This is a worksheet from the Peer Professional Employer Toolkit. Print this page to administer the survey.
Instructions: The peer professional brings lived experience with mental health and/or substance use challenges to support service participants’ recovery efforts. Using the 1–7 scale provided, indicate the response that best fits your level of (dis)agreement. Your responses are confidential. Results will be compiled, aggregated, and shared as averages in an upcoming staff meeting without any identifying information.
Item
Number | Survey Statement | Strongly
Disagree | Disagree | Slightly
Disagree | Neither Agree
Nor Disagree | Slightly
Agree | Agree | Strongly
Agree |
|---|
| 1 | I understand the roles and responsibilities of the peer professional. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 2 | I can describe how peer recovery support services differ from clinical services. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 3 | I can describe the values that underscore peer recovery support services. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 4 | I am aware of the extensive research that has established peer recovery support services as an evidence-based practice. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 5 | I believe a peer professional brings valuable insights and expertise to services. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 6 | Expanding services to have a peer professional on the team makes sense. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 7 | I like the idea of having a peer professional on the team. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 8 | Peer recovery support services will be a welcome addition to the services we provide. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 9 | I am open to learning more about the roles and responsibilities of the peer professional. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 10 | I want to be involved in supporting the peer professional’s integration on our team. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 11 | I am ready to collaborate with a peer professional. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 12 | Implementing peer recovery support services seem doable. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 13 | Implementing peer recovery support services seems possible. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 14 | Having a peer professional on the team seems doable. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
