Feedback Form- Opioid Prevention, Pain Education, and Well-being Program

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Feedback Form- Opioid Prevention, Pain Education, and Well-being Program

Please answer the following questions below as it relates to the program you were a part of today.

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* Indicates required question

Based on your experience today, how likely would you be to recommend this program to a family member or friend? *

Unlikely

1

2

3

4

5

6

7

8

9

10

Very Likely

Compared to similar programs delivered in school, how would you rank this program? *

Comparable

Better

Worse

OPTIONAL: Other comments?

Your answer

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