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* 1. What is your gender?

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* 2. How do you describe yourself (Mark all that apply)

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* 3. As a result of viewing the four presentations, what do you think you are more likely to do:

  Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree
Speak to my parents about underage drinking
Speak to my parents about marijuana and substance use
Speak to an adult about the various strategies to help rebuild resiliency
Speak to an adult about social media use and various strategies to combat its influence
Speak to an adult if I have concerns about my own drinking or a friends' drinking
Use something I have learned from the presentations to avoid drinking or other risky behaviors

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* 4. As a result of viewing the four Healthy Habits forum presentations:

  Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree
I understand that underage drinking is dangerous at any level of consumption
I am more aware of the long- and short-term risks of drinking, marijuana and substance use
I am more aware of the physical, emotional and mental health strategies of becoming more resilient
I am more aware of the impact of social media on emotional and mental health

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* 5. Overall, how helpful did you find the presentations?

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* 6. What is the most important thing you learned from all of the presentations you have viewed?

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* 7. Do you have any comments regarding the presentations that you would like to share?

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* 8. Is there anything you would like to see included as a topic for the Healthy Habits forum next year?

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* 9. The West Haven Prevention Council (WHPC) sponsors and coordinates events, educational forums, marketing materials and other activities in the community to promote awareness about underage drinking and substance use.  Prior to this forum, were you aware of the West Haven Prevention Council?

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* 10. Please indicate if you have attended or are aware of the following West Haven Prevention Council activities:

  Attended or participated in Aware of but did not participate in Not aware of
WHPC Social Media Sites (Facebook/Twitter/Instagram)
WHPC Youth Committee
WHPC Monthly Coalition Meetings (currently via zoom)
WHPC BIllboards
WHPC displays/information/flyers found in West Haven
Prescription Drug Drop Box at the West Haven Police Station
WHPC Volunteer Opportunities
WHPC Presentations
Did you know...WHPC has a Youth Committee? High School Youth join the Committee to work on and develop various town-wide projects to impact our community, while gaining leadership skills and community service hours! Youth who join have an ability to shape this committee to address the issues that matter most to youth today and make a positive impact.  Develop podcasts, PSAs, TED Students Talks, Fundraising and more! Are you interested in learning more about the youth committee?

Please contact Kendra Epps at kepps@bridgesmilford.org or http://tinyurl.com/WHYouthGroup- for more information

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