NAP101

Evaluation Questionnaire: Grades 7–12

(For National Awareness & Prevention 101: Fentanyl Awareness, Education, and Prevention Program)

Purpose

This program is designed to educate students about the risks associated with fentanyl and opioid misuse, as well as how to recognize and respond to an overdose.
This questionnaire helps assess student understanding, gauge program effectiveness, and gather feedback for improvement.

Student Information (Optional)

1. Grade Level:
2. Gender (Optional):
Section 1: Knowledge and Understanding
1. How well do you feel you understand what fentanyl is after the lesson?
2. Before the program, did you know how dangerous fentanyl is?
3. Can you now recognize the signs of an opioid overdose?
4. Do you feel confident that you could administer naloxone (Narcan) in an emergency situation?
Section 2: Program Effectiveness
5. How engaging was the lesson?
6. The information provided was easy to understand.
7. How useful do you think learning about fentanyl and naloxone will be in the future?
8. Did you feel the hands-on training (like using the naloxone nasal spray) was helpful?
Section 3: Personal Impact and Behavior Change
9. Has this program changed the way you think about drug use?
10. Do you feel more comfortable talking to someone about the dangers of fentanyl or opioid use after this lesson?
11. Do you plan to share what you learned with friends or family?
12. Has this lesson helped you think about how you can stay safe from drug misuse or overdose?

Thank You!

Your feedback is valuable in improving future programs and ensuring that this initiative continues to make a positive impact in your community.

National Awareness & Prevention 101
🌐 www.nap101.org  📧 info@nap101.org  📞 (253) 993-9443

Would you like me to export this as a ready-to-print classroom PDF with:

  • NAP101 header logo
  • Section dividers in your blue/gray color scheme
  • Checkboxes formatted for easy student marking?
Scroll to Top