Norwalk Community Survey 2017

The survey is sponsored by Positive Directions and the Norwalk Community Prevention TaskForce. To encourage you to answer honestly, this survey is completely anonymous. Your cooperation is very important in obtaining a scientifically accurate picture of community attitudes related to youth substance use in Norwalk.

	No Risk	Slight Risk	Moderate Risk	Great Risk	Don't Know
Smoke cigarettes, 1 or more packs a day?	Smoke cigarettes, 1 or more packs a day? No Risk	Smoke cigarettes, 1 or more packs a day? Slight Risk	Smoke cigarettes, 1 or more packs a day? Moderate Risk	Smoke cigarettes, 1 or more packs a day? Great Risk	Smoke cigarettes, 1 or more packs a day? Don't Know
Vape from an e-cigarette (1-2 times or more a week)?	Vape from an e-cigarette (1-2 times or more a week)? No Risk	Vape from an e-cigarette (1-2 times or more a week)? Slight Risk	Vape from an e-cigarette (1-2 times or more a week)? Moderate Risk	Vape from an e-cigarette (1-2 times or more a week)? Great Risk	Vape from an e-cigarette (1-2 times or more a week)? Don't Know
Drink alcoholic beverages, 5 or more drinks once or twice a week?	Drink alcoholic beverages, 5 or more drinks once or twice a week? No Risk	Drink alcoholic beverages, 5 or more drinks once or twice a week? Slight Risk	Drink alcoholic beverages, 5 or more drinks once or twice a week? Moderate Risk	Drink alcoholic beverages, 5 or more drinks once or twice a week? Great Risk	Drink alcoholic beverages, 5 or more drinks once or twice a week? Don't Know
Have 1-2 drinks of an alcoholic beverage nearly every day?	Have 1-2 drinks of an alcoholic beverage nearly every day? No Risk	Have 1-2 drinks of an alcoholic beverage nearly every day? Slight Risk	Have 1-2 drinks of an alcoholic beverage nearly every day? Moderate Risk	Have 1-2 drinks of an alcoholic beverage nearly every day? Great Risk	Have 1-2 drinks of an alcoholic beverage nearly every day? Don't Know
Use marijuana 1-2 times or more a week?	Use marijuana 1-2 times or more a week? No Risk	Use marijuana 1-2 times or more a week? Slight Risk	Use marijuana 1-2 times or more a week? Moderate Risk	Use marijuana 1-2 times or more a week? Great Risk	Use marijuana 1-2 times or more a week? Don't Know
Use prescription drugs occassionally not prescribed to themselves?	Use prescription drugs occassionally not prescribed to themselves? No Risk	Use prescription drugs occassionally not prescribed to themselves? Slight Risk	Use prescription drugs occassionally not prescribed to themselves? Moderate Risk	Use prescription drugs occassionally not prescribed to themselves? Great Risk	Use prescription drugs occassionally not prescribed to themselves? Don't Know

No Risk

Slight Risk

Moderate Risk

Great Risk

Don't Know

Smoke cigarettes, 1 or more packs a day?

Smoke cigarettes, 1 or more packs a day? No Risk

Smoke cigarettes, 1 or more packs a day? Slight Risk

Smoke cigarettes, 1 or more packs a day? Moderate Risk

Smoke cigarettes, 1 or more packs a day? Great Risk

Smoke cigarettes, 1 or more packs a day? Don't Know

Vape from an e-cigarette (1-2 times or more a week)?

Vape from an e-cigarette (1-2 times or more a week)? No Risk

Vape from an e-cigarette (1-2 times or more a week)? Slight Risk

Vape from an e-cigarette (1-2 times or more a week)? Moderate Risk

Vape from an e-cigarette (1-2 times or more a week)? Great Risk

Vape from an e-cigarette (1-2 times or more a week)? Don't Know

Drink alcoholic beverages, 5 or more drinks once or twice a week?

Drink alcoholic beverages, 5 or more drinks once or twice a week? No Risk

Drink alcoholic beverages, 5 or more drinks once or twice a week? Slight Risk

Drink alcoholic beverages, 5 or more drinks once or twice a week? Moderate Risk

Drink alcoholic beverages, 5 or more drinks once or twice a week? Great Risk

Drink alcoholic beverages, 5 or more drinks once or twice a week? Don't Know

Have 1-2 drinks of an alcoholic beverage nearly every day?

Have 1-2 drinks of an alcoholic beverage nearly every day? No Risk

Have 1-2 drinks of an alcoholic beverage nearly every day? Slight Risk

Have 1-2 drinks of an alcoholic beverage nearly every day? Moderate Risk

Have 1-2 drinks of an alcoholic beverage nearly every day? Great Risk

Have 1-2 drinks of an alcoholic beverage nearly every day? Don't Know

Use marijuana 1-2 times or more a week?

Use marijuana 1-2 times or more a week? No Risk

Use marijuana 1-2 times or more a week? Slight Risk

Use marijuana 1-2 times or more a week? Moderate Risk

Use marijuana 1-2 times or more a week? Great Risk

Use marijuana 1-2 times or more a week? Don't Know

Use prescription drugs occassionally not prescribed to themselves?

Use prescription drugs occassionally not prescribed to themselves? No Risk

Use prescription drugs occassionally not prescribed to themselves? Slight Risk

Use prescription drugs occassionally not prescribed to themselves? Moderate Risk

Use prescription drugs occassionally not prescribed to themselves? Great Risk

Use prescription drugs occassionally not prescribed to themselves? Don't Know

	Not At All Wrong	A Little Bit Wrong	Wrong	Very Wrong
Have 1-2 drinks of an alcoholic beverage nearly every day?	Have 1-2 drinks of an alcoholic beverage nearly every day? Not At All Wrong	Have 1-2 drinks of an alcoholic beverage nearly every day? A Little Bit Wrong	Have 1-2 drinks of an alcoholic beverage nearly every day? Wrong	Have 1-2 drinks of an alcoholic beverage nearly every day? Very Wrong
Smoke tobacco?	Smoke tobacco? Not At All Wrong	Smoke tobacco? A Little Bit Wrong	Smoke tobacco? Wrong	Smoke tobacco? Very Wrong
Vape from an e-cigarette?	Vape from an e-cigarette? Not At All Wrong	Vape from an e-cigarette? A Little Bit Wrong	Vape from an e-cigarette? Wrong	Vape from an e-cigarette? Very Wrong
Use marijuana or hashish?	Use marijuana or hashish? Not At All Wrong	Use marijuana or hashish? A Little Bit Wrong	Use marijuana or hashish? Wrong	Use marijuana or hashish? Very Wrong
Use prescription drugs not prescribed to themselves?	Use prescription drugs not prescribed to themselves? Not At All Wrong	Use prescription drugs not prescribed to themselves? A Little Bit Wrong	Use prescription drugs not prescribed to themselves? Wrong	Use prescription drugs not prescribed to themselves? Very Wrong

Not At All Wrong

A Little Bit Wrong

Wrong

Very Wrong

Have 1-2 drinks of an alcoholic beverage nearly every day?

Have 1-2 drinks of an alcoholic beverage nearly every day? Not At All Wrong

Have 1-2 drinks of an alcoholic beverage nearly every day? A Little Bit Wrong

Have 1-2 drinks of an alcoholic beverage nearly every day? Wrong

Have 1-2 drinks of an alcoholic beverage nearly every day? Very Wrong

Smoke tobacco?

Smoke tobacco? Not At All Wrong

Smoke tobacco? A Little Bit Wrong

Smoke tobacco? Wrong

Smoke tobacco? Very Wrong

Vape from an e-cigarette?

Vape from an e-cigarette? Not At All Wrong

Vape from an e-cigarette? A Little Bit Wrong

Vape from an e-cigarette? Wrong

Vape from an e-cigarette? Very Wrong

Use marijuana or hashish?

Use marijuana or hashish? Not At All Wrong

Use marijuana or hashish? A Little Bit Wrong

Use marijuana or hashish? Wrong

Use marijuana or hashish? Very Wrong

Use prescription drugs not prescribed to themselves?

Use prescription drugs not prescribed to themselves? Not At All Wrong

Use prescription drugs not prescribed to themselves? A Little Bit Wrong

Use prescription drugs not prescribed to themselves? Wrong

Use prescription drugs not prescribed to themselves? Very Wrong

	Definitely NOT True	Mostly NOT True	Mostly True	Definitely True
There are a lot of things for young people (12-20 yrs) to do in our community.	There are a lot of things for young people (12-20 yrs) to do in our community. Definitely NOT True	There are a lot of things for young people (12-20 yrs) to do in our community. Mostly NOT True	There are a lot of things for young people (12-20 yrs) to do in our community. Mostly True	There are a lot of things for young people (12-20 yrs) to do in our community. Definitely True
My community is a safe place.	My community is a safe place. Definitely NOT True	My community is a safe place. Mostly NOT True	My community is a safe place. Mostly True	My community is a safe place. Definitely True
A lot of drugs are available in my community.	A lot of drugs are available in my community. Definitely NOT True	A lot of drugs are available in my community. Mostly NOT True	A lot of drugs are available in my community. Mostly True	A lot of drugs are available in my community. Definitely True
People in my community are trying to keep kids off of drugs.	People in my community are trying to keep kids off of drugs. Definitely NOT True	People in my community are trying to keep kids off of drugs. Mostly NOT True	People in my community are trying to keep kids off of drugs. Mostly True	People in my community are trying to keep kids off of drugs. Definitely True

Definitely NOT True

Mostly NOT True

Mostly True

Definitely True

There are a lot of things for young people (12-20 yrs) to do in our community.

There are a lot of things for young people (12-20 yrs) to do in our community. Definitely NOT True

There are a lot of things for young people (12-20 yrs) to do in our community. Mostly NOT True

There are a lot of things for young people (12-20 yrs) to do in our community. Mostly True

There are a lot of things for young people (12-20 yrs) to do in our community. Definitely True

My community is a safe place.

My community is a safe place. Definitely NOT True

My community is a safe place. Mostly NOT True

My community is a safe place. Mostly True

My community is a safe place. Definitely True

A lot of drugs are available in my community.

A lot of drugs are available in my community. Definitely NOT True

A lot of drugs are available in my community. Mostly NOT True

A lot of drugs are available in my community. Mostly True

A lot of drugs are available in my community. Definitely True

People in my community are trying to keep kids off of drugs.

People in my community are trying to keep kids off of drugs. Definitely NOT True

People in my community are trying to keep kids off of drugs. Mostly NOT True

People in my community are trying to keep kids off of drugs. Mostly True

People in my community are trying to keep kids off of drugs. Definitely True

	Of Great Concern	Of Some Concern	Not an Issue
Safety	Safety Of Great Concern	Safety Of Some Concern	Safety Not an Issue
Violence/ Crime	Violence/ Crime Of Great Concern	Violence/ Crime Of Some Concern	Violence/ Crime Not an Issue
Education	Education Of Great Concern	Education Of Some Concern	Education Not an Issue
Dropping Out of School	Dropping Out of School Of Great Concern	Dropping Out of School Of Some Concern	Dropping Out of School Not an Issue
Peer Pressure	Peer Pressure Of Great Concern	Peer Pressure Of Some Concern	Peer Pressure Not an Issue
Drugs/Alcohol	Drugs/Alcohol Of Great Concern	Drugs/Alcohol Of Some Concern	Drugs/Alcohol Not an Issue
Teen Pregnancy/ Sexuality	Teen Pregnancy/ Sexuality Of Great Concern	Teen Pregnancy/ Sexuality Of Some Concern	Teen Pregnancy/ Sexuality Not an Issue
Media Influence	Media Influence Of Great Concern	Media Influence Of Some Concern	Media Influence Not an Issue
Finanical Issues	Finanical Issues Of Great Concern	Finanical Issues Of Some Concern	Finanical Issues Not an Issue
Making Right Choices for Their Future	Making Right Choices for Their Future Of Great Concern	Making Right Choices for Their Future Of Some Concern	Making Right Choices for Their Future Not an Issue
Fitting in/ Social Activities	Fitting in/ Social Activities Of Great Concern	Fitting in/ Social Activities Of Some Concern	Fitting in/ Social Activities Not an Issue
Acceptance of Self	Acceptance of Self Of Great Concern	Acceptance of Self Of Some Concern	Acceptance of Self Not an Issue
Communication with Parents	Communication with Parents Of Great Concern	Communication with Parents Of Some Concern	Communication with Parents Not an Issue
Dealing with Stress	Dealing with Stress Of Great Concern	Dealing with Stress Of Some Concern	Dealing with Stress Not an Issue

Of Great Concern

Of Some Concern

Not an Issue

Safety

Safety Of Great Concern

Safety Of Some Concern

Safety Not an Issue

Violence/ Crime

Violence/ Crime Of Great Concern

Violence/ Crime Of Some Concern

Violence/ Crime Not an Issue

Education

Education Of Great Concern

Education Of Some Concern

Education Not an Issue

Dropping Out of School

Dropping Out of School Of Great Concern

Dropping Out of School Of Some Concern

Dropping Out of School Not an Issue

Peer Pressure

Peer Pressure Of Great Concern

Peer Pressure Of Some Concern

Peer Pressure Not an Issue

Drugs/Alcohol

Drugs/Alcohol Of Great Concern

Drugs/Alcohol Of Some Concern

Drugs/Alcohol Not an Issue

Teen Pregnancy/ Sexuality

Teen Pregnancy/ Sexuality Of Great Concern

Teen Pregnancy/ Sexuality Of Some Concern

Teen Pregnancy/ Sexuality Not an Issue

Media Influence

Media Influence Of Great Concern

Media Influence Of Some Concern

Media Influence Not an Issue

Finanical Issues

Finanical Issues Of Great Concern

Finanical Issues Of Some Concern

Finanical Issues Not an Issue

Making Right Choices for Their Future

Making Right Choices for Their Future Of Great Concern

Making Right Choices for Their Future Of Some Concern

Making Right Choices for Their Future Not an Issue

Fitting in/ Social Activities

Fitting in/ Social Activities Of Great Concern

Fitting in/ Social Activities Of Some Concern

Fitting in/ Social Activities Not an Issue

Acceptance of Self

Acceptance of Self Of Great Concern

Acceptance of Self Of Some Concern

Acceptance of Self Not an Issue

Communication with Parents

Communication with Parents Of Great Concern

Communication with Parents Of Some Concern

Communication with Parents Not an Issue

Dealing with Stress

Dealing with Stress Of Great Concern

Dealing with Stress Of Some Concern

Dealing with Stress Not an Issue

	Very Easy	Sort of Easy	Sort of Hard	Very Hard
Alcoholic Beverages?	Alcoholic Beverages? Very Easy	Alcoholic Beverages? Sort of Easy	Alcoholic Beverages? Sort of Hard	Alcoholic Beverages? Very Hard
Cigarettes?	Cigarettes? Very Easy	Cigarettes? Sort of Easy	Cigarettes? Sort of Hard	Cigarettes? Very Hard
E-Cigarettes?	E-Cigarettes? Very Easy	E-Cigarettes? Sort of Easy	E-Cigarettes? Sort of Hard	E-Cigarettes? Very Hard
Marijuana?	Marijuana? Very Easy	Marijuana? Sort of Easy	Marijuana? Sort of Hard	Marijuana? Very Hard
A gun?	A gun? Very Easy	A gun? Sort of Easy	A gun? Sort of Hard	A gun? Very Hard
A drug like cocaine, heroin, LSD, or amphetamine?	A drug like cocaine, heroin, LSD, or amphetamine? Very Easy	A drug like cocaine, heroin, LSD, or amphetamine? Sort of Easy	A drug like cocaine, heroin, LSD, or amphetamine? Sort of Hard	A drug like cocaine, heroin, LSD, or amphetamine? Very Hard
A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin?	A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Very Easy	A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Sort of Easy	A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Sort of Hard	A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Very Hard

Very Easy

Sort of Easy

Sort of Hard

Very Hard

Alcoholic Beverages?

Alcoholic Beverages? Very Easy

Alcoholic Beverages? Sort of Easy

Alcoholic Beverages? Sort of Hard

Alcoholic Beverages? Very Hard

Cigarettes?

Cigarettes? Very Easy

Cigarettes? Sort of Easy

Cigarettes? Sort of Hard

Cigarettes? Very Hard

E-Cigarettes?

E-Cigarettes? Very Easy

E-Cigarettes? Sort of Easy

E-Cigarettes? Sort of Hard

E-Cigarettes? Very Hard

Marijuana?

Marijuana? Very Easy

Marijuana? Sort of Easy

Marijuana? Sort of Hard

Marijuana? Very Hard

A gun?

A gun? Very Easy

A gun? Sort of Easy

A gun? Sort of Hard

A gun? Very Hard

A drug like cocaine, heroin, LSD, or amphetamine?

A drug like cocaine, heroin, LSD, or amphetamine? Very Easy

A drug like cocaine, heroin, LSD, or amphetamine? Sort of Easy

A drug like cocaine, heroin, LSD, or amphetamine? Sort of Hard

A drug like cocaine, heroin, LSD, or amphetamine? Very Hard

A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin?

A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Very Easy

A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Sort of Easy

A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Sort of Hard

A prescription drug without his/her own prescription, like Ritalin, Xanax, OxyContin? Very Hard

Norwalk Community Survey 2017

Question Title

* 1. Has anyone in your immediate family household ever used alcohol/ drugs so that it created problems at home, at work, or with friends?

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* 2. How much do you think people (of any age) risk harming themselves physically or in other ways when they do the following:

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* 3. What do you feel are the most common drugs of Norwalk young people (12-20 yrs) use today? (Please prioritize 1-6; with "1" being most commonly used drug)

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* 4. How wrong is for Norwalk youth (12-20 yrs) to do the following?

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* 5. Please choose how true the following statements are for you:

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* 6. What do you feel are the most important concerns youth face?

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* 7. If you were a young person (ages 12-20) in Norwalk, how easy do you think it would be to get:

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* 8. Please provide your zipcode:

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* 9. What is your gender?

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* 10. How do you describe yourself? (Select as many as applies)