Public Health Officials Survey
Note: The responses below may be posted on the American Opioid website and/or social media pages, in whole or in part. Due to limited slots, completing the form does not guarantee an audio interview. Questions may be directed to Jamal Khan at jamalkhan@americanopioid.org.
Sign in to Google to save your progress. Learn more
Email *
Name *
City *
State *
Name of Agency or Organization *
How does your role and the work you do pertain to the opioid crisis? *
In your opinion, what makes the opioid crisis different from previous epidemics? *
In your opinion, what is the biggest barrier or bottleneck preventing those who have Opioid Use Disorder (OUD) from receiving professional help? *
Was there anything you came across in the course of your work that changed your perspective on the crisis? If so, how? *
There are concerns that efforts to reduce opioid prescriptions may adversely affect patients who genuinely suffer from debilitating pain. What's the best way to strike a balance? *
How is the trajectory of the crisis in your state? Are things turning around, or are there still daunting challenges ahead? *
Are there any additional thoughts you would like to share? (optional)
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of UC Berkeley. Report Abuse