A survey to determine what impact improved technology might have on teenage drinking.

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* 1. Name (Optional):

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* 2. Email address (optional):

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* 3. Teenager's age(s) (optional):

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* 4. Location - city and state (optional):

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* 5. How important is it for you to monitor your teenager's alcohol consumption (0 being not all and 100 being very important)?

0 100

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* 6. Which of the following concern you about your teenager’s potential drinking?

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* 7. How often do you believe your teenager might be in situations involving alcohol?

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* 8. How do you currently monitor your teenager’s alcohol consumption? (Check all that apply)

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* 9. How effective do you feel your current methods are in determining if your teenager has been drinking?

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* 10. How often do (did) you use a breathalyzer on/with your teenager?

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* 11. If applicable, on a scale of 0-100, how much cooperation do you get from them (0 being complete cooperation 100 being outright refusal)?

0 100

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* 12. If you have a breathalyzer, what brand/model do you have?

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* 13. How much did it cost?

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* 14. What did you like or dislike about your breathalyzer experience(s)?

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* 15. How much do you believe that having a breathalyzer would impact your teenager’s behavior regarding alcohol?

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* 16. What concerns do you have about using a breathalyzer on your teenager? (Select all that apply)

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* 17. What features would you want in a product designed to help monitor your teenager’s alcohol consumption? (Check all that apply)

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* 18. If it were possible, how important would it be for you to monitor your teenager’s alcohol consumption without (necessarily) their knowledge (0 being not at all important 100 being very important)?

0 100

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* 19. If it were possible, how important would it be for you to monitor your teenager’s alcohol consumption without (necessarily) their cooperation (0 being not at all important 100 being very important)?

0 100

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* 20. If it were possible, how important would it be for you to monitor your teenager’s alcohol consumption without (necessarily) their consent (0 being not at all important 100 being very important)?

0 100

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* 21. If it were possible, how important would it be for you to monitor your teenager’s alcohol consumption without (necessarily) their knowledge, cooperation, and consent (0 being not at all important 100 being very important)?

0 100

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* 22. What is the highest price range would you consider acceptable for a breathalyzer that would be accurate without all three (knowledge, consent, and cooperation).

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* 23. What experiences or information have influenced your views on using a breathalyzer with your teenager?

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* 24. Can you describe any experiences that would make you more likely to invest in a higher priced breathalyzer for use on your teenager?

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* 25. Do you have any additional comments or insights regarding your experience in monitoring your teenager’s alcohol consumption?