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)

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)

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)

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)

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)

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)

Question Title

* 7. Would you support having a Detoxification and Treatment facility within Sherwood Park?

Yes

Other (please specify)

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* 8. Would you be interested in privatized outreach home detoxification services offered by healthcare professionals?

Yes

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

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

Other (please specify)

Question Title

* 10. Would you like to receive more information on Hope in Strathcona?
Please provide your email information in comment box for follow up question.

Yes

Your email information for follow up

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?

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 )

Question Title

* 3. Please specify which areas of interest you are seeking support for (√ all that apply):

Question Title

* 4. What age group are you seeking support for:

Question Title

* 5. Which drugs of abuse are you seeking or know someone who is using (√ all that apply):

Question Title

* 6. If Detox, please select your preferences (√ all that apply):

Question Title

* 7. Would you support having a Detoxification and Treatment facility within Sherwood Park?

Question Title

* 8. Would you be interested in privatized outreach home detoxification services offered by healthcare professionals?

Question Title

* 9. Would you support a Recovery Transitional Home in Sherwood Park Residential Area, for individuals looking to reintegrate back into your community?

Question Title

* 10. Would you like to receive more information on Hope in Strathcona? Please provide your email information in comment box for follow up question.

* 2. What do you think are the greatest barriers for those living with drug or alcohol abuse issues in Sherwood Park?

(√ all that apply )

* 10. Would you like to receive more information on Hope in Strathcona?
Please provide your email information in comment box for follow up question.