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Thank you for participating in this survey for Madison Chatham Coalition. It should take less than five minutes to complete and asks questions about adult attitudes towards youth drug and alcohol use. Participation is completely voluntary and you can discontinue the survey at any time. Thanks again!

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* 1. I live or work in Madison or Chatham.

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* 2. I am a parent or caregiver for someone under the age of 18.

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* 3. How old are you?

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* 4. What is two plus three?

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* 5. I know of

  Yes No
Parents who allow youth under 21 to drink on their property
Parents who provide alcohol to youth under 21
Stores that sell alcohol to those under 21
Other adults (over 21) who provide alcohol to minors
Other adults (over 21) who provide marijuana to minors

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* 6. I know of parents who use the following substances with their underage children.

  Yes No
Alcohol
Marijuana

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* 7. How easy it for underage youth to get the following in our community?

  Very Hard Sort of Hard Sort of Easy Very Easy
Beer, wine, hard liquor, or other types of alcohol (alcoholic seltzers, hard cider, etc.)
Marijuana (flower, edible, oils, etc.)
Nicotine products (vape or other tobacco products)
Prescription drugs not prescribed to them

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* 8. How do adults in our community feel about the following youth behaviors?

  Very wrong Wrong A little bit wrong Not wrong at all
Youth under 18 using alcohol
Youth 18-20 using alcohol
Youth under 18 using marijuana
Youth 18- 20 using marijuana
Youth under 18 vaping nicotine
Youth 18-20 vaping nicotine
Youth under 18 using prescription drugs not as prescribed
Youth 18-20 using prescription drugs not as prescribed

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* 9. How much do you think youth risk harming themselves physically or in other ways if?

  No risk Slight risk Moderate risk Great risk
Youth under 18 have five or more drinks of an alcoholic beverage once or twice per week
Youth 18-20 have five or more drinks of an alcoholic beverage once or twice per week
Youth under 18 use marijuana once or twice a week
Youth 18-20 use marijuana once or twice a week
Youth under 18 vaping nicotine
Youth 18-20 vaping nicotine
Youth under 18 using prescription drugs not as prescribed
Youth 18-20 using prescription drugs not as prescribed

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* 10. I have talked with my child or other youth about the dangers of substance use.

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* 11. What do you do with the following substances in your home (select all that apply)?

  Monitor Secure or lock up Have rules about who can access them Nothing I do not have this substance in my home
Alcohol
Marijuana
Prescription medication

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* 12. Do you think it is okay for parents to provide alcohol to their underage children?

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* 13. Allowing youth to drink at home is a way of preventing dangerous behavior.

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* 14. I believe have enough information to talk with my child about substance use.

0 of 14 answered
 

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