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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 hardSort of hardSort of easyVery easyDo not know
Alcohol
Medical marijuana
Recreational marijuana
Synthetic marijuana (K2, Spice)
Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.
Opioids (prescription pain medication not prescribed to user)
Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.)
Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.)
Fentanyl (China Girl, China Town, China White, He-Man, Tango & Cash, etc.)
Cocaine (Coca, Coke, Crack, etc.)
Party drugs (Ecstasy, Molly, Roofies, etc.)
6. How much do you think adults risk harming themselves (physically or in some other way) if they use:
Space Cell No riskSlight riskModerate riskHigh riskVery high risk
Alcohol (more than 2 drinks per week)
Binge drinking (5 or more drinks for men, 4 or more drinks for women, in a 2 hour period)
Medical marijuana
Recreational marijuana
Synthetic marijuana (K2, Spice)
Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.)
Opioids (prescription pain medication not prescribed to user)
Prescription stimulants not prescribed to user (Adderall, Concerta, Dexedrine, Ritalin, etc.)
Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.)
Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.)
Cocaine (Coca, Coke, Crack, etc.)
Party drugs (Ecstasy, Molly, Roofies, etc.)
7. In the past 30 days, on how many occasions have you used:
Space Cell 01-23-55-7More than 7
Alcohol
Medical marijuana
Recreational marijuana
Synthetic marijuana (K2, Spice)
Methamphetamines (Meth, Speed, Ice, Crystal, Crank, Shabu, etc.)
Opioids (prescription pain medications not prescribed to you)
Prescription stimulants not prescribed to you (Adderall, Concerta, Dexedrine, Ritalin, etc.)
Heroin (Big H, Black Tar, Chiva, Horse, Smack, etc.)
Fentanyl (China Girl, China Town, China White, He-Man, Tango and Cash, etc.)
Cocaine (Coca, Coke, Crack, etc.)
Party drugs (Ecstasy, Molly, Roofies, etc.)
8. Did you experience any of the following circumstances prior to age 18?
Space Cell YesNo
Emotional abuse
Physical abuse
Sexual abuse
Mother treated violently by spouse or partner
Substance misuse/abuse in the household
Mental illness in the household
Parental separation or divorce
Incarceration of household member
Emotional neglect
Physical neglect
9. Do you live in Arkansas?
10. How do you identify?
11. What is your race?
12. What is your ethnicity?
13. What language is spoken in the home?
14. Do you identify as Lesbian, Gay, Bisexual, Transgender, or Queer?
This question requires a valid number format.
16. What is the highest level of education you attained?
17. 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.