Healing Cortland Public Perceptions Survey #1
This survey will help inform future opioid prevention and outreach strategies.
Your responses to this survey are anonymous.
1.
With the following questions, we want to know what you think
most people
think about people who use opioids. Please indicate your agreement or disagreement with each statement.
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Most people believe that a person who is addicted to opioids cannot be trusted
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Most people believe that a person who is addicted to opioids is dangerous
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Most people think that a person who is addicted to opioids is to blame for his or her problems
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Most people believe that a person who is addicted to opioids is lazy
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
2.
With the following questions, we want to know about
your
thoughts on people who use opioids. Please indicate your agreement or disagreement with each statement.
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I believe that a person who is addicted to opioids cannot be trusted
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I believe that a person who is addicted to opioids is dangerous
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I think that a person who is addicted to opioids is to blame for his or her problems
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
3.
Age:
Under 20
20-29
30-39
40-49
50-59
60-69
70+
Decline
4.
Race/ethnicity:
White
African American or Black
Native American
Asian
Other
Hispanic
Decline
5.
How do you identify?
Female
Male
Transgender
Decline
Prefer to self identify (Please enter below):
6.
Household Income:
Under $25k
$25-$34k
$35-50k
$50k-75k
More than 75k
Decline
7.
Education Level:
Less than High School
High School diploma
Associate degree
Bachelor degree
Graduate degree
Decline
8.
Zip Code:
9.
County of Residence:
Current Progress,
0 of 9 answered