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1. How familiar are you with the concept of prescription drug diversion?

Not familiar Very familiar
Clear
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2. Which types of prescriptions do you believe are most commonly diverted?

  Not diverted Rarely diverted Commonly diverted
Opioids
Stimulants
Benzodiazepines
Antidepressants

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3. What are some common reasons for prescription drug diversion?

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4. Who do you think is most likely to divert prescription drugs?

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5. What behavioral signs might indicate someone is diverting drugs?

  Not a sign Possible sign Definite sign
Frequent requests for refills
Lost prescriptions
Doctor shopping
Unusual knowledge of drugs

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6. Please describe any personal experiences or observations related to prescription drug diversion.

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7. How likely is it that you would recommend this company to a friend or colleague?

Not at all likely
Extremely likely

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