Personal Involvement
For the following questions, choose the response that BEST FITS YOUR BELIEF.
|
|
In the past 12 months, my personal concern for preventing alcohol & other drug abuse in my community has...
|
|
|
In the past 12 months, my personal knowledge of the risk factors that contribute to alcohol & other drug abuse has...
|
|
|
In the past 12 months, my personal knowledge about the new laws regarding the sale of over-the-counter drugs has . .
|
|
|
In the past 12 months, my personal knowledge of community programs that address alcohol & drug abuse has...
|
|
|
In the past 12 months, my personal actions to prevent alcohol & other drug abuse in my community has...
|
|
|
I am interested in learning more about community-related alcohol & other drug abuse prevention programs.
|
|
|
I am concerned about whether my community has sufficient alcohol & other drug abuse prevention programs.
|
|
|
I believe preventing alcohol & other drug abuse among youth is important.
|
Adult Behaviors
How many times IN YOUR LIFE have you:
|
|
Hosted adult parties where no alcohol was served?
|
|
|
Hosted adult parties where alcohol was served, but you set guidelines for safety (e.g. two drink limit, collecting car keys, calling a cab, monitoring underage teens to insure no drinking, etc.)
|
|
|
Locked up your alcohol in a place away from youth?
|
|
|
Locked up your prescription and over the counter drugs in a place away from youth?
|
|
|
Chaperoned a party or event for teens?
|
|
|
Had conversations with your child about the effects of underage drinking on their physical, social, and emotional development?
|
|
|
Pointed out to teens the inappropriate portrayals of people drinking on television shows or movies?
|
|
|
Established rules in your home regarding underage drinking?
|
|
|
Established curfews for your teen(s)?
|
|
|
Questioned your teen(s) about their friends?
|
|
|
Questioned your teen(s) about their whereabouts?
|
|
|
How many times during the week do you have a meal together with your family?
|
Familiarity/Overall Opinions
|
|
How familiar are you with the Substance Abuse Council?
|
|
|
How familiar are you with The Battle Creek Weed & Seed Program?
|
|
|
How familiar are you with The Strengthening Families Program?
|
|
|
How familiar are you with The Calhoun County Underage Drinking Prevention Forum?
|
|
|
How familiar are you with The Calhoun County Meth Task?
|
|
|
How familiar are you with The Calhoun Drug Court?
|
|
|
How familiar are you with The Calhoun County Prescription Drugs Task Force?
|
|
|
How familiar are you with The Nursing Clinic?
|
|
|
How familiar are you with the Safe Place?
|
|
|
What is your overall opinion of The Substance Abuse Council?
|
|
|
What is your overall opinion of The Battle Creek Weed & Seed Program?
|
|
|
What is your overall opinion of The Strengthening Families Program?
|
|
|
What is your overall opinion of The Calhoun County Underage Drinking Prevention Forum?
|
|
|
What is your overall opinion of The Calhoun County Meth Task?
|
|
|
What is your overall opinion of The Calhoun County Drug Court?
|
|
|
What is your overall opinion of The Calhoun County Prescription Drug Task Force?
|
|
|
What is your overall opinion of The Nursing Clinic?
|
|
|
What is your overall opinion of Safe Place?
|
|
|
I have attended the Substance Abuse Council's meetings, programs, or events in the community approximately _ times...
|
Suggestions
|
|
Please provide any suggestions that will assist the coalition in addressing the issue of substance abuse? Please describe:
|