Leave Behind Narcan and Quik Clot Survey

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* 1. What is your first reaction to leave behind narcan process?

Very positive

Somewhat positive

Neutral

Somewhat negative

Very negative

Other (please specify)

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* 2. How would you rate the quality of the training you received on the narcan leave behind process?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

Other (please specify)

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* 3. When you think about the narcan leave behind process, do you think of it as something you need or don’t need?

Definitely need

Probably need

Neutral

Probably don’t need

Definitely don’t need

Other (please specify)

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* 4. If you were faced with a scenario where you identified an individual that would benefit from leave behind narcan, how likely would you be comfortable leaving the product?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

Other (please specify)

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* 5. How would you rate the quality of the training you received on the wound packing with Quik Clot process?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

Other (please specify)

Question Title

* 6. If you were faced with a scenario where you would need to use Quik Clot to wound pack today, how likely would you be comfortably use the product?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

Other (please specify)

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* 7. In your own words, what are the things that you like most about either the leave behind narcan process and/or wound packing with Quik Clot:

Question Title

* 8. In your own words, what are the things that you would most like to improve regarding the leave behind narcan and/or wound packing with Quik Clot processes and/or products:

Question Title

* 9. In your own words, what are concerns you may have about personally using either leave behind narcan and/or Quik Clot?

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* 10. Have you had an experience where you could have used either leave behind narcan or quik clot to wound pack, and did NOT use it? Tell us about that situation.

Leave Behind Narcan and Quik Clot Survey

Question Title

* 1. What is your first reaction to leave behind narcan process?

Question Title

* 2. How would you rate the quality of the training you received on the narcan leave behind process?

Question Title

* 3. When you think about the narcan leave behind process, do you think of it as something you need or don’t need?

Question Title

* 4. If you were faced with a scenario where you identified an individual that would benefit from leave behind narcan, how likely would you be comfortable leaving the product?

Question Title

* 5. How would you rate the quality of the training you received on the wound packing with Quik Clot process?

Question Title

* 6. If you were faced with a scenario where you would need to use Quik Clot to wound pack today, how likely would you be comfortably use the product?

Question Title

* 7. In your own words, what are the things that you like most about either the leave behind narcan process and/or wound packing with Quik Clot:

Question Title

* 8. In your own words, what are the things that you would most like to improve regarding the leave behind narcan and/or wound packing with Quik Clot processes and/or products:

Question Title

* 9. In your own words, what are concerns you may have about personally using either leave behind narcan and/or Quik Clot?

Question Title

* 10. Have you had an experience where you could have used either leave behind narcan or quik clot to wound pack, and did NOT use it? Tell us about that situation.

Question Title

* 11. From personal experience, please let us know about how the community has perceived the leave behind narcan process.