Skip to content

Community Survey

Prevention First is a non-proft agency dedicated to strengthening the foundations of children and families by empowering them to successfully handle difficult, everyday life situations and extraordinary challenges such as violence and substance abuse.

Our mission is to keep children healthy, safe and drug-free and in order to accomplish that we need your help!

Your participation in this survey will ensure that Prevention First continues to provide the highest level of service to meet the needs of youth and their families throughout Ocean County.

Please answer the following questions to the best of your ability.


1.Name of city/town of residence:(Required.)
2.Please check the boxes that describe who you are. (check all that apply)(Required.)
3.What grade level is your child(ren) currently enrolled in? (check all that apply)(Required.)
4.Are you aware of any prevention resources available to you and your child(ren) in your community?(Required.)
5.How likely would you be to support the school district in your community in collaborating with outside agencies that specialize in prevention education?(Required.)
6.Which of the following topics do you feel your child(ren) could benefit from receiving additional prevention education support in? (check all that apply)(Required.)
7.Are you aware of any current drug trends among youth in your community?(Required.)
8.Which of the following topics do you feel comfortable speaking to your child(ren) about? (check all that apply)(Required.)
9.How often do you speak to your child(ren) about these topics? (check all that apply):(Required.)
10.How likely are you to allow your child(ren) to participate in a prevention education program?(Required.)
11.How likely are you to participate in a parent component of a prevention education program?(Required.)
12.What time of day BEST works for you to attend a parent program? (check all that apply)(Required.)
13.Please provide your name and address if you would like to be added to our mailing list: