Welcome.  Your input is important to us.

The Garrett County Health Department invites you to take part in a brief survey about underage drinking.  You may participate in the survey if you are 18 years of age or older and live or work in Garrett County.

This survey will ask about your opinions and beliefs, there are no right or wrong answers. The survey will help inform Garrett County’s Drug Free Community Coalition about what is happening in our community. We are not interested in learning information about specific individuals or infractions of the law but are most interested in learning about your attitudes and experience around alcohol use. Your opinion is important to us, but your participation is completely voluntary.  We will be surveying approximately 100 people.

All of your responses will be completely kept confidential and anonymous. No personal identifying information will be collected from you. Your participation should take up to 15 minutes. If you do not wish to take part in the survey you will not be forced to participate. You may stop answering survey questions at any time. There is no payment or compensation related to your participation.

If you have questions or concerns about your participation in this survey, you may contact Sandy Miller, Prevention Coordinator at the Garrett County Health Department at sandy.miller@maryland.gov. If you have any questions about your rights as a participant you may contact Gay Hutchen, IRB Administrator, at the Maryland Department of Health, at gay.hutchen@maryland.gov.  

I have read the information and have decided to participate.

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* 1. Community where you live

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* 2. Indicate your age category.

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* 3. What percentage of teens in YOUR community do you think drink alcohol?

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* 4. How easy is it for teens in your community to gain access to alcohol?

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* 5. What do parents in your community think about teens drinking alcohol?

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* 6. What is the ONE most common source of alcohol for underage youth in your community?  Please mark only ONE statement.

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* 7. What are the MOST COMMON sources of alcohol for underage youth in your community? Check ALL that apply

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* 8. How wrong would most adults in your community think the following are?

  Very wrong Wrong A little bit wrong Not wrong at all
a) Alcohol use by persons under age 21
b) Driving while under the influence of alcohol
c) Having five or more drinks at one time
d) Providing alcohol to persons under age 21
e) Riding with a driver under the influence of alcohol

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* 9. How wrong would most teens in your community think the following are?

  Very wrong Wrong A little bit wrong Not wrong at all
a) Alcohol use by persons under age 21
b) Driving while under the influence of alcohol
c) Having five or more drinks at one time
d) Providing alcohol to persons under age 21
e) Riding with a driver under the influence of alcohol

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* 10. How wrong do you think the following are?

  Very wrong Wrong A little bit wrong Not wrong at all
a) Alcohol use by persons under age 21
b) Driving while under the influence of alcohol
c) Having five or more drinks at one time
d) Providing alcohol to persons under age 21
e) Riding with a driver under the influence of alcohol
The Garrett County Drug-Free Communities Coalition thanks you for completing this survey! 
Please contact Sandy Miller, Prevention Supervisor, at 301-334-7730 if you have any questions.  If you have any questions about your rights as a participant you may contact Gay Hutchen, IRB Administrator, at the Maryland Department of Health, at gay.hutchen@maryland.gov.

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