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Ballroom Focused Survey 

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* 1. Age

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* 2. Please enter your zipcode below?

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* 3. What is your gender identity?

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* 4. What is your sex assigned a birth? 

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* 5. What is your sexual orientation?

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* 6. Which race/ethnicity best describes you? (Please choose only one.)

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* 7. Which Ballroom-scene are you affiliated with? Please select which group below

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* 8. Have you heard of crystal meth or Tina?

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* 9. Are you familiar with Ballroom, We Care, and the work we do?

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* 10. How useful are the services provided by Ballroom, We Care?

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* 11. How important are services for meth, and Tina in the Ballroom Community?

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* 12. Do you know anyone in the Ballroom Community currently using crystal meth, or Tina?

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* 13. Do you know anyone in the Ballroom who is addicted to meth or Tina?

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* 14. Have you tried meth or Tina?

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* 15. Do you know anyone in  Ballroom who may have died due to meth or Tina use?

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* 16. Which of the following services would you like to see more of when it comes to meth, or Tina use and mental health-related issues in Ballroom? Choose all that apply

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* 17. Would you like to see a state or nationwide crystal meth awareness/education campaign for this community? 

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* 18. Do you need any assistance or resources for yourself or a loved one struggling with crystal meth or mental health issues? If yes, please leave your email in the section below. All responses are anonymous

0 of 18 answered
 

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