The Genesee County Prevention Coalition is working to reduce substance use issues among youth and adults in Genesee County. Your completion of this survey will help create a better understanding of the problems happening in our community. Thank you!

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1.What is your gender?

Male

Female

Transgender

Prefer not to answer

2.What is your ethnicity? (Select all that apply)

African-American

American Indian/Alaskan

Arab-American/Chaldean

Asian

Hispanic/Latino

Native Hawaiian/Pacific Islander

White or European American

Other (please specify)

3.What is your zip code?

4.How old are you?

18-20

21-24

25-44

45-64

65+

5.What sector do you belong to?

Youth (I am aged 12-18)ParentsBusiness CommunityMediaSchoolsYouth-serving organizationsLaw Enforcement agenciesReligious/Fraternal organizationsCivic/Volunteer GroupsHealthcare ProfessionalsState, local, and/or tribal government agenciesOther Organizations with Expertise in Substance Abuse

6.Are you the parent or guardian of a child age 9 through 17

Yes

No

Prefer not to answer