This information helps our community understand overdose concerns and trends.Your responses will be kept confidential. Thank you for taking the time to take the short survey that asks a few questions about your experience.
SOR Kit Number
How many doses were used?
Was the use of naloxone a save?
Age of Person
Black or African American
Native Hawaiian or Another Pacific Islander
American Indian or Alaska Native
Hispanic or Latino
More Than One Race Reported, unknown
Do you need a new supply of naloxone?
If you answered yes, please provide us with your email.
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