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Narcan Training Pre-Survey (Website)
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
*
3.
Organization
(Required.)
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4.
Narcan is only effective in reversing opioid overdoses.
(Required.)
True
False
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5.
The Narcan kit you will be dispensed contains 2 doses of Narcan.
(Required.)
True
False
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6.
Rate your confidence in your ability to administer Narcan.
(Required.)
1 - No confidence
2 - Low level of confidence
3 - Average level of confidence
4 - Moderately high level of confidence
5 - High level of confidence
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7.
Rate your knowledge of the proper use and storage of Narcan.
(Required.)
1 - Low knowledge
2 - Low level of knowledge
3 - Average level of knowledge
4 - Moderately high level of knowledge
5 - High level of knowledge
*
8.
I feel prepared to respond to an overdose.
(Required.)
True
False
