You are being asked to participate in a survey study about alcohol use and other substance use. The survey will ask about your own behaviors and perceptions of these topics, including how you think your family, peers, and community feel about these behaviors. The purpose of the study is to inform and improve local substance use prevention programs in developing effective programming. Survey findings may be published in articles and reports, however, these write-ups will only describe respondents as a whole, so no data about individual participants can be identified. 

1. If you are under the age of 18 or over the age of 25, or if you have already completed this survey online or at another location, please do not complete this survey a second time.
 
2. Taking this survey is completely voluntary. You may skip any questions that you do not want to answer. You may also stop taking the survey at any time without consequences.
 
3. Please do not put your name on this survey. All information you provide will be kept anonymous.
 
4. This survey will take approximately 15 to 20 minutes to complete.

The survey contains several questions about alcohol use and other substance use, and consequences of use. There will be no direct benefits to you, although your responses will help to inform the development of substance use prevention programs, which may benefit your community. There is a risk that you may experience discomfort in answering some of the questions. There are resources available for you if you would like to talk with someone about substance use — please contact the New York State HOPEline at 1-877-8-HOPENY (1-877-846-7369), NYC WELL at 1-888-NYC-WELL (1-888-692-9355) or texting "WELL" to 65173*, or find additional resources at the TYSA website at tysa.nyc.

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* 1. Are you...

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* 2. What is your age? (If you are under the age of 18 or over the age of 25, please do not complete the survey.)

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* 3. Are you Hispanic or Latino?

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* 4. Please select the response(s) that best describe(s) you:
[Select all that apply.]

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* 5. What is your employment status?

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* 6. Are you a student?

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* 7. Do you consider yourself to be:

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* 8. A transgender person is someone who identifies with a gender identity other than the one assigned at birth. Do you identify as transgender?

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* 9. What is your home zip code?

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* 10. Other than your home zip code, what is the zip code of the place where you spend most of your time (for example, where you work or attend school)?

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* 11. What is the main reason for spending time in this place?

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* 12. In the past 12 months, have you talked with at least one of your parents about the dangers of tobacco, alcohol, or drug use? (Select all that apply.)

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* 13. In the past 12 months, did you get help from a counselor, social worker or therapist for a substance use issue that you could not face alone?

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* 14. How easy do you think it is for persons your age in your community to obtain... (Check one box in each row.)

  Very easy Somewhat easy Somewhat difficult Very difficult
Marijuana?
Prescription pain relievers (such as OxyContin [oxy, oxycotton, ozone], Percocet [perc], Vicodin [hydros, vikes, victors], Roxicodone [blues, 30s, roxy], or Tylox) that were not prescribed to them?
Prescription stimulants (such as Ritalin/Concerta [kiddie coke, diet coke, vitamin R, smarties, skittles, study buddies] or Adderall [addys, ADDs, uppers, speed, smart pills, dexies, truck driver]) that were not prescribed to them?
Prescription tranquilizers / benzodiazepines "benzos" (like Xanax [bars, bennies, zannys, z-bar], Valium [vallies, jellies], Klonopin [k-pins, pins], or Ativan [candy, downers, sleeping pills, tranks]) that were not prescribed to them?
Heroin (smack, dope)?
Methamphetamines (crystal, crystal meth, glass, Tina, speed, crank, ice, Scooby Snacks)?
Any other drug?

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* 15. How much do people risk harming themselves physically and in other ways when they... (Check one box in each row.)

  No risk Slight risk Moderate risk Great risk
Smoke one or more packs of cigarettes per day?
Use an electronic vaping device or e-cigarette (Juuling, vaping, Bo vaping, vape pens, e-hookahs, hookah pens, vaping mods)?
Have 4 to 5 (or more) drinks of an alcoholic beverage once or twice a week?
Use marijuana regularly?
Use prescription pain relievers (such as OxyContin [oxy, oxycotton, ozone], Percocet [percs], Vicodin [hydros, vikes, victors], Roxicodone [blues, 30s, roxy], or Tylox) that are not prescribed to them or that they took only for the experience or feeling they caused?
Use prescription stimulants (such as Ritalin/Concerta [kiddie coke, diet coke, vitamin R, smarties, skittles, study buddies] or Adderall [addys, ADDs, uppers, speed, smart pills, dexies, truck driver]) that are not prescribed to them or that they took only for the experience or feeling they caused?
Use prescription tranquilizers / benzodiazepines "benzos" (like Xanax [bars, bennies, zannys, z-bar], Valium [vallies, jellies], Klonopin [k-pins, pins], or Ativan [candy, downers, sleeping pills, tranks]) that are not prescribed to them or that they took only for the experience or feeling they caused?
Use heroin (smack, dope)?
Use methamphetamines (crystal, crystal meth, glass, Tina, speed, crank, ice, Scooby Snacks)?

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* 16. How do you think your parents would feel about you… (Check one box in each row.)

  Strongly approve Somewhat approve Neither approve nor disapprove Somewhat disapprove Strongly Disapprove
Smoking cigarettes?
Using an electronic vaping device or e-cigarette (Juuling, vaping, Bo vaping, vape pens, e-hookahs, hookah pens, vaping mods)?
Having 1 or 2 drinks of an alcoholic beverage nearly every day?
Using marijuana?
Using prescription pain relievers (such as OxyContin [oxy, oxycotton, ozone], Percocet [percs], Vicodin [hydros, vikes, victors], Roxicodone [blues, 30s, roxy], or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused?
Using prescription stimulants (such as Ritalin/Concerta [kiddie coke, diet coke, vitamin R, smarties, skittles, study buddies] or Adderall [addys, ADDs, uppers, speed, smart pills, dexies, truck driver]) that are not prescribed to you or that you took only for the experience or feeling they caused?
Using prescription tranquilizers / benzodiazepines "benzos" (like Xanax [bars, bennies, zannys, z-bar], Valium [vallies, jellies], Klonopin [k-pins, pins], or Ativan [candy, downers, sleeping pills, tranks]) that are not prescribed to you or that you took only for the experience or feeling they caused?
Using heroin (smack, dope)?
Using methamphetamines (crystal, crystal meth, glass, Tina, speed, crank, ice, Scooby Snacks)?

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* 17. How do you feel about someone your age… (Check one box in each row.)

  Strongly approve Somewhat approve Neither approve nor disapprove Somewhat disapprove Strongly disapprove
Smoking cigarettes?
Using an electronic vaping device or e-cigarette (Juuling, vaping, Bo vaping, vape pens, e-hookahs, hookah pens, vaping mods)?
Having one or two drinks of an alcoholic beverage nearly every day?
Having 4 or 5 (or more) drinks of an alcoholic beverage once or twice a week?
Driving after having 1 or 2 drinks?
Using marijuana?
Using prescription pain relievers (such as OxyContin [oxy, oxycotton, ozone], Percocet [percs], Vicodin [hydros, vikes, victors], Roxicodone [blues, 30s, roxy], or Tylox) that were not prescribed to them or that they took only for the experience or feeling they caused?
Using prescription stimulants (such as Ritalin/Concerta [kiddie coke, diet coke, vitamin R, smarties, skittles, study buddies] or Adderall [addys, ADDs, uppers, speed, smart pills, dexies, truck driver]) that are not prescribed to them or that they took only for the experience or feeling they caused?
Using prescription tranquilizers / benzodiazepines "benzos" (like Xanax [bars, bennies, zannys, z-bar], Valium [vallies, jellies], Klonopin [k-pins, pins], or Ativan [candy, downers, sleeping pills, tranks]) that are not prescribed to them or that they took only for the experience or feeling they caused?
Using heroin (smack, dope)?
Using methamphetamines (crystal, crystal meth, glass, Tina, speed, crank, ice, Scooby Snacks)?

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* 18. In the past 30 days, on how many days did you... (Check one box in each row.)

  0 1-2 3-5 6-9 10-19 20-30
Smoke part or all of a cigarette?
Use an electronic vaping device or e-cigarette (Juuling, vaping, Bo vaping, vape pens, e-hookahs, hookah pens, vaping mods)?
Drink one or more drinks of an alcoholic beverage?
Have 4 to 5 (or more) drinks on the same occasion?
Use marijuana?
Use prescription pain relievers (such as OxyContin [oxy, oxycotton, ozone], Percocet [percs], Vicodin [hydros, vikes, victors], Roxicodone [blues, 30s, roxy], or Tylox) that were not prescribed to you or that you took only for the experience or feeling they caused?
Use prescription stimulants (such as Ritalin/Concerta [kiddie coke, diet coke, vitamin R, smarties, skittles, study buddies] or Adderall [addys, ADDs, uppers, speed, smart pills, dexies, truck driver]) that were not prescribed to you or that you took only for the experience or feeling they caused?
Use prescription tranquilizers / benzodiazepines "benzos" (like Xanax [bars, bennies, zannys, z-bar], Valium [vallies, jellies], Klonopin [k-pins, pins], or Ativan [candy, downers, sleeping pills, tranks]) that were not prescribed to you?
Use heroin (smack, dope)?
Use methamphetamines (crystal, crystal meth, glass, Tina, speed, crank, ice, Scooby Snacks)?

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* 19. If you are under the age of 21 or just turned 21 within the past year, and you drank alcohol in the past year, how did you usually get it? (Select all that apply.)

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* 20. The last time you used prescription pain relievers (like OxyContin, Percocet, Vicodin, Roxicodone, or Tylox) not prescribed to you, how did you get them? (Check only one.)

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* 21. The last time you used prescription stimulants (like Ritalin/Concerta or Adderall) not prescribed to you, how did you get them? (Check only one.)

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* 22. The last time you used prescription tranquilizers or benzodiazepines “benzos” (like Xanax, Valium, Klonopin, or Ativan) not prescribed to you, how did you get them? (Check only one.)

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* 24. In the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities?

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* 25. In the past 12 months, did you ever seriously consider attempting suicide?

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* 26. If you have attempted suicide within the past 12 months, did any attempt result in an injury, poisoning, or overdose that had to be treated by a doctor or nurse?

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* 27. In the past 12 months, did you get help from a counselor, social worker or therapist for an emotional or personal issue that you could not face alone?

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