Background

The Durham Middlefield Local Wellness Coalition wants to learn more about adult perceptions and attitudes towards the use of alcohol and other substances by youth under age 21. Through this survey we will be able to better serve our youth with local prevention programming and information on underage drinking and other drug use. Your answers will also help DMLWC identify ways we can support Durham/Middlefield parents and community members. Please visit http://www.dmlwc.org/ if you would like more information about DMLWC.
This survey is completely anonymous and does NOT ask for information which could identify you.

Question Title

* 1. Your gender

Question Title

* 2. Your age:

Question Title

* 3. Your race:

Question Title

* 4. Your ethnicity:

Question Title

* 5. Please answer the following:

  Yes No
I had heard of DMLWC prior to receiving this survey.
I know about the work DMLWC is involved with in the community.

Question Title

* 6. Please answer the following:

  Strongly disagree Disagree No opinion Agree Strongly agree
I am very familiar with the CT Social Host Law that makes it illegal to provide a place for teens to drink.
I am very familiar with the available resources in my community that would support me in dealing with a substance abuse issue with one of my children.

Question Title

* 7. In Durham and Middlefield...

  Strongly disagree Disagree No opinion Agree Strongly agree
alcohol use by teenagers is a problem.
marijuana use by teenagers is a problem.
prescription drug abuse by teenagers is a problem.

Question Title

* 8. Do you agree with the following statements?

  Strongly disagree Disagree No opinion Agree Strongly agree
It is possible to reduce alcohol and other drug problems through prevention.
My community perceives substance abuse as a personal problem, not a community problem.
Drinking alcohol is a normal part of growing up.
Smoking marijuana is a normal part of growing up.

Question Title

* 9. Please answer the following:

  Strongly disagree Disagree No opinion Agree Strongly agree
I dispose of unused, unneeded or excess Prescription Drug medications that are in my home.
It is important to lock up or properly dispose of Prescription Drugs that are in my home.
I have not disposed of prescription drug medications from my home after they have been used

Question Title

* 10. If you have disposed of prescription drug medications, how have you done so?

Question Title

* 11. How do you feel about teenagers doing the following:

  Strongly disagree Disagree No opinion Agree Strongly agree
Drinking alcohol (more than a few sips)
Using Tobacco / Cigarettes
Smoking Marijuana
Using Prescription Drugs (not prescribed to them)
Using electronic cigarettes (e-cigs)

Question Title

* 12. Do you have a child of school age (grade 12 or below) who resides in Durham or Middlefield?

T