Pickens County Parent Survey-2015

Welcome!

We are gathering parents' opinions on Alcohol, Tobacco, Marijuana, and Prescription (Rx) Drugs. Please complete this survey if you are a parent of a Pickens County K-12 student AND live in Pickens County. Please take this survey only once. All answers are anonymous. This survey will take approximately 10 minutes to complete. Your time and assistance are greatly appreciated. If you have any questions or need clarification about this survey, please contact Cathy Breazeale by phone at (864) 898-5800 or by email at cbreazeale@bhspickens.com. Thank you again for your participation.

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* 1. Do you live in Pickens County?

Yes

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* 2. Which zip code do you live in?

29633

29634

29640

29630

29631

29632

29667

29671

29682

29641

29642

29657

Other (please specify)

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* 3. Please indicate if you have children in the following elementary schools

A.R. Lewis Elementary

Ambler Elementary

Central Elementary

Clemson Elementary

Chastain Road Elementary

Crosswell Elementary

Dacusville Elementary

East End Elementary

Forest Acres Elementary

Hagood Elementary

Holly Springs Elementary

Liberty Elementary

McKissick Elementary

Pickens Elementary

Six Mile Elementary

West End Elementary

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* 4. Please indicate if you have children in the following middle schools

Edwards Middle

Dacusville Middle

Liberty Middle

Pickens Middle

Richard H. Gettys Middle

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* 5. Please indicate if you have children in the following high schools

D.W. Daniel High

Easley High

Liberty High

Pickens County Career and Technology Center

Pickens High

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* 6. How much do you think youth (grades 7-12) risk harming themselves (physically or in other ways) if they:

	No Risk	Slight Risk	Moderate Risk	Great Risk
use tobacco (cigarettes, chew, snus, cigars)	use tobacco (cigarettes, chew, snus, cigars) No Risk	use tobacco (cigarettes, chew, snus, cigars) Slight Risk	use tobacco (cigarettes, chew, snus, cigars) Moderate Risk	use tobacco (cigarettes, chew, snus, cigars) Great Risk
drink alcohol	drink alcohol No Risk	drink alcohol Slight Risk	drink alcohol Moderate Risk	drink alcohol Great Risk
use marijuana	use marijuana No Risk	use marijuana Slight Risk	use marijuana Moderate Risk	use marijuana Great Risk
misuse or overuse prescription drugs	misuse or overuse prescription drugs No Risk	misuse or overuse prescription drugs Slight Risk	misuse or overuse prescription drugs Moderate Risk	misuse or overuse prescription drugs Great Risk

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* 7. How many times have you provided ALCOHOL to any of your K-12 children? Do not count a few sips for religious purposes.

Never

1-2 times

2-5 times

More than 5 times

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* 8. How many times have you provided ALCOHOL to an underage youth (not including your own child/children)?

Never

1-2 times

3-5 times

More than 5 times

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* 9. How many times have you allowed underage youth to drink ALCOHOL on your property (home, garage, etc.)?

Never

1-2 times

3-5 times

More than 5 times

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* 10. Do you "lock-up" your ALCOHOL at home?

No alcohol in the home

Yes

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* 11. How much do you agree or disagree with the following statements?

	Strongly Agree	Agree	Disagree	Strongly Disagree
It is OK for underage youth to drink at parties.	It is OK for underage youth to drink at parties. Strongly Agree	It is OK for underage youth to drink at parties. Agree	It is OK for underage youth to drink at parties. Disagree	It is OK for underage youth to drink at parties. Strongly Disagree
It is OK for parents to offer underage youth (other than their own children) alcohol in their home.	It is OK for parents to offer underage youth (other than their own children) alcohol in their home. Strongly Agree	It is OK for parents to offer underage youth (other than their own children) alcohol in their home. Agree	It is OK for parents to offer underage youth (other than their own children) alcohol in their home. Disagree	It is OK for parents to offer underage youth (other than their own children) alcohol in their home. Strongly Disagree
Underage youth should be able to drink as long as they don't drive afterwards.	Underage youth should be able to drink as long as they don't drive afterwards. Strongly Agree	Underage youth should be able to drink as long as they don't drive afterwards. Agree	Underage youth should be able to drink as long as they don't drive afterwards. Disagree	Underage youth should be able to drink as long as they don't drive afterwards. Strongly Disagree

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* 12. Does your city have a Smoke Free Ordinance? (A Smoke Free Ordinance bans smoking from all public places.)

Yes

I don't know