Parent Survey
Greater Waterville Communities for Children & Youth Prevention Coalition
1. Please indicate your level of agreement with the
following statements:
Strongly
Agree
Disagree
2. How much do you think underage youth risk harming
themselves (physically or in other ways) if they:
Very
harmful
Somewhat
Not
Yes
No
Sometimes
6a. When you have alcohol in your home, do you... (Please check all that apply)
Keep it locked or in a place where underage youth can't get at it?
Keep track of it to make sure your underage youth haven't taken any?
Instruct your underage youth not to take any?
Take no special action?
Other (Please describe):
Never
Routinely
Likely
likely
Unlikely
11. In your opinion, how do youth under the age of 21 obtain alcohol?
From their parents' home
From liquor stores
Using false or altered identification
Asking an adult stranger to buy for them
Asking a friend/sibling older than 21 to buy for them
Stealing alcoholic beverages
Other (Please explain):
Thank you very much for your time and attention to these important issues.