Question Title

* 1. TELL US ABOUT YOU - Who is filling out the survey?
Gender:

Question Title

* 2. Age

Question Title

* 3. Marital Status

Question Title

* 4. Location of residence

Question Title

* 5. Have you lived in Gunnison County for 2+ years?

Question Title

* 6. SCHOOL INFORMATION – How many children do you have attending the following:
(Enter number in blank by each school)
Skip to next question if you do not have children.

Question Title

* 7. YOUR ATTITUDES AND PERCEPTIONS ABOUT YOUR COMMUNITY
This community has a high acceptance for alcohol use.

Question Title

* 8. This community has a high acceptance for marijuana use.

Question Title

* 9. This community has a high acceptance for tobacco/nicotine use. (cigarettes, chew, vaping, nicotine pouches).

Question Title

* 10. Alcohol use is a problem in this community. If you agree with this statement, check all the age groups in which this statement applies:

Question Title

* 11. Marijuana use is a problem in this community. If you agree with this statement, check all the age groups in which this statement applies:

Question Title

* 12. Tobacco/ nicotine use is a big problem in this community. If you agree with this statement, check all the age groups in which this statement applies:

Question Title

* 13. Prescription Drug misuse is a big problem in this community. If you agree with this statement, check all the age groups in which this statement applies:

Question Title

* 14. It is easy for underage youth to get alcohol in the community.

Question Title

* 15. It is easy for underage youth to get marijuana in the community.

Question Title

* 16. It is easy for underage youth to get tobacco/nicotine in the community.

Question Title

* 17. It is easy for underage youth to get prescription drugs in the community.

Question Title

* 18. SECTION IV: YOUR BELIEFS AND YOUR FAMILY RULES
If you have no children, or children younger than 6th grade, skip to question 32. Answer only the questions that are applicable to your household.

During the past 12 months, have you talked with your 6-12 grader about the dangers of tobacco/nicotine, alcohol, or drug use?

Question Title

* 19. During the past 12 months, have you talked with your 6-12 grader about healthy relationships, consent and/or sex.

Question Title

* 20. Do you allow your 6-8 grader(s) to use alcohol?

Question Title

* 21. Do you allow your 9-12 grader(s) to use alcohol?

Question Title

* 22. Do you allow your 6-8 grader(s) to use marijuana?

Question Title

* 23. Do you allow your 9-12th grader(s) to use marijuana?

Question Title

* 24. Do you allow your 6-8 grader(s) to use tobacco/nicotine?

Question Title

* 25. Do you allow your 9-12 grader(s) to use tobacco/nicotine?

Question Title

* 26. How likely would you be to let your 6-8 grader(s) attend a party where alcohol might be available?

Question Title

* 27. How likely would you be to let your 9-12 grader(s) attend a party where alcohol might be available?

Question Title

* 28. Do you talk with your kids about what responsible alcohol consumption is for adults?

Question Title

* 29. Do you talk with your kids about what responsible marijuana consumption is for adults?

Question Title

* 30. Do you check in with other parents to monitor what your kids are doing when they aren’t at your house?

Question Title

* 31. Would you allow your child or your child’s friends to drink in your home as a way of preventing dangerous behavior in a different setting?

Question Title

* 32. Do you keep track of the following in your house? (Please answer for each).

  Yes No N/A
Tobacco/Nicotine
Alcohol
Marijuana
Rx Drugs

Question Title

* 33. Do you know that you can deposit unused prescription drugs anytime during the year at 910 Bidwell Ave. in Gunnison or 508 Maroon Avenue in Crested Butte?

Question Title

* 34. Do you know that taking and/or giving prescription medication not as prescribed or without a prescription is against the law?

Question Title

* 35. This community needs to be more involved in addressing the issues of youth alcohol and drug abuse.

Question Title

* 36. This community needs to be more involved in addressing the issues of adult alcohol and drug abuse.

Question Title

* 37. I was aware of GCSAPP (Gunnison County Substance Abuse Prevention Project) before filling out this survey.

Question Title

* 38. If yes to question 37, how did you know about GCSAPP? Check all that apply.

Question Title

* 39. SECTION V. YOUR OWN ATTITUDES AND USE OF ALCOHOL, TOBACCO AND OTHER DRUGS
Which statement below best represents your use of alcohol in the past year?

Question Title

* 40. How many drinks do you usually have in one sitting?

Question Title

* 41. In the past 30 days, how many times have you had five or more drinks in one setting?

Question Title

* 42. In the past 30 days, how many times did you ride or drive in a car with someone who has had two or more drinks

Question Title

* 43. In the past 30 days, how many times did you ride in a car or other vehicle with someone who had been using marijuana?

Question Title

* 44. Please check the boxes about your own drug use:

  Never used Used previously in your life Used in the last year Use currently
Smoked cigarettes
Used other tobacco products
Used a vaping product
Used marijuana
Used medical marijuana that was recommended to you
Misused prescription drugs that were prescribed to you (more or longer than prescribed)
Used someone else’s prescription drugs
Used cocaine
Used hallucinogens such as LSD or Mushrooms
Used Heroin
Used Methamphetamines
Used MDMA

Question Title

* 45. For the following question use the time frame of the past 30 days.
Food insecurities have been causing me stress.

Question Title

* 46. For the following question use the time frame of the past 30 days.
Housing insecurities have been causing me stress.

Question Title

* 47. For the following question use the time frame of the past 30 days.
Lack of quality childcare has been causing me stress.

Question Title

* 48. For the following question use the time frame of the past 30 days.
Financial insecurity has been causing me stress.

Question Title

* 49. For the following question use the time frame of the past 30 days.
Social isolation has been causing me stress.

Question Title

* 50. For the following question use the time frame of the past 30 days.
Lack of access to medical services has been causing me stress.

Question Title

* 51. For the following question use the time frame of the past 30 days.
Lack of access to mental health services has been causing me stress.

Question Title

* 52. For the following question use the time frame of the past 30 days.
My relationships with my family members has been causing stress.

Question Title

* 53. Other areas/things that have caused you significant stress in the past 30 days?

Question Title

* 54. How else can GCSAPP help our community with prevention services (Substance, suicide, bullying, sexual violence)?

T