Did Narcan Save Your/Someone's Life?
Fill out the survey below if you or someone was able to reverse an opioid overdose using Narcan recently.
Name (if you wish to stay anonymous, leave blank or leave first name only)
First Name
Last Name
Date of Reversal (rough estimate is fine)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Was this Narcan from the Sacramento County Opioid Coalition?
Yes
No
Any details or information you'd like to share about the experience? Your testimonial may be featured on our website or upcoming social media.
I consent to the information I shared be used on the Sacramento County Opioid Coalition's website and social media.
Yes
No
Submit
Should be Empty: