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Home
- Gala Pictures
- Survey
Giving
About us
Services
Training
- Become a Volunteer
ROSC
Resources
Blog
More
- Contact Us
- Book Online

Community Assessment Survey

The purpose of this survey is to measure public opinion on issues related to recovery. The information collected will be used to identify areas for improvement in our community. Your responses are confidential so please answer the questions honestly and to the best of your ability.

Substance use and Opioid use disorder is a medical condition that require treatment. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

Medication Assisted Recovery (MAR), which is the use of medications like methadone or buprenorphine to treat opioid use disorder, is an effective treatment for substance use disorders. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

It is difficult to find healthcare providers who offer Medication Assisted Recovery (MAR) in my community. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

Harm reduction services like Narcan and syringe service programs reduce the risks of opioid overdoses.

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

Returning citizens (formerly incarcerated individuals) should have access to substance use and MAR disorder programs. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

There should be more community support programs for returning citizens to prevent substance use and overdoses. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

You are half way done!

Education on overdose prevention should be provided to the general population. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

Law enforcement agencies in my community collaborate with harm reduction services to support individuals with substance use and opioid use disorders. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

Diversion programs are more effective than incarceration in addressing substance use and opioid use disorders in my community. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

My community has sufficient diversion programs available for individuals with substance use disorders. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

Law enforcement agencies in my community are trained to refer individuals with substance use disorders to diversion programs instead of incarceration. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

Diversion programs in my community provide adequate support and resources for individuals with substance use an opioid use disorder. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

There is a need for increased funding for diversion programs to better support individuals with substance use and opioid disorders in my community. *

1-Strongly Disagree 2-Disagree 3-Neither agree nor Disagree/Neutral 4-Agree 5-Strongly Agree

What are some additional barriers/gaps you would like to be addressed in your community? *

All Done!

Demographic Information

The purpose of the demographic information is to provide a comprehensive understanding of the characteristics of a population. This information includes age, gender, ethnicity, income level, education, and employment status. It serves to meet the needs of specific groups and social programs which are crucial tools for decision-making processes that help ensure resources are allocated effectively and equitably.

Please click next to complete the demographic sections.

Age *

Income Level *

Gender*

Ethnicity *

Race *

Primary Language *

County *

Zip Code *

"Funded in whole or in part by the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery."

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Last Name

Email

Office

(312) 539-5263
(773) 656-5567

Other

(708) 530-1923
(224) 406-3798

Email

De'Shara Shells
desharashells@teechfoundation.net

Dr. K. White
drkwhite@teechfoundation.net

Address

1750 W 103rd Chicago, Illinois 60643
www.teechfoundation1.org

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