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Jefferson County Drug Free Coalition

Parent Survey

The Jefferson County Drug Free Coalition is conducting a short survey for parents or guardians of youth ages 18 years and under to assess their knowledge and behaviors related to youth alcohol, tobacco, and other drug use. This survey will take approximately 5 minutes to complete.

**Youth is defined as anyone ages 18 years and younger**



Thank you for your interest in completing this important survey. No personally identifying information will be asked of you.

This survey is optional and if you agree to participate in it, please proceed to the questions below.
1.Please enter your household's zip code.(Required.)
2.How many school-aged children do you have (including for which you are a guardian)?(Required.)
3.Please select the current grades of all your school-aged children (select all that apply).(Required.)
4.How wrong do you feel it would be for youth ages 18 years and under to:(Required.)
Not At All Wrong
A Little Bit Wrong
Wrong
Very Wrong
Drink alcoholic beverages
Use cigarettes
Use marijuana
Use e-cigarettes or other nicotine vaping devices
Use prescription drugs not prescribed to them
5.In your community, how difficult do you think it would be for youth to obtain the following:(Required.)
Very Easy
Somewhat Easy
Neither Difficult Nor Easy
Somewhat Difficult
Very Difficult
Alcohol
Cigarettes
E-cigarettes or other nicotine vaping devices
Marijuana
Prescription drugs not prescribed to them
6.Please indicate how much you agree or disagree with the following statements:(Required.)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
It is okay for parents to allow their own children to drink alcohol as long as they remain at home under parental supervision.
It is okay for parents to host a party and allow youth to bring their own alcohol, as long as they are not driving.
It is okay for parents to host a party and provide alcohol for youth, as long as they are not driving.
It is okay for parents to allow youth (including their own and friends) to use marijuana in their home or on their property, as long as they aren’t driving.
Parents allow youth (beyond their own kids) to use alcohol in their home in my community.
7.Please indicate how often you do the following:(Required.)
Always
Often
Sometimes
Rarely
Never
Talk to your child about the risks of underage drinking
Talk to your child about the risks of using e-cigarettes or other nicotine vaping devices
Talk to your child about the risks of using marijuana
Talk to your child about the risks of using prescription drugs not prescribed to them
Set and enforce clear rules regarding use of alcohol and/or other drugs with your child
Know who your child is with and what they are doing
Talk with other parents about youth alcohol and drug use
8.Where do you normally keep the following items in your home?(Required.)
In a locked location
In an unlocked location
This item is not in my home
Cigarettes
Beer and wine
Liquor and spirits
E-cigarettes or other nicotine vaping devices
Prescription drugs
9.How often do you do the following with unused or expired prescription drugs in your home?(Required.)
Always
Usually
Sometimes
Rarely
Never
Take them to a Medication and Prescription Drug Disposal dropbox
Take them to a “Drug Take Back” event
Use a disposal pouch, bag or packet designed to deactivate the medication (i.e. Deterra)
Flush them down the toilet or sink
Throw them away in the household trash
Share them with family and/or friends
Keep them
10.Gender: How do you identify?
11.With which race/ethnicity do you most closely identify?
12.Are you Hispanic/Latino/Spanish origin?
13.What is the highest level of education you have completed?(Required.)
14.How do you usually get your information about current drug issues (select all that apply)?(Required.)
15.Would you like to be entered into the drawing for an Amazon gift card?
16.Did you complete your entry for an Amazon gift card in-person?
Please click here to complete your entry for a chance to win an Amazon gift card.
Current Progress,
0 of 16 answered