Instructions: This short survey should take 10-15 minutes to complete. Your answers are completely anonymous unless you choose to identify yourself by name at the conclusion of the survey. Please limit your short answer responses to 120 words or less.

Question Title

* 1. What is your age group?

Question Title

* 2. What is your sex?

Question Title

* 3. What is your zip code?

Question Title

* 4. Have you or a loved one been impacted by intravenous (injection) drug use?

Question Title

* 5. Do you believe there should be needle exchange programs in your community?

Question Title

* 6. What programs are you aware of in your community that assist people who inject drugs?

Question Title

* 7. Do you feel your community has adequate resources for persons suffering from addiction and intravenous drug use? Why or why not?

Question Title

* 8. What are the dangers or harms needle exchange programs pose to the community?

Question Title

* 9. What do you feel are benefits of needle exchange?

Question Title

* 10. Would you be willing to contribute more to this conversation with a follow up phone call or by participating in a focus group?

0 of 11 answered
 

T