California Opioid Overdose Surveillance Dashboard

gotoresearch, a leading research and design firm, is looking for users of the California Opioid Overdose Surveillance Dashboard to help improve the experience.

We will be conducting 60-minute remote web conferences starting late June. Those who are selected to participate will receive $150 for their time.

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* 1. Have you ever used the California Opioid Overdose Surveillance Dashboard?

Yes

Don’t Know

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* 2. How often do you use the Dashboard? (Select One)

Daily

Weekly

Every few weeks or Monthly

Every few months

A few times a year

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* 3. What county are you in / do you work in? (If multiple select one)

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* 4. Which of the following best describes your organization or company?(Select all that apply)

Private Business

Government Office / Department

Public Health Offices

Surveillance Network

Healthcare Provider

Media

Journalist

Educational Non-Profit

Consultancy

Other (please specify)

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* 5. What is the name of your organization or company?

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* 6. What is your gender?

Male

Female

Prefer not to answer

Other (please specify)

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* 7. What is your Name?

First Name

Last Name

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* 8. What is your phone number?

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* 9. What is your email address?

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* 10. If you are not selected for this study, may we retain your contact information for future paid studies for which you qualify? (Your contact information will not be sold or distributed.)

Yes