JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
TUPE Parent Resource Feedback Survey
Thank you for taking the time to provide feedback on two new resources that our tobacco use prevention education (TUPE) program developed. All responses are confidential.
If you have not checked out these resources, you can access them here:
Parent Guide- Substance Use, Mental Health, & Teens
"Let's Talk Tobacco" Conversation Starters Card Deck
If you would like to provide feedback on both resources, you can submit another survey response.
Sign in to Google
to save your progress.
Learn more
Which best applies to you?
Parent/Guardian
Family Member
Other Caring Adult
Clear selection
In what area of Contra Costa County do you live?
Central Contra Costa (Concord, Martinez, Pleasant Hill, Walnut Creek, etc.)
East Contra Costa (Antioch, Brentwood, Oakley, Pittsburg, etc.)
South Contra Costa (Danville, Lafayette, Orinda, Moraga, San Ramon, etc.)
West Contra Costa (Crockett, El Cerrito, Hercules, Pinole, Richmond, etc.)
I do not live in Contra Costa County
Clear selection
Which resource did you access?
Parent Guide: Substance Use, Mental Health, & Teens: A Guide for Parents & Other Caring Adults
"Let's Talk Tobacco" Conversation Starter Card Deck
Clear selection
What do you like about the resource?
Your answer
How will this resource help you to support a young person in your life?
Your answer
Anything else you would like us to know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Contra Costa County Office of Education.
Report Abuse
Forms