Instructions

The Greenwood Abbeville Coalition (GAC) is interested in hearing what you think about the issues and needs in our community. Please take a few minutes to share your thoughts and help us know what matters most to you!

All answers are anonymous, however you are free to skip any question you feel uncomfortable answering. 

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* 1. What is your zip code?

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* 2. What is your gender?

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* 3. What is your age?

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* 4. How would you describe yourself?

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* 5. What is your language of choice?

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* 6. What is the highest level of school you have completed?

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* 7. I prefer to receive information and news by: (check all that apply)

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* 8. What was your total family income last year before taxes (choose one)

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* 9. What is your current employment status? (choose all that apply)

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* 10. How old are the children living in your home? (check all that apply)

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* 11. If you have children in your home, do both parents (biological or adoptive) live in the house together?

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* 12. If you are the primary guardian for grandchildren in your home, how old are they?

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* 13. On an annual basis, how many "family friendly" community activities (events you feel comfortable attending with your children) does your family participate in?

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* 14. If you do not participate in activities in this community, why not?

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* 15. What types of community activities would you like to see offered and that you would be willing to participate in?

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* 16. I have attended, or am aware of, the following programs sponsored by the Greenwood Abbeville Coalition (GAC) (choose all that apply)

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* 17. I think the three biggest problems in this community are (choose only 3)

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* 18. In this community, how much of a problem do believe each of the following things are? 

  Not a problem A small problem A big problem A major problem Unsure
Alcohol use by teens
Tobacco use by teens
Marijuana use by teens
Other drug use by teens (Cocaine, Heroin, inhalants, meth)
Vaping by teens
Pain pill use by teens
Alcohol use by adults
Tobacco use by adults
Marijuana use by adults
Other drug use by adults (Cocaine, Heroin, Inhalants, Meth)
Vaping by adults
Pain pill use by adults

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* 19. What role do you think alcohol and other drugs play in this community in the following?

  Major role Moderate role Small role No role
Violence
Crime in general
Homelessness
Family problems
Employment problems
Health related problems

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* 20. Do you believe that drug use is a normal part of growing up?

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* 21. During the past 6 months, have you talked to your children or grandchildren about the following? (check all that apply)

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* 22. What would keep you from talking to kids about alcohol and other drugs? (choose all that apply)

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* 23. People have different beliefs and rules about the use of tobacco, alcohol, and other drug use by teenagers. Please rate your feelings about the following:

  Strongly disagree Disagree Agree Strongly agree
It is ok for teens to drink at parties as long as they don't get drunk.
Teens should be able to drink as long as they don't drive afterwards.
It is ok for teens to smoke cigarettes.
It is ok for teens to vape.
It is ok for teens to use marijuana.
Kids who experiment with alcohol, tobacco, marijuana, vapes, or other drugs almost always grow out of it.
Letting teens drink in their own home keeps them from getting into trouble with drinking. Drinking is less "taboo" and parents can keep an eye on them and make sure they are ok.

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* 24. How easy is it for youth under 21 to get the following in this community?

  Very easy Sort of easy Sort of hard Very hard Unsure
Alcohol
Cigarettes
Marijuana
Vapes
Cocaine
Heroin
Meth
Prescription drugs (without a prescription)
Inhalants

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* 25. Which of the following drugs have you ever tried or used? (check all that apply)

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* 26. If you have ever used a prescription medication that was not prescribed to you, what kind was it? (choose all that apply)

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* 27. If you have ever used a prescription medication that was not prescribed to you, where did you get it? (choose all that apply)

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* 28. A doctor, nurse, or other healthcare provider has told me that I have the following condition(s) (check all that apply)

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* 29. In the past year, I...

  Daily Weekly Monthly Occasionally Never
Used alcohol
Used alcohol until I was drunk or passed out
Used marijuana
Used cigarettes or other tobacco
Used a vape or electronic cigarette for tobacco
Used a vape for marijuana
Used a prescription that was not mine
Used prescription pain medication that was not mine
Used more of my prescription than was prescribed
Used cocaine
Used heroin
Used meth
Used inhalants

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* 30. In the past year...  (check all that apply)

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* 31. Narcan is a medication used to counter the effects of an opioid overdose until medical help can arrive. Do you know how to get Narcan if you or someone you know uses opioids or has opioids/an opioid prescription in the house?

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* 32. Should marijuana be made legal for health problems?

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* 33. Should marijuana be made legal for recreational purposes? 

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* 34. Why do you think marijuana should, or should not be, legalized?

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* 35. How true do you believe the following to be?

  Very True True Untrue Very untrue  Not sure
Most people are understanding of someone who has an alcohol or other drug addiction.
Alcohol use is less harmful than drug use.
I would try to avoid someone who has used drugs in the past.
People in our community look down on people who use alcohol or other drugs.
People who are addicted to alcohol or other drugs have a chronic, but treatable, medical disease.
An alcohol or other drug problem in the past makes it hard to get a job now.
Our community supports people who want treatment and recovery.
I would be afraid to admit to others that I have struggled with alcohol or other drugs.
I would be afraid to admit to others that someone in my family has struggled with alcohol or other drugs.
I would know where to refer someone who is looking for help to stop using alcohol and drugs.
I would be hesitant to be too friendly or work with someone that I know has used drugs in the past.
I think that people who misuse alcohol or other drugs do it because they want to.
People who abuse alcohol or other drugs often do not seek help because of what others may think or say.
I would be willing to help someone find treatment resources

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* 36. What is something our community can do better to help individuals and families who are struggling with alcohol or other drug problems?

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* 37. Is there anything you would like to tell us or add about the issues we have asked about today?

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