Trauma Recovery Center - Community Needs

Thank you for taking the time to complete this survey. We are looking to our neighbors to see what is needed in our community. Your anonymity is important to us - there are no ways to identify your answers. Please answer as best you can and tell us about your own experience.

To ensure we have a strong voice behind our findings, we welcome you to forward this on to family, friends or anyone in your network.

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* 1. What neighborhood do you live in?

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* 2. What County do you live in?

Cook

Kankakee

DuPage

Other (please specify)

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* 3. How would you describe yourself? (please check all that apply)

Asian or Pacific Islander

Black/African American

Latinx/o/a

American Indian/Alaska Native

White

Prefer not to self-describe

Prefer to self-describe

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* 4. What is your gender?

Female

Male

Transgender

Non-binary/ third gender

Prefer to self-describe

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* 5. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 6. Which of the following are you experiencing (or did you experience) during COVID-19 (coronavirus)? (check all that apply)

Being diagnosed with COVID-19

Fear of getting COVID-19

Fear of giving COVID-19 to someone else

Worrying about friends, family, partners, etc. who live locally

Worrying about friends, family, partners, etc. in other parts of the US

Worrying about friends, family, partners, etc. outside the US

Stigma or discrimination from other people (e.g., people treating you differently because of your identity, having symptoms, or other factors related to COVID-19)

Personal financial loss (e.g., lost wages, job loss, investment/retirement loss, travel-related cancelations)

Frustration or boredom

Not having enough basic supplies (e.g., food, water, medications, a place to stay)

More anxiety

More depression

More sleep, less sleep, or other changes to your normal sleep pattern

Increased alcohol or other substance use

A change in sexual activity

Loneliness

Confusion about what COVID-19 is, how to prevent it, or why social distancing/isolation/quarantines are needed

Feeling that I was contributing to the greater good by preventing myself or others from getting COVID-19

Getting emotional or social support from family, friends, partners, a counselor, or someone else

Getting financial support from family, friends, partners, an organization, or someone else

Other difficulties or challenges

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* 7. In the past 30 days, how personally impacted were you by the following:

	To a Great Extent	Somewhat	Very Little	Not at All
Coronavirus (Covid-19)	Coronavirus (Covid-19) To a Great Extent	Coronavirus (Covid-19) Somewhat	Coronavirus (Covid-19) Very Little	Coronavirus (Covid-19) Not at All
Protests	Protests To a Great Extent	Protests Somewhat	Protests Very Little	Protests Not at All
Riots	Riots To a Great Extent	Riots Somewhat	Riots Very Little	Riots Not at All
Vandalism	Vandalism To a Great Extent	Vandalism Somewhat	Vandalism Very Little	Vandalism Not at All
Looting	Looting To a Great Extent	Looting Somewhat	Looting Very Little	Looting Not at All
Racism/Racial Injustice	Racism/Racial Injustice To a Great Extent	Racism/Racial Injustice Somewhat	Racism/Racial Injustice Very Little	Racism/Racial Injustice Not at All
Policing	Policing To a Great Extent	Policing Somewhat	Policing Very Little	Policing Not at All
Curfews	Curfews To a Great Extent	Curfews Somewhat	Curfews Very Little	Curfews Not at All
Gun Violence	Gun Violence To a Great Extent	Gun Violence Somewhat	Gun Violence Very Little	Gun Violence Not at All
Opioid Epidemic	Opioid Epidemic To a Great Extent	Opioid Epidemic Somewhat	Opioid Epidemic Very Little	Opioid Epidemic Not at All
School Closures	School Closures To a Great Extent	School Closures Somewhat	School Closures Very Little	School Closures Not at All
Gang Activity	Gang Activity To a Great Extent	Gang Activity Somewhat	Gang Activity Very Little	Gang Activity Not at All
Altered or limited access to support systems (family, friends, places of worship, etc.)	Altered or limited access to support systems (family, friends, places of worship, etc.) To a Great Extent	Altered or limited access to support systems (family, friends, places of worship, etc.) Somewhat	Altered or limited access to support systems (family, friends, places of worship, etc.) Very Little	Altered or limited access to support systems (family, friends, places of worship, etc.) Not at All
Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.)	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) To a Great Extent	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Somewhat	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Very Little	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Not at All
Altered or limited routine care (medical, dental, childcare, etc.)	Altered or limited routine care (medical, dental, childcare, etc.) To a Great Extent	Altered or limited routine care (medical, dental, childcare, etc.) Somewhat	Altered or limited routine care (medical, dental, childcare, etc.) Very Little	Altered or limited routine care (medical, dental, childcare, etc.) Not at All
Paying bills (rent, mortgage, utilities, etc.)	Paying bills (rent, mortgage, utilities, etc.) To a Great Extent	Paying bills (rent, mortgage, utilities, etc.) Somewhat	Paying bills (rent, mortgage, utilities, etc.) Very Little	Paying bills (rent, mortgage, utilities, etc.) Not at All
Employment status	Employment status To a Great Extent	Employment status Somewhat	Employment status Very Little	Employment status Not at All
Drug or alcohol misuse	Drug or alcohol misuse To a Great Extent	Drug or alcohol misuse Somewhat	Drug or alcohol misuse Very Little	Drug or alcohol misuse Not at All
Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.)	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) To a Great Extent	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Somewhat	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Very Little	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Not at All

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* 8. In the past 30 days, how do you feel your community has coped or dealt with the following:

	Very Good	Good	Acceptable	Poor	Very Poor
Coronavirus (Covid-19)	Coronavirus (Covid-19) Very Good	Coronavirus (Covid-19) Good	Coronavirus (Covid-19) Acceptable	Coronavirus (Covid-19) Poor	Coronavirus (Covid-19) Very Poor
Protests	Protests Very Good	Protests Good	Protests Acceptable	Protests Poor	Protests Very Poor
Riots	Riots Very Good	Riots Good	Riots Acceptable	Riots Poor	Riots Very Poor
Vandalism	Vandalism Very Good	Vandalism Good	Vandalism Acceptable	Vandalism Poor	Vandalism Very Poor
Looting	Looting Very Good	Looting Good	Looting Acceptable	Looting Poor	Looting Very Poor
Racism/Racial Injustice	Racism/Racial Injustice Very Good	Racism/Racial Injustice Good	Racism/Racial Injustice Acceptable	Racism/Racial Injustice Poor	Racism/Racial Injustice Very Poor
Policing	Policing Very Good	Policing Good	Policing Acceptable	Policing Poor	Policing Very Poor
Curfews	Curfews Very Good	Curfews Good	Curfews Acceptable	Curfews Poor	Curfews Very Poor
Gun Violence	Gun Violence Very Good	Gun Violence Good	Gun Violence Acceptable	Gun Violence Poor	Gun Violence Very Poor
Opioid Epidemic	Opioid Epidemic Very Good	Opioid Epidemic Good	Opioid Epidemic Acceptable	Opioid Epidemic Poor	Opioid Epidemic Very Poor
School Closures	School Closures Very Good	School Closures Good	School Closures Acceptable	School Closures Poor	School Closures Very Poor
Gang Activity	Gang Activity Very Good	Gang Activity Good	Gang Activity Acceptable	Gang Activity Poor	Gang Activity Very Poor
Altered or limited access to support systems (family, friends, places of worship, etc.)	Altered or limited access to support systems (family, friends, places of worship, etc.) Very Good	Altered or limited access to support systems (family, friends, places of worship, etc.) Good	Altered or limited access to support systems (family, friends, places of worship, etc.) Acceptable	Altered or limited access to support systems (family, friends, places of worship, etc.) Poor	Altered or limited access to support systems (family, friends, places of worship, etc.) Very Poor
Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.)	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Very Good	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Good	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Acceptable	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Poor	Altered or limited ability to mark life events (weddings, graduations, births, funerals, etc.) Very Poor
Altered or limited routine care (medical, dental, childcare, etc.)	Altered or limited routine care (medical, dental, childcare, etc.) Very Good	Altered or limited routine care (medical, dental, childcare, etc.) Good	Altered or limited routine care (medical, dental, childcare, etc.) Acceptable	Altered or limited routine care (medical, dental, childcare, etc.) Poor	Altered or limited routine care (medical, dental, childcare, etc.) Very Poor
Paying bills (rent, mortgage, utilities, etc.)	Paying bills (rent, mortgage, utilities, etc.) Very Good	Paying bills (rent, mortgage, utilities, etc.) Good	Paying bills (rent, mortgage, utilities, etc.) Acceptable	Paying bills (rent, mortgage, utilities, etc.) Poor	Paying bills (rent, mortgage, utilities, etc.) Very Poor
Employment status	Employment status Very Good	Employment status Good	Employment status Acceptable	Employment status Poor	Employment status Very Poor
Drug or alcohol misuse	Drug or alcohol misuse Very Good	Drug or alcohol misuse Good	Drug or alcohol misuse Acceptable	Drug or alcohol misuse Poor	Drug or alcohol misuse Very Poor
Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.)	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Very Good	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Good	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Acceptable	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Poor	Altered or limited access to basic daily necessities (food, household essentials, baby supplies, etc.) Very Poor

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* 9. Do you feel you feel you have an adequate understanding of trauma?

Yes - I have a strong understanding

Yes - I have an adequate understanding but I want to learn more

No - I do not have an adequate understanding

Other (please specify)

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* 10. What services or programs do you need? (check all that apply)

Behavioral Health - Counseling

Mental Health Services - Therapy (Individual or Group)

Substance Use

Medically Supported Drug Treatment

Undocumented Citizen Support

Homelessness Services

Case Management

Reentry Services

Trauma Treatment

HIV Care

Food Panty

Senior Care

Legal Aid

Teen Programs

LGBTQ

Women's Services

Education

Job Training & Placement

Medical Care

Other (please specify)

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* 11. Are you an essential worker?
Essential workers are exempt from stay at home and shelter in place orders, and must report to their place of work. Essential workers include but are not limited to those working in public health/health care, law enforcement, public safety, first responders, food and agriculture, energy and electricity, petroleum, water and wastewater, transportation, public works, communications and IT, and others.

Yes, I am an essential worker

No, I am NOT an essential worker

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* 12. What are you doing/did you do during the COVID-19 pandemic? (Check all that apply)

No changes to my life or behavior

Practicing social distancing (i.e., reducing your physical contact with other people in social, work, or school settings by avoiding large groups and staying 3-6 feet away from other people)

Isolating or quarantining yourself (i.e., while you are sick or if you have been exposed, separating yourself from other people to prevent others from getting it)

Caring for someone at home

Working from home

Not working

Following media coverage related to COVID-19 (e.g., watching or reading the news, following social media coverage, etc.)

Changing travel plans

Increasing hand-washing and use of hand sanitizer

Covering my nose and mouth in public with a mask

Avoiding public transportation

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* 13. How much is/did the COVID-19 pandemic impact your day-to-day life?

Not at All

Much

Very much

Extremely

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* 14. Which of the following has had the biggest impact on your access to food in the past month?

I have not had enough money to buy food

I have had to ration my food so I do not run out (e.g., skipped meals, eaten less than I want to)

I have not been able to find foods I need in the store

My access to food has not been impacted

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* 15. In the past month, because of the COVID-19 pandemic, I have:
(Check all that apply)

Stocked up on alcohol

Stocked up on illicit drugs

Stocked up on harm reduction supplies (clean needles, works)

Avoided sharing cigarettes, joints or e-cigarettes/vapes (more than usual)

Avoided sharing crack pipes, meth pipes or bongs (more than usual)

Avoid sharing drinks with others (more than usual)

Avoided shelters

Avoided supervised consumption/overdose prevention sites

Avoided needle distribution sites

Avoided picking up medications for opioid use disorder (MOUD)

Avoided picking up ART medications

Avoided healthcare (e.g., clinical care appointments, hospitals, health clinics)

Accessed a safe supply of legal opioids

Accessed a safe supply of legal stimulants

Accessed nicotine replacement therapy

Accessed treatments for alcohol use disorder

Accessed a legal supply of cannabis

Accessed a supply of legal benzodiazepines

None of the above

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* 16. Have you been tested for COVID-19? Check all that apply.

Yes, I got a swab test to check for active infection (swab is usually in nose/mouth/throat)

Yes, I got an antibody test to check for previous infection (usually a blood test)

Yes, I got another test other than swab or antibody test

No, I have not been tested

I tried to get tested but couldn't

Yes, I tested positive.

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* 17. Over the last 2 weeks, how often have you been bothered by the following problems?

	Not at All	Several Days	Over Half the Days	Nearly All the Days
Feeling nervous, anxious, or on edge	Feeling nervous, anxious, or on edge Not at All	Feeling nervous, anxious, or on edge Several Days	Feeling nervous, anxious, or on edge Over Half the Days	Feeling nervous, anxious, or on edge Nearly All the Days
Not being able to stop or control worrying	Not being able to stop or control worrying Not at All	Not being able to stop or control worrying Several Days	Not being able to stop or control worrying Over Half the Days	Not being able to stop or control worrying Nearly All the Days
Worrying too much about different things	Worrying too much about different things Not at All	Worrying too much about different things Several Days	Worrying too much about different things Over Half the Days	Worrying too much about different things Nearly All the Days
Trouble relaxing	Trouble relaxing Not at All	Trouble relaxing Several Days	Trouble relaxing Over Half the Days	Trouble relaxing Nearly All the Days
Being so restless that it's hard to sit still	Being so restless that it's hard to sit still Not at All	Being so restless that it's hard to sit still Several Days	Being so restless that it's hard to sit still Over Half the Days	Being so restless that it's hard to sit still Nearly All the Days
Being easily annoyed or irritable	Being easily annoyed or irritable Not at All	Being easily annoyed or irritable Several Days	Being easily annoyed or irritable Over Half the Days	Being easily annoyed or irritable Nearly All the Days
Feeling afraid as if something awful might happen	Feeling afraid as if something awful might happen Not at All	Feeling afraid as if something awful might happen Several Days	Feeling afraid as if something awful might happen Over Half the Days	Feeling afraid as if something awful might happen Nearly All the Days

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* 18. Please indicate the extent to which you agree with each of the following statements.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I tend to bounce back quickly after hard times	I tend to bounce back quickly after hard times Strongly Disagree	I tend to bounce back quickly after hard times Disagree	I tend to bounce back quickly after hard times Neutral	I tend to bounce back quickly after hard times Agree	I tend to bounce back quickly after hard times Strongly Agree
I have a hard time making it through stressful events	I have a hard time making it through stressful events Strongly Disagree	I have a hard time making it through stressful events Disagree	I have a hard time making it through stressful events Neutral	I have a hard time making it through stressful events Agree	I have a hard time making it through stressful events Strongly Agree
It does not take me long to recover from a stressful event	It does not take me long to recover from a stressful event Strongly Disagree	It does not take me long to recover from a stressful event Disagree	It does not take me long to recover from a stressful event Neutral	It does not take me long to recover from a stressful event Agree	It does not take me long to recover from a stressful event Strongly Agree
It is hard for me to snap back when something bad happens	It is hard for me to snap back when something bad happens Strongly Disagree	It is hard for me to snap back when something bad happens Disagree	It is hard for me to snap back when something bad happens Neutral	It is hard for me to snap back when something bad happens Agree	It is hard for me to snap back when something bad happens Strongly Agree
I usually come through difficult times with little trouble	I usually come through difficult times with little trouble Strongly Disagree	I usually come through difficult times with little trouble Disagree	I usually come through difficult times with little trouble Neutral	I usually come through difficult times with little trouble Agree	I usually come through difficult times with little trouble Strongly Agree
I tend to take a long time to get over set-backs in my life	I tend to take a long time to get over set-backs in my life Strongly Disagree	I tend to take a long time to get over set-backs in my life Disagree	I tend to take a long time to get over set-backs in my life Neutral	I tend to take a long time to get over set-backs in my life Agree	I tend to take a long time to get over set-backs in my life Strongly Agree

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* 19. How much has the COVID-19 pandemic interrupted the care you receive from others (e.g., counselor, therapist, support groups) for mental health?

Not at all

A little bit

Somewhat

Quite a bit

Extremely

I don’t receive mental health care services

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* 20. When was your most recent visit to a doctor, nurse, or other health care provider? Includes telemedicine and remote visits.

Within the past two weeks

Between 2 weeks and a month

Over a month but within 6 months

6-12 months ago

More than 12 months ago

Decline to answer

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* 21. Are you currently receiving treatment for substance use, including alcohol?

Yes

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* 22. Are you currently participating in a 12-step program like AA, NA, CA?

Yes

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* 23. Has your program had any cancellations of meetings or service due to the COVID-19 pandemic in the past month?

Yes

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* 24. Did your program offer you any alternatives to meetings like phone calls or internet support in the past month? (For example, Zoom calls)

Yes

Don't know

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* 25. Are you on methadone or other medications for treatment of opioid use disorder (heroin, fentanyl, etc)?

Yes

Decline to answer

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* 26. Has the clinic or service-provider from which you receive your methadone or other opioid use disorder medication had an interruption of services in the past month due to the COVID-19 pandemic?

Yes

Don't know

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* 27. Are you currently receiving telemedicine visits from your methodone/suboxone/buprenorphine provider?

Yes

Decline to answer

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* 28. In the past month, how much has the COVID-19 pandemic interrupted the care you receive from others (e.g., counselor, therapist, support groups) for substance use addiction (e.g., alcohol, tobacco, cocaine)?

Not at all

A little bit

Somewhat

Quite a bit

Extremely

I don’t receive substance use disorder services

Trauma Recovery Center - Community Needs

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* 1. What neighborhood do you live in?

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* 2. What County do you live in?

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* 3. How would you describe yourself? (please check all that apply)

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* 4. What is your gender?

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* 5. What is your age?

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* 6. Which of the following are you experiencing (or did you experience) during COVID-19 (coronavirus)? (check all that apply)

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* 7. In the past 30 days, how personally impacted were you by the following:

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* 8. In the past 30 days, how do you feel your community has coped or dealt with the following:

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* 9. Do you feel you feel you have an adequate understanding of trauma?

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* 10. What services or programs do you need? (check all that apply)

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* 12. What are you doing/did you do during the COVID-19 pandemic? (Check all that apply)

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* 13. How much is/did the COVID-19 pandemic impact your day-to-day life?

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* 14. Which of the following has had the biggest impact on your access to food in the past month?

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* 15. In the past month, because of the COVID-19 pandemic, I have:(Check all that apply)

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* 16. Have you been tested for COVID-19? Check all that apply.

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* 17. Over the last 2 weeks, how often have you been bothered by the following problems?

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* 18. Please indicate the extent to which you agree with each of the following statements.

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* 19. How much has the COVID-19 pandemic interrupted the care you receive from others (e.g., counselor, therapist, support groups) for mental health?

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* 20. When was your most recent visit to a doctor, nurse, or other health care provider? Includes telemedicine and remote visits.

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* 21. Are you currently receiving treatment for substance use, including alcohol?

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* 22. Are you currently participating in a 12-step program like AA, NA, CA?

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* 23. Has your program had any cancellations of meetings or service due to the COVID-19 pandemic in the past month?

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* 24. Did your program offer you any alternatives to meetings like phone calls or internet support in the past month? (For example, Zoom calls)

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* 25. Are you on methadone or other medications for treatment of opioid use disorder (heroin, fentanyl, etc)?

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* 26. Has the clinic or service-provider from which you receive your methadone or other opioid use disorder medication had an interruption of services in the past month due to the COVID-19 pandemic?

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* 27. Are you currently receiving telemedicine visits from your methodone/suboxone/buprenorphine provider?

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* 28. In the past month, how much has the COVID-19 pandemic interrupted the care you receive from others (e.g., counselor, therapist, support groups) for substance use addiction (e.g., alcohol, tobacco, cocaine)?

* 15. In the past month, because of the COVID-19 pandemic, I have:
(Check all that apply)