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Parent/Caregiver Survey
The purpose of this survey is to collect information from
parents/caregivers around their opinions of youth substance
use in your community. We will use this data to determine
priorities, raise awareness, and support local programs and
policies to address youth substance use. We hope to aid
parents and caregivers like yourself so that you are best
able to support youth in healthy and informed decision
making.
This survey is anonymous and should only take about 6
minutes of your time. If available, we encourage one or more
parents/caregivers from your household to complete this
survey. As a reminder, every question is optional and your
participation is completely voluntary.
Thank you for completing this survey!
What school district(s) do you currently have children in? (Select all that apply)
Avon
Easton
Blue Hills Regional Technical School
Norwood
Norfolk Agricultural
Southeastern Regional
Stoughton
Other
Where do you live?
Where do you live?
Avon
Easton
Norwood
Stoughton
Other
My children are: (Select all that apply)
Male
Female
Non-binary
Transgender
Prefer not to answer
Other
My gender is:
My gender is:
Male
Female
Non-binary
Prefer not to answer
What is your racial or ethnic identity? (Select all that apply.)
American Indian or Alaska Native
Asian
Black or African American
Brazilian
Cape Verdean
Haitian
Hispanic/Latino
Middle Eastern or North African (MENA)
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
Other
What grades are your children in? (Select all that apply)
I don't have any children
Younger than kindergarten
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Older than 12th grade (including post-graduate programs)
No longer in school
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