SOLUtion Medical Act-O-Vial Time Recording

How long does it take to save someone's life? This is a question SOLUtion is working to answer, and we need your help!

Consider timing yourself and recording your information on SOLUtion's time-recording form the next time you, a friend, or a family member practices using an Act-o-vial.

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* 1. What is your first name?

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* 2. What is the date

Date / Time

Date

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* 3. How old are you?

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* 4. Is this your first training?

Yes

No

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* 5. I am a (please select one of the following):

Parent/Guardian of a child

Adult with adrenal insufficiency

Caregiver to an adult

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* 6. Your Time Recording

The start/stop time refers to how long it takes to complete the entire process, including ejecting the medication from the syringe into, say, an orange.

Start Time

Stop Time

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* 7. Would you like to share anything with us? Please write comments below!