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.

Question Title

* 1. What town do you live in?

Question Title

* 2. What is your Race?

Question Title

* 3. What is your ethnicity?

Question Title

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

Question Title

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

Question Title

* 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

Question Title

* 7. Do you disapprove of the following?

Question Title

* 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

Question Title

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

Question Title

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

Question Title

* 11. Do you monitor your Prescription Medications?

Question Title

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

Question Title

* 13. How connected are you with other parents?

Question Title

* 14. How connected are you with your community?

Question Title

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

Question Title

* 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?

Question Title

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

0 of 17 answered
 

T