Overdose Alert Only complete this survey if you want to sign up to receive real-time overdose alert notifications. Question Title * 1. Who are you? (first and last name please) Question Title * 2. Where do you work? Question Title * 3. How do you want to receive your overdose alerts? (select all that apply) Voice Message Text Message Email Question Title * 4. If you choose to receive your alert via voice message, please provide a telephone number here. Question Title * 5. If you choose to receive your alert via text message, please provide a CELL phone number here. Question Title * 6. If you choose to receive your alert via email, please provide an email address here. Question Title * 7. Are you a member of the Roots of Prevention or Regional Recovery Consortium? The Roots of Prevention Meeting Regional Recovery Consortium Neither, but I would like to join Neither and I do not want to join Other (please specify) Question Title * 8. Do you identify as any of the following? (check all that apply) Family or friend of someone who has fatally overdosed Court/ Probation Peer Recovery Mental Health/ Behavioral Health Emergency Department Primary Care Fire/EMS Law Enforcement Government Religious/ Fraternal group Sober Living/ Housing Fitness/ Alternative Therapy Question Title * 9. Do you live and or work in any of the following counties? (check all that apply) Erie Huron Ottawa Sandusky Done