Narcan Training Pre-Survey (Website)

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* 1. First Name

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* 2. Last Name

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* 3. Organization

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* 4. Narcan is only effective in reversing opioid overdoses.

True

False

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* 5. The Narcan kit you will be dispensed contains 2 doses of Narcan.

True

False

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* 6. Rate your confidence in your ability to administer Narcan.

1 - No confidence

2 - Low level of confidence

3 - Average level of confidence

4 - Moderately high level of confidence

5 - High level of confidence

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* 7. Rate your knowledge of the proper use and storage of Narcan.

1 - Low knowledge

2 - Low level of knowledge

3 - Average level of knowledge

4 - Moderately high level of knowledge

5 - High level of knowledge

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* 8. I feel prepared to respond to an overdose.

True

False