This survey has been designed by the Community Prevention Partners of Santa Cruz County and Santa Cruz Neighbors Inc.to help us get baseline data on Santa Cruz County's youth's accessibility to certain substances. Please answer honestly. Thank you for your assistance.

Do you have unused or expired medications at home?

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* 1. Do you have unused or expired medications at home?

How do you store your medicines:

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* 2. How do you store your medicines:

How would you dispose of expired medicines or those you no longer need?

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* 3. How would you dispose of expired medicines or those you no longer need?

On a scale of 1 – 10, how easy (1) or difficult (10) would it be to access medications from your home?

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* 4. On a scale of 1 – 10, how easy (1) or difficult (10) would it be to access medications from your home?

Do you have cannabis/ marijuana (medical or otherwise) at home? 

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* 5. Do you have cannabis/ marijuana (medical or otherwise) at home? 

How do you store cannabis/ marijuana? Skip this question if you answered NO to question 5.

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* 6. How do you store cannabis/ marijuana? Skip this question if you answered NO to question 5.

On a scale of 1 – 10, how easy (1) or difficult (10) would it be to access cannabis/ marijuana from your home? Skip this question if you answered NO to question 5.

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* 7. On a scale of 1 – 10, how easy (1) or difficult (10) would it be to access cannabis/ marijuana from your home? Skip this question if you answered NO to question 5.

Do you have alcohol at home? 

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* 8. Do you have alcohol at home? 

How do you store your alcohol? Skip this question if you answered No to question 8. 

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* 9. How do you store your alcohol? Skip this question if you answered No to question 8. 

On a scale of 1 – 10, how easy (1) or difficult (10) would it be to access alcohol from your home? Skip this question if you answered No to question 8. 

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* 10. On a scale of 1 – 10, how easy (1) or difficult (10) would it be to access alcohol from your home? Skip this question if you answered No to question 8. 

Are you aware of the Social Host Ordinance in your community (City of Santa Cruz, Santa Cruz County, Scotts Valley & Watsonville) which allows law enforcement to hold the host accountable for a gathering where alcohol is served to or consumed by minors?

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* 11. Are you aware of the Social Host Ordinance in your community (City of Santa Cruz, Santa Cruz County, Scotts Valley & Watsonville) which allows law enforcement to hold the host accountable for a gathering where alcohol is served to or consumed by minors?

Your Age:

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* 12. Your Age:

Your Zip:

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* 14. Your Zip:

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