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* 1. County

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* 2. Naloxone agency type

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* 3. Specific agency or site name

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* 4. Encounter date

Date

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* 5. ID CODE

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* 6. Age:

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* 7. Gender:

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* 8. Do you identify as Hispanic or Latino?

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* 9. What is your race? (check all that apply)

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* 10. How would you describe your current housing status?

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* 11. In what zip code did you sleep in last night?

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* 12. Do you currently use opioids?

T