Thank you for taking a few moments to complete this survey about substance use and factors that impact substance use. Your responses will be anonymous and used only in aggregate to help Arizona community coalitions improve substance use prevention and resiliency building in our communities.  

Question Title

* 1. How much do youth risk harming themselves when they use the following:

  Not at all A little A moderate amount A lot
Alcohol
Marijuana flower/buds
Marijuana concentrates 
Vaping nicotine 
Fentanyl or counterfeit pills
Methamphetamine

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* 2. Do you monitor or securely store any of the following kept in your home as a way to limit youth access to them:

  No Yes N/A - not kept in my home
Alcohol
Marijuana
Vaping products
Prescription drugs/pills
Other drugs

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* 3. Do you use local drop boxes, Take-Back events or Deterra bags to dispose of prescription drugs or pills?

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* 4. How aware are you of the following:

  Not at all A little A moderate amount A lot
The rise in overdose due to fentanyl in Arizona
That youth are taking counterfeit pills laced with fentanyl
That youth are using social media (e.g., SnapChat) to buy counterfeit pills
The rise in meth-related deaths in Arizona

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* 5. How much do you know about the following:

  None A little A moderate amount A lot
What fentanyl is
The risks of fentanyl
The risks of meth
What naloxone is
Where to get naloxone
How to use naloxone

Question Title

* 6. How much do you know about the following:

  None A little A moderate amount A lot
How youth substance use impacts adolescent brains and bodies
How mental health impacts substance use
What Adverse Childhood Experiences (ACEs) are
How ACEs and trauma impact substance use

Question Title

* 7. In the past 12 months, how often have you seen or heard information in your community about the following:

  Never Once or twice A few times Several times
Fentanyl or counterfeit pills laced with fentanyl
Meth
Naloxone
The Arizona Good Samaritan Law
Substance use stigma
Underage drinking
Youth marijuana use
Youth vaping
Youth mental health
Building coping or stress management skills in youth
Youth risks related to social media use

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* 8. Where have you seen this information in your community? Please check all that apply.

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* 9. Did the messaging lead to you doing any of the following actions:

  Not at all A little A moderate amount A lot
Talk to the children or young adults in your life about the information
Get more information on the topics
Share the information with others
Get naloxone
Change the way you think or talk about substance use

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* 10. How often have you:

  Never Once or twice A few times Several times
Received or carried a naloxone kit
Used naloxone to reverse a drug overdose in Arizona

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* 11. How much do you agree with the following statements:

  Strongly
disagree
Disagree Agree Strongly
agree
I feel prepared to administer naloxone
I would feel comfortable calling 911 if someone I was with was overdosing
The way we talk about substance use influences health outcomes
Fear of stigma can keep people from getting the help they need

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* 12. Do you know where to go in your community to get the following resources:

  No Yes
Substance use or mental health treatment for adults
Substance use or mental health treatment for youth
Prevention and education resources for substance use and mental health

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* 13. What are the ages of the children/grandchildren or young adults you have, care for or work with? Please check all that apply.

 
33% of survey complete.

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