You are being invited to take part in an evaluation of opioid prevention efforts that are coordinated by the Allegany County Health Department. Your responses will help us improve our efforts to prevent the misuse and abuse of opioids. Your participation is completely voluntary. You may decline to answer any question and you may withdraw from the survey at any time. All of your responses will be confidential and anonymous. No personal identifying information will be collected from you. The questionnaire takes approximately ten minutes to complete. You will receive a small prize as a thank you for your time.
If you have any questions about your rights as a participant, or if you think you have not been treated fairly, you may call Gay Hutchen at the Maryland Department of Health Institutional Review Board (IRB) at 410-767-8488 and reference the Allegany County Prevention Program.
By completing this questionnaire, you are indicating that you have read and agree with this consent form.