Westbrook Health Services
Community Focused. People Driven.

Anti Stigma Survey

ANTI STIGMA SURVEY

Please tell us about your experiences with STIGMA, DISCRIMINATION, NEGATIVITY, and PREJUDICE.

Stigma is a perceived negative attribute that causes someone to devalue or think less of the whole person.

For each item identified below, choose the number that best fits your judgment of its quality.
For each item identified below, choose the number that best fits your judgment of its quality.
1. I experience stigma from home.
2. I experience stigma from employers.
3. A background report indicating drug use or a felony impacted my ability to get/maintain a job
4. I experience stigma from my church.
5. I experience stigma from law enforcement.
6. I experience stigma from the court system.
7. I experience stigma from a healthcare worker.
8. I experience stigma from a hospital or clinic.
9. I experience stigma in local stores.
10. I experience stigma from banks.
11. I experience stigma from restaurants.
12. I experience stigma from schools.
Have you ever overdosed?