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)

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* 2. How old are you?

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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)

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

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

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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.

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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)

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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)

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

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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?

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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?

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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?

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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?

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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)?

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

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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?

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

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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)

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* 19. Please provide any comments, feedback, and/or additional information you would like the PiCWell Team to consider. Thank you.

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