With our baseline needs assessment, we aim to identify current and future addiction treatment needs and barriers in rural Vermont counties with direct input from practitioners, policymakers, and other stakeholders working in rural communities. The online survey was conducted in two rounds: April 28 – May 31, 2020 and July 27 – August 31, 2020. This report includes responses from practitioners and community stakeholders working in rural counties (as designated by the Health Resources & Services Administration; HRSA). Survey topics included concerns about substance use, comfort in treating substance use disorders (SUD), training/support needs, practitioner and patient barriers to treatment, beliefs about addiction, impact of COVID-19, and the UVM CORA resources which may be of interest and assistance to practitioners.