Sherwood Park Detoxification and Treatment Services Survey Question Title * 1. Do you know of someone actively living with drug or alcohol abuse, that could use help with drug detox and treatment? Family Members Friends Other No, But I am interested in more information Other (please specify) OK Question Title * 2. What do you think are the greatest barriers for those living with drug or alcohol abuse issues in Sherwood Park?(√ all that apply ) Lack of Detoxification Support in Sherwood Park Lack of Treatment Support in Sherwood Park Edmonton-based options inappropriate Edmonton-based options too far Stigma of those living with drug or alcohol abuse Confidentiality of those living with drug or alcohol abuse Lack of community support programs dealing with after care Lack of knowledge for treatment and recovery options in Sherwood Park Do not even know where to start to seek help in treatment. Other (please specify) OK Question Title * 3. Please specify which areas of interest you are seeking support for (√ all that apply): Detoxification Support (Drugs of Abuse/Alcohol detox) Treatment Support After Care Support Housing Support Access to a In Home Support Worker for continued support Other (please specify) OK Question Title * 4. What age group are you seeking support for: 14 to 17 years old 18 to 24 years old 25 to 45 years old 46 to 60 years old 60+ years old Other (please specify) OK Question Title * 5. Which drugs of abuse are you seeking or know someone who is using (√ all that apply): Alcohol Narcotics (eg. codeine, morphine, oxy, fentanyl) Prescription Drugs Marijuana Heroin Methamphetamine Cocaine Other (please specify) OK Question Title * 6. If Detox, please select your preferences (√ all that apply): Alberta Health Services Detox facility within Edmonton Future Detox facility within Sherwood Park Home Detoxification Services Other (please specify) OK Question Title * 7. Would you support having a Detoxification and Treatment facility within Sherwood Park? Yes No Other (please specify) OK Question Title * 8. Would you be interested in privatized outreach home detoxification services offered by healthcare professionals? Yes No How much would you be willing to pay for private home detoxification service offered by healthcare professionals? $50-100 per day for a 7 to 10 day detox period $ ____ per day for a 7 to 10 day detox period I like the service, but would not pay for it Please enter amount for this service you feel is appropriate OK Question Title * 9. Would you support a Recovery Transitional Home in Sherwood Park Residential Area, for individuals looking to reintegrate back into your community? Yes No Other (please specify) OK Question Title * 10. Would you like to receive more information on the items described on this survey? Please provide information in comment box for follow up question. Yes No Other (please specify) OK DONE