Home Kit Surveys

See the English, Spanish and Student Surveys Below. Please fill the appropriate one out and submit it. If you want to download a survey and submit it through email (rbarrios@kdna.org) go to the bottome of the page to find the forms. Thank You!

English Home Kit Survey










Yes Past Knowledge
No Past Knowledge





Yes Listen
No Listen



Yes Know Someone
No Know Someone



Spanish Home Kit Survey










Sí sabía de opioides
No sabía sobre los opioides





Sí, Escuchar KDNA
No, Escuchar KDNA



Sí, conozco a alguien
No, yo conozco a alguien



Student Home Kit Survey




Yes I Knew About Opioids
No I Knew About Opioids







Yes I Know Someone
No I Know Someone


Yes I Listen to KDNA
No I Listen to KDNA

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