Alliance Community Survey Question Title * 1. What is your zipcode? Question Title * 2. What is your age? Under 18 18-24 25-34 35-44 45-54 55-64 65-74 75 years or older Question Title * 3. What is your gender? Male Female Other (please specify) Question Title * 4. What is your race/ethnicity? White/Caucasian Hispanic or Latino Black/African American Asian Native Hawaiian or other Pacific Islander American Indian or Alaskan Native Other (please specify) Question Title * 5. In your community, how big of a problem is underage drinking? Severe problem Moderate problem Minor problem Not a problem Don't know Question Title * 6. In your community, how big of a problem are other drugs (marijuana, prescription drugs, etc.)? Severe problem Moderate problem Minor problem Not a problem Don't know Question Title * 7. How important do you believe youth substance abuse prevention is in your community? High Priority One of top 3 concerns Important, but not a top 3 concern A concern, but of moderate importance Not a concern Question Title * 8. How important is youth substance abuse prevention to you? High Priority One of top 3 concerns Important, but not a top 3 concern A concern, but of moderate importance Not a concern Question Title * 9. Which of the following do you believe would help decrease substance use by underage youth? (check all that apply) New and/or stricter penalties More enforcement of laws More prevention education in schools More prevention education in the mass media (T.V., radio, magazines, internet) More activities for youth in the community More positive interactions between youth and law enforcement Other (please specify) Question Title * 10. Where do you believe youth under 21 years of age obtain their alcohol? (check all that apply) From friends under age 21 From friends over age 21 Parents, but they don't know about it Parents, and they know about it Older siblings At parties Bars and restaurants Gas stations Convenience, grocery or liquor stores Other (please specify) Question Title * 11. What are the most common locations for underage drinking in Alliance? In a youth's home In a friend's home On county roads within the Alliance area In town on the main streets Parties where alcohol is served Other (please specify) Question Title * 12. In your opinion, how easy is it for minors to obtain alcohol in the Alliance area? Very Easy Somewhat Easy Somewhat Difficult Very Difficult Question Title * 13. In your opinion, how easy it for youth to obtain other drugs? Very Easy Somewhat Easy Somewhat Difficult Very Difficult Question Title * 14. When is it ok for a parent or other adult to provide alcohol (beer, wine, or liquor) to a minor under the age of 21? (Check all that apply) Never At meals Anytime Holidays Special occasions (prom, graduation, family celebrations) Other (please specify) Question Title * 15. What do you believe is responsible for contributing to underage alcohol and drug use in the Alliance area? (Check all that apply) Parents Youth Law Enforcement Schools Advertising Media (T.V., radio, magazines, internet) Community attitude about substance use Other (please specify) Question Title * 16. Do you know parents or other adults in your community who allow youth under 21 to drink alcohol in their home? Yes No Not Sure Question Title * 17. How do parents contribute to underage alcohol and other drug use in the Alliance area? (Check all that apply) Parent/adult indifference to underage alcohol and/or other drug use Adults provide alcohol to youth "Kids will be kids" attitude by adults Poor role modeling by adults Lack of alcohol and other drug prevention education for adults Other (please specify) Question Title * 18. How do youth contribute to underage alcohol and other drug use in the Alliance area? (Check all that apply) Lack of activities for youth Code of silence among youth Peer pressure Provide alcohol to others Lack of alcohol and other drug prevention for youth Other (please specify) Question Title * 19. How does the community contribute to underage alcohol and other drug use in the Alliance area? (Check all that apply) No sense of "community" Community tolerance of underage alcohol and/or other drug use Community denial of underage alcohol and/or other drug use Lack of or limited alcohol and other drug prevention in the community Easy availability to alcohol Other (please specify) Question Title * 20. How does law enforcement contribute to underage alcohol and other drug use? (Check all that apply) Lack of enforcement Lack of personnel Judicial plea bargains Limited consequences for underage consumption Other (please specify) Question Title * 21. How do schools contribute to underage alcohol and other drug use? (Check all that apply) Lack of or limited school policies on alcohol or other drug use School policies not consistently followed Lack of alcohol and other drug prevention education in the schools Other (please specify) Question Title * 22. In your community, what are the substances of concern? (Check all that apply) Alcohol Cocaine Hallucinogens Heroin/Opiates Inhalants Marijuana MDMA (Ecstasy/Molly) Prescription Drugs and Cold Medicine Steroids Synthetic Cannabis (Spice/K2) Tobacco Other (please specify) Question Title * 23. In your community, how big of a problem is depression and other mental health disorders? Not a problem Minor problem Moderate problem Severe problem Question Title * 24. In your community, how big of a problem is gambling (lottery, skill games/cafes, illegal)? Not a problem Minor problem Moderate problem Severe problem Question Title * 25. Would you be interested in joining an Alliance area community coalition? Yes No Maybe Please contact me here: Question Title * 26. Additional comments: Done