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Community Needs Survey II

Thank you for taking the time to complete this survey. The goal of this research is to gain a better understanding of the knowledge, attitudes, experiences, and behaviors of adults in Arkansas. The survey will only take about 10 minutes to complete. Your participation in this survey is entirely voluntary. You may choose not to answer any or all of the questions, and you may choose to end the survey at any time. Your participation will be anonymous, and at no time will your name, address, or birthdate be attached to any of the data collected through this process. If you consent to participate in this survey, then continue on by answering the following questions.

1. What is your attitude toward mental health treatment?

2. What is your attitude toward substance use disorder treatment?

3. If you needed mental health support or treatment, how comfortable would you feel accessing those services?

4. If you needed support or treatment for a substance use disorder, how comfortable would you feel accessing those services?

5. In your community, how easy would it be to access the following:

Space Cell	Very hard	Sort of hard	Sort of easy	Very easy	Do not know
Alcohol	Alcohol: Very hard	Alcohol: Sort of hard	Alcohol: Sort of easy	Alcohol: Very easy	Alcohol: Do not know
Medical marijuana	Medical marijuana: Very hard	Medical marijuana: Sort of hard	Medical marijuana: Sort of easy	Medical marijuana: Very easy	Medical marijuana: Do not know
Recreational marijuana	Recreational marijuana: Very hard	Recreational marijuana: Sort of hard	Recreational marijuana: Sort of easy	Recreational marijuana: Very easy	Recreational marijuana: Do not know
Synthetic marijuana (K2, Spice)	Synthetic marijuana (K2, Spice): Very hard	Synthetic marijuana (K2, Spice): Sort of hard	Synthetic marijuana (K2, Spice): Sort of easy	Synthetic marijuana (K2, Spice): Very easy	Synthetic marijuana (K2, Spice): Do not know
Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.: Very hard	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.: Sort of hard	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.: Sort of easy	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.: Very easy	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.: Do not know
Opioids (prescription pain medication not prescribed to user)	Opioids (prescription pain medication not prescribed to user): Very hard	Opioids (prescription pain medication not prescribed to user): Sort of hard	Opioids (prescription pain medication not prescribed to user): Sort of easy	Opioids (prescription pain medication not prescribed to user): Very easy	Opioids (prescription pain medication not prescribed to user): Do not know
Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.)	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Very hard	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Sort of hard	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Sort of easy	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Very easy	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Do not know
Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.)	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Very hard	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Sort of hard	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Sort of easy	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Very easy	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Do not know
Fentanyl (China Girl, China Town, China White, He-Man, Tango & Cash, etc.)	Fentanyl (China Girl, China Town, China White, He-Man, Tango & Cash, etc.): Very hard	Fentanyl (China Girl, China Town, China White, He-Man, Tango & Cash, etc.): Sort of hard	Fentanyl (China Girl, China Town, China White, He-Man, Tango & Cash, etc.): Sort of easy	Fentanyl (China Girl, China Town, China White, He-Man, Tango & Cash, etc.): Very easy	Fentanyl (China Girl, China Town, China White, He-Man, Tango & Cash, etc.): Do not know
Cocaine (Coca, Coke, Crack, etc.)	Cocaine (Coca, Coke, Crack, etc.): Very hard	Cocaine (Coca, Coke, Crack, etc.): Sort of hard	Cocaine (Coca, Coke, Crack, etc.): Sort of easy	Cocaine (Coca, Coke, Crack, etc.): Very easy	Cocaine (Coca, Coke, Crack, etc.): Do not know
Party drugs (Ecstasy, Molly, Roofies, etc.)	Party drugs (Ecstasy, Molly, Roofies, etc.): Very hard	Party drugs (Ecstasy, Molly, Roofies, etc.): Sort of hard	Party drugs (Ecstasy, Molly, Roofies, etc.): Sort of easy	Party drugs (Ecstasy, Molly, Roofies, etc.): Very easy	Party drugs (Ecstasy, Molly, Roofies, etc.): Do not know

6. How much do you think adults risk harming themselves (physically or in some other way) if they use:

Space Cell	No risk	Slight risk	Moderate risk	High risk	Very high risk
Alcohol (more than 2 drinks per week)	Alcohol (more than 2 drinks per week): No risk	Alcohol (more than 2 drinks per week): Slight risk	Alcohol (more than 2 drinks per week): Moderate risk	Alcohol (more than 2 drinks per week): High risk	Alcohol (more than 2 drinks per week): Very high risk
Binge drinking (5 or more drinks for men, 4 or more drinks for women, in a 2 hour period)	Binge drinking (5 or more drinks for men, 4 or more drinks for women, in a 2 hour period): No risk	Binge drinking (5 or more drinks for men, 4 or more drinks for women, in a 2 hour period): Slight risk	Binge drinking (5 or more drinks for men, 4 or more drinks for women, in a 2 hour period): Moderate risk	Binge drinking (5 or more drinks for men, 4 or more drinks for women, in a 2 hour period): High risk	Binge drinking (5 or more drinks for men, 4 or more drinks for women, in a 2 hour period): Very high risk
Medical marijuana	Medical marijuana: No risk	Medical marijuana: Slight risk	Medical marijuana: Moderate risk	Medical marijuana: High risk	Medical marijuana: Very high risk
Recreational marijuana	Recreational marijuana: No risk	Recreational marijuana: Slight risk	Recreational marijuana: Moderate risk	Recreational marijuana: High risk	Recreational marijuana: Very high risk
Synthetic marijuana (K2, Spice)	Synthetic marijuana (K2, Spice): No risk	Synthetic marijuana (K2, Spice): Slight risk	Synthetic marijuana (K2, Spice): Moderate risk	Synthetic marijuana (K2, Spice): High risk	Synthetic marijuana (K2, Spice): Very high risk
Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.)	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): No risk	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): Slight risk	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): Moderate risk	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): High risk	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): Very high risk
Opioids (prescription pain medication not prescribed to user)	Opioids (prescription pain medication not prescribed to user): No risk	Opioids (prescription pain medication not prescribed to user): Slight risk	Opioids (prescription pain medication not prescribed to user): Moderate risk	Opioids (prescription pain medication not prescribed to user): High risk	Opioids (prescription pain medication not prescribed to user): Very high risk
Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.)	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): No risk	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Slight risk	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Moderate risk	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): High risk	Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.): Very high risk
Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.)	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): No risk	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Slight risk	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Moderate risk	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): High risk	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): Very high risk
Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.)	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): No risk	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): Slight risk	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): Moderate risk	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): High risk	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): Very high risk
Cocaine (Coca, Coke, Crack, etc.)	Cocaine (Coca, Coke, Crack, etc.): No risk	Cocaine (Coca, Coke, Crack, etc.): Slight risk	Cocaine (Coca, Coke, Crack, etc.): Moderate risk	Cocaine (Coca, Coke, Crack, etc.): High risk	Cocaine (Coca, Coke, Crack, etc.): Very high risk
Party drugs (Ecstasy, Molly, Roofies, etc.)	Party drugs (Ecstasy, Molly, Roofies, etc.): No risk	Party drugs (Ecstasy, Molly, Roofies, etc.): Slight risk	Party drugs (Ecstasy, Molly, Roofies, etc.): Moderate risk	Party drugs (Ecstasy, Molly, Roofies, etc.): High risk	Party drugs (Ecstasy, Molly, Roofies, etc.): Very high risk

7. In the past 30 days, on how many occasions have you used:

Space Cell	0	1-2	3-5	5-7	More than 7
Alcohol	Alcohol: 0	Alcohol: 1-2	Alcohol: 3-5	Alcohol: 5-7	Alcohol: More than 7
Medical marijuana	Medical marijuana: 0	Medical marijuana: 1-2	Medical marijuana: 3-5	Medical marijuana: 5-7	Medical marijuana: More than 7
Recreational marijuana	Recreational marijuana: 0	Recreational marijuana: 1-2	Recreational marijuana: 3-5	Recreational marijuana: 5-7	Recreational marijuana: More than 7
Synthetic marijuana (K2, Spice)	Synthetic marijuana (K2, Spice): 0	Synthetic marijuana (K2, Spice): 1-2	Synthetic marijuana (K2, Spice): 3-5	Synthetic marijuana (K2, Spice): 5-7	Synthetic marijuana (K2, Spice): More than 7
Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.)	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): 0	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): 1-2	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): 3-5	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): 5-7	Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.): More than 7
Opioids (prescription pain medications not prescribed to you)	Opioids (prescription pain medications not prescribed to you): 0	Opioids (prescription pain medications not prescribed to you): 1-2	Opioids (prescription pain medications not prescribed to you): 3-5	Opioids (prescription pain medications not prescribed to you): 5-7	Opioids (prescription pain medications not prescribed to you): More than 7
Prescription stimulants not prescribed to you (Adderall, Concerta, Dexedrine, Ritalin, etc.)	Prescription stimulants not prescribed to you (Adderall, Concerta, Dexedrine, Ritalin, etc.): 0	Prescription stimulants not prescribed to you (Adderall, Concerta, Dexedrine, Ritalin, etc.): 1-2	Prescription stimulants not prescribed to you (Adderall, Concerta, Dexedrine, Ritalin, etc.): 3-5	Prescription stimulants not prescribed to you (Adderall, Concerta, Dexedrine, Ritalin, etc.): 5-7	Prescription stimulants not prescribed to you (Adderall, Concerta, Dexedrine, Ritalin, etc.): More than 7
Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.)	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): 0	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): 1-2	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): 3-5	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): 5-7	Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.): More than 7
Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.)	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): 0	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): 1-2	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): 3-5	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): 5-7	Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.): More than 7
Cocaine (Coca, Coke, Crack, etc.)	Cocaine (Coca, Coke, Crack, etc.): 0	Cocaine (Coca, Coke, Crack, etc.): 1-2	Cocaine (Coca, Coke, Crack, etc.): 3-5	Cocaine (Coca, Coke, Crack, etc.): 5-7	Cocaine (Coca, Coke, Crack, etc.): More than 7
Party drugs (Ecstasy, Molly, Roofies, etc.)	Party drugs (Ecstasy, Molly, Roofies, etc.): 0	Party drugs (Ecstasy, Molly, Roofies, etc.): 1-2	Party drugs (Ecstasy, Molly, Roofies, etc.): 3-5	Party drugs (Ecstasy, Molly, Roofies, etc.): 5-7	Party drugs (Ecstasy, Molly, Roofies, etc.): More than 7

8. Did you experience any of the following circumstances prior to age 18?

Space Cell	Yes	No
Emotional abuse	Emotional abuse: Yes	Emotional abuse: No
Physical abuse	Physical abuse: Yes	Physical abuse: No
Sexual abuse	Sexual abuse: Yes	Sexual abuse: No
Mother treated violently by spouse or partner	Mother treated violently by spouse or partner: Yes	Mother treated violently by spouse or partner: No
Substance misuse/abuse in the household	Substance misuse/abuse in the household: Yes	Substance misuse/abuse in the household: No
Mental illness in the household	Mental illness in the household: Yes	Mental illness in the household: No
Parental separation or divorce	Parental separation or divorce: Yes	Parental separation or divorce: No
Incarceration of household member	Incarceration of household member: Yes	Incarceration of household member: No
Emotional neglect	Emotional neglect: Yes	Emotional neglect: No
Physical neglect	Physical neglect: Yes	Physical neglect: No

9. Do you live in Arkansas?

10. In which county do you live?

10. Are you now, or were you in the past 30 days, homeless or at risk of homelessness?

11. Are you now, or were you in the past 30 days, incarcerated in any jail or prison?

12. How do you identify?

13. What is your race?

14. What is your ethnicity?

15. What language is spoken in the home?

Please enter an 'other' value for this selection.

16. Do you identify as Lesbian, Gay, Bisexual, Transgender, or Queer?

17. How old were you on your last birthday? *This question is required. This question requires a valid number format.

18. What is the highest level of education you attained?

19. What is your average household income?

Thank you for your participation in our survey. This will assist in helping provide needed resources in your community. If you would like to get involved with local efforts, please e-mail your name, contact information, and county of residence to SABGPrevention@gmail.com and we will help connect you to your local prevention providers and community coalitions. Please note that since this e-mail will occur outside the survey, there is no way to connect your e-mail to your survey responses.