Family Task Force - Family Crisis Tool Kit Survey
1. Please provide your zip code.
2. Please select your age.
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 or older
Refused or unknown
3. You received or purchased this Family Crisis Tool Kit to help a Loved One who is...
A person you believe is at risk of misusing substances
A person in recovery from substance use
An active substance user
4. How many times has your Loved One experienced and opioid overdose?
7 or more times
5. Which of these items in the Family Crisis Toolkit do you think will be most helpful to you and/or your Loved One?
13 Panel Drug Test
Membership to Allies in Recovery (AiR website)
Deterra deactivation kit (charcoal)
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