Please read the description below and click "OK" when finished.

This quick survey is being distributed to help the QAC Drug Free Coalition understand if their partnership efforts are effective to educate the public about ways to prevent and reduce opioid addiction in Queen Anne’s County.  The survey is intended for ages 18 and over.  However, with parent permission, individuals ages 16-17 may also participate.  Please provide an HONEST response to each of the following questions.  Thank you!

Are you a Queen Anne’s County (Check all that apply)

Question Title

* 1. Are you a Queen Anne’s County (Check all that apply)

Are you (Check one)

Question Title

* 2. Are you (Check one)

Are you (Check all that apply)

Question Title

* 3. Are you (Check all that apply)

Are you taking this survey (Check one)

Question Title

* 4. Are you taking this survey (Check one)

Through what organization or group did you receive this survey?

Question Title

* 5. Through what organization or group did you receive this survey?

Please read each of the following TRUE statements and check the response that indicates to what extent you were aware of the statement PRIOR to taking this survey.

Question Title

* 6. Please read each of the following TRUE statements and check the response that indicates to what extent you were aware of the statement PRIOR to taking this survey.

  I did NOT know this (prior to taking this survey). I was aware of this (prior to taking this survey). I was somewhat aware of this (prior to taking this survey).
A.  Opioids include prescription drugs (pain relievers) and heroin.
B. QAC Goes Purple is a campaign being launched on September 1, 2018 to raise awareness about preventing and reducing opioid use.
C. Opiate/Heroin addiction is a chronic brain disease.
D. The Good Samaritan Law protects the caller and the overdose victim from arrest and/or prosecution for simple drug possession, possession of paraphernalia, and/or being under the influence.
E. NARCAN® (naloxone) is FDA-approved for the emergency treatment of a known or suspected opioid overdose.
F. Anyone can get NARCAN® (naloxone) at a Maryland pharmacy without a prescription.
G. If you suspect an overdose, call 911 before administering NARCAN® (naloxone) and stay with the person.
H. 12 step self-help groups (NA, AA, CR) are free and they work.
I. Prescription medications should be kept in a locked area and unused or expired medications can be dropped off 24/7 at police stations, with no questions asked.
J. Vivitrol®, a prescription medicine given by shot once a month, can help prevent an opiate/heroin relapse.
K. The Health Department’s Addictions Program can provide referrals to treatment, help and support for those who want to stop using opioids.
My suggestions for preventing and reducing opioid use in Queen Anne's County are:   

Question Title

* 7. My suggestions for preventing and reducing opioid use in Queen Anne's County are:   

T