Substance Abuse Prevention Action Team Survey
Healthy Waldo County
Are you the "U" missing in Comm__nity

HMP is a collaborative effort among 28 local coalitions, the Maine DHHS (Maine CDC and Office of Substance Abuse) and DOE, supported primarily by the Fund for Healthy Maine with federal grants from US CDC, SAMHSA, and DOE
SAP Survey
Name
1. Can you commit to being a member of the Substance Abuse Prevention Action Team?
2. If yes, what is your preferred type of meeting? Check all that apply.
Substance Abuse Prevention Action Team Survey
3.  What is the best day of the week for you to attend meetings?  Check all that apply.
4.   What is the best  time of day for you to attend meetings?
5.  How many meetings per year can you commit to attending? Check all that apply.
6. What is your preference for Target Group? Check all that apply.
7. If you can't commit to particpation on the Substance Abuse Prevention Committee, what is your preference for the  level of involvement?
8 . Do you have any suggestions for people who might be able to serve on the Substance Abuse Prevention Committee Action Team?
Thank you for participating in this survey!
Monday
Tuesday
Wednesday
Thursday
AM
PM
Yes
No
Face to Face
Conference Call
Once a month
Every other month(six meetings per year)
Every third month(four meetings per year)
Under age 18
18-25 year olds
Informational exchange-email
Guest-Attend meetings as a guest
Planning and Participation in focus groups
Consultation
No involvement, remove me from the list