CMA Membership Survey 2023 - 24
1.
How do you identify your gender?
Male
Female
Non-Binary
Transgender
Other
Prefer not to disclose
2.
What is your Ethnicity?
Hispanic
Caucasian
Black or African American
Native American or Indigenous
Asian
Middle Eastern
Native Hawaiian or Other Pacific Islander
Other Race
Multiracial
Prefer not to disclose
3.
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
4.
What is your sexual orientation?
Asexual
Bisexual
Gay
Heterosexual or straight
Lesbian
Pansexual
Queer
None of the above, please specify
5.
Drugs previously used on a regular basis
Methamphetamine
Cocaine
Opiates
Medications not taken as prescribed
Fentanyl
GHB
Ecstasy
Alcohol
Marijuana
Poppers or other inhalants
Other
Prefer not to disclose
6.
Attending Other Twelve Step Fellowships
AA
NA
CA
AL-ANON / Nar-anon
SLAA, SAA, SCA, SA
GA
OA
CODA
None
7.
Areas of life negatively affected by drug use
Employment / Career
Housing / Residence
Family Relationships
Committed intimate relationships
Legal
Financial
Physical / Mental health and well being
Loss of children
other
8.
Areas of life positively affected by recovery from drug use
Employment / Career
Housing / Residence
Committed intimate relationships
Legal
Financial
Physical / Mental health and well being
Reunification with kids
Other
9.
Current meeting attendance
Daily
2 - 3 times a week
Weekly
Bi-weekly
Monthly
Occasionally
Do not attend meetings
Prefer not to disclose
10.
Did you feel welcomed at your first CMA meeting?
Very welcomed
Welcomed
Not welcomed
Don't recall
11.
Introduction to CMA
In-Patient Treatment program
Family / Spouse ultimatum
CMA Website / Literature
Hospitals and Institutions Outreach
CMA Helpline
Therapist Referral
Court Referral
Through a friend
Other
12.
Level of Education
Post Graduate Studies
College 4-Year Degree
Associates Degree
Trade School
High School / GED
Prefer not to disclose
13.
Employment Status
Employed full time
Employed part time
Self employed
Not employed but looking
Not employed, retired
Not employed, disabled
Not employed, not looking
Full time / Part time student
Prefer not to disclose
14.
Months / Years drug and alcohol free
0 to 6 months
6 months to 1 year
1 - 2 years
3 - 5 years
6 - 10 years
11 - 15 years
16 - 20 years
21 - 25 years
25 years and over
15.
Is Relapse a part of your story?
Yes
No
Prefer not to disclose
16.
Twelve Step Sponsor
Yes
No
Prefer not to disclose
17.
Currently working the steps
Yes
No
Completed the steps and repeating them again
Looking to begin working the steps
Prefer not to disclose
18.
Have a CMA Homegroup
Yes
No
Still looking for a CMA Homegroup
My Homegroup is a Virtual Meeting
Prefer not to disclose
19.
Have You Ever Been Incarcerated?
Yes
No
Prefer not to disclose
20.
If yes, did you have access to 12 Step Meetings while incarcerated?
Yes
No
Dont recall
21.
Residential Treatment Experience - Have you been to a residential treatment program or rehab?
Yes
No
22.
If yes, were CMA Meetings available for you to attend?
Yes
No
Don't recall
23.
Do You Feel That CMA is Diverse, Equitable and Inclusive in Your State or region?
Yes
No
Prefer not to disclose
If not, why not?
24.
What Would You Like to See More of In CMA?
25.
What state or region are you from?