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Hello: You are invited to participate in our survey related to the use of medical services during active substance abuse. It will take approximately 5-10 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point or leave any question unanswered. It is very important for us to learn about your expereinces in an effort to help others who may be chemically dependent. Your survey responses will be strictly confidential and data from this research will be used to provide education to professionals who work with individuals who may be experiencing issues related to substance abuse. Your information will remain anonymous. If you have questions at any time about the survey or the procedures, you may contact Erin Simonson at 763-234-6268 or by email at the email address specified below. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 

During your active substance use, did you attend medical appointments regularly?


 
 
 
If no, please write your reason for not going to the doctor during your active substance use:
   
 
 
 

Did your substance use cause (or worsen) any medical conditions?


 
 
 
If yes, describe:
   
 
 
 

Did having a medical condition stop you from using substances?


 
 
 

Did your substance use mask any medical symptoms that you weren’t aware of until you discontinued use?


 
 
 
If yes, describe:
   
 
 
 

Did your healthcare provider know you were using substances?


 
 
 
If no, describe why you did not tell them: