**STRATEGIC PREVENTION FRAMEWORK: ASSESSMENT -- COMMUNITY ACCESS
ASSESSMENT TOOL**

**DIRECTIONS:** You will need to do a tour of your community to answer
the questions on the first page of this tool. If you have a large
community, you might only look at a sample of bars and stores in your
community. If you are in a small community and have no retail source in
one of the categories below for alcohol, note that in RA2 and skip the
remainder of the column. Discuss the best approach with your evaluator
prior to beginning data collection for all of the information on this
tool.

**RETAIL AVAILABILITY**: This section addresses how alcohol is bought
and sold in your community.

  ------------------------------- ---------- ----------------- ---------- --------------- -----------
                                  **Bars**   **Restaurants**   **Liquor   **Convenience   **Grocery
                                                               Stores**   Stores**        Stores**

  RA1. Is alcohol sold in these   Yes No     Yes No            Yes No     Yes No          Yes No
  outlets in your community?                                                              

  RA2. How many of these alcohol                                                          
  outlets are there in your                                                               
  community?                                                                              

  RA3. How many days a week are                                                           
  they open?                                                                              

  RA4. How many hours a day are                                                           
  they open?                                                                              

  RA5. Are there restrictions on  Yes No     Yes No            Yes No     Yes No          Yes No
  where they can be? (e.g.,                                                               
  proximity to schools)                                                                   

  RA5a. Describe these                                                                    
  restrictions.                                                                           

  RA6. Are there restrictions on  Yes No     Yes No            Yes No     Yes No          Yes No
  how many outlets can be in your                                                         
  community?                                                                              

  RA6a. Describe these                                                                    
  restrictions.                                                                           

  RA7. Do they sell high strength Yes No     Yes No            Yes No     Yes No          Yes No
  alcohol?                                                                                

  RA8. Do they sell alco-pops?    Yes No     Yes No            Yes No     Yes No          Yes No

  RA9. Do they sell single unit   Yes No     Yes No            Yes No     Yes No          Yes No
  sales (e.g., single cans of                                                             
  beer)                                                                                   
  ------------------------------- ---------- ----------------- ---------- --------------- -----------

For the questions that require a Yes/No response, please circle the
appropriate answer. In your report, please clearly describe how you
collected this information. For the remaining pages, please convene your
coalition or planning group and answer the questions based on the input
of the group.

**DIRECTIONS:** For the questions that require a Yes/No response or
provide a range of responses, please circle the appropriate answer. For
the open-ended questions, please provide as much detailed information as
possible.

Describe from whom and how you collected this
information\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

RA9. Are there other outlets where alcohol is sold in your community?
Yes \[Go to RA9a\] No \[Skip to RA10\]

RA9a. What are these outlets?

RA9b. What kind of alcohol do they sell?

RA10. Is there home brewed alcohol (moonshine) available in your
community? Yes \[Go to RA10a\] No \[Skip to RA11\]

RA10a. From what type of sources(s) is moonshine available?

RA10b. How easy is it to get moonshine? Very easy Easy Difficult Very
difficult

RA11. Is there home brewed "ocean" (alcohol-based) available in your
community? Yes \[Go to RA11a\] No \[Skip to RA12\]

RA11a. From what type of sources(s) is ocean available?

RA11b. How easy is it to get ocean? Very easy Easy Difficult Very
difficult

RA12. Do underage youth from your community cross the border to Mexico
to drink alcohol? Yes No

RA13. Do young adults (21-24 years old) from your community cross the
border to Mexico to drink alcohol? Yes No

RA14. How big of a problem is [cross-border drinking]{.underline} in
your community? A big problem Somewhat of a problem Not a problem

RA14a. If youth or young adults cross the border to drink, please
describe the problem.

RA15. Are there dry communities in your community (i.e., areas where
alcohol cannot be legally sold)? Yes No \[Skip to PR1\]

RA16. Who/Where are they (e.g. name of county, reservation, township,
etc.)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

RA17. Do underage youth travel from these dry communities to places
where alcohol is sold to buy/drink alcohol? Yes No

RA18. Do young adults (21-24 years old) travel from these dry
communities to places where alcohol is sold to buy/drink alcohol? Yes No

RA19. How big a problem is traveling from dry communities to places
where alcohol is sold in your community?

A big problem Somewhat of a problem Not a problem

RA19a. If youth or young adults travel from dry communities to buy or
drink alcohol in other communities, please describe the problem.

**PROMOTION:** The next several questions address where underage youth
or young adults hear or see alcohol advertising in your community. For
the questions that require a Yes/No response, circle the appropriate
answer. For the open-ended questions, please provide as much information
as possible.

Describe from whom and how you collected this
information\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+----------------+----------------------+----------+------------------+
|                | **Describe how       | **Are    | **Are specific   |
|                | alcohol is           | youth    | groups           |
|                | portrayed:**         | tar      | targeted?**      |
|                |                      | geted?** |                  |
|                |                      |          | **(e.g., young   |
|                |                      |          | women,           |
|                |                      |          | Hispanics,       |
|                |                      |          | etc.)**          |
+----------------+----------------------+----------+------------------+
| PRO1. on the   |                      | Yes No   | Yes Which        |
| radio          |                      |          | group(s)?        |
|                |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+
| PRO2. on       |                      | Yes No   | Yes Which        |
| billboards     |                      |          | group(s)?        |
|                |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+
| PRO3. on store |                      | Yes No   | Yes Which        |
| fronts         |                      |          | group(s)?        |
|                |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+
| PRO4. at       |                      | Yes No   | Yes Which        |
| community      |                      |          | group(s)?        |
| events         |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+
| PRO5. at       |                      | Yes No   | Yes Which        |
| sporting       |                      |          | group(s)?        |
| events         |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+
| PRO6. in the   |                      | Yes No   | Yes Which        |
| newspaper      |                      |          | group(s)?        |
|                |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+
| PRO7. on TV    |                      | Yes No   | Yes Which        |
| commercials    |                      |          | group(s)?        |
|                |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+
| PR08. OTHER    |                      | Yes No   | Yes Which        |
| (Describe)     |                      |          | group(s)?        |
|                |                      |          |                  |
|                |                      |          | No               |
+----------------+----------------------+----------+------------------+

**COMMUNITY NORMS:** The next several questions ask about the
availability of alcohol at community events. For the questions that
require a Yes/No response or provide a range of responses, please circle
the most appropriate answer.

Describe from whom and how you collected this
information\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  --------------------- ---------------- ---------------- ----------------
                        Is it acceptable Do people drive  Is it acceptable
                        to get drunk at: home drunk from: for underage
                                                          youth to drink
                                                          at:

  CN1. Graduation       Yes No           Yes No           Yes No
  parties                                                 

  CN2. Baptisms         Yes No           Yes No           Yes No

  CN3. Births/funerals  Yes No           Yes No           Yes No

  CN4. Festivals/fairs  Yes No           Yes No           Yes No

  CN5. Sporting events  Yes No           Yes No           Yes No

  CN6. Other community  Yes No           Yes No           Yes No
  rituals                                                 

  CN7. Other \[please                                     
  describe\]:                                             

  CN8. Other \[please                                     
  describe\]:                                             

  CN9. Other \[please                                     
  describe\]:                                             

  CN10. Other \[please                                    
  describe\]:                                             

  CN11. Summarize what                                    
  the group said about                                    
  this issue.                                             
  --------------------- ---------------- ---------------- ----------------