Screen Reader Mode Icon
Thank you for taking the time to complete this brief survey.

The Northwest Corner Prevention Network (NCPN) is a group of volunteers dedicated to working with youth and families in Region 1 to promote healthy communities.
The information gathered through this survey will help us better understand the feelings and needs of the community and further enable us to serve youth and families with targeted local prevention programming and services.
This survey is voluntary and confidential and takes most people 5-10 minutes to complete. Survey results will be analyzed and summarized by an independent evaluator.
At the end of the survey, you will have the opportunity to be entered into a drawing of two (2) $25 gift cards. Email addresses will be extracted from the survey before analysis.
To learn more about the work of NCPN , and how you can get involved, please visit our website: www.ncpncoalition.org.

Thank you again - we truly appreciate your time and input.

With gratitude,
The Northwest Corner Prevention Network



Question Title

* 1. How did you hear about this survey?

Question Title

* 2. How would you describe yourself? (check all that apply)

Question Title

* 3. Are you familiar with the following?

  Yes No
The Northwest Corner Prevention Network
The CT Social Host Law (house party law) that makes it illegal for any adult to provide a place for teens to drink
Drug Take Back Day
Good Samaritan Law
Where to access help if a child/teen is struggling with mental health and/or needs to access mental health services
Where to access help if a child/teen is struggling with substance misuse

Question Title

* 4. Please rank your level of concern when thinking about the following issues impacting youth in our community. To rank these issues based on your level of concern, drag and drop each item—or use the arrows—to reorder the list. Place the issue you are most concerned about at the top (#1) and the issue you are least concerned about at the bottom.

Question Title

* 5. Do you have children living in your home?

T