Frontier Community Coalition - Nevada Survey for Community Health 2010-2011

*Frontier Community Coalition*
	"Building Partnerships to Support Healthy Youth and Families."
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Nevada Survey for Community Health 2011

Once you have responded to each question on the form, please click the "Submit" button at the end of the form to submit your responses to the coalition staff. Thank you for participating in the community health survey.

1. What county (not country) do you live in? Humboldt County Lander County Pershing County

2. What is your age? 15-17 18-20 21-24 25-30 31-35 36-40 41-50 51-60 61-70 71+

3. Are you male or female? Male Female

4. What is your zip code? 89418 89419 89445 89446 89820

5. Are you Hispanic or Latino? Yes No

6. Which one or more of the following would you say is your race? African-American or Black Alaska Native American Indian Asian Native Hawaiian
Pacific Islander White Other

7. How wrong would most people in your community think it is to binge drink? Not wrong at all A little wrong Wrong Very wrong

8. How wrong would most people in your community think it is for underage youth (15-20) to drink? Not wrong at all A little wrong Wrong Very wrong

9. How easy or difficult is it for underage youth to obtain alcohol from the following people in your community? Older Siblings: Very easy Easy Difficult Very difficult

Parents: Very easy Easy Difficult Very difficult

Friends: Very easy Easy Difficult Very difficult

Adults/Strangers: Very easy Easy Difficult Very difficult

10. How easy or difficult do you think it would be for underage youth to get beer, wine, wine coolers,
or liquor from home without their parents knowing it? Very easy Easy Difficult Very difficult

11. How often do you think parents in your community provide alcohol at parties their children host? Very often Often Sometimes, but not that often Never

12. How serious a problem is alcohol consumption by underage youth (15-20 years old) at unsupervised
informal gatherings (e.g., parties at friend's houses) in your community? Very serious problem Serious problem Somewhat of a problem Not a problem at all

13. How serious a problem are alcohol related motor vehicle crashes in your community? Very serious problem Serious problem Somewhat of a problem Not a problem at all

14. When you think about underage youth (15-20 years-old), where do you think that they usually
obtain alcohol? A liquor store? Friends? Parents? A bar? Strangers?
A restaurant? A grocery store? Other family members? A convenience store?

15. How much do you think that drinking and driving is a problem for your community? Very serious problem Serious problem Somewhat of a problem Not a problem at all

16. If you were to drink and drive what do you think would happen to you? The police would catch me I would get a ticket and pay a fine I would go to jail for a night
Nothing would happen to me Anything else?

17. How well does your community monitor the location of alcohol advertising? Very well Sort of well Not well Not well at all

18. How well does your community monitor the location of alcohol outlets and bars? Very well Sort of well Not well Not well at all

19. Underage drinking is a rite of passage and not likely to change. Strongly disagree Disagree Agree Strongly agree

20. Law enforcement does very little to stop underage drinking. Strongly disagree Disagree Agree Strongly agree

21. Alcohol advertising should not be allowed at events attended by children such as sporting
events or community celebrations. Strongly disagree Disagree Agree Strongly agree

22. Those serving alcohol in my community are properly trained to do so. Strongly disagree Disagree Agree Strongly agree

Some of the questions that follow ask about your own behavior. We will keep your responses completely anonymous; please answer them as accurately as possible.

23. What percentage of youth under 21 years of age, do you believe, have used alcohol during the
past 30 days? 0-5% 5-10% 11-30% 31-50% 51-70% 71-90% 91-100%

24. If you drink alcohol, during the past 30 days, on how many days did you have 5 or more drinks
of alcohol in a row, that is, within a couple of hours? 0 days 1 day 3-5 days 6-9 days 10-19 days 20 or more days

25. If you drink alcohol, during the past 30 days, how many times did you drive a car or other vehicle when
you had been drinking alcohol? 0 times 1 time 2 or 3 times 4 or 5 times 6 or more times

Please think about the differences between the way our community is now and the way it was two years ago. In the last two years...

26. Are young people (under 21) more or less likely to obtain alcohol from stores, bars and restaurants? Much more likely More likely No change Less likely Much less likely

27. Are young people (under 21) more or less likely to obtain alcohol at community events (such as
local fairs, rodeos, carnivals and festivals)? Much more likely More likely No change Less likely Much less likely

28. Are young people (under 21) more or less likely to obtain alcohol from adults? Much more likely More likely No change Less likely Much less likely

29. Is law enforcement in your area more or less likely to enforce laws regarding use of alcohol by underage
youth (under 21)? Much more likely More likely No change Less likely Much less likely

30. Are young people (under 21) more or less likely to suffer negative consequences for possessing
and consuming alcohol? Much more likely More likely No change Less likely Much less likely

** If you are under 21 years or age, please answer these additional questions.
If you are over 21 years of age, please submit your survey now. Thank you! **

31. During the past 30 days, if you bought alcohol at a store such as a grocery store, liquor store,
convenience store or gas station, did the person selling to you check your ID? I didn't buy alcohol in the past 30 days Yes No

32. During the past 30 days, did anyone ever refuse to sell you alcohol because of your age? I did not try to buy alcohol in the past 30 days
Yes, someone refused to sell me alcohol because of my age
No, my age did not keep me from buying alcohol

33. How many stores do you know of that would sell you alcohol without asking you for ID or proof of age? 0 Stores 1 Store 2 or 3 Stores 4 or 5 Stores 6 or More stores

34. During the past 30 days, where did you usually drink alcohol? I did not drink alcohol during the past 30 days.
At a wedding or other celebration.
At my home.
At a public place such as a park, beach, or parking lot.
At another person's home.
At a public event such as a concert or sporting event.
Some other location outside.
With my parent/guardian.
At my home without my parent/guardian.
At school or at a school-sponsored event.
At a restaurant, bar or club.
In a car or other motor vehicle.

35. If you drink alcohol, during the past 30 days, how did you usually get your alcohol? I did not drink alcohol during the past 30 days
I got it from home with my parent/guardian's permission.
I got it from home without my parent/guardian's permission.
I got it from a friend or acquaintance of my parent/guardian.
I got it from a relative who is 21 years of age or older.
I got it from a relative who is under 21 years of age.
I got it from a friend who is 21 years of age or older.
I got it from a friend who is under 21 years of age.
I asked a stranger to buy it for me.
I bought it myself with a fake ID.
I bought it myself without using a fake ID.
I took it from a store or shop.
I got it another way.

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