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The following questions are a brief survey that should take no longer than two minutes to complete. By completing this survey, you are helping Fishing Partnership to improve our programming and ensure continued funding of our programs. There is no obligation to complete the survey.

If you are interested in receiving Narcan or additional information please visit us at fishingpartnership.org/narcan or call a Fishing Partnership Navigator closest to you.  

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* 1. Are you:

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* 2. Are you Hispanic or Latino/a:

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* 3. Are you: (check all that apply)

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* 4. Do you identify as LGBTQAI (lesbian, gay, bi-sexual, transgender, queer, questioning, asexual, intersex):

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* 5. Before today, had you been trained in using Narcan?

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* 6. Heroin, Oxycontin, and fentanyl are all examples of opioids.

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* 7. Unconsciousness and unresponsiveness are signs of an overdose.

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* 8. A sternum rub helps you evaluate whether someone is unconscious.

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* 9. Narcan (naloxone) will reverse the effect of an opioid overdose (e.g., oxycodone, codeine, fentanyl, heroin).

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* 10. Good Samaritan Laws are consistent across states and while at sea.

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* 11. As a result of this training, I learned new information and skills.

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* 12. I am confident that I can effectively use the skills I learned today to respond to an overdose.

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* 13. How likely is it that you would recommend this training to a friend, family member, or peer?

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