Addiction Support Survey
Your responses will help us understand the needs and experiences related to addiction support. All answers are confidential.
What is your age group?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
What is your gender?
*
Male
Female
Non-binary/Third gender
Prefer not to say
Other
Which of the following best describes the type(s) of addiction you or someone you support has experienced? (Select all that apply)
*
Alcohol
Drugs (prescription or illicit)
Gambling
Tobacco/Nicotine
Internet/Social Media
Gaming
Other
How would you rate the availability of addiction support resources in your area?
*
1
2
3
4
5
Please indicate your level of agreement with the following statements about addiction support in your community.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Support services are easy to access
1
2
3
4
5
Support services are affordable
6
7
8
9
10
Support services are effective
11
12
13
14
15
I feel comfortable seeking help
16
17
18
19
20
What barriers have you or someone you know faced in accessing addiction support? (Select all that apply)
Cost/affordability
Stigma or shame
Lack of information
Limited availability of services
Transportation issues
Other
Have you ever participated in a support group or counseling for addiction?
*
Yes
No
If yes, how helpful was the support group or counseling?
Not helpful at all
1
2
3
4
Extremely helpful
5
1 is Not helpful at all, 5 is Extremely helpful
What type of support do you believe is most effective for addiction recovery?
*
Professional therapy/counseling
Support groups (e.g., AA, NA)
Peer support/friends/family
Online resources
Other
What suggestions do you have for improving addiction support services?
Submit Survey
Should be Empty: