ABLBH Participant Survey

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* 1. Please provide us with your age range for demographic purposes.

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 2. Please provide your gender identification for demographic purposes.

Male

Female

Other - X

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* 3. What chapter of ABLBH do you attend? (check all that you attend)

Redkey, Indiana

Portland, Indiana

Greenville, Ohio

St. Mary's, Ohio

Union City, Indiana

Alexandria, Indiana

Anderson, Indiana

Bluffton, Indiana

Gaston, Indiana

Hartford City, Indiana

Richmond, Indiana

Winchester, Indiana

Auburn, Indiana

Celina, Ohio

Connersville, Indiana

Dunkirk, Indiana

Ft. Wayne, Indiana

Liberty, Indiana

Milan, Indiana

Greenfield, Indiana

Hammond, Indiana

Muncie, Indiana

New Castle, Indiana

Noblesville, Indiana

Shelbyville, Indiana

Decatur, Indiana

Marion, Indiana

Rushville, Indiana

Cambridge City, Indiana

Frankfort, Indiana

Knightstown, Indiana

Lafayette, Indiana

Montpelier, Indiana

Indianapolis, Indiana - Warren Township

Wabash, Indiana

Albany, Indiana

Auburn, Indiana

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* 4. How many ABLBH meetings per week do you attend on average?

More than 7 per week

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* 5. Please check all you have participated in:

Outpatient Rehabilitation

In-Patient Rehabilitation

AA/NA (Alcoholics Anonymous or Narcotics Anonymous)

Sober Living Facility

Medically Supervised Detox

Celebrate Recovery

Medically Assisted Treatment - Suboxone Clinic

Court Mandated Treatment

ABLBH

IOP / Inpatient Outpatient Clinic

Other (please specify)

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* 6. Do you have a family history of substance abuse?

Yes

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* 7. Do you struggle with anxiety and depression?

Yes

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* 8. Did you experience childhood trauma?

Yes

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* 9. What substances did/do you abuse?

Marijuana

Opioids (Demerol, OxyContin, Percocet, Vicodin, Fentanyl, Heroin/Morphine, etc.)

Alcohol

Cocaine

Methamphetamine

Other

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* 10. Have you ever received Narcan?

Yes

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* 11. If yes, how many times have you been given Narcan?

More than 7 times.

Other (please specify)

Never required Narcan.

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* 12. How long have you been clean?

I am not currently clean.

1 to 3 days clean.

3 to 7 days clean.

1 week clean.

1 month clean.

2 to 6 months clean.

6 months to 1 year clean.

1 year to 2 years clean.

3 - 5 years clean.

5+ years clean.

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* 13. What do you find most helpful or needed during the ABLBH sessions? Please rank your answers with 1 being MOST helpful and 7 being the least helpful.

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* 14. Do you feel welcomed at ABLBH sessions?

Yes

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* 15. Do you feel valued at ABLBH sessions?

Yes

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* 16. Do you feel judged at ABLBH sessions?

Yes

Sometimes

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* 17. Do you feel like you can be open and honest at ABLBH sessions?

Yes

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* 18. What content would you like to see or see more of?

Anger Management

Self Esteem Building

Coping Skills

Working through Trauma

Grief

Communication Skills

Relapse Prevention and Management

Changing the Stigma

Other (please specify)

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* 19. Do you feel like ABLBH provides appropriate support and resources?

Yes

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* 20. Would you like to participate in sessions about topics like mental health, navigating the legal system, or working with DCS?

Yes

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* 21. If you would like to participate, do you prefer sessions be:

In person - outside of ABLBH sessions

After ABLBH Session

By Zoom or another live video system

I would not like to participate in these

Peer Recovery Coach or Mentor for one on one support

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* 22. Has your recovery included:

Relapse

Recovery Sessions

Incarcerations / Probation / House Arrest

Court ordered substances abuse courses

Rehab Treatment

I am not in recovery

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* 23. Have you ever bought or sold illegal substances at an ABLBH session?

Yes

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* 24. Does ABLBH provide the accountability you need in recovery?

Yes

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* 25. What role has faith played in your recovery?

I found faith in recovery for the first time.

I found faith again in recovery.

I recognize ABLBH is faith based but not faith required.

I am not or wasn't comfortable with coming to a faith based session or to a group that meets in a church.

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* 26. Have you ever received a Recovery Bible?

Yes

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* 27. When you can't attend ABLBH sessions, what are the barriers for you?

Transportation

Childcare

Work Schedule

I feel embarrassed or shameful.

I feel judged returning.

I don't feel heard.

I don't think anyone notices if I attend or not.

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* 28. Do Victory Tags matter to you?

Yes

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* 29. Do the T-shirts matter to you?

Yes

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* 30. Where does your recovery support come from?

ABLBH

Family

Friends

Counseling / Counselor

Children

Church

School

Other Recovery Groups

Other

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* 31. Do you feel your facilitators understand addiction and recovery?

Yes

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* 32. Do you feel your facilitator responds to your needs outside of the ABLBH sessions?

Yes

ABLBH Participant Survey

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* 1. Please provide us with your age range for demographic purposes.

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* 2. Please provide your gender identification for demographic purposes.

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* 3. What chapter of ABLBH do you attend? (check all that you attend)

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* 4. How many ABLBH meetings per week do you attend on average?

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* 5. Please check all you have participated in:

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* 6. Do you have a family history of substance abuse?

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* 7. Do you struggle with anxiety and depression?

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* 8. Did you experience childhood trauma?

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* 9. What substances did/do you abuse?

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* 10. Have you ever received Narcan?

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* 11. If yes, how many times have you been given Narcan?

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* 12. How long have you been clean?

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* 13. What do you find most helpful or needed during the ABLBH sessions? Please rank your answers with 1 being MOST helpful and 7 being the least helpful.

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* 14. Do you feel welcomed at ABLBH sessions?

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* 15. Do you feel valued at ABLBH sessions?

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* 16. Do you feel judged at ABLBH sessions?

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* 17. Do you feel like you can be open and honest at ABLBH sessions?

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* 18. What content would you like to see or see more of?

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* 19. Do you feel like ABLBH provides appropriate support and resources?

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* 20. Would you like to participate in sessions about topics like mental health, navigating the legal system, or working with DCS?

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* 21. If you would like to participate, do you prefer sessions be:

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* 22. Has your recovery included:

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* 23. Have you ever bought or sold illegal substances at an ABLBH session?

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* 24. Does ABLBH provide the accountability you need in recovery?

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* 25. What role has faith played in your recovery?

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* 26. Have you ever received a Recovery Bible?

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* 27. When you can't attend ABLBH sessions, what are the barriers for you?

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* 28. Do Victory Tags matter to you?

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* 29. Do the T-shirts matter to you?

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* 30. Where does your recovery support come from?

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* 31. Do you feel your facilitators understand addiction and recovery?

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* 32. Do you feel your facilitator responds to your needs outside of the ABLBH sessions?

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* 33. Do you feel like you have been given the opportunity to grow into Team Hope leadership?

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* 34. Is there anything else you would like to share with ABLBH?

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* 35. Have you or would you refer someone who is struggling to ABLBH?