* 1. Date:

Date
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* 2. Age:

* 3. Gender:

* 4. Do you identify as Aboriginal or Torres Strait Islander:

* 5. Do you or your family speak a language other than English at home?

* 6. Describe your connection with the Macarthur Local Government Area: (Tick all that apply)

* 7. What suburb do you live in?

* 8. What activities are you involved in? (Tick all that apply)

* 9. What do you love most about the Macarthur area?

* 10. What 3 services, activities or opportunities would make Macarthur a better place for young people?

* 11. How knowledgeable do you think you are about drug and alcohol issues for young people?

* 12. Of the following drugs please rank the TOP 3 that most concern you in relation to young people (12-25 years)? (Number 1-3)

* 13. Think about your number 1 pick. Why did you choose it?

* 14. Where do you currently get most of your information about drugs and alcohol? (Tick all that apply)

* 15. Who should educate young people about drug ad alcohol harms? (Tick all that apply)

* 16. How should they do it?

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