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* 1. What is your gender?

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* 2. What grades are your children in?

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* 3. What is your ethnicity?

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* 4. What school district is your child enrolled in?

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* 5. Is it easy for youth to get alcohol in our community?

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* 6. Would you say that alcohol use by underage youth is a problem in our community?

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* 7. When was the last time you talked with your child about alcohol and/or drug use?

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* 8. When was the last time you talked with your child about attending parties where alcohol may be available?

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* 9. If you knew that your child was going to a friend's party where alcohol was going to be provided to teens, would you let him/her go?

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* 10. If that same party (where alcohol was provided to teens) was chaperoned by a parent, would you let your child go?

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* 11. Has your child ever been to a friend's house or a party where alcohol was available or served to teens?

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* 12. Do you know parents who host parties where alcohol is available or served to teens?

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* 13. If you know parents who host parties where alcohol is available or served to teens, do you call the police?

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* 14. I talk with my child about alcohol facts, reasons not to drink, and ways to avoid drinking in difficult situations.

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* 15. How confident are you that your teen would refrain from drinking alcohol if offered to him/her by friends?

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* 16. As a parent, I stay aware of my teen’s homework assignments and completion.

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* 17. Do you recall seeing or hearing about the "Parents Who Host, Lose The Most: Don't Be A Party To Underage Drinking" campaign?

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* 18. When teenagers are coming to your home, do you monitor access to alcohol, tobacco, prescription, or other drugs?

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* 19. Do you ask neighbors, friends, or law enforcement to monitor your home for underage parties when you are away?

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* 20. I tell my children that I strongly disapprove of underage alcohol consumption.

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* 21. Where do you believe underage youth who drink alcohol obtain it most of the time?

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* 22. Where do you believe youth obtain marijuana most of the time?

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* 23. Where do you believe youth who misuse prescription drugs for the purpose of getting high obtain the medications they misuse?

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