COWETA COUNTY SURVEY FOR ADULTS
ON PRESCRIPTION DRUG MISUSE

Please answer the survey questions to the best of your ability. Your assistance is greatly appreciated!

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* 1. Prescription drug misuse and/or abuse is a problem in our community.

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* 2. Prescription drug misuse and/or abuse by youth (18 or younger) is a problem in our community.

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* 3. How concerned are you that misuse and/or abuse of prescription drugs could be, or could become, a growing problem in our community?

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* 4. How easy is it for youth in our community to obtain prescription drugs without a prescription?

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* 5. How much do you think people risk harming themselves, physically or in other ways, when they misuse the following prescription drugs?

  Potential risk
Painkillers (such as OxyContin, Hydrocodone or Percocet)
Stimulants (such as Ritalin or Adderall)
Tranquilizers (such as Valium or Xanax)

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* 6. If you have a teenager at home, when was the last time you talked with your teen about the possibilities and/or risks of prescription drug misuse?

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* 7. When students (18 and younger) in our community misuse prescription drugs, what do you think are the main ways they obtain these medications? (Check all that apply.)

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* 8. How/where do you typically store prescription drugs?

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* 9. What do you typically do with unused prescription drugs?

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* 10. I have children in:

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* 11. I live in:

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* 12. I work in:

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* 13. Over the past year I have been made aware of the opioid drug problem in Coweta County in the following ways (check all that apply):

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* 14. What more do you think needs to be done to increase awareness of the opioid crisis in Coweta County? 

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* 15. In the last year do you think the opioid problem in Coweta County has:

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* 16. Please feel free to share any ideas you may have and/or add additional comments you care to share below.  Visit www.drugfreecoweta.org for more information.

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