One Voice Dundalk Survey

1. Are you male or female?

Are you male or female? Male

Female

2. Which category below includes your age?

Which category below includes your age? 17 or younger

18-22

23-29

30-39

40-49

50-59

60 or older

3. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race? White

Black or African-American

American Indian or Alaskan Native

Asian

Native Hawaiian or other Pacific Islander

From multiple races

Some other race (please specify)

4. What kinds of drugs are most commonly misused or abused by residents of the Dundalk community?

What kinds of drugs are most commonly misused or abused by residents of the Dundalk community? Alcohol

Marijuana

Cocaine

Heroin

Benzodiazapines (Xanax, Valium, ect.)

Prescription pain medications (Vicodin, Hydrocodone, Oxycodone, Oxycotin)

5. What kinds of problems occur as a result of alcohol/drugs/prescription medication abuse in Dundalk community?

	Minimal Problem	Moderate Problem	Severe Problem	Extreme Problem	N/A
Criminal Activity (theft, vandalism, drug/alcohol related crimes, violence)	*What kinds of problems occur as a result of alcohol/drugs/prescription medication abuse in Dundalk community? Criminal Activity (theft, vandalism, drug/alcohol related crimes, violence) Minimal Problem	Criminal Activity (theft, vandalism, drug/alcohol related crimes, violence) Moderate Problem	Criminal Activity (theft, vandalism, drug/alcohol related crimes, violence) Severe Problem	Criminal Activity (theft, vandalism, drug/alcohol related crimes, violence) Extreme Problem	Criminal Activity (theft, vandalism, drug/alcohol related crimes, violence) N/A
Financial hardship (high unemployment, foreclosures, evictions, homelessness)	Financial hardship (high unemployment, foreclosures, evictions, homelessness) Minimal Problem	Financial hardship (high unemployment, foreclosures, evictions, homelessness) Moderate Problem	Financial hardship (high unemployment, foreclosures, evictions, homelessness) Severe Problem	Financial hardship (high unemployment, foreclosures, evictions, homelessness) Extreme Problem	Financial hardship (high unemployment, foreclosures, evictions, homelessness) N/A
Lack of support and family involvement with children	Lack of support and family involvement with children Minimal Problem	Lack of support and family involvement with children Moderate Problem	Lack of support and family involvement with children Severe Problem	Lack of support and family involvement with children Extreme Problem	Lack of support and family involvement with children N/A
Physical health problems	Physical health problems Minimal Problem	Physical health problems Moderate Problem	Physical health problems Severe Problem	Physical health problems Extreme Problem	Physical health problems N/A
Other	Other Minimal Problem	Other Moderate Problem	Other Severe Problem	Other Extreme Problem	Other N/A

Other (please specify)

6. How serious a problem is underage drinking in the Dundalk Community?

How serious a problem is underage drinking in the Dundalk Community? Not at all

Somewhat serious

Serious

Very serious

Do not know

7. How serious a problem is prescription drug abuse by youth in the Dundalk community?

How serious a problem is prescription drug abuse by youth in the Dundalk community? Not at all

Somewhat serious

Serious

Very serious

Do not know

8. What, if anything, makes it difficult for Dundalk residents who have problems with alcohol/drug/prescription drug abuse to get treatment?

What, if anything, makes it difficult for Dundalk residents who have problems with alcohol/drug/prescription drug abuse to get treatment? Lack of health insurance Lack of funds to pay for treatment services Belief that treatment would not be helpful	Not sure where to go Lack of transportation Lack of childcare
Other (please specify)

9. What types of services, other than alcohol/drug treatment, do you think would help people who have alcohol/drug/prescription medication problems?

What types of services, other than alcohol/drug treatment, do you think would help people who have alcohol/drug/prescription medication problems? Employment assistance Housing assistance Childcare and parenting assistance	Primary healthcare Church or other faith-based support
Other (please specify)

10. Do you know of any specific programs or services for children to prevent them from using tobacco, alcohol or other drugs?

Do you know of any specific programs or services for children to prevent them from using tobacco, alcohol or other drugs? Yes

If YES, what are they?

11. Do you know of programs that provide alcohol/drug abuse treatment services in Dundalk?

Do you know of programs that provide alcohol/drug abuse treatment services in Dundalk? Yes