2021 West River Valley Thrives Questionnaire for Parents 6th-12th Graders Survey

Question Title

* 1. As of August 2021, what grade is one of your children in

6th

7th

8th

9th

10th

11th

12th

Middle

High

ALCOHOL - When questions refer to drinking alcohol, this includes drinking beer, wine, wine coolers, rum, gin, etc. For these questions, drinking alcohol does NOT include drinking a few sips of wine for religious purposes.

Question Title

* 2. I think _______ of the kids my child’s age drink alcohol at least occasionally. (Choose one)

All

Most

Some

None

I don't know

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* 3. Underage drinking concerns me because: (Check all that apply)

I am not concerned with underage drinking

It is illegal for young people to drink

Drinking increases risk for brain damage

Drinking increases risk for many unhealthy behaviors

Drinking increases the risk for underage drinking and driving

Our Family has history of alcohol abuse/misuse

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* 4. At what age do you think it is OK to drink alcohol? * (Check one)

12 years old or younger

13-16 years old

17-20 years old

21 years old or older

It is never OK to drink alcohol

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* 5. Do you know parents who host parties where alcohol is available or served to teens? (Choose one)

Yes, Definitely

Unsure

No, Definitely Not

Question Title

* 6. How often do you feel concerned about what your child may/may not be doing after school?

Always

Very often

Sometimes

Rarely

Never

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* 7. How likely is it that your child would be able to access alcohol kept in your home without your knowledge? (Choose one)

Very likely

Somewhat likely

Not very likely

Not at all likely

Don’t know

N/A (Alcohol is never kept in our home)

Question Title

* 8. During the past 12 months, how many times have you talked with your children about alcohol use? (Choose One)

Not at all

1 time

2-3 times

4-5 times

6 or more times

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Teenagers are going to drink and there’s nothing I can do about it.	Teenagers are going to drink and there’s nothing I can do about it. Strongly Disagree	Teenagers are going to drink and there’s nothing I can do about it. Disagree	Teenagers are going to drink and there’s nothing I can do about it. Neutral	Teenagers are going to drink and there’s nothing I can do about it. Agree	Teenagers are going to drink and there’s nothing I can do about it. Strongly Agree
It’s OK to allow teenagers to drink alcohol on special occasions.	It’s OK to allow teenagers to drink alcohol on special occasions. Strongly Disagree	It’s OK to allow teenagers to drink alcohol on special occasions. Disagree	It’s OK to allow teenagers to drink alcohol on special occasions. Neutral	It’s OK to allow teenagers to drink alcohol on special occasions. Agree	It’s OK to allow teenagers to drink alcohol on special occasions. Strongly Agree
It’s OK to allow teenagers to drink at home.	It’s OK to allow teenagers to drink at home. Strongly Disagree	It’s OK to allow teenagers to drink at home. Disagree	It’s OK to allow teenagers to drink at home. Neutral	It’s OK to allow teenagers to drink at home. Agree	It’s OK to allow teenagers to drink at home. Strongly Agree
I think underage drinking is a problem.	I think underage drinking is a problem. Strongly Disagree	I think underage drinking is a problem. Disagree	I think underage drinking is a problem. Neutral	I think underage drinking is a problem. Agree	I think underage drinking is a problem. Strongly Agree
It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway.	It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Strongly Disagree	It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Disagree	It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Neutral	It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Agree	It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Strongly Agree

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Teenagers are going to drink and there’s nothing I can do about it.

Teenagers are going to drink and there’s nothing I can do about it. Strongly Disagree

Teenagers are going to drink and there’s nothing I can do about it. Disagree

Teenagers are going to drink and there’s nothing I can do about it. Neutral

Teenagers are going to drink and there’s nothing I can do about it. Agree

Teenagers are going to drink and there’s nothing I can do about it. Strongly Agree

It’s OK to allow teenagers to drink alcohol on special occasions.

It’s OK to allow teenagers to drink alcohol on special occasions. Strongly Disagree

It’s OK to allow teenagers to drink alcohol on special occasions. Disagree

It’s OK to allow teenagers to drink alcohol on special occasions. Neutral

It’s OK to allow teenagers to drink alcohol on special occasions. Agree

It’s OK to allow teenagers to drink alcohol on special occasions. Strongly Agree

It’s OK to allow teenagers to drink at home.

It’s OK to allow teenagers to drink at home. Strongly Disagree

It’s OK to allow teenagers to drink at home. Disagree

It’s OK to allow teenagers to drink at home. Neutral

It’s OK to allow teenagers to drink at home. Agree

It’s OK to allow teenagers to drink at home. Strongly Agree

I think underage drinking is a problem.

I think underage drinking is a problem. Strongly Disagree

I think underage drinking is a problem. Disagree

I think underage drinking is a problem. Neutral

I think underage drinking is a problem. Agree

I think underage drinking is a problem. Strongly Agree

It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway.

It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Strongly Disagree

It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Disagree

It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Neutral

It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Agree

It’s a waste of time to talk to my child about underage drinking because they wouldn’t listen anyway. Strongly Agree

	Rarely	Sometimes	Most of the time	Always	N/A - Never
Ask your child if alcohol will be present at a party or social gathering.	Ask your child if alcohol will be present at a party or social gathering. Rarely	Ask your child if alcohol will be present at a party or social gathering. Sometimes	Ask your child if alcohol will be present at a party or social gathering. Most of the time	Ask your child if alcohol will be present at a party or social gathering. Always	Ask your child if alcohol will be present at a party or social gathering. N/A - Never
Call to verify that a parent or other responsible adult will be present at a party or social event.	Call to verify that a parent or other responsible adult will be present at a party or social event. Rarely	Call to verify that a parent or other responsible adult will be present at a party or social event. Sometimes	Call to verify that a parent or other responsible adult will be present at a party or social event. Most of the time	Call to verify that a parent or other responsible adult will be present at a party or social event. Always	Call to verify that a parent or other responsible adult will be present at a party or social event. N/A - Never
Allow your child to drink alcohol in your home.	Allow your child to drink alcohol in your home. Rarely	Allow your child to drink alcohol in your home. Sometimes	Allow your child to drink alcohol in your home. Most of the time	Allow your child to drink alcohol in your home. Always	Allow your child to drink alcohol in your home. N/A - Never

Rarely

Sometimes

Most of the time

Always

N/A - Never

Ask your child if alcohol will be present at a party or social gathering.

Ask your child if alcohol will be present at a party or social gathering. Rarely

Ask your child if alcohol will be present at a party or social gathering. Sometimes

Ask your child if alcohol will be present at a party or social gathering. Most of the time

Ask your child if alcohol will be present at a party or social gathering. Always

Ask your child if alcohol will be present at a party or social gathering. N/A - Never

Call to verify that a parent or other responsible adult will be present at a party or social event.

Call to verify that a parent or other responsible adult will be present at a party or social event. Rarely

Call to verify that a parent or other responsible adult will be present at a party or social event. Sometimes

Call to verify that a parent or other responsible adult will be present at a party or social event. Most of the time

Call to verify that a parent or other responsible adult will be present at a party or social event. Always

Call to verify that a parent or other responsible adult will be present at a party or social event. N/A - Never

Allow your child to drink alcohol in your home.

Allow your child to drink alcohol in your home. Rarely

Allow your child to drink alcohol in your home. Sometimes

Allow your child to drink alcohol in your home. Most of the time

Allow your child to drink alcohol in your home. Always

Allow your child to drink alcohol in your home. N/A - Never

2021 West River Valley Thrives Questionnaire for Parents 6th-12th Graders

Question Title

* 1. As of August 2021, what grade is one of your children in

Question Title

* 2. I think _______ of the kids my child’s age drink alcohol at least occasionally. (Choose one)

Question Title

* 3. Underage drinking concerns me because: (Check all that apply)

Question Title

* 4. At what age do you think it is OK to drink alcohol? * (Check one)

Question Title

* 5. Do you know parents who host parties where alcohol is available or served to teens? (Choose one)

Question Title

* 6. How often do you feel concerned about what your child may/may not be doing after school?

Question Title

* 7. How likely is it that your child would be able to access alcohol kept in your home without your knowledge? (Choose one)

Question Title

* 8. During the past 12 months, how many times have you talked with your children about alcohol use? (Choose One)

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* 9. Check the one response in each row that best describes your opinion.

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* 10. How likely are you to…? (Check one answer per row)