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* 1. Gender (choose one):

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* 2. Race:

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* 3. Ethnicity:

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* 4. Age:

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* 5. Are you a parent of a youth 20 years or younger?

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* 6. Are you a grandparent of a youth 20 years or younger?

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* 7. Do you have a youth 20 years or younger living in your household?

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* 8. How has the pandemic and quarantine affected your stress levels?

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* 9. How has the pandemic and quarantine affected your mental health?

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* 10. How has the pandemic and quarantine affected your physical wellness?

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* 11. How has the pandemic and quarantine affected your personal use of alcohol?

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* 12. How has the pandemic and quarantine affected your personal use of tobacco?

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* 13. How has the pandemic and quarantine affected your personal use of vapes?

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* 14. How has the pandemic and quarantine affected your personal use of marijuana?

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* 15. How has the pandemic and quarantine affected your personal use of prescription meds?

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* 16. How much do you think people risk harming themselves physically or in other ways if they have 5 or more drinks of an alcoholic beverage 1 to 2 times a week?

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* 17. How much do you think people risk harming themselves physically or in other ways if they smoke one or more packs a of cigarettes per day?

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* 18. How much do you think people risk harming themselves physically or in  other ways if they vape daily?

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* 19. How much do you think people risk harming themselves physically or in others ways if they use marijuana once or twice a week?

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* 20. How much do you think people risk harming themselves physically or in other ways if they use prescription meds that are not prescribed to them?

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* 21. How wrong do you feel it is for ADULTS to have 1 to 2 drinks of an alcoholic beverage nearly everyday?

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* 22. How wrong do you feel it is for ADULTS to drive after 1 to 2 drinks of an alcoholic beverage?

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* 23. How wrong do you feel it is for ADULTS to use prescription drugs that are not prescribed to them?

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* 24. How wrong do you feel it is for YOUTH to have 1 to 2 drinks of an alcoholic beverage nearly everyday?

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* 25. How wrong do you feel it is for YOUTH to use tobacco products?

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* 26. How wrong do you feel it is for YOUTH to vape?

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* 27. How wrong do you feel it is for YOUTH to use marijuana?

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* 28. How wrong do you feel it is for YOUTH to use prescription drugs that are not prescribed to them

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* 29. How wrong would it be for you to share with your youth tobacco?

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* 30. How wrong would it be for you to share with your youth vapes?

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* 31. How wrong would it be for you to share with your youth alcohol?

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* 32. How wrong would it be for you to share with your youth prescription drugs?

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* 33. How wrong would it be for you to share with your youth marijuana?

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* 34. How wrong would it be for you to share with your youth other drugs?

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* 35. During the past 12 months, how many times have you discussed with our youth the dangers/problems associated with...

  never 1-2 times a few times many times I have no youth under 20 years
tobacco?
vaping?
alcohol?
prescription drugs?
marijuana?
other drugs?

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* 36. During the past 30 days, have you had one or more drinks of an alcoholic beverage...

  yes no
at your home?
at a restaurant?
at a bar or club?
at a public place (such as sporting event or park)?

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* 37. During the past 30 days, have you...

  yes no
had 5 or more drinks of an alcoholic beverage on any one occasion?
been asked to show proof of age if you bought alcohol in a store?
driven after 1 to 2 drinks of an alcoholic beverage?
ridden in a vehicle driven by someone who had been drinking?
used marijuana?
used prescription drugs not prescribed to you?
used meth, cocaine, heroin, or fentanyl?

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* 38. In your opinion, should alcohol be served at local community family events?

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* 39. In your community, do people generally view underage drinking as a rite of passage?

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* 40. Have you provided alcohol in your home to...

  Yes  No I have no youth in my home
your youth?
your youths' friends?

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* 41. During the past month, how much of the time have you felt loved or wanted?

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* 42. During the past month, how often did you feel depressed?

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* 43. Have you contemplated suicide...

  Yes No
in the past month?
in the past year?
ever?

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* 44. Do you know someone who has attempted suicide in the past year?

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* 45. Are you familiar with any accessible Mental Health related and/or suicide related resources that serve Carson City?

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* 46. If yes, please list the accessible mental health and/or suicide related resources you know of:

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* 47. Do you believe it's easy for youth in the community to get alcohol?

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* 48. Do you believe Marijuana is a problem in our community for adults?

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* 49. Do you believe Marijuana is a problem in the community for youth?

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* 50. Do you believe Law Enforcement is likely to break up parties where youth are drinking?

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* 51. Do you believe Law Enforcement is likely to arrest an adult for giving alcohol to a minor?

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* 52. Do you believe Law Enforcement is likely to arrest a person driving under the influence?

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* 53. In the past year, how much have you heard about or seen activities to stop adults from buying for or giving alcohol to youth in our community?

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* 54. Are you aware that Nevada has a Good Samaritan Law?

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* 55. Do you feel it is important for PCC to continue education and Prevention efforts to reduce youth tobacco, alcohol, and drug use?

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* 56. Are you likely to utilize the PCC website (pcccarson.org) for the information on prevention of tobacco, alcohol, and drug use by youth? 

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* 57. As a result of this survey, will you have a conversation with your youth about the dangers of using tobacco, alcohol, and drugs?

0 of 57 answered
 

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