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Leave Behind Narcan and Quik Clot Survey
1.
What is your first reaction to leave behind narcan process?
Very positive
Somewhat positive
Neutral
Somewhat negative
Very negative
Other (please specify)
2.
How would you rate the quality of the training you received on the narcan leave behind process?
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
Other (please specify)
3.
When you think about the narcan leave behind process, do you think of it as something you need or don’t need?
Definitely need
Probably need
Neutral
Probably don’t need
Definitely don’t need
Other (please specify)
4.
If you were faced with a scenario where you identified an individual that would benefit from leave behind narcan, how likely would you be comfortable leaving the product?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
Other (please specify)
5.
How would you rate the quality of the training you received on the wound packing with Quik Clot process?
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
Other (please specify)
6.
If you were faced with a scenario where you would need to use Quik Clot to wound pack today, how likely would you be comfortably use the product?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
Other (please specify)
7.
In your own words, what are the things that you like most about either the leave behind narcan process and/or wound packing with Quik Clot:
8.
In your own words, what are the things that you would most like to improve regarding the leave behind narcan and/or wound packing with Quik Clot processes and/or products:
9.
In your own words, what are concerns you may have about personally using either leave behind narcan and/or Quik Clot?
10.
Have you had an experience where you could have used either leave behind narcan or quik clot to wound pack, and did NOT use it? Tell us about that situation.
11.
From personal experience, please let us know about how the community has perceived the leave behind narcan process.
Current Progress,
0 of 11 answered