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West Van for Youth - 5 Big Questions
West Van for Youth wants to know more about how we talk and think about alcohol and other drugs.
This survey will gather some basic demographics and ask 6 brief questions. The answers are kept anonymous.
OK
1.
What is your zip code?
2.
What is your age?
3.
What is your ethnicity? (Check all that apply)
White or Caucasian
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Another ethnicity
4.
What is your gender? (Check all that apply)
Female
Male
Non-binary/ third gender
Transgender
Prefer not to say
Prefer to self-describe as...
Now we have a few brief questions to help us understand how people in our community talk about and think about substances like alcohol, cannabis, tobacco, and other drugs. (i.e. laws, how to talk to peers, how to talk to youth, effects, and risks of use)
5.
Who do you usually go to if you have questions about drugs and/or alcohol?
Alcohol
Prescription Drugs
Tobacco
Cannabis
Vaping
6.
It can be really awkward or hard for teens and adults to talk to each other about drugs and/or alcohol. What do you think makes it so awkward or difficult?
7.
Do you find it difficult to talk about alcohol and other drugs? Why or why not?
8.
Which two substances do you think are the biggest issue for youth in West Vancouver? (Choose 2)
Tobacco
Alcohol
Cannabis
Vaping
Prescription Drugs
Other (please specify)
9.
Magic Wand Time! What do you wish existed in our community to help youth and families feel more supported and connected?
10.
Would you be interested in learning more about what West Van is doing to build resilience and reduce youth substance abuse in our community? (Your contact info is kept separate from all answers above.)
Name
Email
Phone
Organization or School (if applicable)
Thank you for taking this survey!
Find us on facebook or our website:
westvanforyouth.org
!
Current Progress,
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