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* 1. If you have children 21 years of age or younger, how old are they? (check all that apply)

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* 2. It is illegal for adults in this community to allow minors to drink in their homes.

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* 3. It is okay for youth (under 21) to drink in my home as long as they do not drive afterward.

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* 4. It is okay for my child (under the age of 21) to drink in my home under my supervision.

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* 5. My child(ren) know I do not allow minors to drink in my home.

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* 6. Have you talked to your child(ren) about the dangers of alcohol and drugs in the past month?

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* 7. It is safer to get high on OxyContin and other prescription medications than street drugs.

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* 8. It is OK to take more than the recommended dosage of a prescription medication if you are feeling more pain than usual.

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* 9. All old prescription drugs should be flushed down the toilet.

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* 10. I know at least one location in our area where I can drop off old prescription drugs for disposal.

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* 11. Do you feel confident that you would know if your child(ren) was using alcohol or drugs?

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