Understanding Alcohol in Coos County

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* 1. How old are you

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 2. What Gender

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

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?

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.

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?

Extremely important

Very important

Somewhat important

Not so important

Not at all important