Family Advocacy Needs Assessment
This survey was created by Truth Pharm and Magnolia New Beginnings, Inc. and is based on feedback we have received to date via our own advocacy work. The purpose is to help us determine the most important items for Family Advocacy for the National Agenda of Facing Addiction for 2016. As people have provided valuable input and critiquing of the form, we have added options and made some modifications. We very much appreciate the input. Please feel free to email us if you have other comments, concerns or input: truthpharm@gmail.com and copy Maureen@magnoliacs.com.

Please also share this form far and wide.

Please note the order of answers - it starts with Strongly Disagree and progresses to Strongly Agree.
To best serve families affected by addiction, we need:
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Easier access to treatment.
Access to treatment regardless of insurance or cost.
Longer stays in treatment.
Humane, medically assisted detox.
More recovery services.
Same day treatment options.
Require insurers to pay for treatment known to be effective.
Easier access to medical assisted treatment (suboxone, methadone, vivitrol).
Better response from hospitals after an overdose.
Immediate access to treatment after an overdose.
Access to treatment through hospitals or medical providers.
More sober living options.
More youth treatment programs.
Ability to mandate treatment for loved one.
Addiction treatment during incarceration.
Less stigma from medical providers.
More protections for children of addicted.
More services for children of addicted.
More services for families of addicted.
Updated education for treatment providers.
Outpatient detox options.
More studies to determine more successful methods of treatment.
Less reliance on medically assisted treatment (suboxone, methadone, vivitrol)
Anything else?
Your answer
To have the greatest impact on this epidemic, we need:
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Less stigma.
Easier access to treatment.
More law enforcement.
Stricter drug related penalties.
Earlier prevention education in schools.
To punish unethical prescribers.
Stricter controls on pharmaceutical industries.
Same day treatment options.
Longer term treatment options.
To have physicians better educated in prescribing practices and addiction.
Our law makers and politicians to better recognize this is a crisis.
Restrictions on the prescribing of narcotic painkillers.
Education for families and persons addicted regarding harm reduction
Broader access to syringe exchanges
Broader access to Naloxone
Anything else?
Your answer
Where did you come across this survey? Please be specific - if emailed to you, from whom. If found on a facebook page or group, which one? If found online, where?:
Your answer
What is your connection to the opioid epidemic?
Your answer
Your location:
Your answer
Comments:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms