Wagoner County RCORP Community Survey

Welcome!

Dear Community Members: Wagoner Community Hospital received a U.S. Department of Health and Human Services Grant to develop a strategy for combating Substance Use Disorder (SUD)/Opioid Use Disorder (OUD) in Wagoner County. Our goal is to strengthen and expand SUD/OUD prevention, treatment, and recovery services in Wagoner County. We are collecting information from members of the community and your input is important to us! Please take a few minutes to complete this survey. Your responses are confidential and your participation is greatly appreciated! If you provide your email address, it will be entered into a raffle drawing for a Gift Card.

Question Title

* 1. Which category best describes you?

American Indian or Alaskan native

Asian

Black or African American

Hispanic, Latino, or Spanish Origin

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Other

Question Title

* 2. What is your sex?

Question Title

* 3. In what zip code do you live, work or receive treatment services or recovery support?

74429

74434

74436

74446

74454

74458

74337

74014

74467

74477

74352

I do not work, live or receive any kind of treatment services or recovery support in Wagoner County.

Question Title

* 4. On a typical day, which of the following forms of transportation do you use?

Automobile

Walk

Ride a bike

Get a ride from someone

Use local transportation like KATS Transit

Other

Question Title

* 5. Have you ever consumed alcohol and if so at what age?

Question Title

* 6. How often do you drink?

Everyday

More than twice a week

More than once a week

Only on weekends

On special occasions

Once a month

On special occasion

A few times a year

Never

Question Title

* 7. If you do drink, how much alcohol do you drink at one time? (1 drink is equal to 1 bottle/can beer, 1 4 ounce glass of wine, and 1 ounce shot of liquor). If you don't drink skip to Question 8.

1-2

3-4

5-6

7 or more

Question Title

* 8. Is Alcohol use something you have struggled with/you are currently struggling with?

Yes, I have struggled with it

Yes, I am currently struggling with it

Maybe, I haven’t really thought about it before.

No, I haven’t struggled with alcohol use

Question Title

* 9. Do you drink to escape pain, either physical or emotional?

Yes

Question Title

* 10. Is there a history of alcohol in your family?

Yes

Question Title

* 11. Have you ever sought help for your drinking?

Yes

Question Title

* 12. Substance Use Disorder (SUD) is defined as the persistent use of drugs despite substantial harm and adverse consequences. Opioid Use Disorder (OUD) is a substance use disorder relating to the use of an opioid. Stigma is defined as a strong feeling of disapproval that most people in a society have about something. Do you think there is a stigma associated with SUD/OUD? If so, please say why you think this is.

Question Title

* 13. In your opinion, do you think Wagoner County has a problem with SUD/OUD?

Yes

I don't know

Question Title

* 14. How have you been impacted by SUD? Please check all that apply.

I know people who use or have used substances

I know coworkers who use or have used substances

I have friends who use or have used substances

I have friends with family members who use or have used substances

I have family members who use or have used substances

I use or have used substances

I have not been impacted by SUD

Question Title

* 15. How have you been impacted by OUD? Please check all that apply to you.

I know people who use or have used opioids

I have friends who use or have used opioids

I have friends with family members who use or have used opioids

I have family members who use or have used opioids

I use or have used opioids

I have not been impacted by OUD

Question Title

* 16. Based upon your experiences, what would you say are the top three conditions affecting residents of Wagoner County? Check only three.

Poor/no access to medical health care

Education

Under/unemployment

Poverty

Poor/no access to mental health care

Crime

Homelessness

Substance abuse

Few recreational opportunities

Inadequate housing

Transportation

Poor air/water quality

Poor/no access to healthy food/food deserts

Other (please specify)

Question Title

* 17. What services are you aware of that are available in Wagoner County?

NA/AA

Medication Assisted Treatment (MAT) Program

Counseling

Substance Abuse Treatment

Inpatient Services for Substance Use

HIV Testing & Treatment

Hep C Testing & Treatment

Hotlines

24 Hour Clinic

Celebrate Recovery

Question Title

* 18. Have you ever attended a recovery support meeting?

Yes, NA/AA

Yes, Celebrate Recovery

Yes, other

Question Title

* 19. Active addiction recovery is defined as being free from addiction or no longer using alcohol or drugs. Are you in active addiction recovery?

I'm currently in addiction recovery

I've never struggled with addiction

I currently am struggling with addiction

Question Title

* 20. What is your age group?

11 and under

12 - 14

15 - 17

18-24

25-34

35-44

45-54

55-64

65+