Community Survey Question Title * 1. What is your zip code? 27811 27812 27827 27828 27829 27833 27834 27835 27836 27837 27858 27879 27884 28513 28530 28590 Question Title * 2. What is your age? <25 26-34 35-44 45-54 55-64 65+ Question Title * 3. Which best describes your race? American Indian or Alaska Native Native Hawaiian or other Pacific Islander Asian or Asian American Black or African American White Hispanic or Latino Other Prefer not to say Question Title * 4. Do you have personal or lived experience related to the overdose crisis? Yes No Question Title * 5. Which of the following describe your personal and/or professional experience with the opioid crisis or substance use? Check all that apply. Person in recovery from substance use disorder Person who is actively using substance Family member or close friend of a person who uses/used substance Concerned community member Professional in the field of substance use and/or mental health Emergency Medical Services (EMS) personnel Law enforcement/public safety professional (i.e. police or fire) Faith-based community member (i.e. pastor, priest, religious organizer) Community-based organization volunteer Other (please specify) Question Title * 6. Please indicate the extent to which the following are priorities for you when considering how this funding should be spent. Question Title * 7. What are the gaps/challenges in your community to addressing opioid issues? Resources/funding Treatment services Public awareness Education programs Access to local data There are no challenges Don't know/not sure Other (please specify) Question Title * 8. What are the strengths in your community to help address opioid misuse? Resources/funding Treatment Services Public awareness Education programs Access to local data There are no strengths Don't know/not sure Other (please specify) Question Title * 9. What drug misuse programs have you heard about in Pitt County/City of Greenville? Question Title * 10. Do you have children that are in Pitt County Schools? (If answering yes, please continue on to question 12-13. If answering no, skip to questions 14) Yes No Question Title * 11. If so, what grade are they in? K-5th 6-8th 9-12th Question Title * 12. Do you believe that your child is receiving education on drug misuse? Yes No Question Title * 13. Before completing this survey, were you aware that Pitt County and City of Greenville will be receiving settlement funds from private pharmaceutical companies and pharmacy’s as part of the national lawsuit? Yes No Question Title * 14. How did you find out about this community survey? Community Meeting Social Media Website Local Organization Done
