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Please complete this short survey and answer all questions honestly. Your responses will remain anonymous.

You only need to complete once for all your children. 
Link to program registration is located at the end of each child's survey. 

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* 1. What school does/do your child or children attend?

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* 2. What grade/s are your children in?

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* 3. What language do you speak at home?

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* 4. Do you feel that the parent education topics help equip you to access resources or engage in difficult conversations with your child?

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* 5. What are some topics you would like parent education to include?

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* 6. What motivates you to sign your child up for Choice Pass (check all that apply)?

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* 7. Do you believe our community has a high acceptance of (check all that apply):

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* 8. During the past 12 months, have you talked with your 6-12 grader about the dangers of tobacco, alcohol, or drug use?

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* 9. If yes, how old were they when you first had the conversation?

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* 10. During the past 12 months, have you talked with your 6-12 grader about healthy relationships, consent, and/or sex?

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* 11. If yes, how old were they when you first had the conversation?

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