Naloxone Distribution Map: Feedback Form

After you fill out this feedback form, you will be entered in a raffle for $50!

3 winners will be selected!

Since this map is still in beta, we appreciate your feedback on how we can keep improving.

Naloxone is a non-addictive, often times free, and widely distributed medication that can prevent opioid overdoses. This map (Glowhopper Go) shows free naloxone distribution sites in New Haven, CT.

Did this map help you locate a source for naloxone you didn't know about before?

A

Yes

B

No

How likely are you to go to a naloxone distribution site because of this map?

A

Very Likely

B

Likely

C

Neutral

D

Unlikely

E

Very Unlikely

Do you feel the naloxone distribution map (Glowhopper Go) makes it easier to access naloxone?

A

Yes

B

No

Was the naloxone distribution map (Glowhopper Go) easy to navigate?

A

Yes

B

No

What device did you use to access this map? (Mark all that apply)

Phone

Computer

Tablet

Other

Would you recommend this naloxone distribution map to others in your community?

A

Yes

B

No

Would you want to see near real-time reporting of naloxone supply for each distribution site listed on this map?

A

Yes

B

No

This map is for New Haven. Do you think expanding this naloxone distribution map statewide could help prevent overdoses?

A

Yes

B

No

Are you a member of an organization that provides free naloxone?

A

Yes

B

No

How much money would your organization be willing to pay on a yearly basis to be listed on this map?

Type NA if your organization would not be able to pay an amount greater than $5 per year