Thank you for helping inform future work and materials undertaken by the Starts with One prescription opioid-misuse prevention campaign, a partnership between the Washington State Health Care Authority and Washington State Hospital Association. Responses will remain anonymous. We anticipate that the survey will take 5 minutes to complete.

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* 1. Title/Role/Clinical Profession

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* 2. Name of Hospital (please be specific and note the full name of your organization. If you are part of a large hospital system, please note the specific campus)

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* 3. Email Address

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* 4. WA State allows certain clinical roles to prescribe and administer opioids. Do you currently prescribe opioids in your role?

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