Northborough/Southborough Encompass Coalition Parent/Caregiver Survey

This survey was developed by Encompass, our local Substance Use Prevention Coalition serving the communities of Northborough and Southborough. The purpose of this survey is to collect information from parents that complements the student data collected in the biannual MetroWest Adolescent Health Survey (administered to students in grades 6-12). Encompass will use this data to determine priorities, raise awareness, and support local programs and policies to address substance use. A goal of the coalition is to aid parents & caregivers like yourself so that you are able to support youth in healthy and informed decisions.

This survey should only take about 7 minutes of your time. If available, we encourage one or more parents/guardians from the household to complete this survey. As a reminder, every question is optional and your participation is completely voluntary.

Thank you for completing this anonymous survey!

Please note: This is not a school-sponsored activity and the Public Schools of Northborough and Southborough do not provide support or endorsement of this program/activity. Permission to distribute this material must not be considered a recommendation or endorsement by the school district.

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* 1. Which of the following describes you? (Select all that apply)

I live in Northborough

I work in Northborough

I raise children in Northborough

I live in Southborough

I work in Southborough

I raise children in Southborough

I have children that attend Northborough/Southborough Public Schools

None of the above

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* 2. My children are: (Select all that apply)

Male

Female

Non-binary

Prefer not to answer

Other (please specify)

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* 3. My gender is:

Male

Female

Non-binary

Prefer not to answer

Other (please specify)

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* 4. What grades are your children in? (Select all that apply)

I don't have any children

Younger than kindergarten

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

12th grade

Older than 12th grade (including post-graduate programs)

No longer in school

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* 5. During the past 30 days, have you talked to any of your child(ren) about the potential negative consequences associated with:

	Yes	No
Vaping	Vaping Yes	Vaping No
Drinking alcohol	Drinking alcohol Yes	Drinking alcohol No
Using marijuana	Using marijuana Yes	Using marijuana No
Using prescription drugs that are not prescribed to them (e.g., Xanax, Oxycodone, and Adderall)	Using prescription drugs that are not prescribed to them (e.g., Xanax, Oxycodone, and Adderall) Yes	Using prescription drugs that are not prescribed to them (e.g., Xanax, Oxycodone, and Adderall) No
Fentanyl	Fentanyl Yes	Fentanyl No

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* 6. What approaches, if any, have you implemented with your child(ren) related to drug, alcohol, and safety? (Check all that apply)

We have not discussed alcohol or drug use with our child(ren)

A verbal or written contract with your child(ren) not to ride in any vehicle driven by someone who has been drinking or using drugs

A verbal or written contract with your child(ren) to limit the use of alcohol or drugs

A verbal or written contract with your child(ren) that prohibits any alcohol or drug use

Call or send text message to get picked up from an uncomfortable/dangerous situation

Code word/ Way to get picked up without having to explain

Having other adults or friends to call for a ride

Refusal strategies / Ways to avoid alcohol or drug use

Telling your child(ren) to always have a close friend present

Telling your child(ren) to leave the situation

Teaching your child(ren) to use substances in moderation

We have discussed the dangers of substance use but not strategies to stay safe

Other (insert your own strategies)

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* 7. Please rate the statements below:

	Strongly Agree	Agree	Neutral	Disagree	Strongly disagree
I am concerned about youth substance use in my community	I am concerned about youth substance use in my community Strongly Agree	I am concerned about youth substance use in my community Agree	I am concerned about youth substance use in my community Neutral	I am concerned about youth substance use in my community Disagree	I am concerned about youth substance use in my community Strongly disagree
I believe that I can have an influence on whether my child(ren) uses alcohol or drugs	I believe that I can have an influence on whether my child(ren) uses alcohol or drugs Strongly Agree	I believe that I can have an influence on whether my child(ren) uses alcohol or drugs Agree	I believe that I can have an influence on whether my child(ren) uses alcohol or drugs Neutral	I believe that I can have an influence on whether my child(ren) uses alcohol or drugs Disagree	I believe that I can have an influence on whether my child(ren) uses alcohol or drugs Strongly disagree
I think it is okay to allow underage alcohol use at home as long as it is responsible and not excessive	I think it is okay to allow underage alcohol use at home as long as it is responsible and not excessive Strongly Agree	I think it is okay to allow underage alcohol use at home as long as it is responsible and not excessive Agree	I think it is okay to allow underage alcohol use at home as long as it is responsible and not excessive Neutral	I think it is okay to allow underage alcohol use at home as long as it is responsible and not excessive Disagree	I think it is okay to allow underage alcohol use at home as long as it is responsible and not excessive Strongly disagree
I think it is okay to allow youth marijuana use at home as long as it is responsible and not excessive	I think it is okay to allow youth marijuana use at home as long as it is responsible and not excessive Strongly Agree	I think it is okay to allow youth marijuana use at home as long as it is responsible and not excessive Agree	I think it is okay to allow youth marijuana use at home as long as it is responsible and not excessive Neutral	I think it is okay to allow youth marijuana use at home as long as it is responsible and not excessive Disagree	I think it is okay to allow youth marijuana use at home as long as it is responsible and not excessive Strongly disagree
I would like other parents/guardians to call me to see if I will be home if their child(ren) is coming to my house for a social gathering	I would like other parents/guardians to call me to see if I will be home if their child(ren) is coming to my house for a social gathering Strongly Agree	I would like other parents/guardians to call me to see if I will be home if their child(ren) is coming to my house for a social gathering Agree	I would like other parents/guardians to call me to see if I will be home if their child(ren) is coming to my house for a social gathering Neutral	I would like other parents/guardians to call me to see if I will be home if their child(ren) is coming to my house for a social gathering Disagree	I would like other parents/guardians to call me to see if I will be home if their child(ren) is coming to my house for a social gathering Strongly disagree
I think it's okay for parents to drink at youth events (sporting events, high school events, etc.)	I think it's okay for parents to drink at youth events (sporting events, high school events, etc.) Strongly Agree	I think it's okay for parents to drink at youth events (sporting events, high school events, etc.) Agree	I think it's okay for parents to drink at youth events (sporting events, high school events, etc.) Neutral	I think it's okay for parents to drink at youth events (sporting events, high school events, etc.) Disagree	I think it's okay for parents to drink at youth events (sporting events, high school events, etc.) Strongly disagree
I think many parents/guardians in our town set a bad example for their children by their own excessive alcohol use	I think many parents/guardians in our town set a bad example for their children by their own excessive alcohol use Strongly Agree	I think many parents/guardians in our town set a bad example for their children by their own excessive alcohol use Agree	I think many parents/guardians in our town set a bad example for their children by their own excessive alcohol use Neutral	I think many parents/guardians in our town set a bad example for their children by their own excessive alcohol use Disagree	I think many parents/guardians in our town set a bad example for their children by their own excessive alcohol use Strongly disagree
I think parents/guardians in our town turn a blind eye to underage alcohol use	I think parents/guardians in our town turn a blind eye to underage alcohol use Strongly Agree	I think parents/guardians in our town turn a blind eye to underage alcohol use Agree	I think parents/guardians in our town turn a blind eye to underage alcohol use Neutral	I think parents/guardians in our town turn a blind eye to underage alcohol use Disagree	I think parents/guardians in our town turn a blind eye to underage alcohol use Strongly disagree
I think parents/guardians in our town turn a blind eye to underage marijuana use	I think parents/guardians in our town turn a blind eye to underage marijuana use Strongly Agree	I think parents/guardians in our town turn a blind eye to underage marijuana use Agree	I think parents/guardians in our town turn a blind eye to underage marijuana use Neutral	I think parents/guardians in our town turn a blind eye to underage marijuana use Disagree	I think parents/guardians in our town turn a blind eye to underage marijuana use Strongly disagree
I think parents/guardians in our town turn a blind eye to underage vaping	I think parents/guardians in our town turn a blind eye to underage vaping Strongly Agree	I think parents/guardians in our town turn a blind eye to underage vaping Agree	I think parents/guardians in our town turn a blind eye to underage vaping Neutral	I think parents/guardians in our town turn a blind eye to underage vaping Disagree	I think parents/guardians in our town turn a blind eye to underage vaping Strongly disagree

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* 8. How wrong do you think it would be for your child(ren):

	Not at all wrong	A little bit wrong	Wrong	Very wrong
to use electronic vapor products	to use electronic vapor products Not at all wrong	to use electronic vapor products A little bit wrong	to use electronic vapor products Wrong	to use electronic vapor products Very wrong
to have one or two drinks of an alcoholic beverage nearly every day	to have one or two drinks of an alcoholic beverage nearly every day Not at all wrong	to have one or two drinks of an alcoholic beverage nearly every day A little bit wrong	to have one or two drinks of an alcoholic beverage nearly every day Wrong	to have one or two drinks of an alcoholic beverage nearly every day Very wrong
to have 5 or more alcoholic beverages in a row (within a couple of hours)	to have 5 or more alcoholic beverages in a row (within a couple of hours) Not at all wrong	to have 5 or more alcoholic beverages in a row (within a couple of hours) A little bit wrong	to have 5 or more alcoholic beverages in a row (within a couple of hours) Wrong	to have 5 or more alcoholic beverages in a row (within a couple of hours) Very wrong
to smoke marijuana once or twice a week	to smoke marijuana once or twice a week Not at all wrong	to smoke marijuana once or twice a week A little bit wrong	to smoke marijuana once or twice a week Wrong	to smoke marijuana once or twice a week Very wrong

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* 9. How much do you think high school age children risk harming themselves physically or in other ways when they:

	No risk	Slight risk	Moderate risk	Great risk
use electronic vapor products	use electronic vapor products No risk	use electronic vapor products Slight risk	use electronic vapor products Moderate risk	use electronic vapor products Great risk
have one or two drinks of an alcoholic beverage nearly every day	have one or two drinks of an alcoholic beverage nearly every day No risk	have one or two drinks of an alcoholic beverage nearly every day Slight risk	have one or two drinks of an alcoholic beverage nearly every day Moderate risk	have one or two drinks of an alcoholic beverage nearly every day Great risk
have 5 or more alcoholic beverages in a row (within a couple of hours)	have 5 or more alcoholic beverages in a row (within a couple of hours) No risk	have 5 or more alcoholic beverages in a row (within a couple of hours) Slight risk	have 5 or more alcoholic beverages in a row (within a couple of hours) Moderate risk	have 5 or more alcoholic beverages in a row (within a couple of hours) Great risk
smoke marijuana once or twice a week	smoke marijuana once or twice a week No risk	smoke marijuana once or twice a week Slight risk	smoke marijuana once or twice a week Moderate risk	smoke marijuana once or twice a week Great risk

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* 10. Do you think most high school students in your town:

	Yes	No
Vape	Vape Yes	Vape No
drink alcohol	drink alcohol Yes	drink alcohol No
use marijuana	use marijuana Yes	use marijuana No

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* 11. In the past 30 days do you think your child has:

	Yes	No	I'm not sure
used an electronic vapor product	used an electronic vapor product Yes	used an electronic vapor product No	used an electronic vapor product I'm not sure
used alcohol	used alcohol Yes	used alcohol No	used alcohol I'm not sure
used marijuana	used marijuana Yes	used marijuana No	used marijuana I'm not sure

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* 12. If the police encountered underage youth in your town that were drinking alcohol or using marijuana, what action would you support? (Select all that apply)

There should be no action against the underage youth

Police should issue a verbal warning to the underage youth

Police should call or contact the underage youth's parents

Police should issue a ticket/notice to appear in court

Police should arrest the offending teens

Police should inform school personnel

If on an town sports team, the school should enforce MIAA (state sports regulatory body) sanctions

Police should refer the underage youth to a mandated substance abuse education class

Other (please specify)

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* 13. Do you actively monitor or take stock of:

	Yes	No	There is none in my home
any alcohol present in your home	any alcohol present in your home Yes	any alcohol present in your home No	any alcohol present in your home There is none in my home
any tobacco products (electronic vapor products, cigarettes, etc.) present in your home	any tobacco products (electronic vapor products, cigarettes, etc.) present in your home Yes	any tobacco products (electronic vapor products, cigarettes, etc.) present in your home No	any tobacco products (electronic vapor products, cigarettes, etc.) present in your home There is none in my home
any marijuana present in your home	any marijuana present in your home Yes	any marijuana present in your home No	any marijuana present in your home There is none in my home

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* 14. Do you secure or lock-up:

	Yes	No	There is none in my home
any alcohol present in your home?	any alcohol present in your home? Yes	any alcohol present in your home? No	any alcohol present in your home? There is none in my home
any tobacco products (electronic vapor products, cigarettes, etc.) present in your home	any tobacco products (electronic vapor products, cigarettes, etc.) present in your home Yes	any tobacco products (electronic vapor products, cigarettes, etc.) present in your home No	any tobacco products (electronic vapor products, cigarettes, etc.) present in your home There is none in my home
any marijuana present in your home?	any marijuana present in your home? Yes	any marijuana present in your home? No	any marijuana present in your home? There is none in my home

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* 15. Are you aware of the consequences for adults that allow underage substance use on their property in your town/state (also known as social host laws)?

Yes

I'm not sure

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* 16. During the past 12 months, how often did you talk with your children about drug and alcohol use?

Not at all

Sometimes

Often

All the time

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* 17. Do you know where to get substance use prevention/treatment resources if you need them?

Yes

I'm not sure

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* 18. Which (if any) of the following substance use resources would you be interested in? (Select all that apply)

Expert speakers

Youth led seminars

Resource tables/exhibits at existing events (parent/teacher conferences, back-to-school night, or other events around town)

Hidden in Plain Sight (exhibit where parents can learn what everyday items may be indicators of risky behavior and/or drug use for their preteen or teenager)

Education on physiological effects of substance use

Other (please specify)

Northborough/Southborough Encompass Coalition Parent/Caregiver Survey