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Parent / Adult Survey 2017
Parent/ Adult Survey 2017
Thank you for participating in this survey. CASA-Trinity and our community coalitions will use this information to help us plan prevention programs and strategies. Your time is appreciated.
1.
Do you have a child in:
Elementary School (PreK-5)
Middle School (6-8)
High School (9-12)
Out of School
No Childen
*
2.
What school district do your children attend/ do you live in?
(Required.)
3.
On a scale of 1-5 How big of a problem is the following in your community?
Not a problem at all
Problem
Extremely big problem
Underage Drinking
Not a problem at all
Problem
Extremely big problem
Marijuana
Not a problem at all
Problem
Extremely big problem
Prescription Drug use (without prescription)
Not a problem at all
Problem
Extremely big problem
Heroin
Not a problem at all
Problem
Extremely big problem
Other drugs
Not a problem at all
Problem
Extremely big problem
Other (please specify)
4.
Which of the following best describes your attitude about alcohol use by underage youth (under 21)?
Should not use until they are 21
Should be allowed to use before they are 21 with adult supervision
Should be taught to use responsibly before they are 21
Should be allowed to use before they are 21
Other (please specify)
5.
Do you think parents/adults host parties, in your community, where alcohol/drugs is available or provided to youth under the age of 21?
Yes
No
Unsure
Other (please specify)
6.
How much do you think young people risk harming themselves if they
No risk
slight risk
moderate risk
great risk
Use alcohol before age 21
No risk
slight risk
moderate risk
great risk
Use Marijuana
No risk
slight risk
moderate risk
great risk
Use Prescription Drugs without prescription
No risk
slight risk
moderate risk
great risk
Other (please specify)
7.
How wrong do you feel it would be for someone under the age of 21 to
Not wrong at all
A little wrong
Wrong
Very Wrong
Drink alcohol
Not wrong at all
A little wrong
Wrong
Very Wrong
Use marijuana
Not wrong at all
A little wrong
Wrong
Very Wrong
Use Prescription drugs without prescription
Not wrong at all
A little wrong
Wrong
Very Wrong
Other (please specify)
8.
If a young person under 21 in your community wanted to get the following how easy would it be
Very Difficult
Difficult
Easy
Very Easy
Not Sure
Alcohol
Very Difficult
Difficult
Easy
Very Easy
Not Sure
Marijuana
Very Difficult
Difficult
Easy
Very Easy
Not Sure
Prescription Drugs
Very Difficult
Difficult
Easy
Very Easy
Not Sure
Heroin
Very Difficult
Difficult
Easy
Very Easy
Not Sure
Other Drugs
Very Difficult
Difficult
Easy
Very Easy
Not Sure
Other (please specify)
9.
What influences a young person's decision to drink alcohol or use drugs or not?
Parents
Friends
Media advertising
Social media
Adults they know that use
Other (please specify)
10.
Where would you go for help if you're having concerns with a young person's use of alcohol or drugs?
Other Parent
School
Doctor
Counselor
Police
Local agency/organization
Other (please specify)
11.
For the general population (adults), I believe marijuana use is okay under the following condition
Never
For a medical condition
Any reason
Other (please specify)
12.
If you were aware of underage drinking or teen drug use happening in your community, what action would you take?
Talk to friends of the youth
Do nothing – it’s not my child or my business
Talk with the youth’s parents
Contact school officials
Speak directly to the youth
Call the police
Other (please specify)
13.
In your opinion, which of the following offenses need more severe penalties?
Parents who serve alcohol to youth under 21
Friends over 21 who buy alcohol for youth
Bars/restaurants/liquor stores who sell alcohol to youth under 21
Adults who hold parties where alcohol and/or drugs are used
Youth who use alcohol/drugs
I am satisfied with the current penalties for these offenses
I don't know
Other (please specify)
*
14.
Have you talked with your child about the following
(Required.)
Yes
No
Underage Drinking
Yes
No
Marijuana Use
Yes
No
Prescription drug
Yes
No
Other drugs
Yes
No
Other (please specify)
15.
How would you like to receive information on current youth drug/alcohol trends and prevention information for parents/families?
Online- school websites, agency websites
Printed materials
Smart Phone/Tablet App
Social Media
Community presentation
Other (please specify)
16.
How likely are you to read drug/alcohol prevention material given to you through local community
prevention coalitions/substance abuse prevention organizations?
Very Unlikely
Unlikely
Maybe
Likely
Very Likely
17.
Would you be interested in receiving information about drug and alcohol trends, prevention tips and upcoming parent, community and/or youth events? IF YES please fill out the following information
Name
Email
18.
Interested in the Parent Safe Homes Program? Click here to find out more and sign up!
https://www.surveymonkey.com/r/safehomes
