In preparing for this report, surveys and focus groups were conducted with adults (N=900), with or without children under the legal drinking age, to determine their attitudes, views, and thoughts regarding the problem of underage drinking. The survey was designed to identify opportunities for civic engagement on the issue of underage drinking and to find more effective marketing strategies for policies aimed at preventing and controlling underage drinking. The report assesses the extent and consequences of underage drinking and documents the pathways to use and abuse of alcohol by children and teens. It identifies the obstacles that hamper efforts to prevent underage drinking, including the economic interests of the alcohol industry in teen alcohol consumption; the ready availability of alcohol to minors; parental attitudes; and the influence of the media and advertising. Several suggestions are discussed to help reduce underage drinking such as reducing availability, reducing demand, restricting advertising, and creating public policies to limit teen illegal access to alcohol. Appended are: Survey Descriptions; Survey; Survey Methodology; Industry Advertising Guidelines: Youth Related Provisions; and E-Methodology: Assessing the Value of Underage Drinking to the Alcohol Industry. (Contains over 300 references.) (JDM)