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* 1. Where did you get this Narcan (naloxone) kit?

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* 2. What do you plan to do with the kit?

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* 3. Have you ever used Narcan to reverse a suspected overdose?

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* 4. Would you like us to call you to discuss treatment options?

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* 5. Will you tell us if you used this Narcan kit? We will not ask your name or track your details.

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* 6. Are you interested in being entered into a monthly drawing for a Safeway gift card?

Thank you for helping us to save lives through Narcan distribution.  For additional information about Narcan and treatment resources, please visit: www.RxSafeMarin.org.
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