Project Opioid 'Not Worth It' Survey
Help us learn more about attitudes and awareness around opioids in our community - anonymously.
OK
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1.
Using opioids, even for medicinal purposes, can lower your ability to safely accomplish tasks such as driving a motor vehicle (select your level of awareness)
(Required.)
Very aware
Somewhat aware
Not at all aware
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2.
Improper use of opioids can lead to an overdose or death (select your level of awareness)
(Required.)
Very aware
Somewhat aware
Not at all aware
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3.
I would recognize the signs of an opioid overdose
(Required.)
Agree
Neither agree nor disagree
Disagree
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4.
Mixing opioids with alcohol can magnify harmful effects, including the possibility of overdose or death (select your level of awareness)
(Required.)
Very aware
Somewhat aware
Not at all aware
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5.
Mixing opioids with other medications can magnify harmful and effects, including the possibility of overdose or death (select your level of awareness)
(Required.)
Very aware
Somewhat aware
Not at all aware
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6.
Drugs obtained illegally – including from friends, family or on the street – often contain fentanyl (select your level of awareness)
(Required.)
Very aware
Somewhat aware
Not at all aware
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7.
Drugs obtained illegally – including from friends, family or on the street – are often counterfeit and unsafe (select your level of awareness)
(Required.)
Very aware
Somewhat aware
Not at all aware
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8.
Have you ever taken someone else’s medication - that is, prescription medication from friends, family or purchased on the street - that was not prescribed to you by your doctor?
(Required.)
Yes
No
Prefer not to say
Don't know
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9.
Have you ever purchased prescription medication – whether one pill or multiple pills – that was not prescribed to you by your doctor?
(Required.)
Yes
No
Prefer not to say
Don't know
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10.
How many deaths in the U.S. – just in 2021 – were directly caused by people taking counterfeit medicines containing Fentanyl or another synthetic opioid?
(Required.)
0 - 20,000
20,000 - 40,000
40,000 - 60,000
60,000 - 80,000
80,000 - 100,000
100,00 - 120,000
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11.
Does knowing how dangerous it is to take medicine that isn’t yours change your attitude towards sharing your medication with other people?
(Required.)
Yes
No
Don't know
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12.
Does knowing how dangerous it is to take medicine that isn’t yours change your attitude towards taking or buying medication that has not been prescribed for you?
(Required.)
Yes
No
Don't know
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13.
In the past five years, have you deliberately used any products containing opioids, (such as codeine, oxycodone, OxyContin, hydromorphone, morphine, fentanyl, methadone, Tylenol 3, naloxone, Percocet, Percodan, Tylox and heroin) for either medical or recreational purposes?
(Required.)
Yes
No
Don't know
Prefer not to say
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14.
In the past five years, have you accidentally used any products containing opioids, (such as codeine, oxycodone, OxyContin, hydromorphone, morphine, fentanyl, methadone, Tylenol 3, naloxone, Percocet, Percodan, Tylox and heroin) for either medical or recreational purposes?
(Required.)
Yes
No
Don't know
Prefer not to say
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15.
If I had opioids, I would share my opioids to relieve the pain, stress or other problems of a family member or friend
(Required.)
Agree
Neither agree nor disagree
Disagree
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16.
If I had opioids, I would share my opioids with others for non-medicinal or recreational use
(Required.)
Agree
Neither agree nor disagree
Disagree
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17.
If I was prescribed opioids, I would not want my family members or friends to know
(Required.)
Agree
Neither agree nor disagree
Disagree
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18.
If I used opioids without a prescription, I would not want my family members or friends to know
(Required.)
Agree
Neither agree nor disagree
Disagree
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19.
In what year were you born?
(Required.)
2005 - 2012
1997 - 2004
1981 - 1996
Before 1981
After 2012
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20.
In what state do you live?
(Required.)
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21.
Which of the following options most closely aligns with your gender?
(Required.)
Woman
Man
Non-binary
A gender not listed here
Prefer not to answer
*
22.
Which race/ethnicity best describes you? (Please choose only one.)
(Required.)
American Indian or Alaskan Native
Asian / Pacific Islander
Black or African American
Hispanic
White / Caucasian
Multiple ethnicity / Other (please specify)
Current Progress,
0 of 22 answered
