Parent/Guardian Survey

First Name:
Last Name:
Email:
Location/School:
City:
Teacher's Name:

Total number of Survey's received:

1. This book was a helpful tool.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree:

2. This book gave me ideas on how to have conversations with my child about alcohol.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree:

3. Did you and your child discuss underage drinking after reading this book?
Yes:
No:

4. I recommend that other parents/guardians read this book with their child.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree: