Stigma Survey

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Please read the following statements and choose the number that best fits your feelings/response.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Anyone can have a mental health problem.	Strongly DisagreeAnyone can have a mental health problem. Strongly Disagree	DisagreeAnyone can have a mental health problem. Disagree	NeutralAnyone can have a mental health problem. Neutral	AgreeAnyone can have a mental health problem. Agree	Strongly AgreeAnyone can have a mental health problem. Strongly Agree
Anyone can have an addiction to substances.	Strongly DisagreeAnyone can have an addiction to substances. Strongly Disagree	DisagreeAnyone can have an addiction to substances. Disagree	NeutralAnyone can have an addiction to substances. Neutral	AgreeAnyone can have an addiction to substances. Agree	Strongly AgreeAnyone can have an addiction to substances. Strongly Agree
I would accept someone who has a mental health disorder as a close friend.	Strongly DisagreeI would accept someone who has a mental health disorder as a close friend. Strongly Disagree	DisagreeI would accept someone who has a mental health disorder as a close friend. Disagree	NeutralI would accept someone who has a mental health disorder as a close friend. Neutral	AgreeI would accept someone who has a mental health disorder as a close friend. Agree	Strongly AgreeI would accept someone who has a mental health disorder as a close friend. Strongly Agree
I would accept someone who has a substance use disorder as a close friend.	Strongly DisagreeI would accept someone who has a substance use disorder as a close friend. Strongly Disagree	DisagreeI would accept someone who has a substance use disorder as a close friend. Disagree	NeutralI would accept someone who has a substance use disorder as a close friend. Neutral	AgreeI would accept someone who has a substance use disorder as a close friend. Agree	Strongly AgreeI would accept someone who has a substance use disorder as a close friend. Strongly Agree
Using words like 'crazy, psycho, insane, and freak' are harmless, no-one gets hurt.	Strongly DisagreeUsing words like 'crazy, psycho, insane, and freak' are harmless, no-one gets hurt. Strongly Disagree	DisagreeUsing words like 'crazy, psycho, insane, and freak' are harmless, no-one gets hurt. Disagree	NeutralUsing words like 'crazy, psycho, insane, and freak' are harmless, no-one gets hurt. Neutral	AgreeUsing words like 'crazy, psycho, insane, and freak' are harmless, no-one gets hurt. Agree	Strongly AgreeUsing words like 'crazy, psycho, insane, and freak' are harmless, no-one gets hurt. Strongly Agree
Using words like 'druggie, addict, junkie' are harmless, no one gets hurt.	Strongly DisagreeUsing words like 'druggie, addict, junkie' are harmless, no one gets hurt. Strongly Disagree	DisagreeUsing words like 'druggie, addict, junkie' are harmless, no one gets hurt. Disagree	NeutralUsing words like 'druggie, addict, junkie' are harmless, no one gets hurt. Neutral	AgreeUsing words like 'druggie, addict, junkie' are harmless, no one gets hurt. Agree	Strongly AgreeUsing words like 'druggie, addict, junkie' are harmless, no one gets hurt. Strongly Agree
Addiction is caused by a character defect or bad parenting.	Strongly DisagreeAddiction is caused by a character defect or bad parenting. Strongly Disagree	DisagreeAddiction is caused by a character defect or bad parenting. Disagree	NeutralAddiction is caused by a character defect or bad parenting. Neutral	AgreeAddiction is caused by a character defect or bad parenting. Agree	Strongly AgreeAddiction is caused by a character defect or bad parenting. Strongly Agree
All that is required to overcome addiction is willpower.	Strongly DisagreeAll that is required to overcome addiction is willpower. Strongly Disagree	DisagreeAll that is required to overcome addiction is willpower. Disagree	NeutralAll that is required to overcome addiction is willpower. Neutral	AgreeAll that is required to overcome addiction is willpower. Agree	Strongly AgreeAll that is required to overcome addiction is willpower. Strongly Agree
Once you have an addiction, you have it for life.	Strongly DisagreeOnce you have an addiction, you have it for life. Strongly Disagree	DisagreeOnce you have an addiction, you have it for life. Disagree	NeutralOnce you have an addiction, you have it for life. Neutral	AgreeOnce you have an addiction, you have it for life. Agree	Strongly AgreeOnce you have an addiction, you have it for life. Strongly Agree
Abstinence is the only way to treat addiction.	Strongly DisagreeAbstinence is the only way to treat addiction. Strongly Disagree	DisagreeAbstinence is the only way to treat addiction. Disagree	NeutralAbstinence is the only way to treat addiction. Neutral	AgreeAbstinence is the only way to treat addiction. Agree	Strongly AgreeAbstinence is the only way to treat addiction. Strongly Agree
People can be in long term recovery and on medication assisted treatment.	Strongly DisagreePeople can be in long term recovery and on medication assisted treatment. Strongly Disagree	DisagreePeople can be in long term recovery and on medication assisted treatment. Disagree	NeutralPeople can be in long term recovery and on medication assisted treatment. Neutral	AgreePeople can be in long term recovery and on medication assisted treatment. Agree	Strongly AgreePeople can be in long term recovery and on medication assisted treatment. Strongly Agree
Someone with a mental health problem should have the same right to a job as anyone else.	Strongly DisagreeSomeone with a mental health problem should have the same right to a job as anyone else. Strongly Disagree	DisagreeSomeone with a mental health problem should have the same right to a job as anyone else. Disagree	NeutralSomeone with a mental health problem should have the same right to a job as anyone else. Neutral	AgreeSomeone with a mental health problem should have the same right to a job as anyone else. Agree	Strongly AgreeSomeone with a mental health problem should have the same right to a job as anyone else. Strongly Agree
Someone with a substance use problem should have the same right to a job as anyone else.	Strongly DisagreeSomeone with a substance use problem should have the same right to a job as anyone else. Strongly Disagree	DisagreeSomeone with a substance use problem should have the same right to a job as anyone else. Disagree	NeutralSomeone with a substance use problem should have the same right to a job as anyone else. Neutral	AgreeSomeone with a substance use problem should have the same right to a job as anyone else. Agree	Strongly AgreeSomeone with a substance use problem should have the same right to a job as anyone else. Strongly Agree
People with mental health disorders would benefit from being provided access to treatment over incarceration for certain crimes.	Strongly DisagreePeople with mental health disorders would benefit from being provided access to treatment over incarceration for certain crimes. Strongly Disagree	DisagreePeople with mental health disorders would benefit from being provided access to treatment over incarceration for certain crimes. Disagree	NeutralPeople with mental health disorders would benefit from being provided access to treatment over incarceration for certain crimes. Neutral	AgreePeople with mental health disorders would benefit from being provided access to treatment over incarceration for certain crimes. Agree	Strongly AgreePeople with mental health disorders would benefit from being provided access to treatment over incarceration for certain crimes. Strongly Agree
People with substance use disorders would benefit from being provided access to treatment over incarceration for certain crimes.	Strongly DisagreePeople with substance use disorders would benefit from being provided access to treatment over incarceration for certain crimes. Strongly Disagree	DisagreePeople with substance use disorders would benefit from being provided access to treatment over incarceration for certain crimes. Disagree	NeutralPeople with substance use disorders would benefit from being provided access to treatment over incarceration for certain crimes. Neutral	AgreePeople with substance use disorders would benefit from being provided access to treatment over incarceration for certain crimes. Agree	Strongly AgreePeople with substance use disorders would benefit from being provided access to treatment over incarceration for certain crimes. Strongly Agree
I believe that someone who has a substance use disorder is trustworthy.	Strongly DisagreeI believe that someone who has a substance use disorder is trustworthy. Strongly Disagree	DisagreeI believe that someone who has a substance use disorder is trustworthy. Disagree	NeutralI believe that someone who has a substance use disorder is trustworthy. Neutral	AgreeI believe that someone who has a substance use disorder is trustworthy. Agree	Strongly AgreeI believe that someone who has a substance use disorder is trustworthy. Strongly Agree
I believe that someone who has a mental health disorder is trustworthy.	Strongly DisagreeI believe that someone who has a mental health disorder is trustworthy. Strongly Disagree	DisagreeI believe that someone who has a mental health disorder is trustworthy. Disagree	NeutralI believe that someone who has a mental health disorder is trustworthy. Neutral	AgreeI believe that someone who has a mental health disorder is trustworthy. Agree	Strongly AgreeI believe that someone who has a mental health disorder is trustworthy. Strongly Agree
If I thought I had a mental health and/or substance use problem, I would know how to get help.	Strongly DisagreeIf I thought I had a mental health and/or substance use problem, I would know how to get help. Strongly Disagree	DisagreeIf I thought I had a mental health and/or substance use problem, I would know how to get help. Disagree	NeutralIf I thought I had a mental health and/or substance use problem, I would know how to get help. Neutral	AgreeIf I thought I had a mental health and/or substance use problem, I would know how to get help. Agree	Strongly AgreeIf I thought I had a mental health and/or substance use problem, I would know how to get help. Strongly Agree
I have barriers that would prevent me from accessing services for mental health and/or substance use	Strongly DisagreeI have barriers that would prevent me from accessing services for mental health and/or substance use Strongly Disagree	DisagreeI have barriers that would prevent me from accessing services for mental health and/or substance use Disagree	NeutralI have barriers that would prevent me from accessing services for mental health and/or substance use Neutral	AgreeI have barriers that would prevent me from accessing services for mental health and/or substance use Agree	Strongly AgreeI have barriers that would prevent me from accessing services for mental health and/or substance use Strongly Agree
It is easy to spot someone with a mental health disorder.	Strongly DisagreeIt is easy to spot someone with a mental health disorder. Strongly Disagree	DisagreeIt is easy to spot someone with a mental health disorder. Disagree	NeutralIt is easy to spot someone with a mental health disorder. Neutral	AgreeIt is easy to spot someone with a mental health disorder. Agree	Strongly AgreeIt is easy to spot someone with a mental health disorder. Strongly Agree
It is easy to spot someone with a substance use disorder/addiction.	Strongly DisagreeIt is easy to spot someone with a substance use disorder/addiction. Strongly Disagree	DisagreeIt is easy to spot someone with a substance use disorder/addiction. Disagree	NeutralIt is easy to spot someone with a substance use disorder/addiction. Neutral	AgreeIt is easy to spot someone with a substance use disorder/addiction. Agree	Strongly AgreeIt is easy to spot someone with a substance use disorder/addiction. Strongly Agree
I would think less of a person who has been treated for mental health.	Strongly DisagreeI would think less of a person who has been treated for mental health. Strongly Disagree	DisagreeI would think less of a person who has been treated for mental health. Disagree	NeutralI would think less of a person who has been treated for mental health. Neutral	AgreeI would think less of a person who has been treated for mental health. Agree	Strongly AgreeI would think less of a person who has been treated for mental health. Strongly Agree
I would think less of a person who has been treated for substance use.	Strongly DisagreeI would think less of a person who has been treated for substance use. Strongly Disagree	DisagreeI would think less of a person who has been treated for substance use. Disagree	NeutralI would think less of a person who has been treated for substance use. Neutral	AgreeI would think less of a person who has been treated for substance use. Agree	Strongly AgreeI would think less of a person who has been treated for substance use. Strongly Agree

Have you heard of: (Check All That Apply)

#ChangethelanguageASAP
#EndStigmaASAP
ASAP (Alliance for Substance Addiction Prevention)
STAND Above the Influence

Additional comments and/or changes you want to see happen in regards to mental health and substance use in your community?

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