1.Do you care for or work with youth in the following school districts: (check all that apply)

Evanston Township High School

New Trier High School

Glenbrook District 225 (Glenbrook North, Glenbrook South and/or Glenbrook Off-Campus High Schools)

A private high school within Evanston, New Trier Township or Northfield Township

A feeder elementary/middle school of one of the above school districts

None

Other (please specify)

2.Do you think the following people/organizations are credible (believable) sources of information about youth mental health or substance use topics? (check all that apply)

Health professionals (Doctors, Nurses, etc)

School-based health center/school-based nurses

School Administrators (principal, dean, etc)

Teachers

School-based mental health professionals (social workers, psychologist, student services, etc.)

Local Law Enforcement

Local gov’t officials (mayor, council member, etc)

Local Mental Health Agencies

Local Libraries

Parent Teacher Associations

Other Parents

Other (please specify)

3.Which of the following sources of information would you pay attention to regarding youth mental health and substance use topics? (check all that apply)

Billboards

Newspaper/TV/Streaming Advertisements

Postcard/Letter/Direct Mailing

Email

Text Blast

Flyers/Posters

Newsletter (email or print)

Social Media (Facebook, Instagram, etc.)

Program Ad (events, handbooks, etc.)

Other (please specify)

4.Which of the following sources of information do you find to be credible sources of information regarding youth mental health and substance use topics? (check all that apply)

Billboards

Newspaper/TV/Streaming Advertisements

Postcard/Letter/Direct Mailing

Email

Text Blast

Flyers/Posters

Newsletter (email or print)

Social Media (Facebook, Instagram, etc.)

Program Ad (events, handbooks, etc.)

Other (please specify)

Our goal in requesting demographic information is to ensure that our services are inclusive and tailored to meet the diverse needs of all families. Your privacy and comfort are important to us, and we appreciate your support in helping us create a more equitable and inclusive environment for all.

5.What is your age?

Age 18-20

Age 21-24

Age 25-44

Age 45-64

Age 65+

Prefer not to answer

Other (please specify)

6.What is your race? (Please select all that apply.)

White

Black or African American

Native Hawaiian/Other Pacific Islander

Asian

American/Alaskan Native

More than one race

Other Race

Prefer not to answer

Other (please specify)

7.What is your ethnicity?

Hispanic/Latinx

Not Hispanic/Latinx

Prefer not to answer

8.What is your gender? (Please select all that apply.)

A-gender

Female

Male

Non-binary

Transgender

Prefer not to answer

Other (please specify)