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Relative Substance Abuse Survey

Relative Substance Abuse Survey

The purpose of this questionnaire is to assess substance use in Escambia, Santa Rosa, and Okaloosa counties among residents ages 13-19. Your participation and the information you provide will help determine the need for substance abuse programs for youth. 
This survey is meant to be completed by relatives which include, grandparents, aunts, uncles, brothers, sisters, nieces, nephews, and cousins. 

In this survey, the word “Substances” refers to illegal drugs, prescription medications (not prescribed to self), and alcohol.
1.Have you had a relative between the age of 13-19 struggle with substance abuse?
2.What is your relationship with this relative? You are the…
3.In 2022, which county did this relative reside in?
4.How old was your relative when they first began struggling with substance abuse?
5.Is your relative currently struggling with substance abuse?
6.If you answered  “no” to question 5, please explain by selecting one of the following:
7.How old is this relative today?
8.To your knowledge, what substances has your relative used?
9.Do you feel that it is easy for adolescents to access substances at school or in the community? 
10.Are there organizations within the community where your family can or has accessed help for a relative who struggled or is struggling with substance abuse?
11.In the past 12 months, have you or anyone in the family talked about Fentanyl with a relative who struggled or is struggling with substance abuse?
12.Do you feel that Fentanyl Strips should be legalized in the state of Florida?
13.Does the relative who struggled or is struggling with substance abuse have access to Narcon in their home?
14.Do you feel that our community needs more resources to assist with adolescent substance abuse? 
15.Do you feel that adolescents ages 13-17, struggling with DAILY substance abuse, would benefit more from:
Current Progress,
0 of 15 answered