Partners in Community Wellness (PiCWell) Community Survey 2019 (BH)

The Partners in Community Wellness (PiCWell) Team is working to draft a 3-Year Strategic Plan for Substance Misuse for the Winnipesaukee Public Health Region. Please take 5 to 10 minutes to complete the survey. Your responses are important and we appreciate your time.

Thank you for your participation!

Sincerely,

The PiCWell Team

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* 1. Do you work or live in the Winnipesaukee Public Health Region? (Alton, Barnstead, Belmont, Center Harbor, Danbury, Franklin, Gilford, Gilmanton, Hill, Laconia, Meredith, New Hampton, Northfield, Sanbornton, Tilton)

Live Only

Work Only

Both

Neither

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* 2. How old are you?

18-25

26-34

35-42

43-50

51-60

61-70

71+

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* 3. Do you feel connected to your community? (Example: attend community events, have a support network in your community, part of a faith-based group, involved in your child(ren)’s school, invested in making it a safe and healthy place to live)

Yes

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* 4. What are your thoughts on substance misuse in your community?

I do not feel substance misuse is an issue in my community

I feel substance misuse is a minor issue in my community

I feel substance misuse is a moderate issue in my community

I feel substance misuse is a significant issue in my community

I'm not sure

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* 5. Has substance misuse personally affected you, through your own experience or that of a family member or loved one?

Yes

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* 6. Have you heard, read, or seen a public message about the topics listed below within the past 12 months. Check all that apply.

Health and Wellness

Suicide Prevention

Proper Storage of Medication (Lock it Up)

Alcohol

Tobacco

Vaping/Juuling/Ecigarettes

Illegal Drugs

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* 7. What is the best way for you to receive a public message about avoiding/the dangers of alcohol, tobacco, vaping/juuling/ecigarettes, or illegal drugs? (Choose top 3)

Text Message

Paper Mail (informational flyer, pamphlet)

YouTube Video

Facebook

Twitter

Instagram

Radio

Newspaper

Community Message Boards (grocery store, library, doctor’s office, bill boards)

Other (please specify)

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* 8. As it relates to substance misuse prevention, which substances in the region deserve the most focus/resources? (Select up to 4)

Alcohol

Tobacco (to include cigarettes/ecigarettes/vaping/juuling/chewing tobacco)

Marijuana

Synthetic Marijuana (also called K2, spice, fake weed, king kong, yucatan fire, skunk, or moon rocks)

Prescription Drugs (without a note from a Doctor)

Heroin

Methamphetamines (also called speed, crystal, crank, or ice)

Ecstasy (also called MDMA)

Other (please specify)

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* 9. Are you a parent/caregiver/guardian?

Yes

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* 10. If you are a parent/caregiver/guardian, how often do you talk to your child(ren) about the dangers of substance misuse?

Never

Not Often

Often

Consistently

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* 11. If you are a parent/caregiver/guardian, how often do you talk to your child(ren) about their mental health and wellness?

Never

Not Often

Often

Consistently

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* 12. If you are a parent/caregiver/guardian, how often do you talk to your child(ren) about their risk for suicide?

Never

Not Often

Often

Consistently

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* 13. How much do you think youth and young adults risk harming themselves (physically or in other ways) if they drink alcohol?

No Risk

Slight Risk

Moderate Risk

Great Risk

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* 14. How much do you think youth and young adults risk harming themselves (physically or in other ways) if they use electronic nicotine delivery systems (vaping, juuling, ecigarettes)?

No Risk

Slight Risk

Moderate Risk

Great Risk

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* 15. How much do you think people risk harming themselves (physically or in other ways) if they use marijuana?

No Risk

Slight Risk

Moderate Risk

Great Risk

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* 16. If you were experiencing an issue with substance misuse, how likely would you be to seek help from your employer?

Not Likely

Slightly Likely

Moderately Likely

Highly Likely

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* 17. Select the supports from the list below that you know how to access within your community.

Parent Education (substance misuse, healthy eating, oral health, emergency preparedness, mental health)

Employer Support (Employee Assistance Programs, insurance benefits, workplace recovery support)

Family Resources (childcare, early interventions and supports, play groups)

Basic Information about Health and Wellness

Financial Support

Help with Domestic & Sexual Violence and Stalking

Housing

Transportation

Food Assistance

Health Insurance

Treatment for Substance Use Disorders

Treatment for Mental Health Issues

Recovery Supports

Support Groups

Other (please specify)

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* 18. What do you see as the most important topics for PiCWell to focus its efforts on as it relates to substance misuse health promotion, prevention, early identification and intervention, treatment, and recovery? (Select top 3)

Housing (Example: respite housing, recovery housing, affordable housing, etc.)

Trauma Informed Systems of Care/Adverse Childhood Experiences/Resiliency

Transportation (Example: to and from healthcare appointments, meetings, work, etc.)

Employment (Example: re-entry into the workforce for people in recovery, re-entry into the workplace for people transitioning out of the justice system, workforce training and development, substance use prevention efforts in the workplace, etc.)

Co-Occurring Mental Health & Substance Use Disorders (when a person is diagnosed with both a mental illness and a substance use disorder)

Expanding Efforts in Health and Wellness Promotion

Expanding Efforts in Substance Misuse Prevention

Alternative Activities for Youth, Young Adults, & Adults (Example: healthy activities that exclude alcohol and illicit drugs)

Harm Reducation: (Example: Naloxone education/distribution, safe syringe programs)

Drop in Centers/Day Shelters for Vulnerable Populations (Example: a place to stay dry, warm,cool, or out of the elements during the day time)

Increasing the Capacity of Local Professionals Working Across the Continuum of Care (Example: Providing education and skill building opportunities to professionals working in the field of substance misuse prevention, treatment, recovery, and other areas related to substance misuse)

Supporting Policy Change (Example: working to make changes at the organizational, local, county, and state levels)

Perception of Harm of Substances (Example: for both youth and adults on alcohol, tobacco/vaping/juuling/ecigarette, marijuana, hallucinogens, methanphetamines, etc.)

Stigma

Addressing Access to Substances (Example: Lock it Up, DEA Drug Take Back events, local permanent medication drop boxes)

Other (please specify)

Partners in Community Wellness (PiCWell) Community Survey 2019 (BH)