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* 1. I am a resident of:

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* 2. My relationship to the Injection Site Community is (check all that apply):

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* 3. Do you think injection sites have had benefits for the community?

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* 4. What do you think the benefits have been, if any? (check all that apply)

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* 5. Do you have any concerns about the Street Health OPS?

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* 6. What concerns, if any, do you have about the current Injection Sites? (check all that apply)

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* 7. Do you have any recommendations for how to address community concerns about Injection Sites? (check all that apply)

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* 8. Do you have any other feedback on the services provided at Injection Sites?

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* 9. I would like to receive a copy of the results and stay informed about future community consultations:

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