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Parent Survey

The SAFIR Coalition is a prevention coalition in Indian River County that addresses substance abuse among youth including underage drinking, marijuana use and prescription drug misuse. As a parent of a youth in our community, your thoughts, insights and opinions are very important to the SAFIR Coalition. We think it's important to understand what parents are saying. Please take a few moments and complete the survey to let us know what you believe about youth substance use in Indian River County. The information will be used in our strategic planning and to make positive change in Indian River County.

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* 1. What town do you live in?

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* 2. What is your Race?

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* 3. What is your ethnicity?

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* 4. What grade is your child(ren) in?

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* 5. In you opinion, what issues do you see as a problem in your community (rank from 1 to 4 with 1 being the highest issue) Use each number only one time and fill in each box.

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* 6. How harmful do you think the following are:

  Very Harmful Somewhat Harmful Harmful Not Harmful Unsure
Underage Drinking
Youth Marijuana Use
Prescription Medication Misuse
Youth E-Cig/Vaping use

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* 7. Do you disapprove of the following?

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* 8. How often do you talk to your child about your disapproval of the following:

  Daily Once a week Several times a month Once a month Several times a year Once a year Never
Underage Alcohol Use
Marijuana Use
Prescription Drug Misuse
E-Cigarettes/Vaping

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* 9. If you knew your child was going to a party where alcohol was being served to teens, would you let them go?

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* 10. How do you monitor alcohol in your home?

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* 11. Do you monitor your Prescription Medications?

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* 12. How do you dispose of unused, expired medication?

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* 13. How connected are you with other parents?

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* 14. How connected are you with your community?

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* 15. What information would be of interest to you for a presentation (check all that apply)

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* 16. If a presentation were to be held on the topics above, would you attend?  What day/time would be best for you to attend?

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* 17. If you would like more information on the SAFIR Coalition and/or be added to our mailing list, below fill out the below:

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