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* 1. Gender/Sex

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* 2. What is your age?

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* 3. Ethnicity/Race

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* 4. Have you heard about the visions, mission and/or goals of Aliive-Roberts County?

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* 5. Where have you heard about the visions, mission and/or goals of Aliive-Roberts County? (mark all that apply)

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* 6. Are you aware of prevention efforts to reduce underage alcohol use in Roberts County and on the Lake Traverse Reservation?

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* 7. In the past 12 months, where have you seen or heard any messages that address underage alcohol use as a health and safety issue? (mark all that apply)

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* 8. How wrong would most adults in our community think it is for youth under the age of 21 to consume alcohol?

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* 9. How wrong do you think it is for youth under the age of 21 to consume alcohol?

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* 10. How easy or difficult do you think it is for underage youth to get beer, wine, wine coolers, or liquor from home without their parents knowing it?

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* 11. How often do you think parents in our community provide alcohol at parties their children host?

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* 12. Where do you think that the youth in our area get alcohol?

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* 13. How easy or difficult is it for underage youth in our community to obtain alcohol from the following people?

  Very difficult Difficult Easy Very easy Don't know/can't say
Other siblings/relatives
Parents
Friends
Adult strangers
Other adults

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* 14. How serious a problem is alcohol consumption by underage youth (12-20 years old) at unsupervised, informal gatherings (e.g. parties, at a friend's house) in our community?

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* 15. How wrong do you think it is for adults to furnish or provide alcohol to persons under the age of 21?

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* 16. How effective is our community at enforcing laws against alcohol use, drinking and driving, and other drug use?

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* 17. What do you think is contributing to the use of alcohol among our young people in Sisseton and the Lake Traverse Reservation? Choose all that apply.

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* 18. How likely would you be to support laws and/or policy changes around the following areas? Choose all that apply.

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* 19. In my community, underage drinking is viewed as a "rite of passage".

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* 20. In my community, youth perceive drinking as cool or expected.

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* 21. In my community, one reason youth consume alcohol is because they do not think they will get caught.

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* 22. How can we prevent and/or decrease the number of youth who drink alcohol? (please check all that apply)

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* 23. How can Aliive-Roberts County keep parents informed about youth health and safety information? (please check all that apply)

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* 24. Please enter any suggestions or comments below.

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* 25. Thank you for your time!

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