This survey should take no more than 5 minutes. Thank you in advance for helping this team of volunteers better understand what is happening in Anderson Township pertaining to vaping, drugs and alcohol. All the responses will be confidential, and we will only reach out to you if you are interested in being part of the Step Up Anderson Township Coalition or indicate you want more information. 

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* 1. For a chance to win a $50 Target gift card! To enter, please fill out your email address below (this will not be shared and will only be used to select a winner)."

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* 2. What is your home zip code?

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* 3. What age ranges reflect your children's school? (check all that apply)

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* 4. What school/ school district do your children attend?

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* 5. When was the last time you talked with your child about drug and alcohol usage, and shared your expectations with them?

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