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* 1. Please list your zip code

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* 2. Please select your age range.

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* 3. Please choose the current grade(s) of the children in your household.

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* 4. Please estimate the number of Red Ribbon Community Events you have attended.

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* 5. Drug and alcohol use is a problem currently facing Delaware County.

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* 6. Alcohol misuse among minors is a problem in Delaware County.

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* 7. Choose what you favor regarding the issue of marijuana.

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* 8. Do you think Pseudoephedrine (Sudafed) should only be available by prescription?

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* 9. Providing alcohol to a person under the age of 21 is illegal, even if it is my own child.

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* 10. A minor 18-20 years old found consuming, purchasing, or possessing alcohol may lose their driving privileges for up to one year.

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* 11. Prescription drug misuse in Delaware County is a problem.

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* 12. Under what circumstances is it acceptable for an adult to provide alcohol to a minor?

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* 13. Which of the following substances do you think is used most frequently in Delaware County? Please choose one.

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* 14. Do you think Electronic Nicotine Delivery Systems (ENDS) are an issue with the youth in Delaware County? This would include e-cigarettes, Juul, Vaping, etc.

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* 15. Do you feel having Naloxone (Narcan) available without a prescription is good for Delaware County?

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* 16. Do you know someone personally who has been revived by Naloxone (Narcan)?

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* 17. Do you personally know someone who has died from drug or alcohol misuse?

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* 18. Have you seen a media campaign in the past year concerning addiction, treatment, and/or recovery?

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* 19. What do you think needs to be done in Delaware County to help reduce the drug and alcohol misuse issues we are currently facing?

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