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* 1. What is your zipcode?

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* 2. Are you a parent?

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* 3. From your perspective, in the last 30 days, what percent of high school students in your community...

  None Less than half More than half All
Drank more than a few sips of alcohol?
Had 5 or more alcohol drinks in a row?
Used prescription pain relievers, such as OxyContin, without a prescription?
Used prescription benzos, such as Valium, without a prescription?
Used prescription stimulants, such as Ritalin, without a prescription?
Used heroin?
Used illegal drugs?
Used a nicotine product, cigarette, vaping device, Juul, hookah pens, e-cigarettes?
Used marijuana or marijuana infused products, Dabs, edibles, tinctures, etc.?

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* 4. In your opinion, where do most high school students get alcohol?

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* 5. Have you ever talked with your child, children, or other youth about:

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* 6. Do you feel you have enough information to talk with high school aged youth about drugs and alcohol?

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* 7. Would you allow your High School Student to attend parties where underage drinking occurs?

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* 8. Which of the following best represents your own belief about underage alcohol use? (Choose one)

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