Pre- education survey Just in Case Box

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* 1. Address

Name

Company

Email Address

Phone Number

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* 2. I am aware of the national, evidence based frameworks which this initiative is based(5 is a lot, 1 is not at all).

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2

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5

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* 3. I am aware of the consultation process and how the initiative was established,(5 is a lot, 1 is not at all)

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2

3

4

5

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* 4. I understand the guidelines and procedures in regards to the eligibility, ordering, delivering, communicating, storing, accessing, using and returning the Just in Case Box (5 is a lot, 1 is not at all)

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2

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5

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* 5. I know how and where to access the information I need to use a Just in Case Box (5 is a lot, 1 is not at all)

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5