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* 1. My child(ren) is the following age.

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* 2. What school district do you live in?

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* 3. How often do you contact the parent of a home where your teen will visit?

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* 4. My family has rules against underage drinking, marijuana use and other substances?

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* 5. I have told my teens what will happen if they are caught breaking family substance use rules.

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* 6. In our home all alcohol is secured in a way that no teen can access it.

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* 7. Is it okay for youth to drink at parties as long as they don't get drunk?

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* 8. Youth who experiment with alcohol or other drugs almost always grow out of it?

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* 9. Are you familiar with the Social Host Law?

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* 10. In my community, drinking among teenagers is acceptable.

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* 11. Do you understand the risk and harms of vaping and electronic cigarettes?

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* 12. If your teenager was prescribed an opioid (ie. Percocet, Vicodin) how likely would you be to initiate a conversation with your healthcare provider about alternative forms of treatment?

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* 13. Please leave your email address to be entered into a drawing for a $250 Amazon Gift Card and to receive quarterly newsletters.

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