Power of Parents Workshop
Post-Presentation Survey
This survey is 100% anonymous. Your answers are not being tracked and are only being used to measure the impact of this program. Only designated MADD staff members can access this data.
What state do you live in?
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Facilitator's Name:
Please select...
Amanda
Catherine
Erynn
Jeannine
Kaizsa
Robyn
Sophia
Ariana
1. Do you believe parents are the number one influence on whether or not teens choose to use substances?
Yes
No
Scaled answers (On a scale of 1-5, with 1 being low, and 5 being high, please rate your answers to the following questions.)
2. How confident do you feel talking with your teen about…
2a. Alcohol
1
2
3
4
5
2b. Cannabis
1
2
3
4
5
2c. Other drugs
1
2
3
4
5
3. How prepared do you feel to set clear expectations around substance use with your teen?
1
2
3
4
5
4. How prepared do you feel to create a safety plan with your teen for risky situations?
1
2
3
4
5
5. How likely are you to start having conversations with your teen around substance use prevention within 1 week of this presentation?
1
2
3
4
5
6. What is your home address zip code?
Contact Information