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* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 2. What is your age?

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* 3. How many children (if any) do you have between the ages of 9 and 20 years old? (if answered none, skip to Question 9)

For the purpose of this survey, a gathering is defined as 2 or more youth and/or adults

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* 4. In the past 3 months, have you talked to your child about attending gatherings where alcohol was available or being served?

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* 5. Would you allow your child to attend an UNSUPERVISED gathering where alcohol was going to be available or served?

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* 6. Would you allow your child to attend a SUPERVISED gathering where alcohol was going to be available or served?

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* 7. In the past 3 months, has your child been at a gathering where alcohol was available or served to youth?

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* 8. In the past 3 months, have you heard of parents in your community who host gatherings where alcohol is available or served to youth?

The following statements discuss consequences to those who provide alcohol to youth under 21 years of age. Please indicate your level of agreement with the following statements.

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* 9. Penalties for adults who provide alcohol to youth under 21 years of age are enforced in this community.

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* 10. I am concerned about adults who provide or allow youth under 21 years of age to drink alcohol in their home.

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* 11. It is against the law to provide alcohol to youth under 21 years of age, other than your own child, in your own home or on your property, even with their parent’s permission.

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* 12. A Social Host ordinance holds individuals (social hosts) responsible for hosting or allowing an event or gathering on private or public property where a person under 21 years of age possess or consume alcohol, regardless of who supplied the alcohol. I WOULD SUPPORT A SOCIAL HOST ORDINANCE IN MY COMMUNITY.

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