Follow-Up Survey: The Real Deal on Fentanyl

Name*

First Last

Email*

School*

School Address*

Street Address City State ZIP Code

Grades you teach:

1. Have you used (or do you plan to use) the free educational program, THE REAL DEAL ON FENTANYL?

2. Did you (or do you plan to) share this program with other teachers?

If YES, how many teachers?

If NO, why not?

3. Which version of the program did you use?

4. How many students have used the program at your school?

5. Did students build skills and/or knowledge as a result of using this program?

Please comment:

6. Please evaluate these components of the program.

Teacher's Guide

Student Activity Sheet

Parent/Caregiver Letter

Program Microsite (ymiclassroom.com/realdeal)

7. Overall, how would you rate the usefulness of THE REAL DEAL ON FENTANYL?

8. Did you handout the parent/caregiver letter to your students?

6. Have you visited YMI’s website (www.ymiclassroom.com) to download any other teaching materials?

If YES, which materials?

7. Are you interested in receiving free educational materials like this program in the future?

If YES, please tell us the types of materials you would use/want.

Please share any additional comments or suggestions.