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