2018.04 PAAW Narcotic & Saline Shortage Survey

Name *

Organization *

City/Town *

State/Province

Email Address *

Phone Number

YES, CURRENTLY experiencing a shortage.

YES, EXPECTING to experience a future shortage.

NO, neither experiencing nor expecting to experience a shortage.

Not sure

YES, CURRENTLY experiencing a shortage.

YES, EXPECTING to experience a future shortage.

NO, neither experiencing nor expecting to experience a shortage.

Not sure