Copy of Substance Abuse and Prevention Collaborative Parent Survey 2017 (HS)

2017 High School Parent Survey

The Substance Abuse Prevention Collaborative (SAPC) initiative, serving the communities of Billerica, Chelmsford, Dracut, Lowell, Tewksbury, Westford, and Wilmington, is intended to prevent underage drinking and other drug use. Research has shown that addressing the issue of underage drinking reduces the risk that youth will go on to use opioids and other substances. While the SAPC program funds communities primarily in the prevention of underage drinking, we are also interested in learning about other drug use among youth in our communities.

Please take a few moments to answer this brief survey concerning your high school children. Thank you for participating.

If you have any questions or need resources please contact Maria Ruggiero at 978-851-7373 Ext. 352

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* 1. Are you the parent/guardian of children in high school?

Yes

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* 2. What are their grades, ages and genders?

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* 3. What city do you currently live in?

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* 4. Do you talk to your high school children about underage drinking and other drug use? Please check what applies.

	Never	Rarely	Sometimes	Often	Very Often
I talk to my high school children about underage drinking and other drug use:	I talk to my high school children about underage drinking and other drug use: Never	I talk to my high school children about underage drinking and other drug use: Rarely	I talk to my high school children about underage drinking and other drug use: Sometimes	I talk to my high school children about underage drinking and other drug use: Often	I talk to my high school children about underage drinking and other drug use: Very Often

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* 5. If you choose not to talk to your children about underage drinking and drug use, please tell us why and what specific ages they are?

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* 6. Which of the following do you most strongly agree with?

I do not allow my teen to drink.

I allow my teen to drink a few sips at religious ceremonies or on special occasions.

I sometimes allow my teen to drink when only family is present.

I sometimes allow my teen to drink with friends when an adult is present to supervise.

I allow my teen to drink with friends, including when an adult is not present.

None of the above. My rule is:

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* 7. Do you know of other parents/guardians that allow their children to drink alcohol or use other drugs, please explain?

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* 8. Do you think use of the following is harmful to your child's health?

	No harm	Some Harm	Harmful	Very Harmful
Alcohol for Religious Purposes	Alcohol for Religious Purposes No harm	Alcohol for Religious Purposes Some Harm	Alcohol for Religious Purposes Harmful	Alcohol for Religious Purposes Very Harmful
Alcohol Any Use	Alcohol Any Use No harm	Alcohol Any Use Some Harm	Alcohol Any Use Harmful	Alcohol Any Use Very Harmful
Alcohol Occasional Use	Alcohol Occasional Use No harm	Alcohol Occasional Use Some Harm	Alcohol Occasional Use Harmful	Alcohol Occasional Use Very Harmful
Alcohol Regular Use	Alcohol Regular Use No harm	Alcohol Regular Use Some Harm	Alcohol Regular Use Harmful	Alcohol Regular Use Very Harmful
Marijuana Regular Use	Marijuana Regular Use No harm	Marijuana Regular Use Some Harm	Marijuana Regular Use Harmful	Marijuana Regular Use Very Harmful
Marijuana Occasional Use	Marijuana Occasional Use No harm	Marijuana Occasional Use Some Harm	Marijuana Occasional Use Harmful	Marijuana Occasional Use Very Harmful
Marijuana Any Use	Marijuana Any Use No harm	Marijuana Any Use Some Harm	Marijuana Any Use Harmful	Marijuana Any Use Very Harmful
Cigarettes	Cigarettes No harm	Cigarettes Some Harm	Cigarettes Harmful	Cigarettes Very Harmful
Smokeless tobacco, such as chewing tobacco, snuff, dip, snus, or dissolvable tobacco products	Smokeless tobacco, such as chewing tobacco, snuff, dip, snus, or dissolvable tobacco products No harm	Smokeless tobacco, such as chewing tobacco, snuff, dip, snus, or dissolvable tobacco products Some Harm	Smokeless tobacco, such as chewing tobacco, snuff, dip, snus, or dissolvable tobacco products Harmful	Smokeless tobacco, such as chewing tobacco, snuff, dip, snus, or dissolvable tobacco products Very Harmful
Prescription drugs not prescribed to your child	Prescription drugs not prescribed to your child No harm	Prescription drugs not prescribed to your child Some Harm	Prescription drugs not prescribed to your child Harmful	Prescription drugs not prescribed to your child Very Harmful

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* 9. Please check what applies.

	Strongly Agree	Agree	Not Sure	Disagree	Strongly Disagree
I feel comfortable talking to my child or children about drugs and alcohol.	I feel comfortable talking to my child or children about drugs and alcohol. Strongly Agree	I feel comfortable talking to my child or children about drugs and alcohol. Agree	I feel comfortable talking to my child or children about drugs and alcohol. Not Sure	I feel comfortable talking to my child or children about drugs and alcohol. Disagree	I feel comfortable talking to my child or children about drugs and alcohol. Strongly Disagree

Please briefly explain why or why not you agree or disagree.

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* 10. Have you seen images like the one below around your community?

Yes

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* 11. About how many times have you seen them?

Once or twice

A few times

Weekly or almost weekly

Daily or almost daily

I have never seem them

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* 12. Where have you seen them? Choose all that apply.

At a liquor store.

At a convenient store that sells alcohol.

At your own home.

At your neighbor or friends home.

Around your neighborhood.

Heard about them from your community.

Other

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* 13. Are you also a parent/guardian to children in middle school?

Yes