The purpose of this survey is for the Maricopa County Department of Public Health (MCDPH) to collect information about initiatives that are designed to address opioid misuse and abuse. This website will focus on initiatives that are occurring in Maricopa County.
The information collected will be utilized to develop an online database designed (1) to help increase awareness of efforts to reduce opioid misuse and abuse, (2) to reduce overlap and duplication of initiatives in our community, and (3) to connect others working in this field so we can leverage resources and work together to address this epidemic.
Thank you for taking the time to participate in this survey. If you have any questions, please contact Keith Walker at the Maricopa County Department of Public Health-  602-319-1518 or keithwalker@mail.maricopa.gov.

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* 1. What is the name of your organization?

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* 2. Please tell us how your organization is involved in addressing opioid misuse and abuse in Maricopa County (check all that apply).

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* 3. Please describe what your organization is doing to address opioid misuse and abuse in Maricopa County. If applicable, please include your program(s) name and any resources that your organization has developed to address opioid misuse and abuse.

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* 4. Please provide contact information that we can include on our website for your organization's opioid misuse and abuse initiatives.

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* 5. In what cities in Maricopa County does your organization work to address opioid misuse and abuse? (Please check all the apply.)

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* 6. Are there any populations that your organization focuses on in addressing opioid misuse and abuse? (Please check all that apply.)

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* 7. If there is information about what your organization is doing to address opioid misuse and abuse that was not captured in the survey, please describe below.

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* 8. MCDPH is working to identify any unmet needs, challenges, and barriers in addressing the opioid epidemic that may exist in Maricopa County. This information will help us to identify resources that can be used to address these issues. Information that you share with us on this question will not be included or published on the website that MCDPH is developing.

Please describe any needs, barriers and/or challenges in addressing opioid misuse and abuse that you feel exist in Maricopa County.

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* 9. If you have any recommendations about how these needs, barriers, and/or challenges can be addressed, we would greatly appreciate if you would share your thoughts with us.

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* 10. Is there any additional information that you would like to share with us on the issue of opioid misuse and abuse?

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* 11. Thank you so much for taking the time to complete our survey. We hope that you will provide your contact information in case we have any questions.

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