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CPRC Needs Assessment Community Perception and Input Survey

Supporting healthy lifestyle choices through education, collaborative planning, and community 

Introduction:
This survey is intended to gather input from community members ages 18 and older about perceptions, concerns, and experiences related to substance use prevention, mental health, and overall community well-being.

Your responses will help identify community strengths, areas of concern, and gaps in resources or services. The information collected will be used to guide local planning, prevention efforts, education, and decision-making aimed at supporting youth, families, and the broader community.

Participation in this survey is voluntary, and your responses are anonymous. There are no right or wrong answers — we are interested in your honest perceptions and experiences.

Thank you for taking the time to share your perspective. Your input is an important part of building a healthier, safer community.
1.Are you a parent or guardian of a child under 21?
2.What are the ages of your children (check all that apply)?
3.Please rate how concerned you are about the following issues in our community:
No concern at all
A little concerned
Somewhat concerned
Extremely concerned
Economic Stability for Familes
Good jobs and Stable Employment
Impact of mental health symptoms and conditions on friends and family
Adult heavy use or misuse of alcohol
Youth alcohol use
Youth use of tobacco and vaping products
Domestic violence
Family unity
Methamphetamine use
Abuse of prescription drugs, including opioids
Marijuana use
Criminal behavior
Safety of me and my family
4.How wrong would MOST ADULTS in our community think it is for youth under the age of 21 to consume alcohol?
5.How wrong do YOU think it is for youth under the age of 21 to consume alcohol?
6.In my community, families and parents allow youth under the age of 21 to consume alcohol.
7.How wrong do you think it is for adults to furnish or provide alcohol to youth under the age of 21?
8.In my community, drinking uner the age of 21 is viewed as a "rite of passage."
9.Where do you think youth under the age of 21 in the area get alcohol? (Check all that apply)
10.What do you think is contributing to the use of alcohol among our youth under the age of 21 in our community?
11.How often do you think parents in our community provide alcohol at parties their children host?
12.How easy or difficult is it for youth under the age of 21 in our community to obtain alcohol from the following people/places?
Very Difficult
Difficult
Easy
Very Easy
Older Siblings
Parents
Friends
Adult Strangers
13.How much do you think people risk harming themselves physically or in other ways when they have five or more drinks of an ALCOHOLIC BEVERAGE once or twice a week?
14.How wrong would most adults in our community think it is to DRINK AND DRIVE?
15.How can we prevent and / or decrease the number of youth under the age of 21 who drink alcohol? (Check all that apply)
16.How big of a problem do you believe marijuana use is in our community?
17.How wrong would MOST ADULTS in our community think it is for youth to use marijuana?
18.How much do you think people risk harming themselves if they smoke marijuana once or twice a week?
19.How big of a problem do you believe methamphetamine use is in our community?
20.How much do you think people risk harming themselves (physically or other ways) if they use methamphetamine?
21.How big of a problem do you believe abuse of perscription drugs including opioids is in our community?
22.How much do you think people risk harming themselves (physically or other ways) if they use prescription drugs including opioids that are not prescribed to them?
23.In our community, people feel comfortable talking about mental health concerns.
24.If someone needed mental health support, they would know where to go.
25.Youth in our community feel connected to at least one caring adult.
26.What makes it hard for people to access mental health services?
27.During the past 12 months, did you ever feel so sad or hopeless almost everyday for two weeks or more in a row that your stopped doing some usual activities?
28.What resources or services do you believe are lacking or needed within our community?
29.What do you think your community does well when it comes to supporting youth and families?
30.Are you
31.What is your age group?
32.What is your Zip Code?
33.Thank you for taking the time to share your thoughts.  Please provide any additional comments you may have below.