SAFE Project - Naloxone Accessibility Challenge Survey

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Date of your visit to this location

If other, please describe:

If Naloxone OTC is available, where was it located? (i.e. behind the pharmacy counter, on a shelf, locked up, etc.)

If the location carried Naloxone OTC, what was the cost?

Additional Comments and/or concerns regarding the visit:

If the location did not have naloxone, why did they not have it in stock? (e.g., did they run out of it, do they not carry it, etc.)

Additional Comments and/or concerns regarding the lack of naloxone at the location:

Naloxone Accessibility Challenge Survey