We want to hear from you about how we can make the healthcare system in our region better for people using opioids e.g. oxycontins, percocets, codeine, morphine, fentanyl as well as the street drug heroin.

Answers to these questions will remain anonymous.  DO NOT put your name on the survey.  You may skip questions if you do not want to answer them.  Thank you for your input! 
 
This survey is supported by the North West LHIN and Thunder Bay Regional Health Sciences Centre.
 
Indicate your level of agreement with the following statements.

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* 1. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more non-medication pain management such as exercise, yoga and mindfulness, close to home.

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* 2. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
faster access close to home to health care workers specially trained in chronic pain management.

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* 3. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more culturally appropriate services for pain and/or opioid management.

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* 4. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
to be able to more easily get opioid addiction medication like methadone or suboxone close to home.

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* 5. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
to be able to get opioid addiction medication like methadone or suboxone from their own doctor, nurse practitioner or primary care clinic.

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* 6. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
better access to Naloxone(“Narcan”) to reverse opioid overdose in others.

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* 7. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more information on how to use Naloxone (“Narcan”).

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* 8. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
quicker access to family doctors or nurse practitioners.

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* 9. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more mental health workers close to home who are trained in both mental health and addiction.

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* 10. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
opioid use related services open evenings and weekends.

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* 11. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
to be able to get into outpatient opioid addiction treatment faster.

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* 12. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
to be able to get into residential treatment “rehab” programs faster.

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* 13. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
detox services (short term support for withdrawal) close to home.

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* 14. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
detox services (short term support for withdrawal) for youth under 16 years old.

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* 15. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
to be able to talk directly to a person when calling a service for help with opioid use, rather than listening to choices from an answering service.

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* 16. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
health care and mental health workers to be more welcoming and accepting without judgement of patients using opioids.

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* 17. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
outreach workers that will visit locations where patients are (shelters, library, food banks etc.)

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* 18. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more support services close to home for adults whose family member or close friend uses opioids.

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* 19. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
help with transportation to appointments for opioid use treatment.

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* 20. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
easier access to childcare for patients getting help and going to appointments for opioid use.

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* 21. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more affordable housing while dealing with opioid use.

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* 22. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more income assistance while dealing with opioid use.

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* 23. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
more support for food while dealing with opioid use.

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* 24. Patients need...

  Strongly disagree Disagree Neutral Agree Strongly agree Don't know Prefer not to answer
help with other costs.

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* 25. Please tell us anything else that may help with treatment for people who use opioids and/or have chronic pain, or any other comments you have related to this topic.

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* 26. The following are a few questions about you so we can better understand differences in needs between different locations and groups. This survey is anonymous so this information will not be used to identify individual people.

What is your age?

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* 27. To what cultural group do you belong?

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* 28. In what community do you get most of your health care?

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* 29. In what community do you live most often during the year?

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* 30. Do you have chronic pain?

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* 31. Are you prescribed opioids?

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* 32. Do you access opioids other than by prescription? (ie. from friends, or “on the street”)

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* 33. Do you identify as having an opioid addiction?

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* 34. Are you a support for someone who uses opioids?

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* 35. Other comments

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