Harm Reduction Toolkit Feedback
City and State
*
City
State
Which Distribution Site did you get your kit from?
Please Select
Drkmttr
Austin Mutual Aid
How satisfied were you when you used your kit for the first time?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
How likely are you to recommend a kit to someone else?
Very Likely
Unlikely
Likely
Very Unlikely
Unsure
How would you rate the process of receiving your kit?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What part(s) of receiving/using the kit did you have trouble with?
Finding a Distribution Site
Using the kit components
Connecting to external resources and support
Using the Resource Guide
None
Other
Please rate the kit in the following areas:
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Quality
Value
Effectiveness
Accessibility
Durability
Comments, questions, and concerns are welcomed below:
Please specify if you would like your feedback to be public. All entries are assumed private otherwise.
Submit
Should be Empty: