1.How effectively did the video(s) show that recovery is possible?

Very Effective

Effective

Neutral

Ineffective

Very Ineffective

Don’t know/prefer not to answer

2.To what extent did the video(s) provide a sense of hope?

A Great Deal

A Lot

A Moderate Amount

A Little

Not At All

Don’t know/prefer not to answer

3.How effective were the video(s) in encouraging you to take the first steps toward recovery?

Very Effective

Effective

Neutral

Ineffective

Very Ineffective

N/A, don’t know/prefer not to answer

4.How likely are you to show this video to someone experiencing addiction?

Very Likely

Likely

Neutral

Not Likely

Not Very Likely

Don’t know/prefer not to answer

5.What audience group do you belong to (check all that apply)?

Individual using substances

Family/Friends of someone using substances

Community member

Community member who works with individuals using substances

Law Enforcement (police, corrections officer, etc.)

Judicial System (judges, prosecutors, court staff)

Healthcare Provider (clinician, nurse, substance use provider, etc.)

Elected official

Other (please specify)

6.Any additional comments or feedback?