Welcome! Thank you for taking a minute to share your insights. The purpose of this survey is to better understand attitudes and opinions of topics related to substance abuse. SUBSTANCE QUESTIONS Please provide open and honest responses to the following questions. We are not here to judge you or single you out in any way. Rather, your responses will be combined with many other responses so that we can better understand the needs of the community. In terms of use, how popular are the following with your close friends & family? Skip any item that does not applyNOT USED BY PEOPLE YOU KNOWVERY UNPOPULAR (RARELY USED)NOT POPULAR (SELDOMLY USED)SOMEWHAT POPULAR (SOMETIMES USED)POPULAR (FREQUENTLY USED)VERY POPULAR (HEAVILY USED)AlcoholCigarettese-cigarettesVaping (General)Vaping (tobacco products)Vaping (synthetic marijuana)Vaping (flavored products)Marijuana or HashishClub DrugsLSD, PCP or MushroomsMethamphetamineCocaine or CrackHeroinPills (General)Pills - DepressantsPills - Pain RelieversPills - AmphetaminesChoose three items in the following list that are popular or heavily used among your friends and family. (Select up to 3. If none apply, skip to the next question) Alcohol Cigarettes Vaping Marijuana or hashish Club drugs LSD, PCP or Mushrooms Methamphetamine Cocaine or Crack Heroin Pills Other [SPECIFY] Please Specify Is there any substance or drug that you know of that is quickly increasing in popularity in the circle of people close to you? Do you, your close friends, or family members vape? Yes No If yes, of the people close to you, who vapes? (Select all that apply) I Vape Close Friends Vape People You Sometimes Hang Out With Vape (i.e., Friends of Friends You Casually Know) Immediate Family Vapes Extended Family Vapes Would you be interested in more information about leadership opportunities with the Better Without It campaign? Yes No Contact InfoName First Last Email PhoneDEMOGRAPHICS For classification purposes only. Your answers to these questions will allow us to understand and better meet the different needs of a diverse population. You will not be singled out individually.Year BornPlease enter a number from 1930 to 2021.YYYY e.g. 2005Gender Identity Female Male Non-binary Prefer to self-describe I prefer not to say Self-describe
