Thank you for attending a Partnership for Drug-Free Kids community education presentation addressing the issue of Heroin and Other Opioids. By completing this survey you will help us evaluate and improve this program.

Where was the presentation delivered?

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* Where was the presentation delivered?

Was the presentation delivered today?

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* Was the presentation delivered today?

If not today, when was the presentation delivered?

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* If not today, when was the presentation delivered?

Date
For this question, please indicate how strongly you agree or disagree with the following statements:

Following the presentation, I ...

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* For this question, please indicate how strongly you agree or disagree with the following statements:

Following the presentation, I ...

  Agree strongly Agree somewhat  Neither agree nor disagree Disagree somewhat  Disagree strongly
... have a better understanding of heroin and other opioids.
... have a better understanding of actions that can be taken to prevent and respond to the opioid crisis.
... am better prepared to discuss heroin and other opioid use with someone I care about
... feel more prepared to recognize signs of opioid abuse
... am more likely to safeguard and properly dispose of medications in my home
Please share any additional comments you have about the presentation (optional)

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* Please share any additional comments you have about the presentation (optional)

T