LCAC Adult Survey (Anonymous)
Mission: To create a safe, healthy and secure community for children and adults where untimely deaths and lives affected by addiction are reduced, through prevention, education and engagement.

Vision: Our vision is for residents of the Levittown and surrounding communities to respond to life’s challenges without resorting to the use and abuse of alcohol, opiates or other drugs and to continue to support a community where people feel safe, valued, connected and empowered.

1. How old are you? *
2. Which substances have you used in the past 30 days? *
Required
3. Do you think those who drink alcohol once or twice a week are putting their bodies at great risk of harm? *
4. Do you think those who use prescription pain pills without a doctor's orders are putting their bodies at great risk of harm?
5. Where do you think those who are using/abusing prescription pain medication are getting it?
6. Do you think those who smoke marijuana once or twice a week are putting their bodies at great risk of harm?
7. Which of the following are you ok with? (check all that apply) *
Required
8. How severe are (or would) the consequences be in your home if your child used the following: *
No consequences
Minor consequences
Major consequences
Marijuana
Alchohol
Prescription Pills
Heroin or other illegal drugs
Vape/E-Cigs
9. Who would you turn to for help first? *
10. Please share any areas you feel are safe and supportive in the Levittown Community and why: *
Your answer
11. Please share any areas you feel are of concern in the Levittown Community and why: *
Your answer
12. Please share additional comments.
Your answer
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