SSP Pre-Survey

Before accessing the videos, please complete this brief survey.

Thank you!

1. Rate your knowledge regarding services offered by Syringe Services Programs (SSPs).
Excellent Moderate Poor
Needle exchange
Linkage to care
Harm reduction model
Overcoming barriers to treatment
2. Do you know where SSPs are located in your area?
- Yes
- No
- Unsure
3. Have you ever discussed SSP services with a patient?
- Yes
- No
- Unsure
4. Does your practice have a formal referral mechanism/protocol for SSP services?
- Yes
- No
- Unsure
5. Have you ever referred a patient to SSP services?
- Yes
- No
6. How likely are you to refer to an SSP?
- Very likely
- Somewhat likely
- Unlikely
7. What percentage of your patient population report injection drug use?
- Less than 15%
- 15-25%
- 25-35%
- 35-45%
- More than 50%
- I don’t know

	Excellent	Moderate	Poor
Needle exchange
Linkage to care
Harm reduction model
Overcoming barriers to treatment