Exit this survey >>
Note: Only complete this survey if you  are 18 years of age or older and currently live, work, or go to school in Forest County or Warren County.

Please answer ALL questions. The survey is anonymous - there are no questions that identify who you are. We use the results of this survey to identify issues related to drug and alcohol use in our community and attitudes of local residents about drug and alcohol use so we might better address these issues. 

Thank you for helping us collect this valuable information needed to improve our services.

Question Title

1. Please select the county where you live.

Question Title

2. What is your current age?

Question Title

3. What is your gender?

Question Title

4. What is your Race?

Question Title

5. In what school district do you live?

Question Title

6. When (about what age) did you first start drinking alcohol (beer, wine, or liquor)?

Question Title

7. On how many occasions (if any) have you had beer wine or hard liquor in the past 30 days?

Question Title

8. How many times have you had 5 or more drinks of an alcoholic beverage (beer, wine or liquor) in a row (within a short period of time ) during the past 30 days?

Question Title

9. How much do you think people risk harming themselves (physically or in other ways) if they have 5 or more drinks of an alcoholic beverage (beer, wine, liquor) in a row (within a short period of time)?

Question Title

10. Do you ever feel anxious, sad, depressed, or hopeless?

Question Title

11. Do you ever drink alcoholic beverages to help you cope with feelings of anxiety or depression?

Question Title

12. Do you think someone is more likely to develop a problem with alcohol if they have a family history of alcohol abuse?

Question Title

13. How do you feel about adults who have 1-2 drinks of an alcoholic beverage (beer, wine or liquor) nearly every day?

Question Title

14. How do you feel about adults who binge drink (have 5 or more drinks in a row within a short period of time)?

Question Title

15. Based on your personal experience or what you have heard from others, do you think binge drinking is generally accepted at community events?

Question Title

16. Based on your personal experience or what you have heard from others, do you think binge drinking is a common occurrence at hunting/fishing camps or similar recreational settings located in the area?

Question Title

17. How do you feel about adults who drink and drive?

Question Title

18. Do you think local cultural norms (generally accepted conduct in your county) encourage underage youth to drink alcoholic beverages (beer, wine, or liquor)?

Question Title

19. How much do you think a young person under 18 yrs of age risks harming themselves (physically or in other ways) if they have 1-2 drinks of an alcoholic beverage nearly every day?

Question Title

20. How concerned are you about young people under 18 yrs. of age using e-cigarettes or other vaping devices nearly every day?

Question Title

21. Do you think e-cigarettes such as Juul, PUFF, Blu, etc. are less harmful than regular cigarettes?

( Privacy & Cookie Notice

T