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DanceSafe Community Health Survey 2016
All answers are anonymous and confidential. You must be 18 or older to complete this survey.

Information from this survey will be used to compile data and to better tailor DanceSafe services to your needs(i.e. educational literature, provided materials, etc.). DanceSafe loves you and appreciates your honesty!

Thank you!
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Select your age. *
Select your gender identity. *
Select your sexual orientation. *
Select your ethnicity. *
Select your location. *
Select your level of education. *
When was the last time you used services provided by DanceSafe (i.e. educational materials online or in-person, free water, condoms, earplugs, drug checking, purchasing a drug checking kit, etc.)? *
I have used DanceSafe services *
Which social media platforms do you or would you use to follow DanceSafe? (Check all that apply.) *
Required
What three educational topics do you or would you find most informative and helpful regarding your personal health? (Please select three topics.) *
Required
What three educational topics do you or would you find most interesting? (Please select three topics.) *
Required
How likely do you think you are to acquire a misrepresented substance (completely different substance than the expected)? *
How likely do you think you are to acquire an adulterated substance (substances cut with another material)? *
How severe do you believe the potential consequences of consuming a misrepresented substance are? *
How severe do you believe the potential consequences of consuming an adulterated substance are? *
How likely are you to test your substances using a drug checking kit before you consume them? (Note: Drug checking, or regent testing, is a harm reduction practice that helps people avoid ingesting unknown and potentially more dangerous adulterants found in street drugs.) *
How often do you test your substances using a drug checking kit before you consume them? *
What barriers exist that may prevent you from engaging in drug checking? Check all that apply. *
Required
I feel confident in my ability to perform drug checking. *
Please check all of the drugs/substances you used in the LAST 3 MONTHS: *
Required
Please check all of the drugs/substances you used in AT LEAST ONCE in your lifetime: *
Required
Please check all of the drugs/substances you intend on using in the NEXT 3 MONTHS: *
Required
When attending an electronic music or nightlife event, how likely do you think you are to suffer from heatstroke? *
When attending an electronic music or nightlife event, how likely do you think you are to suffer from heatstroke while under the influence of a substance? *
When attending an electronic music or nightlife event, how likely are you to consume at least 2 cups (500 ml) of water every hour? *
When attending an electronic music or nightlife event, how likely are you to consume at least 2 cups (500 ml) of water every hour while under the influence of a drug/substance? *
When engaging in sexual activity, how likely do you think you are to be exposed to a STI (sexually transmitted infection)? *
When engaging in sexual activity, how likely are you to use protection (i.e. male condom, female condom, dental dam, etc.)? *
When attending an electronic music or nightlife event, how likely are you to use hearing protection? *
When attending an electronic music or nightlife event, how often do you use hearing protection? *
When attending an electronic music or nightlife event, how likely do you think you are to experience hearing damage? *
When attending an electronic music or nightlife event, how severe do you believe the potential consequences of hearing damage are? *
Do you believe using hearing protection is a good, neutral, or bad behavior? *
Are you familiar with affirmative consent? *
How severe do you believe the potential consequences of NOT engaging in affirmative consent are? *
Do you believe engaging in affirmative consent is a good, neutral, or bad behavior? *
How likely are you to engage in affirmative consent? *
I am confident in my ability to engage in affirmative consent. *
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