Working for a Drug Free Dearborn County
	Parent Survey     PDF Version 1. Gender MaleFemale 2. What is your race? Black or African AmericanAmerican IndianNative HawaiianAsianWhiteOther 3. What is your age group? 18 - 2526 - 3536 - 4546 - 55Over 55 4. What is the highest level of education you have finished, whether or not you received a degree? Some High SchoolHigh School DiplomaSome CollegeAssociates DegreeBachelors DegreeMasters Degree 5. How much do youth risk harming themselves physically and in other ways when they have five or more alcoholic beverages once or twice a week? No RiskSligh RiskModerate RiskGreat Risk 6. How do you feel about youth having one or two alcoholic beverages nearly every day? ApproveNeither Approve or DisapproveSomewhate DisapproveStrongly Disapprove 7. How do you feel about youth driving a car after having one or two alcoholic beverages? ApproveNeither Approve or DisapproveSomewhate DisapproveStrongly Disapprove 8. Where do you think youth get alcohol? ParentsHomeFriendsSchool 9. Have you talked to your children about the consequences of underage drinking? Yes No 10. How old were you the first time you had an alcoholic beverage?     Check box if you never had a drink of an alcoholic beverage 11. How do you feel about adults having one or two alcoholic beverages nearly every day? ApproveNeither Approve or DisapproveSomewhate DisapproveStrongly Disapprove 12. What is your best estimate of the number of days you drank alcohol during the past 30 days? 01 or 23 to 56 to 910 - 1920 - 29all 30 days
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