General Public Engagement Survey
Please review the questions below to gage where your engagement with the Coalition
Sign in to Google to save your progress. Learn more
Junior High kids do drugs/alcohol/vaping
Clear selection
I feel like my kids have the leadership skills and confidence to handle substance-related situations in their school or community *
Strongly Disagree
Strongly Agree
My community has quality alternative events available for youth and families *
Strongly Disagree
Strong Agree
I think youth use of vaping, alcohol and other drugs is wrong and harmful *
Strongly Disagree
Strongly Agree
What made you interested in learning more about Monroe County Coalition for Drug Free Communities?
Clear selection
Please select the barriers that would not allow you to be engaged with Monroe County Coalition for Drug Free Communities *
Required
Have you ever experienced Monroe County Coalition for Drug Free Communities programming in the past? *
Are you interested in making an impact against youth substance use in partnership with the Coalition? *
Please put in your email below if you are interested in being added to our Coalition communications list
Please write any comments or questions you have regarding Monroe County Coalition for Drug Free Communities
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