Recovery Community Survey Recovery HUB Needs Assessment Survey Question Title * 1. What is your relationship to substance use recovery? I am a person in recovery I have a family member or loved one who is recovering or needs recovery I am a person who is concerned about addiction and recovery in my community Question Title * 2. What are the most important services that can help people start or sustain their recovery? (select all that apply) Recovery Community Center - a place where people can get services or socialize with other people in recovery CRS Services - Recovery Support CFRS Services - Family Recovery Support Law Enforcement Diversion programs and/or Drug Treatment Courts Warm Hand-off through a hospital or emergency room - direct referral to treatment from the hospital Easy access to withdrawal managment (detox) or treatment 24/7 Warmline for phone support when needed Case Management Services (Level of Care Assessment and Case Coordination) Recovery Community Organization (RCO) Transportation to and from appointments & meetings 12-Step Meetings (AA & NA) Recovery Support Groups - Non 12-Step Meetings Not sure/I don't know Other (please specify) Question Title * 3. What do you think your County does best when it comes to supporting recovery from substance use? Question Title * 4. What do you think is the biggest gap in your County when it comes to supporting recovery from substance use? Question Title * 5. What types of Recovery Support Services are available in your County? (select all that apply) Recovery Community Center - a place where people can get services or socialize with other people in recovery CRS Sevices - Recovery Support CFRS Services - Family Recovery Support Law Enforcement Diversion Programs and/or Drug Treatment Courts Warm Hand-Off through a hospital or emergency room - direct referral to treatment from the hospital Easy Access to withdrawal managment (detox) or treatment 24/7 Warmline for phone support when needed Case Management Services (Level of Care Assessment and Case Coordination) Recovery Community Organization (RCO) Transportation to and from appointments or meetings 12-Step Meetings (AA & NA) Recovery Support Groups - Non 12-step meetings Not Sure/I don't know Other (please specify) Question Title * 6. Are there options for Recovery Housing in your County? Yes No I don't know Other (please specify) Question Title * 7. Are the Recovery Houses Licensed by DDAP? Yes No I don't know Other (please specify) Question Title * 8. What are the options for housing for people in recovery in your County? Question Title * 9. Are there Gender Specific Recovery Housing options available? Yes No I don't know Other (please specify) Question Title * 10. Are there Recovery House options for Families? (Women with Children or Men with Children) Yes No I don't know Question Title * 11. What resources are available in your County for Food? (Food banks, food pantry, soup kitchens, etc.) Question Title * 12. What resources are available in your County for Clothing? (Clothing Closets, Dress for Success, etc.) Question Title * 13. Are there recovery friendly places for people in recovery to gather for social connections and support? (Recovery Community Center, drop-in center, etc.) Question Title * 14. What are the most important supports or services that can help someone stay in recovery after or instead of drug and alcohol treatment? (rank in order of importance) Question Title * 15. Name (Optional) Question Title * 16. Email Address (Optional) Question Title * 17. Phone number (Optional) Question Title * 18. County Armstrong Beaver Butler Cambria Cameron Clarion Clearfield Crawford Elk Fayette Forest Greene Indiana Jefferson Lawrence McKean Mercer Somerset Venango Warren Washington Westmoreland Other (please specify) Question Title * 19. Race African American or Black Asian White More than one race Prefer not to answer Other (please specify) Question Title * 20. Ethnicity Hispanic or Latino Non-Hispanic or Latino Prefer not to answer Question Title * 21. Is your primary language spoken other than english? Yes No Question Title * 22. If yes to Question #21, what language? Question Title * 23. Would you like to stay involved with the Recovery HUB in the development of the Strategic Plan? (If yes, please complete your name and contact information) Done