Longmeadow Employers of Teens Drug/Alcohol Questionnaire

Longmeadow Perceptions

Longmeadow has launched CLOSE Community, a coalition effort to reduce substance use disorders in our community. We're a program of the Longmeadow Public Schools and led by volunteers from the community who help us to identify, initiate, and sustain efforts promoting prevention, treatment and recovery.

We are interested in your opinions as business leaders who employ local Longmeadow teens. This community survey will help us to better understand where to focus our efforts in order to best address these issues as a community. All of your responses are completely ANONYMOUS.

This data collected from this survey will help guide our discussion during a luncheon focus group (lunch provided!) that YOU ARE INVITED to, 12pm Tuesday October 30th at the Kitchen. Please RSVP with Bobby Barkett at rebarkett@gmail.com by Friday, October 26th.

Question Title

* 1. What potential consequences of teen substance use (alcohol, tobacco, marijuana, and prescription drugs, etc.) CONCERN you the most? Please select up to 3 responses.

Physical health problems

Difficulty remembering things

Feeling tired, groggy, or unmotivated

Doing poorly on a test or schoolwork

Doing poorly in sports/extracurriculars

The disciplinary ramifications regarding school/sports

Procrastinating or not getting things done

Problems at school or work

Problems with family

Problems with friends

Problems with law enforcement

Turning into addiction / substance use disorder

Their own physical safety (i.e. driving themselves in a vehicle under the influence)

The physical safety of their peers/family members (i.e. driving in a vehicle under the influence with others)

Question Title

* 2. Please indicate to what degree you agree/disagree with the following statements:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
There are clear rules at my place of business about underage drinking.	There are clear rules at my place of business about underage drinking. Strongly Agree	There are clear rules at my place of business about underage drinking. Agree	There are clear rules at my place of business about underage drinking. Neutral	There are clear rules at my place of business about underage drinking. Disagree	There are clear rules at my place of business about underage drinking. Strongly Disagree	There are clear rules at my place of business about underage drinking. N/A
I would be upset if a parent gave my teen employee alcohol.	I would be upset if a parent gave my teen employee alcohol. Strongly Agree	I would be upset if a parent gave my teen employee alcohol. Agree	I would be upset if a parent gave my teen employee alcohol. Neutral	I would be upset if a parent gave my teen employee alcohol. Disagree	I would be upset if a parent gave my teen employee alcohol. Strongly Disagree	I would be upset if a parent gave my teen employee alcohol. N/A
If an adult in the community saw my teen employee at a party where alcohol was served, I would want that adult to call me to let me know.	If an adult in the community saw my teen employee at a party where alcohol was served, I would want that adult to call me to let me know. Strongly Agree	If an adult in the community saw my teen employee at a party where alcohol was served, I would want that adult to call me to let me know. Agree	If an adult in the community saw my teen employee at a party where alcohol was served, I would want that adult to call me to let me know. Neutral	If an adult in the community saw my teen employee at a party where alcohol was served, I would want that adult to call me to let me know. Disagree	If an adult in the community saw my teen employee at a party where alcohol was served, I would want that adult to call me to let me know. Strongly Disagree	If an adult in the community saw my teen employee at a party where alcohol was served, I would want that adult to call me to let me know. N/A
In our place of business, we have positive social substance-free get-togethers with our teen employee(s) 1 or more times a month.	In our place of business, we have positive social substance-free get-togethers with our teen employee(s) 1 or more times a month. Strongly Agree	In our place of business, we have positive social substance-free get-togethers with our teen employee(s) 1 or more times a month. Agree	In our place of business, we have positive social substance-free get-togethers with our teen employee(s) 1 or more times a month. Neutral	In our place of business, we have positive social substance-free get-togethers with our teen employee(s) 1 or more times a month. Disagree	In our place of business, we have positive social substance-free get-togethers with our teen employee(s) 1 or more times a month. Strongly Disagree	In our place of business, we have positive social substance-free get-togethers with our teen employee(s) 1 or more times a month. N/A