Which of the following best represents you or your institution/organization?* must provide value
Police Department
Fire Department
Emergency Services
Elementary/Middle/High School
Public or Private College/University
Community Care Clinic
Public Health
Primary Care Practice
Recovery Counseling Service Provider
Medication Assisted Treatment Center
Hospital
City/County/State Representative
Social Services
Family or Child Protective Services
Community Member
Other
If other please specify
Which of the following best represents your race/ethnicity?* must provide value
African American/Black
American Indian/Alaskan Native
Asian
Caucasian
Hispanic/Latino
US Pacific Islander
Other
If other please specify
Which of the following best represents your gender? Female
Male
Other
Please specify
Which category best identifies your age group?* must provide value
< 25
25-34
35-44
45-54
55-64
65+
The instructor effectively communicated course topics.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The course was organized and easy to follow.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The information provided in this course will be useful in my line of work.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have attended a previous training on opioid reversal before this training. Yes
No
Before the training, I knew how to reverse an opioid overdose.* must provide value
Yes
No
After the training, I know how to reverse an opioid overdose.* must provide value
Yes
No
Before the training, I knew how to administer Narcan.* must provide value
Yes
No
After the training, I know how to administer Narcan. Yes
No
Before my training, I was knowledgeable on the benefits of Narcan.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I am knowledgeable on the benefits of Narcan.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I was knowledgeable on public policies regarding the distribution of Narcan.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I am knowledgeable on public policies regarding the distribution of Narcan.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I thought learning how to reverse an opioid overdose would be useful in my work environment.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I thought learning how to reverse an opioid overdose would be useful in my work environment * must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I thought the use of Narcan would be beneficial in my work environment.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training,I thought the use of Narcan would be beneficial in my work environment.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I was likely to use Narcan in my field of work.
* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I am likely to use Narcan in my field of work.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I was able to accurately identify an opioid overdose.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I am able to accurately identify an opioid overdose.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I felt confident administering Narcan to an individual overdosing on opioids.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I feel confident administering Narcan to an individual overdosing on opioids.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I felt it would be useful to train others in my institution/organization on Narcan administration.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I feel it would be useful to train others in my institution/organization on Narcan administration.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Before the training, I felt confident in training others in my institution/organization on Narcan administration.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
After the training, I feel confident in training others in my institution/organization on Narcan administration.* must provide value
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I would like to be contacted to request this training for my institution/organization. * must provide value
Yes
No
Organization/institution, requesting training:* must provide value
Contact person last name:* must provide value
Contact person first name:* must provide value
Contact person title:* must provide value
Contact person phone number:* must provide value
Contact person email:* must provide value