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The San Bernardino County, Department of Behavioral health is conducting an Alcohol and Drug Awareness Survey to learn more about how San Bernardino County residents view underage drinking, marijuana and drug use. Please take 10 minutes to provide answers for the following survey. All of your answers will be kept confidential and will not be shared. The results of this survey will be used to guide countywide prevention efforts and provide data for future program opportunities.

	For your responses to be counted the 'Save' button on first page or 'Done' button on second page must be clicked at the bottom of survey.

	Today's Date
	M/d/yyyy

	I live in (City):

	What is your zip code?

Gender

Man

Woman

Transgender

Non-Binary/Non-Conforming

Prefer not to answer

Racial/Ethnic Background

Caucasian	African American	Native American	Hispanic/Latinx	Asian/Pacific Islander
More than one race/ethnicity

	SECTION 1: NEIGHBORHOOD PERCEPTION OF A SUBSTANCE USE DISORDER PROBLEMS

	1.1 How much of a problem do you perceived the use of the following substances to be in your neighborhood?

Alcohol

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Marijuana

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Methamphetamine

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Presciption Drugs

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Over-the-Counter Drugs

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Cocaine

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Fentanyl

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

	Other substance not listed:

	1.2 How much of a problem do you perceive the following to be in your neighborhood?

Alcohol and drug impaired collisions

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Alcohol and drugs readily available to minors

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

Contribution of alcohol and drug use to crime

Not a Problem

Minor Problem

Unsure

Moderate Problem

Serious Problem

	1.3 Please check YES or NO for the following sets of questions.

	Do you support the following:

Minimum legal drinking age of 21

Yes

No

Unsure

Minimum legal marijuana smoking/vaping/consumption age of 21

Yes

No

Unsure

Penalties for adults who provide alcohol or marijuana to youth

Yes

No

Unsure

Business compliance check (used to identify alcohol/marijuana establishments that sell alcohol/marijuana to underage youth)

Yes

No

Unsure

DUI Checkpoints also known as Sobriety Checkpoints (used by law enforcement to deter or detect a drunk driver through the use of roadblocks)

Yes

No

Unsure

Set-up prescription drug drop-off boxes

Yes

No

Unsure

Reducing alcohol and marijuana product advertisements

Yes

No

Unsure

	SECTION 2: Youth ACCESS TO ALCOHOL AND OTHER DRUGS

	2.1 Please respond accordingly to the following questions regarding access in your neighborhood.

How difficult is it for youth under 21 to buy/get beer, wine, or hard liquor at stores themselves?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to buy/get marijuana at a dispensary themselves?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get access to prescription drugs?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get access to methamphetamines?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get alcohol from a friend?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get marijuana from a friend?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get prescription drugs from a friend?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get methamphetamines from a friend?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get alcohol from a family member?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get marijuana from a family member?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get prescription drugs a family member?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

How difficult is it for youth under 21 to get methamphetamines from a family member?

Not at All Difficult

Somewhat Difficult

Unsure

Quite Difficult

Extremely Difficult

	SECTION 3: PERCEPTION OF NEIGHBORHOOD COMMITMENT

	3.1 To what extent do you AGREE or DISAGREE with the following statements?

Preventing alcohol and other drug use among youth is important.

Strongly Disagree

Disagree

Unsure

Agree

Strongly Agree

I am concerned about whether my neighborhood has sufficient substance use disorder prevention programs.

Strongly Disagree

Disagree

Unsure

Agree

Strongly Agree

Alcohol and drug free youth can best be achieved by educating youth themselves.

Strongly Disagree

Disagree

Unsure

Agree

Strongly Agree

Alcohol and drug free youth can best be achieved by educating parents.

Strongly Disagree

Disagree

Unsure

Agree

Strongly Agree

Alcohol and drug free youth can best be achieved by educating the neighborhood.

Strongly Disagree

Disagree

Unsure

Agree

Strongly Agree

There are leaders in my neighborhood who are interested in reducing access and misuse of alcohol and other drugs.

Strongly Disagree

Disagree

Unsure

Agree

Strongly Agree

I know who to go to if I need help for myself or family member(s) who are struggling with alcohol or other drugs.

Strongly Disagree

Disagree

Unsure

Agree

Strongly Agree

	3.2 (Optional) If you are interested in joining local efforts to address substance use disorders or wish to obtain more information, please list your name and e-email address. All of your information will be kept confidential.

	Name (Optional)

	Email (Optional)

	Thank you for completing this portion of the survey. We do have some optional questions on the next page and would appreciate any additional information you are willing to offer.

	For 24/7 access to behavioral health and substance use disorder services call: Mental Health 24-hour Helpline (888) 743-1478 Substance Use Disorders 24-hour Helpline (800) 968-2636

	Please click Save button below to submit your answers. Click Next button to go to second page.