you talked or will you talk with other parents about this ad?

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* 13. How do you watch most of your media?

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* 14. When you use the internet, which sites do you visit the most? (please check all that apply)

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* 15. Do you have any additional comments/suggestions about this advertisement?

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