Naloxone Training Post-Event Survey

Training Content and Implementation

Please tell us what you learned and how well the training was implemented.

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* 1. On what date did you attend this training?

Enter here:

Date

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* 2. Because of this training…

	Strongly agree	Agree	Not sure	Disagree	Strongly disagree
I am confident in my ability to recognize the signs of an opioid overdose.	I am confident in my ability to recognize the signs of an opioid overdose. Strongly agree	I am confident in my ability to recognize the signs of an opioid overdose. Agree	I am confident in my ability to recognize the signs of an opioid overdose. Not sure	I am confident in my ability to recognize the signs of an opioid overdose. Disagree	I am confident in my ability to recognize the signs of an opioid overdose. Strongly disagree
I am confident administering Naloxone in case of an overdose.	I am confident administering Naloxone in case of an overdose. Strongly agree	I am confident administering Naloxone in case of an overdose. Agree	I am confident administering Naloxone in case of an overdose. Not sure	I am confident administering Naloxone in case of an overdose. Disagree	I am confident administering Naloxone in case of an overdose. Strongly disagree
I learned new information or skills.	I learned new information or skills. Strongly agree	I learned new information or skills. Agree	I learned new information or skills. Not sure	I learned new information or skills. Disagree	I learned new information or skills. Strongly disagree

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* 3. How much do you agree or disagree with these statements about the training?

	Strongly agree	Agree	Not sure	Disagree	Strongly disagree
The material was presented in an organized way.	The material was presented in an organized way. Strongly agree	The material was presented in an organized way. Agree	The material was presented in an organized way. Not sure	The material was presented in an organized way. Disagree	The material was presented in an organized way. Strongly disagree
The training was well paced within the time.	The training was well paced within the time. Strongly agree	The training was well paced within the time. Agree	The training was well paced within the time. Not sure	The training was well paced within the time. Disagree	The training was well paced within the time. Strongly disagree
Overall, I am satisfied with this training.	Overall, I am satisfied with this training. Strongly agree	Overall, I am satisfied with this training. Agree	Overall, I am satisfied with this training. Not sure	Overall, I am satisfied with this training. Disagree	Overall, I am satisfied with this training. Strongly disagree

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* 4. Please let us know If you have any additional comments or suggestions for the trainer or staff.

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50% of survey complete.