Communities of Color Follow-Up Survey

Thank you for taking the time to help us learn more about the community's needs related to opioid use and how we can better address those needs. This survey, funded by The Center at Sierra Health Foundation's Communities of Color grant, is aimed at gauging what the community already knows about opioids, as well as the community's knowledge of treatment options and the stigma surrounding treatment. We appreciate your honesty when completing the survey to ensure our resulting education development and actions are truly beneficial. Please feel free to visit our website before you take the survey to learn more about opioids, Substance Use Disorder and locally available treatments. This will help us determine what educational opportunities we are still missing.

Upon completion of the survey, participants will have the opportunity to submit their email address to be entered into a raffle to win 1 of 10 prizes to local restaurant and retailers. Please do not take the survey more than once, your answers will not be counted again.

The survey should take about 5 minutes and all responses will be kept confidential and used only by the Santa Barbara Neighborhood Clinics. Thank you!

Question Title

* 1. Where did you find out about this survey?

KSPE- La Musical

KIST- Radio Bronco

Old School Radio

Santa Barbara Neighborhood Clinics (SBNC)

Council on Alcoholism and Drug Abuse (CADA)

Other (please specify)

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* 2. Select your age group:

12-17

18-24

25-35

36-50

51-64

64 or older

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* 3. Select your race:

American Indian or Alaska Native

Asian or Pacific Islander

Black or African American

White

Prefer not to answer

Other (please specify)

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* 4. Select your ethnicity:

Hispanic/Latinx

Non-Hispanic/Non-Latinx

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* 5. Select your gender:

Female

Male

Transgender Female

Transgender Male

Prefer not to answer

Other (please specify)

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* 6. Have you heard any Opioid Education messages on the radio or visited SBNC's website with information on opioids?

Yes

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* 7. Addiction to drugs:

	True	False	Don't Know
Is medically referred to as 'substance use disorder'	Is medically referred to as 'substance use disorder' True	Is medically referred to as 'substance use disorder' False	Is medically referred to as 'substance use disorder' Don't Know
Does not affect a person's brain and behavior	Does not affect a person's brain and behavior True	Does not affect a person's brain and behavior False	Does not affect a person's brain and behavior Don't Know
Is not a disease because a person can choose to stop being addicted to drugs	Is not a disease because a person can choose to stop being addicted to drugs True	Is not a disease because a person can choose to stop being addicted to drugs False	Is not a disease because a person can choose to stop being addicted to drugs Don't Know
Is a medical problem	Is a medical problem True	Is a medical problem False	Is a medical problem Don't Know

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* 8. The following are classified as opioids:

	True	False	Don't Know
Heroin	Heroin True	Heroin False	Heroin Don't Know
Morphine	Morphine True	Morphine False	Morphine Don't Know
Advil	Advil True	Advil False	Advil Don't Know
Valium	Valium True	Valium False	Valium Don't Know
Fentanyl	Fentanyl True	Fentanyl False	Fentanyl Don't Know

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* 9. Opioids are:

	True	False	Don't Know
Non-addictive	Non-addictive True	Non-addictive False	Non-addictive Don't Know
Harmful during pregnancy	Harmful during pregnancy True	Harmful during pregnancy False	Harmful during pregnancy Don't Know
Easy to stop taking	Easy to stop taking True	Easy to stop taking False	Easy to stop taking Don't Know
Only used to treat pain	Only used to treat pain True	Only used to treat pain False	Only used to treat pain Don't Know
Often linked to overdose	Often linked to overdose True	Often linked to overdose False	Often linked to overdose Don't Know

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* 10. Signs of opioid abuse can include:

	True	False	Don't Know
Frequent flu-like symptoms	Frequent flu-like symptoms True	Frequent flu-like symptoms False	Frequent flu-like symptoms Don't Know
Isolation from family and friends	Isolation from family and friends True	Isolation from family and friends False	Isolation from family and friends Don't Know
Stable mood	Stable mood True	Stable mood False	Stable mood Don't Know
Changing doctors frequently	Changing doctors frequently True	Changing doctors frequently False	Changing doctors frequently Don't Know
Lack of hygiene and personal care	Lack of hygiene and personal care True	Lack of hygiene and personal care False	Lack of hygiene and personal care Don't Know

Question Title

* 11. Signs of opioid overdose include (select all that apply):

Non-responsive/Unconscious

Flushed hot skin

Irregular breathing patterns

Slow or stopped heartbeat

Deep snoring or gurgling sound (i.e. "death rattle")

I don't know.

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* 12. If someone is overdosing on opioids, what would you do? (select all that apply)

Call 911

Induce vomiting

Perform CPR

Roll them on their back

Administer narcan/naloxone

I don't know.

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* 13. Will I or my friend be arrested for calling 911 for an overdose?

Yes; possession of drugs is illegal

No; Good Samaritan Laws in California favor treatment over arrest

I don't know.

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* 14. Medication Assisted Treatment (MAT) is:

	True	False	Don't Know
A type of treatment that combines behavioral therapy and medications to treat addiction	A type of treatment that combines behavioral therapy and medications to treat addiction True	A type of treatment that combines behavioral therapy and medications to treat addiction False	A type of treatment that combines behavioral therapy and medications to treat addiction Don't Know
Just trading one addiction for another	Just trading one addiction for another True	Just trading one addiction for another False	Just trading one addiction for another Don't Know
Considered a “whole-patient” approach, meaning the doctors aren’t just treating the patient’s addiction but also what might be leading the person to abuse/misuse drugs and/or alcohol	Considered a “whole-patient” approach, meaning the doctors aren’t just treating the patient’s addiction but also what might be leading the person to abuse/misuse drugs and/or alcohol True	Considered a “whole-patient” approach, meaning the doctors aren’t just treating the patient’s addiction but also what might be leading the person to abuse/misuse drugs and/or alcohol False	Considered a “whole-patient” approach, meaning the doctors aren’t just treating the patient’s addiction but also what might be leading the person to abuse/misuse drugs and/or alcohol Don't Know
Not as effective as just quitting drug and alcohol abuse	Not as effective as just quitting drug and alcohol abuse True	Not as effective as just quitting drug and alcohol abuse False	Not as effective as just quitting drug and alcohol abuse Don't Know
A type of treatment used for people abusing/misusing alcohol	A type of treatment used for people abusing/misusing alcohol True	A type of treatment used for people abusing/misusing alcohol False	A type of treatment used for people abusing/misusing alcohol Don't Know
Helpful to ease through withdrawal safely	Helpful to ease through withdrawal safely True	Helpful to ease through withdrawal safely False	Helpful to ease through withdrawal safely Don't Know

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* 15. I think my family and/or community would be supportive if I or someone else sought Medication Assisted Treatment (MAT) for a drug and/or alcohol addiction.

Agree

Neither agree nor disagree

Disagree

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* 16. I think my family and/or community would be supportive if I or someone else sought counseling/therapy for a drug and/or alcohol addiction.

Agree

Neither agree nor disagree

Disagree

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* 17. Where would you seek help if you or someone you know needed help with opioid addiction? (select all that apply)

Pastor/Priest/Rabbi/etc.

My Doctor

Hospital

Counselor/Therapist

Santa Barbara Neighborhood Clinics

Council on Alcoholism and Drug Abuse (CADA)

Other (please specify)