Youth Survey Pre

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

Total number of Survey's received:

1. The California Department of Alcoholic Beverage Control Agents are police officers.
True:
False:

2. How many police officers do you know?
None:
1:
2:
3:
4:
5 or More:

3. How many times have you spoken to a police officer?
1:
2:
3:
4:
5 or More:

4. I would call the police if I needed help.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree:

5. The police are here to help.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree:

6. I think being a police officer is an honorable profession.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree:

7. During the past 30 days, how many days did you use alcohol (had at least one drink)?
Zero Days:
1 or 2 Days:
3 to 9 Days:
10 to 19 Days:
20 or More Days:

8. In the past 30 days, how many days do you think most students at your school drank alcohol?
Zero Days:
1 or 2 Days:
3 to 9 Days:
10 to 19 Days:
20 or More Days:

9. Would you refuse alcohol if someone offered it to you?
Yes:
No:

10. Do you think most other students at your school would refuse alcohol if it was offered?
Yes:
No:

11. I know what the consequences are for underage drinking.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree:

12. Alcohol helps people feel better.
Strongly Disagree:
Disagree:
Agree:
Strongly Agree:

13. At what age is it legal to drink alcohol in California? Use your best guess if you aren’t sure.
Average Age: