This free survey is powered by
0%
Exit Survey
 
 
Hello:
You are invited to participate in our survey, Drugs & Alcohol In My Community. In this survey, approximately 1000 people will be asked to complete a survey that asks questions about how much they know about drugs and alcohol in their community. It will take approximately 15-20 minutes to complete the questionnaire. Drugs & Alcohol In My Community is a project to be used during studies at Texas State Technical College. Information will only be used for that purpose.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. If you do withdraw, please let us know about why you chose to withdraw and anything that we could have done to keep you involved.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Jimmy Jones at (254) 433-9104 or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on "I Agree to Participate" and the Continue button below.

 
 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
What age range do you belong to?
 
18-25
 
26-33
 
34-40
 
41-50
 
51-60
 
61 and above
 
 
 
* What state do you live in? (Please select other, if you live outside the United States)
 
 
 
What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
 
What is the highest level of education you have achieved?
 
Less than high school degree
 
High school degree or equivalent (e.g. GED)
 
Some college but no degree
 
Associate degree (e.g. AA, AS)
 
Bachelor's degree (e.g. BA, AB, BS)
 
Master's degree (e.g. MA, MS, MBA)
 
Professional degree (e.g. MD, DDS, JD)
 
Doctorate degree (e.g. PhD)
 
 
 
Which of the following categories best describes the industry you work in?
 
Automotive
 
Advertising
 
Consulting Services
 
Education
 
Entertainment
 
Financial Services
 
Government Services
 
Healthcare
 
Human Resources
 
Information Technology
 
Marketing/Sales
 
Non-Profit
 
Pharmaceuticals
 
Public Relations
 
Technical Services
 
Travel
 
Other
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
Drugs & Alcohol In My Community
Jimmy Jones
Phone - (254) 433-9104
Email - [email protected]