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  1. Surveys
  2. 2017
  3. February
  4. O
  5. Opioid
0%
Exit Survey
 
 
Hello: You are invited to participate in our survey regarding the opioid crisis in the United States. In this survey, approximately 50 people will be asked to complete a survey that asks questions about your first hand knowledge of the crisis. It will take approximately 4 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
* How old are you?
   
 
 
 
Sex
 
Male
 
Female
 
 
 
City and State where you live
   
 
 
 
Do you know anyone affected by the Opioid crisis in America?
 
Yes
 
No
 
Not sure
 
 
 
If you answered YES above please list the sex, age, and relation of the people you know that have been affected by the opioid crisis
   
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
State Legislature action to the opioid crisis
Local legislative action to the opiod crisis
Federal action to the opiod crisis