Adult Perception Survey 2018

Introduction

The Steuben Prevention Coalition is conducting an Adult Perception Survey to learn more about how Steuben County residents view underage drinking and drug use. Please take 10 to 15 minutes to complete the following survey. All of your answers will be kept confidential and will not be shared with any other agency.

The results of this survey will be used to steer the efforts of the Steuben Prevention Coalition and provide data for future funding opportunities.

Thank you for your time.

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* 1. What is your Zip Code?

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* 2. Please choose the location that best describes where you live.

Rural area

Village

Town

City

Village/Town/City limits

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* 3. What is your age?

18-25

26-35

36-45

46-55

56+

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* 4. What is your gender?

Male

Female

Prefer not to answer

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* 5. What is your household income range?

$0-$20,000

$20,001 - $50,000

$50,001 - $75,000

$75,001 - $100,000

$100,001+

Prefer not to answer

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* 6. What is your marital status?

Married

Divorced

Single

Prefer not to answer

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* 7. What is your highest level of education?

Some high school

GED

High school diploma

Some college

Associates degree

Bachelors degree

Masters degree or higher

Trade certification or diploma

Prefer not to answer