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Community Early Intervention Parent Pre-Survey
This is a survey given by Envision Partnerships to assess knowledge and understanding of specific drugs.
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* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
The vapor that comes out of a vaping device is:
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Harmless water vapor
Mostly water vapor with a few aerosol chemicals
Equal amounts of water vapor and harmful chemicals
Mostly harmful chemicals with a little water vapor
Only chemicals with no water vapor
Nicotine vapes are safer than cigarettes.
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Strongly disagree
1
2
3
4
5
Strongly agree
Imagine a person vapes occasionally, how likely are they to become addicted?
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Not likely at all
1
2
3
4
5
Extremely likely to become addicted
Imagine a person vapes occasionally, how harmful would this be to their health?
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Not harmful at all
1
2
3
4
5
Extremely harmful
Imagine a person vapes daily, how harmful would this be to their health?
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Not harmful at all
1
2
3
4
5
Extremely harmful
How much do you agree with the following statement? Tobacco and vape companies target young people in advertisements.
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Strongly disagree
1
2
3
4
5
Strongly agree
How much do you agree with the following statement? Tobacco and vape companies target adults in advertisements.
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Strongly disagree
1
2
3
4
5
Strongly agree
How difficult do you feel it is to talk with young people about how drugs and alcohol can impact their health?
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Very easy
1
2
3
4
5
Extremely difficult
Have you ever talked with your child about the harms of vaping?
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Yes, I already have.
No, I haven't.
I plan to but haven't yet.
Media messages are straightforward and clear to understand.
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Not at all clear
1
2
3
4
5
Extremely clear and easy to understand
Which of the following drugs can be addictive?
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Marijuana
Alcohol
Vapes/tobacco
All of the above
None of these
Marijuana impairs judgement and can cause health problems.
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Yes
No
Unsure
Alcohol use can cause cancer.
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Yes
No
Unsure
When people use substances, like alcohol, they take risks they wouldn't normally take.
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True
False
Unsure
It is safe to drive when you smoke marijuana
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Yes
No
Unsure
I know what healthy coping skills are.
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Yes
No
Do you think it is ok for youth to gamble money or personal items?
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Yes
No
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