National Recovery Rally 2020

The purpose of this survey is to gather information to inform future treatment and care options for individuals impacted by substance use. Please note that the information you share in the survey is anonymous and confidential, and individual results will not be published. This survey is completely voluntary and confidential. You are not required to provide your name or identifying information. Thank you for your participation.

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* 1. Have you ever been impacted by alcohol and/or substance use?

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* 2. Have you ever experienced relapse?

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* 3. How old were you in years when you realized you have an addiction problem?

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* 4. How many times have you been in a recovery program?

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* 5. How long have you been alcohol and/or substance-free?

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* 6. What is your drug/substance(s) of choice? Select ALL that apply.

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* 7. Please identify any resources that have helped you in recovery. Select ALL that apply.

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* 8. Please identify any barriers that you have encountered while seeking treatment. Select ALL that apply.

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* 9. Please identify any challenges to continuing your recovery. Select ALL that apply.

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* 10. What is your current age?

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* 11. Race/ethnicity. Select ALL that apply.

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* 12. Gender

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* 13. Sexual orientation

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* 14. What is the highest level of education you have completed?

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* 15. What is your employment status?

*This survey was adapted from The RecoveryNC campaign's Addiction Recovery Survey (https://www.surveymonkey.com/r/DRBJPC2) and was modified in collaboration with the Houston Health Department's Community Re-entry Network Program (CRNP).
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