The Massachusetts Technical Assistance Partnership for Prevention (MassTAPP), is working to address the statewide opioid abuse epidemic, and to do so, needs to understand the knowledge, behaviors and practices that lead to prescription drug misuse. By completing this brief survey, you will help to develop targeted prevention messages.  Thank you for your anonymous and confidential response.

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* 1. Are you the parent/guardian of a high school athlete?

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* 2. Are you responding to this survey as the relative of a:

  Number
Male high school athlete(s)
Female high school athlete(s)
Other high school athlete(s)

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* 3. What sport or activity does your child(ren) participate in?

  Number of male children playing this sport Number of female children playing this sport
Soccer
Football
Basketball
Lacrosse
Hockey
Wrestling
Track & Field
Cross Country
Swimming
Alpine skiing
Nordic skiing
Fencing
Field Hockey
Volleyball
Cheerleading
Baseball
Softball
Tennis
Gymnastics
Golf
Dance
Ultimate Frisbee

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* 4. Does your child play this sport on a:

  Male Female Coed
School team
Club team
Both school and club teams

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* 5. Has your child/children ever been injured while participating in high school sports?

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* 6. If yes, during your child's most recent injury, did he or she continue to train and play this sport?

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* 7. If yes, please describe this injury and any limitations to his/her participation.

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* 8. Is there a return to play rule for sports participation after an injury or hospitalization?

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* 9. Have any of your children ever taken prescription pain medication such as Vicodin, OxyContin, Hydrocodone, Percocet or Codeine...

If your child was prescribed a prescription pain medication, please answer questions 10 - 13.  If not, please skip to question 15.

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* 10. Did you or another member of your family have a discussion with anyone about the risks of these medications? 

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* 11. If yes to Q10, was the discussion with:

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* 12. Who managed the dispensing of the student's medication?

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* 13. Were all of the prescribed pills used during this most recent need for pain medication?

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* 14. If you answered no to Q13, what has been done with any unused pills?

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* 15. Have any of prescription painkillers such as Vicodin, Percocet, Hydrocodone, ever been prescribed to a family member who lives with the student?

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* 16. When is it alright for your child to take a prescription painkiller that has not been specifically prescribed for them?

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* 17. How concerned are you about prescription drug misuse in your community?

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* 18. From which sources have you heard about prescription drug misuse? Choose all that apply.

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* 19. Who are you most likely to turn to for guidance on your child's health and behavior?

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* 20. Please tell us which of these formats are the best for sharing prevention information and education with the school sports community?

  Good Better Best
Educational programs
Parent groups
Social media
School communications
On-line media (please specify in the comments section)
Newspapers
Radio
Printed resources

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* 21. In what part of the Commonwealth is your child's school located?

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* 22. How would your describe your community?

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* 23. Is there anything else you would like to add about student athletes and the misuse of prescription pain medication?

Note: If you need assistance with an alcohol or drug question or referral, call 1-800-327-5050 or visit www.helpline-online.com.

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