Copyright Catalyst Evaluation Group

Thank you for taking time to complete this survey. Your input will help ASAP of Anderson plan effective prevention programming for youth.

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1. Are you a parent or caregiver to a child under 18 who lives in your house?

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2. Please rank the following substances in order of negative impact on youth in the community

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3. When and where do youth use alcohol?

  Parties Their own home alone Their own home with parents Their own home with friends Friend's house Park Parking lot Bars/Restaurants School Secluded place in the community
Before school
During school
After school
Nights
Weekends

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4. How do youth get alcohol?

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5. How likely are you to allow youth under 21 to consume alcohol in your home?

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6. How do you store alcohol at home?

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7. Do you have friends or know other adults who allow youth under 18 to use alcohol in their home?

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8. When and where do youth use tobacco (including vaping)?

  Parties Their own home alone Their own home with parents Their own home with friends Friend's house Park Parking lot Bars/Restaurants School Secluded place in the community
Before school
During school
After school
Nights
Weekends

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9. How do youth get tobacco products (Including nicotine and vapes)?

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10. When and where do youth use marijuana (including vaping)?

  Parties Their own home alone Their own home with parents Their own home with friends Friend's house Park Parking lot Bars/Restaurants School Secluded place in the community
Before school
During school
After school
Nights
Weekends

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11. How do youth get marijuana?

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12. Do you have friends or know other adults who allow youth under 21 to use marijuana in their home?

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13. When and where do youth use prescription opioids?

  Parties Their own home alone Their own home with parents Their own home with friends Friend's house Park Parking lot Bars/Restaurants School Secluded place in the community
Before school
During school
After school
Nights
Weekends

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14. How do youth get prescription opioids?

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15. How do you store medicine at home?

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16. How concerned are you about the following regarding youth in the community?

  Very concerned Somewhat concerned Not very concerned Not at all concerned
Alcohol use
Marijuana use
Prescription drug misuse
Nicotine use (smoking or vaping)

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17. How often do you speak to your child about use/misuse of:

  Never Seldom (once or twice a year) Sometimes (every few months) Often (once a month or so) Frequently (more than once a month)
Alcohol
Tobacco/Cigarettes/Vaping
Marijuana
Prescription Drugs

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18. Where are you most likely to turn for resources on how to talk to your child about substance use?

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19. What other information regarding substances would be helpful to you?

0 of 19 answered
 

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