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Carson City Community Outreach Survey
1.
Gender (choose one):
Male
Female
Transgender
Non-binary
Prefer not to say
2.
Race:
Asian
Black/African American
Latino/Latina
Native American/Alaska Native
Native Hawaiian/Pacific Islander
White/Caucasian
two or more
Prefer not to say
Not sure
Other:___________
3.
Ethnicity:
Hispanic
Non-Hispanic
Prefer not to say
4.
Age:
18-20
21-39
40-59
60-79
80+
5.
Are you a parent of a youth 20 years or younger?
Yes
No
6.
Are you a grandparent of a youth 20 years or younger?
Yes
No
7.
Do you have a youth 20 years or younger living in your household?
Yes
No
8.
How has the pandemic and quarantine affected your stress levels?
Positively
Negatively
Same
9.
How has the pandemic and quarantine affected your mental health?
Positively
Negatively
Same
10.
How has the pandemic and quarantine affected your physical wellness?
Positively
Negatively
Same
11.
How has the pandemic and quarantine affected your personal use of alcohol?
Increased
Decreased
Same
I do not use this
12.
How has the pandemic and quarantine affected your personal use of tobacco?
Increased
Decreased
Same
I do not use this
13.
How has the pandemic and quarantine affected your personal use of vapes?
Increased
Decreased
Same
I do not use this
14.
How has the pandemic and quarantine affected your personal use of marijuana?
Increased
Decreased
Same
I do not use this
15.
How has the pandemic and quarantine affected your personal use of prescription meds?
Increased
Decreased
Same
I do not use this
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?
No risk
slight risk
moderate risk
great risk
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?
no risk
slight risk
moderate risk
great risk
18.
How much do you think people risk harming themselves physically or in other ways if they vape daily?
no risk
slight risk
moderate risk
great risk
19.
How much do you think people risk harming themselves physically or in others ways if they use marijuana once or twice a week?
no risk
slight risk
moderate risk
great risk
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?
no risk
slight risk
moderate risk
great risk
21.
How wrong do you feel it is for ADULTS to have 1 to 2 drinks of an alcoholic beverage nearly everyday?
not at all wrong
a little wrong
wrong
very wrong
22.
How wrong do you feel it is for ADULTS to drive after 1 to 2 drinks of an alcoholic beverage?
not at all wrong
a little wrong
wrong
very wrong
23.
How wrong do you feel it is for ADULTS to use prescription drugs that are not prescribed to them?
not at all wrong
a little wrong
wrong
very wrong
24.
How wrong do you feel it is for YOUTH to have 1 to 2 drinks of an alcoholic beverage nearly everyday?
not at all wrong
a little wrong
wrong
very wrong
25.
How wrong do you feel it is for YOUTH to use tobacco products?
not at all wrong
a little wrong
wrong
very wrong
26.
How wrong do you feel it is for YOUTH to vape?
not at all wrong
a little wrong
wrong
very wrong
27.
How wrong do you feel it is for YOUTH to use marijuana?
not at all wrong
a little wrong
wrong
very wrong
28.
How wrong do you feel it is for YOUTH to use prescription drugs that are not prescribed to them
not wrong at all
a little wrong
wrong
very wrong
29.
How wrong would it be for you to share with your youth tobacco?
not at all wrong
a little wrong
wrong
very wrong
30.
How wrong would it be for you to share with your youth vapes?
not wrong at all
a little wrong
wrong
very wrong
31.
How wrong would it be for you to share with your youth alcohol?
not at all wrong
a little wrong
wrong
very wrong
32.
How wrong would it be for you to share with your youth prescription drugs?
not at all wrong
a little wrong
wrong
very wrong
33.
How wrong would it be for you to share with your youth marijuana?
not at all wrong
a little wrong
wrong
very wrong
34.
How wrong would it be for you to share with your youth other drugs?
not at all wrong
a little wrong
wrong
very wrong
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?
never
1-2 times
a few times
many times
I have no youth under 20 years
vaping?
never
1-2 times
a few times
many times
I have no youth under 20 years
alcohol?
never
1-2 times
a few times
many times
I have no youth under 20 years
prescription drugs?
never
1-2 times
a few times
many times
I have no youth under 20 years
marijuana?
never
1-2 times
a few times
many times
I have no youth under 20 years
other drugs?
never
1-2 times
a few times
many times
I have no youth under 20 years
36.
During the past 30 days, have you had one or more drinks of an alcoholic beverage...
yes
no
at your home?
yes
no
at a restaurant?
yes
no
at a bar or club?
yes
no
at a public place (such as sporting event or park)?
yes
no
37.
During the past 30 days, have you...
yes
no
had 5 or more drinks of an alcoholic beverage on any one occasion?
yes
no
been asked to show proof of age if you bought alcohol in a store?
yes
no
driven after 1 to 2 drinks of an alcoholic beverage?
yes
no
ridden in a vehicle driven by someone who had been drinking?
yes
no
used marijuana?
yes
no
used prescription drugs not prescribed to you?
yes
no
used meth, cocaine, heroin, or fentanyl?
yes
no
38.
In your opinion, should alcohol be served at local community family events?
Yes
No
39.
In your community, do people generally view underage drinking as a rite of passage?
Yes
No
40.
Have you provided alcohol in your home to...
Yes
No
I have no youth in my home
your youth?
Yes
No
I have no youth in my home
your youths' friends?
Yes
No
I have no youth in my home
41.
During the past month, how much of the time have you felt loved or wanted?
all of the time
most of the time
some of the time
once in a while
not at all
42.
During the past month, how often did you feel depressed?
all of the time
most of the time
some of the time
once in a while
not at all
43.
Have you contemplated suicide...
Yes
No
in the past month?
Yes
No
in the past year?
Yes
No
ever?
Yes
No
44.
Do you know someone who has attempted suicide in the past year?
Yes
No
45.
Are you familiar with any accessible Mental Health related and/or suicide related resources that serve Carson City?
Yes
No
46.
If yes, please list the accessible mental health and/or suicide related resources you know of:
47.
Do you believe it's easy for youth in the community to get alcohol?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
48.
Do you believe Marijuana is a problem in our community for adults?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
49.
Do you believe Marijuana is a problem in the community for youth?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
50.
Do you believe Law Enforcement is likely to break up parties where youth are drinking?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
51.
Do you believe Law Enforcement is likely to arrest an adult for giving alcohol to a minor?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
52.
Do you believe Law Enforcement is likely to arrest a person driving under the influence?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
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?
All
A little
A lot
Don't Know
54.
Are you aware that Nevada has a Good Samaritan Law?
Yes
No
55.
Do you feel it is important for PCC to continue education and Prevention efforts to reduce youth tobacco, alcohol, and drug use?
Yes
No
56.
Are you likely to utilize the PCC website (pcccarson.org) for the information on prevention of tobacco, alcohol, and drug use by youth?
Yes
No
57.
As a result of this survey, will you have a conversation with your youth about the dangers of using tobacco, alcohol, and drugs?
Yes
No
Current Progress,
0 of 57 answered