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Hello:
Thank you for participating in the beta-testing of this survey. It should only take a couple minutes of your time. Just to inform you, this survey is not used for actual data collection and will not be kept. This survey was created strictly for a class-exercise. In addition, at the end of the survey please fill out the suggestion box to address the format and presentation of the survey. Any feedback is appreciated.
 
 
 
1. Do you own a firearm of any sort? (If no, skip to question #3)
 
No, I do not own any firearms
 
Yes, only 1
 
Yes, about 2-4
 
Yes, about 5+
 
 
 
2. Where do you keep your firearm(s)?
 
Out in the open
 
In the drawer of my nightstand, dresser, etc.
 
In a lock box under the bed, closet, etc.
 
In a fully secured and locked gun case
 
Other
 
 
 
 
3. Does anyone you know own a firearm? Check all that apply. (If no, skip to question #7) Check all that apply:
 
No, I do not know anyone that owns a firearm
 
Yes, my mom/dad
 
Yes, my brother(s)/sister(s)
 
Yes, a member(s) of my extended family
 
Yes, my neighbor(s)
 
Yes, my friend(s)

 
 
 
4. Are there any individuals under the age of 25 residing in the same home where the firearm is kept? (If no, skip to question #7)
 
No, there are no individuals under the age of 25
 
Yes, 1-2 persons
 
Yes, 3-4 persons
 
Yes, 5+ persons
 
 
 
5. Are the firearms easily accessible to the individual(s)?
 
No, they are constantly stored in a secure location
 
Yes, but only when they are being used at firing range, cleaning, etc.
 
Yes, but only overnight just in case something happens
 
Yes, but only when I am home
 
Yes, but only a couple times a week
 
Yes, on a daily basis
 
 
 
6. Have the individual(s) been properly taught about firearm safety? Check all that apply:
 
No, they don't need to know
 
Yes, every time the firearms are used safety is reinforced
 
Yes, about once a month
 
Yes, a couple times a year
 
Yes, the first time they firearm was used
 
Yes, they have taken a firearm safety course

 
 
 
7. What do you think the current youth (under the age of 25) homicide rate is within the United States?
 
0 - 2000 persons
 
2000 - 4000 persons
 
4000 - 6000 persons
 
6000 - 8000 persons
 
8000+ persons
 
 
Questions 8-13: Please select the answer that most represents how you feel about the following statements:
Strongly Disagree Disagree Agree Strongly Agree
8. The leading cause of death among youths is homicide.
9. Firearms are the leading cause of youth homicide.
10. Youth homicide is caused by many different factors.
11. Youth homicide is the result of the lack of knowledge about firearm safety.
12. Youth homicide can be prevented through proper firearm training within the home.
13. The availability of forearms does not cause youth homicide.
 
 
 
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