ODPS Youth Alcohol Awareness Campaign

21 Wait...Learn...Live...Survey

1. What was your age on your last birthday?	< 14	15-17	18-20	21+
2. What is your sex?	Male	Female

3. What school do you attend?

Use of Alcohol

4. Have you ever had alcoholic beverages like beer, wine, wine coolers or liquor? YES NO (skip to Question 17)

5. About how old were you the first time you drank alcohol, not counting sips you might have had as a child from an
older persons drink? years old

6. How often do you drink alcohol? At least once a week At least once a month Less than once a month

7. Do you ever have 5 or more drinks of alcohol at a time?	YES NO
8. If "YES", have you done this in the last month?	YES NO

9. "Have you ever.....?" (Check all that apply)

	Been absent from school because you used alcohol
	Been drunk at school
	Done poorly in school because you used alcohol
	Been arrested because you used alcohol
	Driven under the influence of alcohol
	Been a passenger in a vehicle in which the driver was under the influence of alcohol
	Been drunk at a party

10. Do your parents permit you to drink alcohol in your home?

Never

Under parental supervision

On special occasions only

Any time I want to

11. Do you discuss alcohol use with your parent(s)?	YES	NO
12. Do your parents know how much you drink?	YES	NO
13. Have your parents ever seen you drunk?	YES	NO

14. Do you know of parents or adults who permit non-family members under age 21 to consume alcohol in their homes?
YES NO

15. How many times in the last two months has someone offered to give you, buy for you, or sell you alcohol?

None

Once

2-3 times

4 or more times

16. Have you successfully used a fake ID to obtain alcohol?	YES	NO
17. Have you ever purchased alcohol without an ID?	YES	NO

Perception of Alcohol Use by Other People

18. Most people my age who drink, do so because...(Check all that apply)

	They want to have a good time at a party
	They are sad or depressed and want to feel better about themselves
	They wish to rebel and defy their parents, teachers and other adult authorities
	They wish to fit in or be accepted by their friends or peers
	They are bored

19. Do you think alcohol use by underage youth is a...

Serious problem

Minor problem

Not a problem

20. Within the past year, do you think heavy use of alcohol among people your age has...

Increased

Decreased

Stayed the same

21. Who is responsible for contributing to the problem of alcohol use by youth under age 21? (Check all that apply)

	Parents
	Public agencies
	Alcohol outlets, such as liquor stores, bars and restaurants
	Advertising
	Youth themselves
	Other (please specify)
	Don't know

22. Do you think drinking and driving among youth is a...		Serious problem		Minor problem		Not a problem
23. Do you know someone with an alcohol problem?		YES		NO

24. If the response to question 23 was "YES" what is their relationship to you? Relative Non-relative

25. Where is the primary source where people under the age of 21 obtain alcohol? (Select only one)

26. Which of the following approaches would you support to decrease alcohol use by youth under the legal drinking age of 21? (Check all that apply)

	New and/or stiffer penalties
	More law enforcement
	More alcohol education in schools
	More alcohol education in the mass media (TV, radio, magazines)
	Alcohol-free teen night at clubs
	Public presentations by people who have been seriously hurt or impaired by alcohol abuse
	Driver's license suspension for youth who drink alcohol
	Ban on alcohol advertising

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Thank you for your Participation!