10/19/2012
Attachment C
CDC Questionnaire
Form Approved
OMB No. 0920-XXXX
Exp. Date:
Public
Reporting burden of this collection
of information is estimated at 1 hour per response, including the
time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not conduct
or sponsor, and a person is not required to respond to a collection
of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for
reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600
Clifton Road NW, MS D-74, Atlanta, GA 30333; Attn: PRA
(0920-XXXX).
CDC Science to
Service
Safer
Campuses and Communities Questionnaire
The following questions are meant to ask your perceptions regarding alcohol use among students of [college/university], and what current approaches are being taken to reduce the harm related to their drinking. We are particularly interested in whether you are familiar with the Safer Campuses and Communities Project and whether it would be useful in those efforts.
Which of the following best describes your relationship to [college/university]?
College/University Administrator/Employee
College/University Student
City/County Elected Official
City/County Administrator/Employee
Member of a community organization
A nearby resident to the college/university
Other [Specify] ________________________________________________
[IF 1 or 2, above]
Which of the following describes the college/university department or sector in which you work? [Please select one]
Student Life
Housing
Greek Life
Health Services
Chancellor or President’s Office
Faculty
Psychological Services
Athletics
Public Safety/Security
Other [Specify]________________________________________________
[IF 3 or 4, above]
Which of the following describes the city or county office in which you work? [Please select one]
Mayor’s Office
City Council Office
Board of Supervisors’ Office
City or County Health Services
Police or Sherriff’s Department
Emergency Services
Mental Health Services
Public Works
Other [Specify]________________________________________________
From your perspective, how large a problem is student drinking at each of the following places?
|
Don’t |
Not a problem |
Problem, but it’s not visible |
Moderate Problem |
Severe Problem |
Parties in university residence halls |
|
|
|
|
|
Campus sporting events |
|
|
|
|
|
Other campus events, concerts or dances |
|
|
|
|
|
Fraternity or sorority parties at Greek houses |
|
|
|
|
|
Parties at someone’s house or apartment off campus |
|
|
|
|
|
Drinking at pubs, bars, or restaurants within a few blocks of campus |
|
|
|
|
|
Drinking by students at outdoor settings (park, beach, car, etc.) |
|
|
|
|
|
The Safer Campuses and Communities Program is intended to reduce problems related to drinking in off-campus homes and apartments, including fraternity or sorority houses.
Do you remember getting an email or any other material concerning the Safer Campuses and Communities Program?
Yes
No
Not sure or don’t remember
[IF YES]
How
did you first become familiar with the Safer Campuses and Communities
Intervention?
Website
Conference presentation
Workshop
Publication
Told about it by someone here in the college community
Other [specify]
[IF YES]
Please
rate how well you know what the Safer Campuses and Communities
Intervention includes.
Not at all |
Just a little |
Somewhat |
Fair |
Very Good |
Do you recall the primary components of the Safer Campuses and Communities Intervention?
Yes
No
Unsure
[IF “No” or “Not Sure” To Previous Recall Question]
The Safer Campuses and Communities Intervention is aimed at reducing intoxication at off-campus parties in private homes and apartments (including fraternities and sororities) via a combination of alcohol control measures, including enforcement of drunk driving laws, laws against selling or serving alcohol to minors, and local ordinances to address nuisance parties (e.g., loud or with obviously intoxicated guests). A large part of the intervention is the use of various media and messages so students will be aware of the enforcement operations.
With this brief description, do you now recall getting an email or any other material concerning the Safer Campuses and Communities Program?
Yes
No
Not sure or don’t remember
Did you follow up on the Safer Campuses and Communities Intervention in any of the following ways? [Check all that apply]
I forwarded an email describing the program to someone else
I printed materials from the website
I called the program developers for more information
I discussed the Safer Campuses and Communities Intervention with others
I asked about whether others here were interested in the program
I met with a group who discussed adopting the Safer College program here.
None of the above
[IF 4, 5,
or 6 checked]
How
interested in the Safer Campuses and Communities Intervention did the
person or people you spoke with seem?
Not at all |
Just a little |
Somewhat |
Very |
How likely are you to contact someone about implementing the Safer Campuses and Communities Intervention?
Very Unlikely |
Somewhat Unlikely |
Somewhat Likely |
Very Likely |
How likely are you to call a meeting with key personnel about the Safer Campuses and Communities Intervention?
Very Unlikely |
Somewhat Unlikely |
Somewhat Likely |
Very Likely |
How likely are you or others to implement the Safer Campuses and Communities Intervention at your campus?
Very Unlikely |
Somewhat Unlikely |
Somewhat Likely |
Very Likely |
What changes, if any, would you plan to make to the Safer Campuses and Communities Intervention?
Please state the degree to which you agree or disagree with the following statements:
|
Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
Enforcing alcohol and nuisance party laws can be effective in reducing college drinking problems. |
|
|
|
|
The Safer Campuses and Communities Intervention offers real advantages over other drinking prevention programs. |
|
|
|
|
The Safer Campuses and Communities Intervention is compatible with other prevention programs at this university. |
|
|
|
|
I think that the Safer Campuses and Communities Intervention fits well with the way people at [college/university] like to work. |
|
|
|
|
I believe that implementing the Safer Campuses and Communities Intervention would require this university to make substantial changes in how it operates. |
|
|
|
|
I had no difficulty finding information about the Safer Campuses and Communities Intervention. |
|
|
|
|
I had no difficulty understanding how to implement the Safer Campuses and Communities Intervention. |
|
|
|
|
I believe that it will be difficult to implement the Safer Campuses and Communities Intervention. |
|
|
|
|
I believe that it will be difficult to engage law enforcement in the Safer Campuses and Communities Intervention. |
|
|
|
|
I believe that there is little the university can do to change student culture. |
|
|
|
|
I believe that there is little the university can do to change student drinking off-campus. |
|
|
|
|
I believe that there is little the university can do to change the drinking culture in the Greek system. |
|
|
|
|
University officials seem interested in pursuing the Safer Campuses and Communities Intervention. |
|
|
|
|
It will be easy to see changes in student drinking if the Safer Campuses and Communities Intervention is implemented here. |
|
|
|
|
The Safer College Intervention requires that a lot of pieces are in place before any benefit can be seen. |
|
|
|
|
What do you like best about the Safer Campuses and Communities Intervention? [Check all that apply]
It has a relatively low cost
It has been shown to be effective in a rigorous evaluation
It is endorsed by Centers for Disease Control (CDC) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA)
It will take limited time to get the intervention up and running
It targets the major source of the problem
It establishes clear norms and expectations for students
What do you like least about the Safer Campuses and Communities Intervention? [Check all that apply]
The cost is too high
It will have limited impact
It will take too much time to get the intervention up and running
It is too heavy-handed
It will create a large backlash from students
College/University staff will not support it
Thank you for your help in this research. If you have any questions or comments, please feel free to reach us at (XXX) XXX-XXXX.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Bettina Friese |
File Modified | 0000-00-00 |
File Created | 2021-01-29 |