Request edit access
Community Survey
Which drugs do you believe are a problem in the community you live in, and what risk factors do you think are causing this problem?
Would you like to stay connected with F.I.R.E. Squad to stay updated about our events and ways we support the community? Please type in your email.
What's your age? *
What's your race? *
What county do you belong to? *
What two drugs do you think are most used in your community amongst kids/adolescents? *
Required
What are three risk factors in your county that are causing kids to use drugs?  *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report