Anonymous Sister Audience Survey

Thank you for filling out this survey, Your responses and feedback help us both evaluate and shape our future work on this campaign. Please note: You are not required to complete this evaluation, please only answer questions you feel comfortable answering.

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* 1. Where did you see Anonymous Sister?

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* 2. Check all boxes that describe you:

Medical Professional

Policymaker

I've been prescribed opioids

I've been personally affected by the opioid epidemic and/or substance use disorder

I'm involved in activism surrounding the opioid epidemic and/or substance use disorder

I'm an interested audience member

Other (please specify)

None of the above

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* 3. After watching Anonymous Sister do you feel more informed about what to do when you or your family members are prescribed opioids?

Yes

Other (please specify)

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* 4. After watching Anonymous Sister how likely are you to (1 = not at all likely, 5 = very likely):

	1	2	3	4	5
Talk to friends or family about the film	Talk to friends or family about the film 1	Talk to friends or family about the film 2	Talk to friends or family about the film 3	Talk to friends or family about the film 4	Talk to friends or family about the film 5
Talk to friends or family about the opioid epidemic	Talk to friends or family about the opioid epidemic 1	Talk to friends or family about the opioid epidemic 2	Talk to friends or family about the opioid epidemic 3	Talk to friends or family about the opioid epidemic 4	Talk to friends or family about the opioid epidemic 5
Talk to friends and family about substance use disorder	Talk to friends and family about substance use disorder 1	Talk to friends and family about substance use disorder 2	Talk to friends and family about substance use disorder 3	Talk to friends and family about substance use disorder 4	Talk to friends and family about substance use disorder 5
Say something or intervene if you hear or see stigma attached to substance use disorder	Say something or intervene if you hear or see stigma attached to substance use disorder 1	Say something or intervene if you hear or see stigma attached to substance use disorder 2	Say something or intervene if you hear or see stigma attached to substance use disorder 3	Say something or intervene if you hear or see stigma attached to substance use disorder 4	Say something or intervene if you hear or see stigma attached to substance use disorder 5
Carry Narcan on your person	Carry Narcan on your person 1	Carry Narcan on your person 2	Carry Narcan on your person 3	Carry Narcan on your person 4	Carry Narcan on your person 5

Take some other action, please describe:

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* 5. After watching Anonymous Sister do you feel it is important to (check all that apply):

Identify and advocate for state and federal policies that promote more cautious prescribing practices

Reeducate medical providers on the risks and dangers of opioids

Rein in pharmaceutical lobbying power

Arm communities with the resources necessary to combat the epidemic (funding, narcan, etc.)

Destigmatize substance use disorder

None of the above

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* 6. After watching Anonymous Sister has your feeling of connection to substance use disorder changed? Please select any of the following that apply:

I feel a deeper connection to the substance use disorder community because many of my own struggles over lap

I feel more inclined to reduce stigma around substance use disorder

I feel seen

I feel empowered by learning this history and knowing others know it too

I feel empowered to educate others about the stigma associated with substance use disorder and raise awareness about the dangers of opioid prescriptions

No change

Other (please specify):

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* 7. Would you be interested in using Anonymous Sister in your work? Check yes and a member of our team will reach out:

Yes

Other (please specify)

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* 8. Would you like to stay in touch with us? Check yes to receive the Anonymous Sister newsletter and add your email below.

Yes

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* 9. If so, please provide your email address here.

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* 10. Name

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* 11. Age:

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 12. What city do you live in?

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* 13. Any additional comments or takeaways about the film or screening event?

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* 14. Do we have your permission to quote you?

Yes

Yes, but only by first name

Yes, but only anonymously