Clinton County Community Survey The purpose of this survey is to measure public opinion on issues related to recovery. The information collected will be used to identify areas for improvement in our community. Your responses are confidential so please answer the questions honestly and to the best of your ability. Thank you for completing this survey. Question Title * 1. People who use drugs deserve respect. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 2. People with a mental illness deserve respect. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 3. Medication Assisted Recovery-MAR (which is the use of medications to treat substance use disorders e.g., methadone or buprenorphine to treat opioid use disorder) is an effective treatment for substance use disorders. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 4. It is difficult to find healthcare providers who offer Medication Assisted Recovery-MAR (which is the use of medications to treat substance use disorders e.g., methadone or buprenorphine to treat opioid use disorder) in my community. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 5. Access to naloxone (which is a harm reduction service that utilizes a life-saving medication to reverse opioid overdoses) reduces the risks caused by drug use. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 6. Access to Syringe Services Programs (which is a harm reduction service that provides sterile syringes, safe disposal of syringes and injection equipment, linkage to treatment, and other supportive services to people who use drugs) reduces the risks caused by drug use. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 7. It is difficult to find harm reduction services in my community. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 8. It is difficult to find mental health treatment services in my community. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 9. It is difficult to find substance-use treatment services in my community. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 10. We should increase government funding for treatment options for mental health challenges. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 11. We should increase government funding for treatment options for substance use disorders. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 12. Everyone in my community can get help for mental health regardless of income level, insurance status, race, ethnicity, primary language, disabilities, gender identity, sexual orientation, or citizenship status. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 13. Everyone in my community can get help for substance use regardless of income level, insurance status, race, ethnicity, primary language, disabilities, gender identity, sexual orientation, or citizenship status. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 14. Alcohol misuse is a concern that affects many individuals and families in my community. 1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree Question Title * 15. I know someone with a substance use disorder I don’t know anyone with a substance use disorder. I know someone that is diagnosed with a substance use disorder but not treated I know someone who has been treated for substance use disorder in the past. I know someone who is currently being treated for substance use disorder. Question Title * 16. I know someone with a mental illness. I don’t know anyone with a mental illness. I know someone that is diagnosed with a mental illness but not treated. I know someone who has been treated for mental illness in the past. I know someone who is currently being treated for mental illness. Question Title * 17. I am aware of Take Action Coalition (TAC) of Clinton County and what they do in our community. I’ve never heard of TAC. I’ve heard the name but don’t know the cause. I am aware of their cause and what they do in the community. I am a part of their cause. Question Title * 18. I know where to find assistance for: (Check all that apply.) Affordable Housing Food Assistance Family Support Services Legal Assistance Physical Health Services Substance Use Treatment Transportation Survivors of Sexual Assault or Human Trafficking Domestic Violence Services Childcare Recovery Support Meetings Mental Health Treatment Ultility Assistance None of the above Question Title * 19. Where do you regularly access resource information? Check all that apply. Library Internet Word of mouth Social Media Churches Health Department Public aid Doctors Other (please specify) Question Title * 20. What supports are most needed for people re-entering our community after being involved in the justice system? (Check all that apply) Stigma and judgement from the community No access to housing Transportation Criminal record restrictions Lack of recovery/treatment options Limited job opportunities Other (please specify) Demographic Information Question Title * 21. Age: Under 18 18-24 25-34 35-44 45-54 55-64 65 and over Question Title * 22. Income level: Prefer not to say Under $24,999 $25,000-$49,999 $50,000-$99,999 $100,000-and over Question Title * 23. Gender: Male Female Non-Binary/Gender Non-Conforming Transgender Other Prefer not to answer Question Title * 24. Location: Question Title * 25. Ethnicity: Hispanic or Latino Non-Hispanic Question Title * 26. Race: African American/Black Asian Caucasian/White Native American Pacific Islander Two or more races Other Question Title * 27. Primary Language: English Spanish Mandarin French Arabic Other (please specify) Question Title * 28. Enter your name and contact info here for a chance to win a gift card for participation! Done