West Haven Public Schools & West Haven Prevention Council Healthy Habits Forum 2021 PARENT/GUARDIAN Survey
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1.
What is your gender?
(Required.)
Male
Female
Transgender
Non-binary/non-conforming
Prefer not to respond
*
2.
How do you describe yourself? (Mark all that apply)
(Required.)
Black or African-American
White or Caucasian
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Prefer not to respond
Other (please specify)
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3.
As a result of viewing the four presentations, what do you think you are more likely to do:
(Required.)
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
Speak to my child about underage drinking
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
Speak to my child about marijuana and substance use
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
Speak to my child about the various strategies to help rebuild resiliency
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
Speak to my child about social media use and various strategies to combat its influence
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
Ensure that alcohol, marijuana products and prescription drugs are not available to anyone underage in my home
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
Check to see if a parent is present at the homes that my child visits
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
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4.
As a result of viewing the four Healthy Habits forum presentations:
(Required.)
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
I understand that underage drinking is dangerous at any level of consumption
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
I am more aware of the long- and short-term risks of drinking, marijuana and substance use
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
I am more aware of the physical, emotional and mental health strategies of becoming more resilient
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
I am more aware of the impact of social media on emotional and mental health
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
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5.
Overall, how helpful did you find the presentations?
(Required.)
Extremely helpful
Somewhat helpful
Somewhat unhelpful
Extremely unhelpful
6.
What is the most important thing you learned from all of the presentations you have viewed?
7.
Do you have any comments regarding the presentations that you would like to share?
8.
Is there anything that you would like to see included as a topic for the Healthy Habits forum next year?
9.
The West Haven Prevention Council (WHPC) sponsors and coordinates events, educational forums, marketing materials and other activities in the community to promote awareness about underage drinking and substance use. Prior to this forum, were you aware of the West Haven Prevention Council?
Yes
No
10.
Please indicate if you have attended or are aware of the following West Haven Prevention Council activities
within the past year:
Attended or participated in
Aware of but did not participate in
Not aware of
WHPC Social Media Sites (Facebook/Twitter/Instagram)
Attended or participated in
Aware of but did not participate in
Not aware of
WHPC Youth Coalition/Club
Attended or participated in
Aware of but did not participate in
Not aware of
12th Grade Senior Forum/Senior University
Attended or participated in
Aware of but did not participate in
Not aware of
WHPC Monthly Coalition Meetings (currently via zoom)
Attended or participated in
Aware of but did not participate in
Not aware of
WHPC BIllboards
Attended or participated in
Aware of but did not participate in
Not aware of
WHPC displays/information/flyers found in West Haven
Attended or participated in
Aware of but did not participate in
Not aware of
WHPC Presentations
Attended or participated in
Aware of but did not participate in
Not aware of
Drug Take Back Day
Attended or participated in
Aware of but did not participate in
Not aware of
Prescription Drug Drop Box at the West Haven Police Station
Attended or participated in
Aware of but did not participate in
Not aware of
Volunteer Opportunities
Attended or participated in
Aware of but did not participate in
Not aware of
Other (please specify)
Did you know...WHPC has a Youth Committee? High School Youth join the Committee to work on and develop various town-wide projects to impact our community, while gaining leadership skills and community service hours! Youth who join have an ability to shape this committee to address the issues that matter most to youth today and make a positive impact. Develop podcasts, PSAs, TED Students Talks, Fundraising and more!
Are you interested in learning more about the youth committee?
Please contact Kendra Epps at kepps@bridgesmilford.org or http://tinyurl.com/WHYouthGroup-more information