Understanding Alcohol in Coos County

Question Title

1. How old are you (Required.)

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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2. What Gender (Required.)

Man or Boy

Woman or Girl

Non-Binary

No-Gender / Agender

Please describe your gender in any way you prefer

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3. At what age did you first take a sip of alcohol (Required.)

12 or younger

13-14

15-16

17-18

19-20

21-24

25-29

30 or older

Never

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4. What are your reasons for choosing Mocktails or non-alcoholic drinks?

I enjoy the taste and variety

I want to drink less alcohol overall

My physical health

My mental wellness

To avoid hangovers

To be more present, focused or in control

For safety reasons such as driving or pregnancy

Cultural, religious, or personal values

I don't usually drink alcohol

I am in recovery

to support others who are not drinking

Other (please specify)

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5. How confident are you in your ability to say no to alcohol when you want to? (Required.)

Extremely confident

Very confident

Somewhat confident

Not so confident

Not at all confident

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6. Who influences your choices about alcohol the most? Check as many answers as apply to you. (Required.)

Family members inside your household

Friends or extended family outside your household

Partner or spouse

Co-Workers

Community Leaders

Advertising or marketing of alcoholic products

Media influencers

I don't think anyone influences my choices about alochol

Other (please specify)

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7. How important do you believe it is for adults to model responsible alcohol use ( or refrain from using) around young people? (Required.)

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Understanding Alcohol in Coos County

Question Title

* 1. How old are you (Required.)

Question Title

* 2. What Gender (Required.)

Question Title

* 3. At what age did you first take a sip of alcohol (Required.)

Question Title

* 4. What are your reasons for choosing Mocktails or non-alcoholic drinks?

Question Title

* 5. How confident are you in your ability to say no to alcohol when you want to? (Required.)

Question Title

* 6. Who influences your choices about alcohol the most? Check as many answers as apply to you. (Required.)

Question Title

* 7. How important do you believe it is for adults to model responsible alcohol use ( or refrain from using) around young people? (Required.)

1. How old are you (Required.)

2. What Gender (Required.)

3. At what age did you first take a sip of alcohol (Required.)

4. What are your reasons for choosing Mocktails or non-alcoholic drinks?

5. How confident are you in your ability to say no to alcohol when you want to? (Required.)

6. Who influences your choices about alcohol the most? Check as many answers as apply to you. (Required.)

7. How important do you believe it is for adults to model responsible alcohol use ( or refrain from using) around young people? (Required.)