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* 1. Do you actively monitor and/or secure any alcohol present in your home?

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* 2. Among local youth who drank alcohol in the last 30 days (not including religious ceremonies), I believe they usually acquired the alcohol from... (Select all that apply)

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* 3. Have you talked about the effects of alcohol misuse (including underage drinking) with your child in the last six months?

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* 4. Have you communicated your family's guidelines and expectations around alcohol use and misuse (including underage drinking) to your child(ren)?

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* 5. Which of the following statements best represents your own belief about nicotine use (cigarettes, e-cigarettes, vaping, etc.)?

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* 6. Do you actively monitor and/or secure any nicotine products present in your home?

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* 7. Have you communicated your family's guidelines and expectations around nicotine use and misuse to your child(ren)?

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* 8. Which of the following statements best represents your own belief about marijuana use?

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* 9. Have you communicated your family's guidelines and expectations around marijuana use to your child(ren)?

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* 10. Do you think that marijuana use is a problem with youth in Bulloch County?

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* 11. Which of the following statements best represents your own belief about prescription drug use that is not prescribed to you?

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* 12. Do you actively monitor and/or secure any prescription drugs present in your home?

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* 13. Have you communicated your family's guidelines and expectations around prescription drug use and misuse to your child(ren)?

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* 14. I believe misuse of prescription drugs is a problem with individuals in Bulloch County.

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* 15. If you answered STRONGLY AGREE or AGREE to the question above, what age group(s) is the misuse of prescription drugs a problem in Bulloch County? (Select all that apply)

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* 16. Please prioritize the following substances 1 though 5 (1 - highest priority, 5 - lowest priority) in the order you think should be addressed based on youth substance use in Bulloch County.

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* 17. If you are aware of specific locations in Bulloch County where youth go to for substance use, please specify location and substance name (alcohol, nicotine, drugs, and/or prescription drugs).

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* 18. Additional comments or suggestions on addressing underage drinking & substance misuse among youth:

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* 19. Gender

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* 20. Age

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* 21. Race

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