This information is being collected by the Lafayette Communities That Care (CTC) project. It  will be used to help understand our community and make changes to improve things for young people and adults. Your answers are voluntary and confidential. The information you share will be combined with other people’s information so that you are not identified. The combined results will be reviewed by Boulder County Public Health, Communities That Care staff, and participants of a future discussion on the topic.

Directions: For each statement below, please select the number that best describes how much you agree or disagree with the statement.

Question Title

* 1. The first set of questions asks about acceptable behavior among adults. We define adults to be 25 years and older.

  Strongly Agree
1 		Agree
2 		Neutral
3 		Disagree
4 		Strongly Disagree
5
a. Smoking cigarettes is a socially acceptable behavior for adults.
b. Marijuana use is a socially acceptable behavior for adults.
c. Drinking alcohol daily/almost daily is a socially acceptable behavior for adults.

Question Title

* 2. The next set of questions asks about acceptable behavior among youth. We define youth to be middle school age (i.e. 11-13 years old).

  Strongly Agree
1 		Agree
2 		Neutral
3 		Disagree
4 		Strongly Disagree
5
a. Smoking cigarettes is a socially acceptable behavior for youth.
b. It is okay for youth to experiment with cigarettes because it is part of growing up.
c. It is okay for youth to experiment with alcohol because it is part of growing up.
d. It is okay for youth to experiment with marijuana because it is part of growing up.

Question Title

* 3. The next set of questions asks about acceptable behavior among teens. We define teens to be high school age (i.e. 14-17 years old).

  Strongly Agree
1 		Agree
2 		Neutral
3 		Disagree
4 		Strongly Disagree
5
a. Smoking cigarettes is a socially acceptable behavior for youth.
b. It is okay for youth to experiment with cigarettes because it is part of growing up.
c. It is okay for youth to experiment with alcohol because it is part of growing up.
d. It is okay for youth to experiment with marijuana because it is part of growing up.

Question Title

* 4. The next set of questions asks about acceptable behavior among young adults. We define young adults to be 18 to 24 years old.

  Strongly Agree
1 		Agree
2 		Neutral
3 		Disagree
4 		Strongly Disagree
5
a. Smoking cigarettes is a socially acceptable behavior for young adults.
b. Marijuana use is a socially acceptable behavior for young adults.
c. Drinking alcohol daily/almost daily is a socially acceptable behavior for young adults.

Question Title

* 5. The next set of questions asks about drug abuse prevention strategies.

  Strongly Agree
1 		Agree
2 		Neutral
3 		Disagree
4 		Strongly Disagree
5
a. It is primarily the responsibility of parents to educate their child/children on drug abuse prevention.
b. It is primarily the responsibility of the school to educate children on drug abuse prevention.
c. The use of authority figures (such as police officers) in teaching youth about drug prevention is an effective strategy.

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* 6. Please state your gender.

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* 7. Are you Hispanic or Latino?

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* 8. What is your race? (Select one or more responses.)

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* 9. Are you a Lafayette resident?

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* 10. Please provide the year you were born.

Thank you for completing this survey!

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