Talk It Up, Lock It Up YOUTH Survey

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 youth’s accessibility to certain substances. Please answer honestly, and only select 2 answers for questions 1 - 3. Thank you for your assistance.

What are two ways you or others your age are most likely to get alcohol? (Only choose 2 answers)

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* 1. What are two ways you or others your age are most likely to get alcohol? (Only choose 2 answers)

What are the two ways you or others your age are most likely to get cannabis/ marijuana? (Only choose 2 answers)

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* 2. What are the two ways you or others your age are most likely to get cannabis/ marijuana? (Only choose 2 answers)

What are the two ways you or others your age are most likely to get prescription medicines not prescribed to you to get high? (Only choose 2 answers)

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* 3. What are the two ways you or others your age are most likely to get prescription medicines not prescribed to you to get high? (Only choose 2 answers)

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?

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

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

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

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

Your Age:

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* 7. Your Age:

How old are you?

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* 8. How old are you?

Your Zip Code:

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* 9. Your Zip Code:

What is your zip code?

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* 10. What is your zip code?

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