For questions 1 through 6, please see instructions below.

Questions 1 and 2-Please answer the following questions using a scale of 1-5 (1 Star-Minimal Concern/5 Stars-Extremely Significant Concern)
Questions 3 and 4-Please answer the following questions using a scale of 1-5 (1 Star-Not Very Important/5 Stars-Extremely Important)
Question 5-Please answer the following question using a scale of 1-5 (1 Star-Not Very Supportive/5 Stars-Extremely Supportive)
Question 6-Please answer the following question using a scale of 1-5 (1 Star-No Need to Expand/5 Extreme Need to Expand)

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* 1. How much of a concern to you is substance misuse in our school/community/county?

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* 2. In your opinion, how much of a concern is substance misuse prevention to the leadership in your school/community/county?

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* 3. In your opinion, how important is it to members of our school/community/county to prevent substance misuse among youth?

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* 4. In your opinion, how important is it to members of our school/community/county to prevent substance misuse among adults?

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* 5. In your opinion, how supportive are members of the school/community/county regarding substance misuse prevention efforts?

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* 6. In your opinion, is there a need to expand the substance misuse prevention efforts in our school/community/county?

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* 7. Please list at least three (3) prevention efforts of which you are aware regarding decreasing substance misuse.

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* 8. Please list three (3) substances causing the most problems in our school/community/county.

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* 9. Please list any other thoughts, concerns or recommendations regarding decreasing substance misuse.  

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* 10. Please choose the answer which best describes you.

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