#1 OPS - PreSurvey Please provide us with the following information about yourself. Your answers will be kept private. Question Title * 1. Please enter your name. (This is the name that will appear on the Certificates of Completeness when you complete section 2 and the last online survey) Question Title * 2. Please enter today's date. Question Title * 3. Please enter your city and state. Please select whether the following statements are true or false. Question Title * 4. It is safe to take prescription medications prescribed to a family member, but only if you have the same symptoms. True False Question Title * 5. Taking prescription medications to get high is safer than using illicit drugs such as cocaine or heroin. True False Question Title * 6. Most teens who abuse drugs do so to rebel against their parents. True False Question Title * 7. Taking prescription drugs prescribed to someone else is illegal. True False Question Title * 8. Drug addiction is a genetic disorder. True False Please select one answer for the following question. Question Title * 9. Where do most teens get the prescription medications they use to get high? Drug dealer Friends and Relatives On the Internet At the pharmacy Please answer the following question in your own words. Question Title * 10. Please describe two ways you can help prevent your child from abusing prescription medications. Question Title * 11. Please enter your email address. Question Title * 12. Please enter your phone number. Question Title Question Title * 13. Do you recall seeing the image/message above? Yes No Question Title * 14. If so, where do you remember seeing the image/message above. List all. Question Title * 15. What is your age? Question Title * 16. What is your gender? Question Title * 17. How many children do you have? Question Title * 18. What is the age of your child/children? Question Title * 19. How many of your children are girls and how many are boys? Girls? Boys? Question Title * 20. How did you hear about our class? Done