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Community Needs Assessment Survey
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1.
Do you feel that the public programs responding to the fentanyl crisis have had a beneficial impact on the crisis?
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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2.
. We should increase government funding on treatment options for mental health and substance use disorders.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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3.
I feel that current prevention education programs in schools are effective at reducing rates of substance abuse.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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4.
People who use drugs deserve respect.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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5.
People with a mental illness deserve respect.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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6.
I feel that the stigmas surrounding substance abuse in DuPage County are as strong as they were three years ago.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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7.
I feel that most of the unhoused people in DuPage County have a substance abuse challenge.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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8.
Medication Assisted Recovery-MAR (which is the use of medications to treat substance use disorders e.g., methadone or buprenorphine to treat opioid use disorder) is an effective treatment for substance use disorders.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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9.
Do you think methadone is a helpful medication for those living with opioid use challenges?
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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10.
It is difficult to find healthcare providers who offer Medication Assisted Recovery-MAR (which is the use of medications to treat substance use disorders e.g., methadone or buprenorphine to treat opioid use disorder) in my community.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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11.
I know where to go for substance use treatment services if I do not have health insurance.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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12.
Harm reduction services like Narcan and syringe service programs reduce the risks of drug use.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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13.
Needle exchanges, or syringe distribution programs, are an effective form of harm reduction.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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14.
It is difficult to find harm reduction services like Narcan and syringe service programs in my community.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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15.
It is difficult to find mental health and substance use treatment services in my community.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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16.
I feel that DuPage County offers enough culturally-competent substance abuse treatment services.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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17.
Everyone in my community can get help for mental health regardless of income level, insurance status, race, ethnicity, primary language, disabilities, gender identity, sexual orientation, or citizenship status.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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18.
Everyone in my community can get help for substance use regardless of income level, insurance status, race, ethnicity, primary language, disabilities, gender identity, sexual orientation, or citizenship status.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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19.
If you currently are, or formerly were, involved in the criminal court system (probation, parole, court supervision, incarceration, etc.), do you feel you were offered enough treatment options to address your substance abuse challenges?
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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20.
In your own words, what are the major challenges facing people seeking recovery in DuPage County?
(Required.)
Demographic Information
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21.
Age:
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
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22.
Income Level:
(Required.)
Prefer not to say
Under $24,999
$25,000-$49,999
$50,000-$99,999
$100,000 and over
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23.
Gender:
(Required.)
Prefer not to self-identify
Male
Female
Gender Fluid
Non-Binary
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24.
Location:
(Required.)
County:
Zip Code:
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25.
Ethnicity
(Required.)
Hispanic or Latino
Non-Hispanic
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26.
Race:
(Required.)
African American/Black
Asian
Caucasian/White
Native American
Pacific Islander
Two or more races
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27.
Primary Language:
(Required.)
English
Spanish
Mandarin
French
Arabic
Other (please specify)