Thank you for taking the time to respond to this Survey!  It will take about 5 minutes.

 

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* 1. Was there any information in the document that surprised you or that you were not familiar with?  Please describe.

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* 2. Do you feel like anything is “missing” from the document?

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* 3. Did you receive any training with this document? If so, from whom?

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* 4. Have you shared the document with anyone? I.e. community members, stakeholders, etc.

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* 5. If yes, who did you share it with?

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* 6. How do you feel about the way the information was presented?

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* 7. On a scale of 1 to 5, how would you rate the following?

  Very Poor Poor Adequate Good Excellent
Organization of the information
Visuals and graphics
Length of document
Access to document

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* 8. Are the strategies explained clearly?  Please explain.

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* 9. Does this document assist the prevention efforts in your community?  Please explain.

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* 10. What information do you feel is most valuable for your prevention efforts?

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* 11. Is there anything you would like more information about?

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* 12. Does the document encourage a comprehensive approach to underage drinking prevention?  Please explain.

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* 13. Have you implemented any of the recommendations or specific actions?
If so, were you successful? If not, what are the barriers?

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* 14. Please rate each strategy area according to relevancy of your prevention efforts.

  Not relevant at all Somewhat relevant Very relevant
Strategy 1: Availability
Strategy 2: Prevention
Strategy 3: Treatment
Strategy 4: Coordination
Strategy 5: Social Norms & Culture
Strategy 6: Research

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* 15. What changes would you like to see in the updated version of this document?

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* 16. What is the best way to share this Plan with community stakeholders?

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* 17. Please tell us your Name:

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* 18. What agency do you represent?

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* 19. Where do you live?

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* 20. If you would like to be contacted when the 2016 Plan update is complete, please share your contact information here:

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