Survey Information

Thank you for participating in this survey! We are asking individuals between the ages of 18-25 years to share their opinions about alcohol, prescription drug misuse and heroin use. This survey is completely anonymous, and will be used to help inform prevention efforts in your community. The survey is 35 questions long and it should take about 10-15 minutes to complete.
 
Substance Abuse Free Environment, Inc. (or SAFE) is the substance abuse prevention coalition in Chesterfield County, VA.

SAFE is also working to decrease the number of alcohol related crashes with drivers between the ages of 18 and 25 with the #HoldTheKeys mass and social media campaign. We hope you will help us gather information that will decrease the number of drinking and driving crashes in Chesterfield County. This survey will also help to evaluate the #HoldTheKeys media campaign that is funded by the Virginia Highway Safety Office of the Virginia Department of Motor Vehicles.

If you are unfamiliar with the #HoldTheKeys campaign, please visit our webpage and social media accounts at:
www.chesterfieldsafe.org/holdthekeys
www.facebook.com/chesterfieldsafe
www.instagram.com/chesterfieldsafe
www.twitter.com/chesterfldsafe


Important Information for Respondents

• This survey is completely anonymous and does not record any personal identifying information. Please answer all questions truthfully.

• The survey is completely voluntary. You may choose not to participate at any time. You may skip any questions you are not comfortable answering.

• The information from the survey will be released in summary form only. No individual responses will be shared.

• At the end of the survey you will be able to enter a drawing for one of three prize packs, all of which include Chick-fil-A gift cards, wireless speakers, pool floaties, assorted other fun and outdoor items and gift certificates for rock climbing, laser tag and ice skating. Three random winners will be chosen and announced by August 31st. They will be announced via Facebook and altered via the provided email address. You may only enter the drawing once; duplicate entries will be discarded.

If you have any questions or concerns about the survey, please contact Megan Davidson at OMNI Institute: mdavidson@omni.org or 303.839.9422 x144. OMNI Institute is an organization working with coalitions across the state of Virginia to learn more about substance use among young adults.

Clicking the “Next” button below indicates that:
• You have read and understand the above information
• You voluntarily agree to participate
• You are between the ages of 18 and 25 years-old
• You are a resident of Chesterfield County, VA, for most of the year, even if you live somewhere else to attend school

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