2017 CCC Community Survey

Page1 / 4
 
25% of survey complete.
The Churchill Community Coalition is in constant evaluation of the community and assessing the needs of the people living in Churchill County. By conducting community wide surveys, we are able to evaluate the needs of the community as far as substance abuse prevention and health and wellness. It is our mission to develop a thriving community through a cooperative youth risk behavior and substance abuse prevention effort. We thank you and appreciate your time filling out this survey!

Question Title

Image

Question Title

* 1. Tell us about you

Question Title

* 2. Age, please indicate:

Question Title

* 3. Are you a parent of someone age 20 or younger?

Question Title

* 4. Are you the grandparent of a youth 20 and under?

Question Title

* 5. Do you have a child under the age of 20 living in your household?

T