Opioid Awareness at Texas State Survey
This survey is conducted by "Not Another Victim: TXST Fentanyl Awareness Project," an opioid awareness campaign created by Texas State students for a public relations campaigns class. Your response will help us understand the knowledge that TXST students currently have regarding opioids in order to create an impactful campaign. Thank you for your time and participation! 

**DISCLAIMER: This survey is completely anonymous, and all answers will remain confidential!**
Sign in to Google to save your progress. Learn more
Age *
Race/Ethnicity *
Gender Identity  *
Do you attend Texas State University? *
Do you currently live in the San Marcos areas? *
Are you familiar with the U.S. opioid epidemic? 
Clear selection
Do you know what Fentanyl is?
Clear selection
Do you know what Naloxone is?
Clear selection
Did you know that the student health center currently offers Naloxone to TXST students at three locations on campus, free of charge?
Clear selection
Do you know the signs of an opioid overdose?
Clear selection
Do you know what to do if you are witness to someone experiencing an opioid overdose?
Clear selection
In the past 12 months, have you witnessed or partaken in substance use outside of alcohol or marijuana?
Clear selection
Have you been personally affected by the opioid epidemic?
Clear selection
If yes, briefly describe how you have been affected. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms