"Fentanyl Factor" Film Survey

Pam

Deb

Jane

A powerful synthetic painkiller (opioid).

Many times more powerful than heroin.

Can be prescribed by a doctor.

Can be mixed and sold with street drugs.

All of the above

	A Great Deal	A Fair Amount	A Little	Not at All
increased your awareness	increased your awareness A Great Deal	increased your awareness A Fair Amount	increased your awareness A Little	increased your awareness Not at All
increased your knowledge of the topics	increased your knowledge of the topics A Great Deal	increased your knowledge of the topics A Fair Amount	increased your knowledge of the topics A Little	increased your knowledge of the topics Not at All

Very Likely

Some-what

Not Very

Not at All

Name

City/Town

State/Province

Country

Email Address

Phone Number