SWACH Community Asset Map Survey
Information and Awareness
Respondent type
*
Please Select
As a community member
On behalf of an organization
Name of organization
How did you find out about SWACH’s Community Asset Map?
*
Attended a SWACH community information session
Heard about it from a colleague
Heard about it from someone providing a service to me
From the SWACH website
From a naloxone distribution site
Somewhere else
If heard about it from someone providing a service to you, please specify
If somewhere else, please specify
Map Usage and Experience
How often have you used the map to date?
*
Never
Rarely
Sometimes
Often
Always
How do you currently use the map?
I use the map to locate resources
I use the map to learn about new resources
I refer clients to the map so they can locate resources
I use the map to build connections within the community
I use the map to see what’s happening in the community
I use the map for planning or decision-making
Other
If other, please explain how you currently use the map.
Is the map easy for you to use?
*
Not at all easy
Somewhat easy
Moderately easy
Very easy
Extremely easy
Have you tried adding resources to the map?
*
Yes
No
What was the experience like? (e.g., was it clear and easy to use, were you successful in adding resources, was it difficult to navigate?)
Future Contribution and Feedback
Would your organization be interested in contributing to the map in the future?
*
Yes
No
What would your organization be interested in doing? (Select all that apply)
My organization would be interested in hosting the community asset map, including owning all processes and data to update the map.
My organization would be interested in researching and vetting resources to add to the map.
My organization would be interested in submitting suggested resources for SWACH to vet and add to the map.
Would you be interested in contributing to the map in the future?
*
Yes
No
What would you be interested in doing?
Researching and vetting resources to add to the map myself.
Researching and vetting resources for SWACH to add to the map.
Submitting suggested resources for SWACH to vet and add to the map.
Additional comments about contributing to the map in the future
Anything else to share about the asset map, your experience using it, or how you hope it can be used in the future
Optional email for updates
example@example.com
Submit
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