Unity Recovery - Annual RSS Needs Assessment

Recovery Support Service Needs Assessment
Please provide as much information as possible to help inform our annual needs assessment on recovery support services.
Name

First NameLast Name
Pronouns used for communication
Email

Confirmation EmailPlease verify your email address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residence County
Do you identify as a person in recovery from substance use?
Do you identify as a person in recovery from mental health?
Do you identify as a person in recovery from something else?
Are you currently employed

What do you think your county does best when it comes to supporting recovery from substance use and/or mental health?
What do you think is the biggest opportunity for your county when it comes to supporting recovery from substance use and/or mental health?
Please rank the following topics in order of your perceived priority for providers and stakeholders to learn more about (with 1 being the highest priority and going lower)
If there are topics not in the list above that you think should be, what are they?
Please rank the following potential activities you think would be most impactful for your county (with 1 being the highest priority and going lower)
If there are activities not in the list above that you think should be, what are they?
Please rank the following potential barriers facing individuals to improving their health and wellness as it relates to substance use or mental health (with 1 being the most significant barrier and going lower)
If there are barriers not in the list above that you think should be, what are they?
Should be Empty:

Recovery Support Service Needs Assessment