Pre- education survey Just in Case Box Question Title * 1. Address Name Company Email Address Phone Number Question Title * 2. I am aware of the national, evidence based frameworks which this initiative is based(5 is a lot, 1 is not at all). 1 2 3 4 5 Question Title * 3. I am aware of the consultation process and how the initiative was established,(5 is a lot, 1 is not at all) 1 2 3 4 5 Question Title * 4. I understand the guidelines and procedures in regards to the eligibility, ordering, delivering, communicating, storing, accessing, using and returning the Just in Case Box (5 is a lot, 1 is not at all) 1 2 3 4 5 Question Title * 5. I know how and where to access the information I need to use a Just in Case Box (5 is a lot, 1 is not at all) 1 2 3 4 5 Done