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SAFE Youth Substance Use Survey
SAFE is a community coalition working to reduce substance use among Excelsior Springs area youth. The coalition receives funding from the Drug Free Communities Grant Program and we will be re-applying for funding in March 2021. Information collected in this brief survey will help us frame and give story to our substance use data and issues. You can be anonymous in your answers if preferred. Please be honest and thorough in answering the questions! Thanks for your help!
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To what extent do you think alcohol, tobacco or other drugs affect kids and families in Excelsior Springs?
To a VERY GREAT extent
To a GREAT extent
To a MODERATE extent
To SOME extent
To a SMALL extent
Not at all
Clear selection
Which drugs should SAFE make highest priority in our youth prevention efforts? (i.e. alcohol, marijuana, prescription drugs, nicotine/e-cigs, etc) Why?
Your answer
Please share any thoughts or concerns that help describe what you think is causing youth in Excelsior to use substances.
Your answer
Do you believe SAFE is making an impact on youth substance use? Please explain:
Your answer
Complete this sentence: If our community could _______________, it would really help with the issue of youth substance use.
Your answer
An idea of something I/my sector could do to help with youth substance use prevention is:
Your answer
Please share, as you are able, any personal or professional experiences or stories about local youth substance use or prevention you have from the last few years.
Your answer
Name
Your answer
Role/Title/Position
Your answer
Email Address
Your answer
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