Screenshots NSSSP Instrument 2024+

National Survey Of Syringe Services Programs

Page 1

Form Approved
OMB No. 0920-1359
Expiration Date: XX/XX/XXXX
Public reporting burden of this collection of information is estimated to average 35 minutes per survey, including the time for
reviewing instructions, administering questions and entering responses. An agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, US8-4, Atlanta, Georgia 30333; Attn: OMB-PRA
(0920-1359); Expiration: 12/31/2024

Thank you for taking the time to complete this survey. We know that you are incredibly busy, and we have worked
hard to design a set of questions that accurately captures the current experience of syringe services programs (SSPs)
throughout the country. Your participation will help us tell these stories more accurately.  
When answering questions, please refer to the period from January 1, [year], to December 31, [year] unless
otherwise stated. If program data are not available, please use your best estimate to complete the questions below.
If your SSP only operated during some of the specified time period, please provide information reflective of the time
period(s) during which your SSP did operate.
During the survey, you may need to refer to your records to answer some questions. If you need to step away, please
select "Save & Return" at the bottom of the page. You can return to the survey using the link in your invitation email,
or you will have the option to enter an email address and the same survey link will be sent to the specified email. If
you are unable to answer a question, but later find the answer in your records, you can reach us later to provide this
additional information by contacting [NAME] at [EMAIL].
If you need any clarifications about any of the questions in this survey or how this information will be used, please
contact [NAME] at [EMAIL].

All information will be kept confidential.

To begin, please let us know a couple of details about your syringe services program (SSP).
What is the name of your organization?
__________________________________
Please specify any nicknames (i.e., abbreviated name or acronym) that are used for your SSP.
__________________________________
What is the city or town and state where your SSP headquarters is located?
City:

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State:

AL
CA
DC
ID
KS
MD
MS
NE
NM
ND
OR
SD
VT
WI

AK
CO
FL
IL
KY
MA
MO
NV
NY
OH
PA
TN
VA
WY

AZ
CT
GA
IN
LA
MI
MT
NH
NC
OK
RI
TX
WA
PR

AR
DE
HI

IA
ME
MN
NJ
SC
UT
WV

Did your program provide any services at any time in [year]?
Yes
No
How did your SSP deliver services in [year]? Please select all that apply.
Brick and mortar fixed site (including drop-in centers)
Backpack/outreach
Pop-up sites (tables, tent, etc.)
Delivery to regular locations (e.g., established route)
Delivery to participant requested locations (e.g., home delivery)
Mail-based distribution
Vending machine
Other (please describe) ______
Don't Know
Choose not to answer

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Please select whether your SSP provides services in any of the following state(s), U.S. territory or in a Tribal Nation in
[year]. Please select all that apply.
We operated in all states
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Choose not to answer

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Alabama:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Autauga
Baldwin
Barbour
Bibb
Blount
Bullock
Butler
Calhoun
Chambers
Cherokee
Chilton
Choctaw
Clarke
Clay
Cleburne
Coffee
Colbert
Conecuh
Coosa
Covington
Crenshaw
Cullman
Dale
Dallas
DeKalb
Elmore
Escambia
Etowah
Fayette
Franklin
Geneva
Greene
Hale
Henry
Houston
Jackson
Jefferson
Lamar
Lauderdale
Lawrence
Lee
Limestone
Lowndes
Macon
Madison
Marengo
Marion
Marshall
Mobile
Monroe
Montgomery
Morgan
Perry
Pickens
Pike
Randolph
Russell
St. Clair
Shelby
Sumter
Talladega
Tallapoosa
Tuscaloosa
Walker
Washington
Wilcox
Winston
Choose not to answer
Alaska:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Aleutians East Borough
Aleutians West Census Area
Anchorage Municipality
Bethel Census Area
Bristol Bay Borough
Chugach Census Area
Copper River Census Area
Denali Borough
Dillingham Census Area
Fairbanks North Star
Borough
Haines Borough
Hoonah-Angoon Census Area
Juneau City and Borough
Kenai Peninsula Borough
Ketchikan Gateway Borough
Kodiak Island Borough
Kusilvak Census Area
Lake and Peninsula Borough
Matanuska-Susitna Borough
Nome Census Area
North Slope Borough
Northwest Arctic Borough
Petersburg Borough
Prince of Wales-Hyder Census Area
Sitka City and Borough
Skagway Municipality
Southeast Fairbanks Census Area
Wrangell City and Borough
Yakutat City and Borough
Yukon-Koyukuk Census Area
Choose not to answer
Arizona:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Apache
Cochise
Coconino
Gila
Graham
Greenlee
La Paz
Maricopa
Mohave
Navajo
Pima
Pinal
Santa Cruz
Yavapai
Yuma
Choose not to answer

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Arkansas:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Arkansas
Ashley
Baxter
Benton
Boone
Bradley
Calhoun
Carroll
Chicot
Clark
Clay
Cleburne
Cleveland
Columbia
Conway
Craighead
Crawford
Crittenden
Cross
Dallas
Desha
Drew
Faulkner
Franklin
Fulton
Garland
Grant
Greene
Hempstead
Hot Spring
Howard
Independence
Izard
Jackson
Jefferson
Johnson
Lafayette
Lawrence
Lee
Lincoln
Little River
Logan
Lonoke
Madison
Marion
Miller
Mississippi
Monroe
Montgomery
Nevada
Newton
Ouachita
Perry
Phillips
Pike
Poinsett
Polk
Pope
Prairie
Pulaski
Randolph
St. Francis
Saline
Scott
Searcy
Sebastian
Sevier
Sharp
Stone
Union
Van Buren
Washington
White
Woodruff
Yell
Choose not to answer

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California:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Alameda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glenn
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solano
Sonoma
Stanislaus
Sutter
Tehama
Trinity
Tulare
Tuolumne
Ventura
Yolo
Yuba
Choose not to answer

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Colorado: 
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Alamosa
Arapahoe
Archuleta
Baca
Bent
Boulder
Broomfield
Chaffee
Cheyenne
Clear Creek
Conejos
Costilla
Crowley
Custer
Delta
Denver
Dolores
Douglas
Eagle
Elbert
El Paso
Fremont
Garfield
Gilpin
Grand
Gunnison
Hinsdale
Huerfano
Jackson
Jefferson
Kiowa
Kit Carson
Lake
La Plata
Larimer
Las Animas
Lincoln
Logan
Mesa
Mineral
Moffat
Montezuma
Montrose
Morgan
Otero
Ouray
Park
Phillips
Pitkin
Prowers
Pueblo
Rio Blanco
Rio Grande
Routt
Saguache
San Juan
San Miguel
Sedgwick
Summit
Teller
Washington
Weld
Yuma
Choose not to answer
Connecticut:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Fairfield
Hartford
Litchfield
Middlesex
New Haven
New London
Tolland
Windham
Choose not to answer
Delaware:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
Kent
New Castle
Sussex
Choose not to answer

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Florida:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Collier
Columbia
DeSoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Miami-Dade
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
St. Johns
St. Lucie
Santa Rosa
Sarasota
Seminole
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
Choose not to answer

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Georgia:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Carroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Decatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanuel
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Greene
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
McDuffie
McIntosh
Macon
Madison
Marion
Meriwether
Miller
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
Newton
Oconee
Oglethorpe
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Seminole
Spalding
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
Choose not to answer
Hawaii:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
Hawaii
Honolulu
Kalawao
Kauai
Maui
Choose not to answer

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Idaho:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We served in all counties
Ada
Adams
Bannock
Bear Lake
Benewah
Bingham
Blaine
Boise
Bonner
Bonneville
Boundary
Butte
Camas
Canyon
Caribou
Cassia
Clark
Clearwater
Custer
Elmore
Franklin
Fremont
Gem
Gooding
Idaho
Jefferson
Jerome
Kootenai
Latah
Lemhi
Lewis
Lincoln
Madison
Minidoka
Nez Perce
Oneida
Owyhee
Payette
Power
Shoshone
Teton
Twin Falls
Valley
Washington
Choose not to answer

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Illinois:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We served in all counties
Adams
Alexander
Bond
Boone
Brown
Bureau
Calhoun
Carroll
Cass
Champaign
Christian
Clark
Clay
Clinton
Coles
Cook
Crawford
Cumberland
DeKalb
De Witt
Douglas
DuPage
Edgar
Edwards
Effingham
Fayette
Ford
Franklin
Fulton
Gallatin
Greene
Grundy
Hamilton
Hancock
Hardin
Henderson
Henry
Iroquois
Jackson
Jasper
Jefferson
Jersey
Jo Daviess
Johnson
Kane
Kankakee
Kendall
Knox
Lake
LaSalle
Lawrence
Lee
Livingston
Logan
McDonough
McHenry
McLean
Macon
Macoupin
Madison
Marion
Marshall
Mason
Massac
Menard
Mercer
Monroe
Montgomery
Morgan
Moultrie
Ogle
Peoria
Perry
Piatt
Pike
Pope
Pulaski
Putnam
Randolph
Richland
Rock Island
St. Clair
Saline
Sangamon
Schuyler
Scott
Shelby
Stark
Stephenson
Tazewell
Union
Vermilion
Wabash
Warren
Washington
Wayne
White
Whiteside
Will
Williamson
Winnebago
Woodford
Choose not to answer

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Indiana:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Allen
Bartholomew
Benton
Blackford
Boone
Brown
Carroll
Cass
Clark
Clay
Clinton
Crawford
Daviess
Dearborn
Decatur
DeKalb
Delaware
Dubois
Elkhart
Fayette
Floyd
Fountain
Franklin
Fulton
Gibson
Grant
Greene
Hamilton
Hancock
Harrison
Hendricks
Henry
Howard
Huntington
Jackson
Jasper
Jay
Jefferson
Jennings
Johnson
Knox
Kosciusko
LaGrange
Lake
LaPorte
Lawrence
Madison
Marion
Marshall
Martin
Miami
Monroe
Montgomery
Morgan
Newton
Noble
Ohio
Orange
Owen
Parke
Perry
Pike
Porter
Posey
Pulaski
Putnam
Randolph
Ripley
Rush
St. Joseph
Scott
Shelby
Spencer
Starke
Steuben
Sullivan
Switzerland
Tippecanoe
Tipton
Union
Vanderburgh
Vermillion
Vigo
Wabash
Warren
Warrick
Washington
Wayne
Wells
White
Whitley
Choose not to answer

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Iowa:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adair
Adams
Allamakee
Appanoose
Audubon
Benton
Black Hawk
Boone
Bremer
Buchanan
Buena Vista
Butler
Calhoun
Carroll
Cass
Cedar
Cerro Gordo
Cherokee
Chickasaw
Clarke
Clay
Clayton
Clinton
Crawford
Dallas
Davis
Decatur
Delaware
Des Moines
Dickinson
Dubuque
Emmet
Fayette
Floyd
Franklin
Fremont
Greene
Grundy
Guthrie
Hamilton
Hancock
Hardin
Harrison
Henry
Howard
Humboldt
Ida
Iowa
Jackson
Jasper
Jefferson
Johnson
Jones
Keokuk
Kossuth
Lee
Linn
Louisa
Lucas
Lyon
Madison
Mahaska
Marion
Marshall
Mills
Mitchell
Monona
Monroe
Montgomery
Muscatine
O'Brien
Osceola
Page
Palo Alto
Plymouth
Pocahontas
Polk
Pottawattamie
Poweshiek
Ringgold
Sac
Scott
Shelby
Sioux
Story
Tama
Taylor
Union
Van Buren
Wapello
Warren
Washington
Wayne
Webster
Winnebago
Winneshiek
Woodbury
Worth
Wright
Choose not to answer

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Kansas:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Allen
Anderson
Atchison
Barber
Barton
Bourbon
Brown
Butler
Chase
Chautauqua
Cherokee
Cheyenne
Clark
Clay
Cloud
Coffey
Comanche
Cowley
Crawford
Decatur
Dickinson
Doniphan
Douglas
Edwards
Elk
Ellis
Ellsworth
Finney
Ford
Franklin
Geary
Gove
Graham
Grant
Gray
Greeley
Greenwood
Hamilton
Harper
Harvey
Haskell
Hodgeman
Jackson
Jefferson
Jewell
Johnson
Kearny
Kingman
Kiowa
Labette
Lane
Leavenworth
Lincoln
Linn
Logan
Lyon
McPherson
Marion
Marshall
Meade
Miami
Mitchell
Montgomery
Morris
Morton
Nemaha
Neosho
Ness
Norton
Osage
Osborne
Ottawa
Pawnee
Phillips
Pottawatomie
Pratt
Rawlins
Reno
Republic
Rice
Riley
Rooks
Rush
Russell
Saline
Scott
Sedgwick
Seward
Shawnee
Sheridan
Sherman
Smith
Stafford
Stanton
Stevens
Sumner
Thomas
Trego
Wabaunsee
Wallace
Washington
Wichita
Wilson
Woodson
Wyandotte
Choose not to answer

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Kentucky:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
Butler
Caldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
Jessamine
Johnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie
Letcher
Lewis
Lincoln
Livingston
Logan
Lyon
McCracken
McCreary
McLean
Madison
Magoffin
Marion
Marshall
Martin
Mason
Meade
Menifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
Scott
Shelby
Simpson
Spencer
Taylor
Todd
Trigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Choose not to answer

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Louisiana:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Acadia Parish
Allen Parish
Ascension Parish
Assumption Parish
Avoyelles Parish
Beauregard Parish
Bienville Parish
Bossier Parish
Caddo Parish
Calcasieu Parish
Caldwell Parish
Cameron Parish
Catahoula Parish
Claiborne Parish
Concordia Parish
De Soto Parish
East Baton Rouge Parish
East Carroll Parish
East Feliciana Parish
Evangeline Parish
Franklin Parish
Grant Parish
Iberia Parish
Iberville Parish
Jackson Parish
Jefferson Parish
Jefferson Davis Parish
Lafayette Parish
Lafourche Parish
LaSalle Parish
Lincoln Parish
Livingston Parish
Madison Parish
Morehouse Parish
Natchitoches Parish
Orleans Parish
Ouachita Parish
Plaquemines Parish
Pointe Coupee Parish
Rapides Parish
Red River Parish
Richland Parish
Sabine Parish
St. Bernard Parish
St. Charles Parish
St. Helena Parish
St. James Parish
St. John the Baptist Parish
St. Landry Parish
St. Martin Parish
St. Mary Parish
St. Tammany Parish
Tangipahoa Parish
Tensas Parish
Terrebonne Parish
Union Parish
Vermilion Parish
Vernon Parish
Washington Parish
Webster Parish
West Baton Rouge Parish
West Carroll Parish
West Feliciana Parish
Winn Parish
Choose not to answer
Maine:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Androscoggin
Aroostook
Franklin
Hancock
Kennebec
Knox
Lincoln
Oxford
Piscataquis
Sagadahoc
Somerset
Waldo
Washington
answer

05/31/2023 11:46

Cumberland
Penobscot
York
Choose not to

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Page 17

Maryland:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Allegany
Anne Arundel
Baltimore
Calvert
Caroline
Carroll
Cecil
Charles
Dorchester
Frederick
Garrett
Harford
Howard
Kent
Montgomery
Prince George's
Queen Anne's
St. Mary's
Somerset
Talbot
Washington
Wicomico
Worcester
Baltimore
Choose not to answer
Massachusetts:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Barnstable
Berkshire
Bristol
Essex
Franklin
Hampden
Hampshire
Middlesex
Nantucket
Plymouth
Suffolk
Worcester
Choose not to answer

05/31/2023 11:46

Dukes
Norfolk

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Page 18

Michigan:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Alcona
Alger
Allegan
Alpena
Antrim
Arenac
Baraga
Barry
Bay
Benzie
Berrien
Branch
Calhoun
Cass
Charlevoix
Cheboygan
Chippewa
Clare
Clinton
Crawford
Delta
Dickinson
Eaton
Emmet
Genesee
Gladwin
Gogebic
Grand Traverse
Gratiot
Hillsdale
Houghton
Huron
Ingham
Ionia
Iosco
Iron
Isabella
Jackson
Kalamazoo
Kalkaska
Kent
Keweenaw
Lake
Lapeer
Leelanau
Lenawee
Livingston
Luce
Mackinac
Macomb
Manistee
Marquette
Mason
Mecosta
Menominee
Midland
Missaukee
Monroe
Montcalm
Montmorency
Muskegon
Newaygo
Oakland
Oceana
Ogemaw
Ontonagon
Osceola
Oscoda
Otsego
Ottawa
Presque Isle
Roscommon
Saginaw
St. Clair
St. Joseph
Sanilac
Schoolcraft
Shiawassee
Tuscola
Van Buren
Washtenaw
Wayne
Wexford
Choose not to answer

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Page 19

Minnesota:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Aitkin
Anoka
Becker
Beltrami
Benton
Big Stone
Blue Earth
Brown
Carlton
Carver
Cass
Chippewa
Chisago
Clay
Clearwater
Cook
Cottonwood
Crow Wing
Dakota
Dodge
Douglas
Faribault
Fillmore
Freeborn
Goodhue
Grant
Hennepin
Houston
Hubbard
Isanti
Itasca
Jackson
Kanabec
Kandiyohi
Kittson
Koochiching
Lac qui Parle
Lake
Lake of the Woods
Le Sueur
Lincoln
Lyon
McLeod
Mahnomen
Marshall
Martin
Meeker
Mille Lacs
Morrison
Mower
Murray
Nicollet
Nobles
Norman
Olmsted
Otter Tail
Pennington
Pine
Pipestone
Polk
Pope
Ramsey
Red Lake
Redwood
Renville
Rice
Rock
Roseau
St. Louis
Scott
Sherburne
Sibley
Stearns
Steele
Stevens
Swift
Todd
Traverse
Wabasha
Wadena
Waseca
Washington
Watonwan
Wilkin
Winona
Wright
Yellow Medicine
Choose not to answer

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Page 20

Mississippi:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Alcorn
Amite
Attala
Benton
Bolivar
Calhoun
Carroll
Chickasaw
Choctaw
Claiborne
Clarke
Clay
Coahoma
Copiah
Covington
DeSoto
Forrest
Franklin
George
Greene
Grenada
Hancock
Harrison
Hinds
Holmes
Humphreys
Issaquena
Itawamba
Jackson
Jasper
Jefferson
Jefferson Davis
Jones
Kemper
Lafayette
Lamar
Lauderdale
Lawrence
Leake
Lee
Leflore
Lincoln
Lowndes
Madison
Marion
Marshall
Monroe
Montgomery
Neshoba
Newton
Noxubee
Oktibbeha
Panola
Pearl River
Perry
Pike
Pontotoc
Prentiss
Quitman
Rankin
Scott
Sharkey
Simpson
Smith
Stone
Sunflower
Tallahatchie
Tate
Tippah
Tishomingo
Tunica
Union
Walthall
Warren
Washington
Wayne
Webster
Wilkinson
Winston
Yalobusha
Yazoo
Choose not to answer

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Page 21

Missouri:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adair
Andrew
Atchison
Audrain
Barry
Barton
Bates
Benton
Bollinger
Boone
Buchanan
Butler
Caldwell
Callaway
Camden
Cape Girardeau
Carroll
Carter
Cass
Cedar
Chariton
Christian
Clark
Clay
Clinton
Cole
Cooper
Crawford
Dade
Dallas
Daviess
DeKalb
Dent
Douglas
Dunklin
Franklin
Gasconade
Gentry
Greene
Grundy
Harrison
Henry
Hickory
Holt
Howard
Howell
Iron
Jackson
Jasper
Jefferson
Johnson
Knox
Laclede
Lafayette
Lawrence
Lewis
Lincoln
Linn
Livingston
McDonald
Macon
Madison
Maries
Marion
Mercer
Miller
Mississippi
Moniteau
Monroe
Montgomery
Morgan
New Madrid
Newton
Nodaway
Oregon
Osage
Ozark
Pemiscot
Perry
Pettis
Phelps
Pike
Platte
Polk
Pulaski
Putnam
Ralls
Randolph
Ray
Reynolds
Ripley
St. Charles
St. Clair
Ste. Genevieve
St. Francois
St. Louis
Saline
Schuyler
Scotland
Scott
Shannon
Shelby
Stoddard
Stone
Sullivan
Taney
Texas
Vernon
Warren
Washington
Wayne
Webster
Worth
Wright
St. Louis
Choose not to answer

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Page 22

Montana:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Beaverhead
Big Horn
Blaine
Broadwater
Carbon
Carter
Cascade
Chouteau
Custer
Daniels
Dawson
Deer Lodge
Fallon
Fergus
Flathead
Gallatin
Garfield
Glacier
Golden Valley
Granite
Hill
Jefferson
Judith Basin
Lake
Lewis and Clark
Liberty
Lincoln
McCone
Madison
Meagher
Mineral
Missoula
Musselshell
Park
Petroleum
Phillips
Pondera
Powder River
Powell
Prairie
Ravalli
Richland
Roosevelt
Rosebud
Sanders
Sheridan
Silver Bow
Stillwater
Sweet Grass
Teton
Toole
Treasure
Valley
Wheatland
Wibaux
Yellowstone
Choose not to answer

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Page 23

Nebraska:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Antelope
Arthur
Banner
Blaine
Boone
Box Butte
Boyd
Brown
Buffalo
Burt
Butler
Cass
Cedar
Chase
Cherry
Cheyenne
Clay
Colfax
Cuming
Custer
Dakota
Dawes
Dawson
Deuel
Dixon
Dodge
Douglas
Dundy
Fillmore
Franklin
Frontier
Furnas
Gage
Garden
Garfield
Gosper
Grant
Greeley
Hall
Hamilton
Harlan
Hayes
Hitchcock
Holt
Hooker
Howard
Jefferson
Johnson
Kearney
Keith
Keya Paha
Kimball
Knox
Lancaster
Lincoln
Logan
Loup
McPherson
Madison
Merrick
Morrill
Nance
Nemaha
Nuckolls
Otoe
Pawnee
Perkins
Phelps
Pierce
Platte
Polk
Red Willow
Richardson
Rock
Saline
Sarpy
Saunders
Scotts Bluff
Seward
Sheridan
Sherman
Sioux
Stanton
Thayer
Thomas
Thurston
Valley
Washington
Wayne
Webster
Wheeler
York
Choose not to answer
Nevada:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Churchill
Clark
Douglas
Elko
Esmeralda
Eureka
Humboldt
Lander
Lincoln
Lyon
Mineral
Nye
Pershing
Storey
Washoe
White Pine
Carson City
Choose not to answer
New Hampshire:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Grafton
Hillsborough
Merrimack
Choose not to answer

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Belknap
Carroll
Cheshire
Coos
Rockingham
Strafford
Sullivan

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Page 24

New Jersey:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Atlantic
Bergen
Burlington
Camden
Cape May
Cumberland
Essex
Gloucester
Hudson
Hunterdon
Mercer
Middlesex
Monmouth
Morris
Ocean
Passaic
Salem
Somerset
Sussex
Union
Warren
Choose not to answer
New Mexico:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Bernalillo
Catron
Chaves
Cibola
Colfax
Curry
De Baca
Doña Ana
Eddy
Grant
Guadalupe
Harding
Hidalgo
Lea
Lincoln
Los Alamos
Luna
McKinley
Mora
Otero
Quay
Rio Arriba
Roosevelt
Sandoval
San Juan
San Miguel
Santa Fe
Sierra
Socorro
Taos
Torrance
Union
Valencia
Choose not to answer

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Page 25

New York:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Albany
Allegany
Bronx
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenango
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
Essex
Franklin
Fulton
Genesee
Greene
Hamilton
Herkimer
Jefferson
Kings
Lewis
Livingston
Madison
Monroe
Montgomery
Nassau
New York
Niagara
Oneida
Onondaga
Ontario
Orange
Orleans
Oswego
Otsego
Putnam
Queens
Rensselaer
Richmond
Rockland
St. Lawrence
Saratoga
Schenectady
Schoharie
Schuyler
Seneca
Steuben
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
Wayne
Westchester
Wyoming
Yates
Choose not to answer

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Page 26

North Carolina:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Alamance
Alexander
Alleghany
Anson
Ashe
Avery
Beaufort
Bertie
Bladen
Brunswick
Buncombe
Burke
Cabarrus
Caldwell
Camden
Carteret
Caswell
Catawba
Chatham
Cherokee
Chowan
Clay
Cleveland
Columbus
Craven
Cumberland
Currituck
Dare
Davidson
Davie
Duplin
Durham
Edgecombe
Forsyth
Franklin
Gaston
Gates
Graham
Granville
Greene
Guilford
Halifax
Harnett
Haywood
Henderson
Hertford
Hoke
Hyde
Iredell
Jackson
Johnston
Jones
Lee
Lenoir
Lincoln
McDowell
Macon
Madison
Martin
Mecklenburg
Mitchell
Montgomery
Moore
Nash
New Hanover
Northampton
Onslow
Orange
Pamlico
Pasquotank
Pender
Perquimans
Person
Pitt
Polk
Randolph
Richmond
Robeson
Rockingham
Rowan
Rutherford
Sampson
Scotland
Stanly
Stokes
Surry
Swain
Transylvania
Tyrrell
Union
Vance
Wake
Warren
Washington
Watauga
Wayne
Wilkes
Wilson
Yadkin
Yancey
Choose not to answer

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Page 27

North Dakota:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Barnes
Benson
Billings
Bottineau
Bowman
Burke
Burleigh
Cass
Cavalier
Dickey
Divide
Dunn
Eddy
Emmons
Foster
Golden Valley
Grand Forks
Grant
Griggs
Hettinger
Kidder
LaMoure
Logan
McHenry
McIntosh
McKenzie
McLean
Mercer
Morton
Mountrail
Nelson
Oliver
Pembina
Pierce
Ramsey
Ransom
Renville
Richland
Rolette
Sargent
Sheridan
Sioux
Slope
Stark
Steele
Stutsman
Towner
Traill
Walsh
Ward
Wells
Williams
Choose not to answer

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Page 28

Ohio:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Allen
Ashland
Ashtabula
Athens
Auglaize
Belmont
Brown
Butler
Carroll
Champaign
Clark
Clermont
Clinton
Columbiana
Coshocton
Crawford
Cuyahoga
Darke
Defiance
Delaware
Erie
Fairfield
Fayette
Franklin
Fulton
Gallia
Geauga
Greene
Guernsey
Hamilton
Hancock
Hardin
Harrison
Henry
Highland
Hocking
Holmes
Huron
Jackson
Jefferson
Knox
Lake
Lawrence
Licking
Logan
Lorain
Lucas
Madison
Mahoning
Marion
Medina
Meigs
Mercer
Miami
Monroe
Montgomery
Morgan
Morrow
Muskingum
Noble
Ottawa
Paulding
Perry
Pickaway
Pike
Portage
Preble
Putnam
Richland
Ross
Sandusky
Scioto
Seneca
Shelby
Stark
Summit
Trumbull
Tuscarawas
Union
Van Wert
Vinton
Warren
Washington
Wayne
Williams
Wood
Wyandot
Choose not to answer

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Page 29

Oklahoma:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adair
Alfalfa
Atoka
Beaver
Beckham
Blaine
Bryan
Caddo
Canadian
Carter
Cherokee
Choctaw
Cimarron
Cleveland
Coal
Comanche
Cotton
Craig
Creek
Custer
Delaware
Dewey
Ellis
Garfield
Garvin
Grady
Grant
Greer
Harmon
Harper
Haskell
Hughes
Jackson
Jefferson
Johnston
Kay
Kingfisher
Kiowa
Latimer
Le Flore
Lincoln
Logan
Love
McClain
McCurtain
McIntosh
Major
Marshall
Mayes
Murray
Muskogee
Noble
Nowata
Okfuskee
Oklahoma
Okmulgee
Osage
Ottawa
Pawnee
Payne
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Roger Mills
Rogers
Seminole
Sequoyah
Stephens
Texas
Tillman
Tulsa
Wagoner
Washington
Washita
Woods
Woodward
Choose not to answer

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Page 30

Oregon:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Baker
Benton
Clackamas
Clatsop
Columbia
Coos
Crook
Curry
Deschutes
Douglas
Gilliam
Grant
Harney
Hood River
Jackson
Jefferson
Josephine
Klamath
Lake
Lane
Lincoln
Linn
Malheur
Marion
Morrow
Multnomah
Polk
Sherman
Tillamook
Umatilla
Union
Wallowa
Wasco
Washington
Wheeler
Yamhill
Choose not to answer

05/31/2023 11:46

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Page 31

Pennsylvania:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 

We operated throughout the entire state
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
Choose not to
answer

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Page 32

Puerto Rico:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We served all municipios
Adjuntas
Aguada
Aguadilla
Aguas Buenas
Aibonito
Añasco
Arecibo
Arroyo
Barceloneta
Barranquitas
Bayamón
Cabo Rojo
Caguas
Camuy
Canóvanas
Carolina
Cataño
Cayey
Ceiba
Ciales
Cidra
Coamo
Comerío
Corozal
Culebra
Dorado
Fajardo
Florida
Guánica
Guayama
Guayanilla
Guaynabo
Gurabo
Hatillo
Hormigueros
Humacao
Isabela
Jayuya
Juana Díaz
Juncos
Lajas
Lares
Las Marías
Las Piedras
Loíza
Luquillo
Manatí
Maricao
Maunabo
Mayagüez
Moca
Morovis
Naguabo
Naranjito
Orocovis
Patillas
Peñuelas
Ponce
Quebradillas
Rincón
Río Grande
Sabana Grande
Salinas
San Germán
San Juan
San Lorenzo
San Sebastián
Santa Isabel
Toa Alta
Toa Baja
Trujillo Alto
Utuado
Vega Alta
Vega Baja
Vieques
Villalba
Yabucoa
Yauco
Choose not to answer
Rhode Island:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Bristol
Kent
Newport
Providence
Washington
Choose not to answer

05/31/2023 11:46

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Page 33

South Carolina:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Abbeville
Aiken
Allendale
Anderson
Bamberg
Barnwell
Beaufort
Berkeley
Calhoun
Charleston
Cherokee
Chester
Chesterfield
Clarendon
Colleton
Darlington
Dillon
Dorchester
Edgefield
Fairfield
Florence
Georgetown
Greenville
Greenwood
Hampton
Horry
Jasper
Kershaw
Lancaster
Laurens
Lee
Lexington
McCormick
Marion
Marlboro
Newberry
Oconee
Orangeburg
Pickens
Richland
Saluda
Spartanburg
Sumter
Union
Williamsburg
York
Choose not to answer

05/31/2023 11:46

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Page 34

South Dakota:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Aurora
Beadle
Bennett
Bon Homme
Brookings
Brown
Brule
Buffalo
Butte
Campbell
Charles Mix
Clark
Clay
Codington
Corson
Custer
Davison
Day
Deuel
Dewey
Douglas
Edmunds
Fall River
Faulk
Grant
Gregory
Haakon
Hamlin
Hand
Hanson
Harding
Hughes
Hutchinson
Hyde
Jackson
Jerauld
Jones
Kingsbury
Lake
Lawrence
Lincoln
Lyman
McCook
McPherson
Marshall
Meade
Mellette
Miner
Minnehaha
Moody
Oglala Lakota
Pennington
Perkins
Potter
Roberts
Sanborn
Spink
Stanley
Sully
Todd
Tripp
Turner
Union
Walworth
Yankton
Ziebach
Choose not to answer

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Tennessee:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Anderson
Bedford
Benton
Bledsoe
Blount
Bradley
Campbell
Cannon
Carroll
Carter
Cheatham
Chester
Claiborne
Clay
Cocke
Coffee
Crockett
Cumberland
Davidson
Decatur
DeKalb
Dickson
Dyer
Fayette
Fentress
Franklin
Gibson
Giles
Grainger
Greene
Grundy
Hamblen
Hamilton
Hancock
Hardeman
Hardin
Hawkins
Haywood
Henderson
Henry
Hickman
Houston
Humphreys
Jackson
Jefferson
Johnson
Knox
Lake
Lauderdale
Lawrence
Lewis
Lincoln
Loudon
McMinn
McNairy
Macon
Madison
Marion
Marshall
Maury
Meigs
Monroe
Montgomery
Moore
Morgan
Obion
Overton
Perry
Pickett
Polk
Putnam
Rhea
Roane
Robertson
Rutherford
Scott
Sequatchie
Sevier
Shelby
Smith
Stewart
Sullivan
Sumner
Tipton
Trousdale
Unicoi
Union
Van Buren
Warren
Washington
Wayne
Weakley
White
Williamson
Wilson
Choose not to answer

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Texas:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Anderson
Andrews
Angelina
Aransas
Archer
Armstrong
Atascosa
Austin
Bailey
Bandera
Bastrop
Baylor
Bee
Bell
Bexar
Blanco
Borden
Bosque
Bowie
Brazoria
Brazos
Brewster
Briscoe
Brooks
Brown
Burleson
Burnet
Caldwell
Calhoun
Callahan
Cameron
Camp
Carson
Cass
Castro
Chambers
Cherokee
Childress
Clay
Cochran
Coke
Coleman
Collin
Collingsworth
Colorado
Comal
Comanche
Concho
Cooke
Coryell
Cottle
Crane
Crockett
Crosby
Culberson
Dallam
Dallas
Dawson
Deaf Smith
Delta
Denton
DeWitt
Dickens
Dimmit
Donley
Duval
Eastland
Ector
Edwards
Ellis
El Paso
Erath
Falls
Fannin
Fayette
Fisher
Floyd
Foard
Fort Bend
Franklin
Freestone
Frio
Gaines
Galveston
Garza
Gillespie
Glasscock
Goliad
Gonzales
Gray
Grayson
Gregg
Grimes
Guadalupe
Hale
Hall
Hamilton
Hansford
Hardeman
Hardin
Harris
Harrison
Hartley
Haskell
Hays
Hemphill
Henderson
Hidalgo
Hill
Hockley
Hood
Hopkins
Houston
Howard
Hudspeth
Hunt
Hutchinson
Irion
Jack
Jackson
Jasper
Jeff Davis
Jefferson
Jim Hogg
Jim Wells
Johnson
Jones
Karnes
Kaufman
Kendall
Kenedy
Kent
Kerr
Kimble
King
Kinney
Kleberg
Knox
Lamar
Lamb
Lampasas
La Salle
Lavaca
Lee
Leon
Liberty
Limestone
Lipscomb
Live Oak
Llano
Loving
Lubbock
Lynn
McCulloch
McLennan
McMullen
Madison
Marion
Martin
Mason
Matagorda
Maverick
Medina
Menard
Midland
Milam
Mills
Mitchell
Montague
Montgomery
Moore
Morris
Motley
Nacogdoches
Navarro
Newton
Nolan
Nueces
Ochiltree
Oldham
Orange
Palo Pinto
Panola
Parker
Parmer
Pecos
Polk
Potter
Presidio
Rains
Randall
Reagan
Real
Red River
Reeves
Refugio
Roberts
Robertson
Rockwall
Runnels
Rusk
Sabine
San Augustine
San Jacinto
San Patricio
San Saba
Schleicher
Scurry
Shackelford
Shelby
Sherman
Smith
Somervell
Starr
Stephens
Sterling
Stonewall
Sutton
Swisher
Tarrant
Taylor
Terrell
Terry
Throckmorton
Titus
Tom Green
Travis
Trinity
Tyler
Upshur
Upton
Uvalde
Val Verde
Van Zandt
Victoria
Walker
Waller
Ward
Washington
Webb
Wharton
Wheeler
Wichita
Wilbarger
Willacy
Williamson
Wilson
Winkler
Wise
Wood
Yoakum
Young
Zapata
Zavala
Choose not to answer

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Utah:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Beaver
Box Elder
Cache
Carbon
Daggett
Davis
Duchesne
Emery
Garfield
Grand
Iron
Juab
Kane
Millard
Morgan
Piute
Rich
Salt Lake
San Juan
Sanpete
Sevier
Summit
Tooele
Uintah
Utah
Wasatch
Washington
Wayne
Weber
Choose not to answer
Vermont:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Addison
Chittenden
Essex
Franklin
Grand Isle
Rutland
Washington
Windham
Windsor

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Bennington
Caledonia
Lamoille
Orange
Orleans
Choose not to answer

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Virginia:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Accomack
Albemarle
Alleghany
Amelia
Amherst
Appomattox
Arlington
Augusta
Bath
Bedford
Bland
Botetourt
Brunswick
Buchanan
Buckingham
Campbell
Caroline
Carroll
Charles City
Charlotte
Chesterfield
Clarke
Craig
Culpeper
Cumberland
Dickenson
Dinwiddie
Essex
Fairfax
Fauquier
Floyd
Fluvanna
Franklin
Frederick
Giles
Gloucester
Goochland
Grayson
Greene
Greensville
Halifax
Hanover
Henrico
Henry
Highland
Isle of Wight
James City
King and Queen
King George
King William
Lancaster
Lee
Loudoun
Louisa
Lunenburg
Madison
Mathews
Mecklenburg
Middlesex
Montgomery
Nelson
New Kent
Northampton
Northumberland
Nottoway
Orange
Page
Patrick
Pittsylvania
Powhatan
Prince Edward
Prince George
Prince William
Pulaski
Rappahannock
Richmond
Roanoke
Rockbridge
Rockingham
Russell
Scott
Shenandoah
Smyth
Southampton
Spotsylvania
Stafford
Surry
Sussex
Tazewell
Warren
Washington
Westmoreland
Wise
Wythe
York
Alexandria
Bristol
Buena Vista
Charlottesville
Chesapeake
Colonial Heights
Covington
Danville
Emporia
Fairfax
Falls Church
Franklin
Fredericksburg
Galax
Hampton
Harrisonburg
Hopewell
Lexington
Lynchburg
Manassas
Manassas Park
Martinsville
Newport News
Norfolk
Norton
Petersburg
Poquoson
Portsmouth
Radford
Richmond
Roanoke
Salem
Staunton
Suffolk
Virginia Beach
Waynesboro
Williamsburg
Winchester
Choose not to answer

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Washington:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Asotin
Benton
Chelan
Clallam
Clark
Columbia
Cowlitz
Douglas
Ferry
Franklin
Garfield
Grant
Grays Harbor
Island
Jefferson
King
Kitsap
Kittitas
Klickitat
Lewis
Lincoln
Mason
Okanogan
Pacific
Pend Oreille
Pierce
San Juan
Skagit
Skamania
Snohomish
Spokane
Stevens
Thurston
Wahkiakum
Walla Walla
Whatcom
Whitman
Yakima
Choose not to answer

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West Virginia:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Barbour
Berkeley
Boone
Braxton
Brooke
Cabell
Calhoun
Clay
Doddridge
Fayette
Gilmer
Grant
Greenbrier
Hampshire
Hancock
Hardy
Harrison
Jackson
Jefferson
Kanawha
Lewis
Lincoln
Logan
McDowell
Marion
Marshall
Mason
Mercer
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pleasants
Pocahontas
Preston
Putnam
Raleigh
Randolph
Ritchie
Roane
Summers
Taylor
Tucker
Tyler
Upshur
Wayne
Webster
Wetzel
Wirt
Wood
Wyoming
Choose not to answer

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Wisconsin:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Adams
Ashland
Barron
Bayfield
Brown
Buffalo
Burnett
Calumet
Chippewa
Clark
Columbia
Crawford
Dane
Dodge
Door
Douglas
Dunn
Eau Claire
Florence
Fond du Lac
Forest
Grant
Green
Green Lake
Iowa
Iron
Jackson
Jefferson
Juneau
Kenosha
Kewaunee
La Crosse
Lafayette
Langlade
Lincoln
Manitowoc
Marathon
Marinette
Marquette
Menominee
Milwaukee
Monroe
Oconto
Oneida
Outagamie
Ozaukee
Pepin
Pierce
Polk
Portage
Price
Racine
Richland
Rock
Rusk
St. Croix
Sauk
Sawyer
Shawano
Sheboygan
Taylor
Trempealeau
Vernon
Vilas
Walworth
Washburn
Washington
Waukesha
Waupaca
Waushara
Winnebago
Wood
Choose not to answer
Wyoming:
In which county(ies) did your program provide services in [year]? Please include all counties served, including those
with mobile services, deliveries, etc.  
Please scroll to the bottom of the page to ensure you have chosen all applicable counties, and to continue to the next
page. 
We operated throughout the entire state
Albany
Big Horn
Campbell
Carbon
Converse
Crook
Fremont
Goshen
Hot Springs
Johnson
Laramie
Lincoln
Natrona
Niobrara
Park
Platte
Sheridan
Sublette
Sweetwater
Teton
Uinta
Washakie
Weston
Choose not to answer
In what year did your SSP start providing services?
__________________________________
(Please enter four digit year)
How would you best classify your SSP? Please select all that apply.
Community-based organization without 501(c)(3) status
Community-based organization with our own 501(c)(3) status
Community-based organization with a sponsor's 501(c)(3) status
City or County health department
State health department
Tribal affiliated organization
Academic health care organization
Private or commercial health care organization
Mutual aid organization
Other (please specify) ______
Choose not to answer

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What were your SSP's sources of funding in [year]? Please select all that apply.
City government
County government
State government
Federal government
Foundation
Individual donations
Personal funds from program managers or staff
Corporate donation
Other (please specify) ______
Don't Know
Choose not to answer
Which federal funding sources provided your SSP with funding? Please select all that apply.
Substance Abuse and Mental Health Services Administration (SAMHSA)
Centers for Disease Control and Prevention (CDC)
Health Resources and Services Administration (HRSA)
Medicare
Medicaid
Billable services to private insurance
Other (please specify): ______
Don't know
Choose not to answer
Did your SSP receive funding in [year] from NASTAD's Strengthening Syringe Services Programs (SSP) through Direct
Program Funding opportunity?
Yes
No
Don't know
Choose not to answer
What was your SSP's annual budget in [year]?
If your SSP is part of a larger, multi-service organization, only provide the budget for the SSP.  Please provide the
best estimate to your knowledge, rounded to the nearest $1,000.
$   ______
Please do not include commas

______
How many full-time paid employees (>34 hours per week) did your SSP employ last month?
__________________________________
How many part-time paid employees (< 35 hours per week) did your SSP employ last month?
__________________________________
How many volunteers, including unpaid volunteers or those receiving a stipend, did your SSP have last month?
__________________________________

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Please indicate the involvement of people with lived and living drug use experience at your SSP in [year]. Please
select all that apply.
No involvement
Employed as full-time paid staff
Employed as part-time paid staff
Served as volunteer(s)
Provided participant-facing services (e.g. patient navigation)
Provided non-participant facing services (e.g. advisory board)
Choose not to answer
In the last week, how many hours did your SSP provide syringe services to participants?
______
Range: 0-168

______

Did your SSP serve communities that you would consider urban, suburban, or rural? Please select all that apply.
Urban
Suburban
Rural
Choose not to answer
Did your SSP stop providing services in [year] (i.e., your SSP could not provide services when you had expected to be
open)?
Yes
No
Don't Know
Choose not to answer
For how long in [year] did your SSP stop providing services?
Less than one day
One day to up to one week
One week up to one month
One month or more
Please choose the reason(s) for service disruption. Select all that apply.
Inadequate funding for materials or supplies
Inadequate funding for operations
Inadequate funding for staff salaries
Lack of personnel to staff program
Legal or political intervention
COVID-19 pandemic
Pushback from neighbors or landlords
Inclement weather
Other (please describe) ______
Don't Know
Choose not to answer

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What contributed to lack of personnel to staff your SSP? Please select all that apply.
Staff burnout or fatigue
Physical illness
Lack of childcare
Community bereavement
Inability to hire new staff
Other (please describe) ______
Did your SSP analyze data you collected from participants to inform program planning and improvement in [year]?
Yes
No
Don't Know
Choose not to answer
How many participant encounters occurred at your SSP in [year]?
By participant encounters, we mean the number of encounters or participant visits occurring with your SSP.
__________________________________
(Please do not include commas)
Can you report the number of unique individuals who received services from your SSP in [year]?
If your SSP does not collect this data, please select "no".
Yes
No
Don't Know
Choose not to answer
How many unique individuals received services from your SSP in [year]?
__________________________________
(Please do not include commas)
In [year], did your SSP have residency restrictions on who could access services, that is, only people from certain
geographic locations could receive services from your program?
Yes
No
Don't Know
Choose not to answer
In [year], did your SSP require participants to provide identifying documents (for example, a driver's license) to enroll
or receive syringe services (not including health care)?
Yes
No
Don't Know
Choose not to answer
Please indicate your level of agreement with the following statements.

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Our SSP staff are under too
many pressures to do their job
effectively.

1 - Strongly
Disagree

2

3

4

5 - Strongly
Agree

3

4

5 - Strongly
Agree

Our SSP staff often show signs of
stress and strain.
The heavy workload at our SSP
reduces program effectiveness
Staff frustration is common at
our SSP.

Please indicate your level of agreement with the following statements.
When there is agreement that change needs to happen in the SSP...
1 - Strongly
Disagree

2

we have the necessary financial
and human resources to do so.
we have the necessary technical
assistance to do so.

Does your SSP employ or partner with an organization that uses licensed clinical staff (e.g., physician, nurse,
psychologist, etc.) to provide services?
Yes
No
Don't Know
Choose not to answer
Does your SSP conduct activities  designed to engage any of the following demographic groups? Please select all that
apply.
If your SSP serves participants in any of these categories but does not conduct activities specifically designed to
engage them, do not mark the box for that category.

Lesbian, gay, bisexual, or queer persons
Transgender, genderqueer, or non-binary persons
Women
American Indian or Alaska Native persons
Asian persons
Black or African-American persons
Hispanic or Latinx persons
Native Hawaiian or Other Pacific Islander persons
Persons aged < 18 years
Persons aged 18 to 29 years
Persons aged 30 to 39 years
Persons aged 40 to 59 years
Persons aged ≥60 years
Other (please describe) ______
None of the above
Choose not to answer

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How would you rate your SSP's relationship with the surrounding community in [year]?
Very good
Somewhat good
Neither good nor poor
Somewhat poor
Very poor
Nonexistent
Choose not to answer
Which community groups supported or advocated for your SSP in [year]? Please select all that apply.
Local health officials/health department
Law enforcement
Religious organizations
Local politicians
Neighbors or local residents
Landlords
Other community-based organizations
Business owners
HIV or other medical providers
Drug user unions
No groups advocated for us
Other (please describe) ______
Choose not to answer
Which community groups opposed your SSP in [year]? Please select all that apply.
Local health officials/health department
Law enforcement
Religious organizations
Local politicians
Neighbors or local residents
Landlords
Other community-based organizations
Business owners
HIV or other medical providers
Drug user unions
No groups opposed us
Other (please describe) ______
Choose not to answer
Did your SSP face any of the following funding challenges in [year]? Please select all that apply.
Insufficient funding
Future funding instability
Funder restrictions related to purchasing supplies or services provided
Our SSP did not face funding challenges
Other: ______
Choose not to answer
Did your SSP face any of the following staffing challenges in [year]? Please select all that apply.
Insufficient number of staff
Staff burnout
Low retention of staff
Inadequately trained staff
Our SSP did not face staffing challenges
Other: ______
Choose not to answer

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Did your SSP face challenges procuring any of the following supplies for your participants in [year]? Please select all
that apply.
Naloxone
Syringes
Pipes
Other: ______
We had no problems procuring supplies
Choose not to answer
How would you describe your program's relationship with your local health department(s) in [year]?
Very good
Somewhat good
Neither good nor poor
Somewhat poor
Very poor
Nonexistent
Choose not to answer
How would you describe your program's relationship with law enforcement in [year]?
Very good
Somewhat good
Neither good nor poor
Somewhat poor
Very poor
Nonexistent
Choose not to answer
How many sterile syringes did your SSP provide to participants in [year]?
Please provide your best estimate if records are not readily available.
__________________________________
(Please do not include commas)
What was your syringe exchange policy for participants in [year]?
Participants can receive the same number of syringes as they drop off with the SSP (i.e., one-for-one)
Participants can receive up to a certain amount over the number of syringes than they drop off with the SSP
(i.e., one-for-one plus)
Participants can request as many syringes as they need but our SSP has a cap on the number of syringes we
can provide (i.e., needs-based with upper limit)
Participants can receive as many syringes as they need (i.e., needs-based)
Choose not to answer
Did your SSP provide participants with syringes to distribute to other people in the community (i.e., secondary
exchange or peer delivery) in [year]?
Yes
No
Choose not to answer

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Which syringe disposal services did your SSP provide in [year]? Please select all that apply.
Accepted used syringes for safe disposal
Provided training on safe disposal of used syringes
Provided sharps containers for carrying used syringes
No syringe disposal services were provided
Other (please specify) ______
Choose not to answer
For each of the following drug use supplies (other than syringes), please indicate which ones were provided to
participants in [year]. Please check all that apply.
Pipes
Straws
Cookers
Cottons
Syringe/pill filters like Sterifilt®
Saline or sterile water
Ties/tourniquets
Alcohol pads
Wound care kits/bandages
Other safe smoking supplies
Other safe snorting supplies
Other (please describe) ______
None of the above
Choose not to answer
Did your SSP provide opioid overdose education and response training to participants in [year]?
Yes
No
Choose not to answer
How many participant encounters involved providing naloxone in [year]?
By participant encounters, we mean the number of encounters/participant visits made to your SSP to pick up
naloxone (including Narcan). If your SSP does not collect these data, please provide your best estimate. If you did not
distribute any naloxone, please enter 0.
__________________________________
How many doses of naloxone did your SSP distribute in [year]?  
For example, if your SSP gave out 100 kits, and there are 2 doses per kit, you would enter 200 doses. Include doses
of Narcan distributed in this overall count. If your SSP does not collect these data, please provide your best estimate.
__________________________________

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In what ways did your SSP distribute doses of naloxone in [year]? Please select all that apply.
Direct naloxone distribution from staff to participant at our program
In-person naloxone delivery (delivered directly to participant)
Mail delivery (naloxone mailed to participant)
Secondary naloxone distribution (participant distributed naloxone to other people)
Provider referral for prescription or referral to pharmacy
Offered at community-based overdose education events (open to the public)
Offered at overdose education events for staff or participants of other organizations
Choose not to answer
What barriers, if any, did your program experience in providing naloxone to your participants in [year]? Please select
all that apply.
No barriers
High cost of naloxone
Shortage of low-cost naloxone
Funding restrictions preventing naloxone purchase
Legal/political climate
Other (please describe) ______
Don't Know
Choose not to answer
Did your SSP provide any of the following drug testing supplies to participants in [year]? Please select all that apply.
Fentanyl test strips
Benzodiazepine test strips
Xylazine test strips
Other test strips (please specify): ______
None of the above
Choose not to answer
Were drug checking services other than test strips, including mass spectrometer, fourier-transform infrared
spectroscopy (FTIR), available to your participants in [year]?
Yes
No
Choose not to answer
Did your SSP operate a supervised consumption site for your participants in [year]?
A supervised consumption site is a place, either permanent or temporary, where people come to use their own drugs
under the supervision of trained workers; have access to sterile equipment (syringes, cotton, cooker, water, etc...)
and conditions; and receive referrals to appropriate health or social services.
Yes
No
Choose not to answer
If supervised consumption sites (SCS) were locally permitted in your area, would your SSP consider providing these
services?
No we would not consider implementing SCS
We would explore implementation of SCS
We would start preparing for SCS implementation
We would be ready to implement SCS
Choose not to answer

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Which safer sex supplies were provided in-person to participants in [year]? Please select all that apply.
External condoms (male condoms)
Internal condoms (female condoms)
Lubricant
Dental dams
None of the above
Choose not to answer
Which health screening services were provided in-person to participants (either by your SSP or by partners) in [year]?
Please select all that apply.
HIV rapid testing
HIV laboratory-based testing
Hepatitis C virus (HCV) rapid testing
Hepatitis C virus (HCV) laboratory-based testing
Hepatitis A virus testing
Hepatitis B virus testing
STI testing other than hepatitis or HIV
TB skin testing or laboratory-based screening for latent TB
Pregnancy testing
COVID-19 testing
Other (please describe) ______
None of the above
Choose not to answer
Which vaccinations were provided in-person to participants (either by your SSP or by partners) in [year]? Please
select all that apply.
Hepatitis A vaccination
Hepatitis B vaccination
Influenza vaccination
COVID-19 vaccination
Human papillomavirus (HPV) vaccination
Pneumococcal vaccination
Tetanus, Diphtheria and Pertussis (TDAP) vaccination
MPox vaccination
Meningitis vaccination
Other (please describe) ______
None of the above
Choose not to answer
Which of the following infectious disease medical services were provided in-person to participants (either by your SSP
or by partners) in [year]? Please select all that apply.
Please do not include telehealth services.
HIV treatment
Pre exposure prophylaxis for HIV (PrEP)
Post exposure prophylaxis for HIV (PEP)
Hepatitis C treatment
STI treatment other than hepatitis or HIV
Wound care/treatment
Other (please describe) ______
None of the above
Choose not to answer

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Which substance use disorder treatment services were provided in-person to participants (either by your SSP or by
partners) in [year]?] Please select all that apply.
Please do not include telehealth services.
Buprenorphine (with or without naloxone)
Methadone
Naltrexone (Vivitrol)
Medications for non-opioid substance use disorders
Contingency management (e.g., incentives for attendance)
Cognitive behavioral therapy
Other (please describe) ______
None of the above
Choose not to answer
Which other types of medical services were provided in-person to participants (either by your SSP or by partners) in
[year]? Please select all that apply.
Please do not include telehealth services.
Mental health services
Gender affirming care (i.e., hormone therapy)
General primary care (e.g. blood pressure management)
Reproductive cancer screening (e.g., pap smears)
Family planning/contraception
Prenatal care and peripartum care
Other (please describe) ______
None of the above
Choose not to answer
Did your SSP or partners provide telehealth services for your participants in [year]?
For this survey, telehealth is defined as services provided to participants via phone, tablet, or computer.
Yes
No
Choose not to answer
Which of the following infectious disease medical services were provided to participants via telehealth (either by your
SSP or by partners) in [year]? Please select all that apply.
HIV treatment
Pre exposure prophylaxis for HIV (PrEP)
Post exposure prophylaxis for HIV (PEP)
Hepatitis C treatment
STI treatment other than hepatitis or HIV
Wound care/treatment
Other (please describe) ______
None of the above
Choose not to answer

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Which substance use disorder treatment services were provided to participants via telehealth (either by your SSP or
by partners) in [year]?] Please select all that apply.
Buprenorphine (with or without naloxone)
Methadone
Naltrexone (Vivitrol)
Medications for non-opioid substance use disorders
Contingency management (e.g., incentives for attendance)
Cognitive behavioral therapy
Other (please describe) ______
None of the above
Choose not to answer
Which other types of medical services were provided to participants via telehealth (either by your SSP or by partners)
in [year]? Please select all that apply.
Mental health services
Gender affirming care (i.e., hormone therapy)
General primary care (e.g. blood pressure management)
Reproductive cancer screening (e.g., pap smears)
Family planning/contraception
Prenatal care and peripartum care
Other (please describe) ______
None of the above
Choose not to answer
Did your SSP provide navigation services for your participants in [year]?
For this survey, navigation is defined as a strategy that improves linkage to offsite services, like assisting with
appointment scheduling, transportation, and/or appointment accompaniment.
Yes
No
Choose not to answer
Which services were covered by your navigation program in [year]? Please select all that apply.
HIV care
Pre-exposure prophylaxis for HIV prevention (PrEP)
Hepatitis C virus (HCV) care
Medications for opioid use disorder (MOUD)
Medications for non-opioid substance use disorders
Legal records (e.g., birth certificate, social security card, state ID/driver's license)
Gender affirming care (i.e., hormone therapy)
Medicaid or other health insurance
Social support services (e.g., housing)
Other (please describe): ______
Choose not to answer

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Which social or supportive services were provided onsite to participants in [year]? Please select all that apply.
Drop-in center
Enrollment in Medicaid or other health insurance
Family violence, domestic violence, or intimate partner violence services
Food/meals, including SNAP, WIC, food pantries, or meal delivery services
Housing support
Hygiene-related services (e.g., laundry, showers)
Job-related services (e.g., placement assistance, skills training)
Legal services/counseling
Legal records/identification (e.g., birth certificate, social security card, state identification, drivers license)
Language translation services
Substance use counseling by harm reduction counselors/therapists
None of the above
Choose not to answer
Which topics does your SSP communicate about with others in the harm reduction community? Please select all that
apply.
Program supplies (e.g., Naloxone, syringes, smoking supplies)
Drug supply alerts (i.e., information about which substances are in your local drug supply)
Overdose hotspots
Trainings
Funding opportunities
Conferences/convenings
Harm reduction research findings
Other (please specify): ______
Choose not to answer
Which topics would your SSP like to know more about from the harm reduction community? Please select all that
apply.
Program supplies (e.g., Naloxone, syringes, smoking supplies)
Drug supply alerts (i.e., information about which substances are in your local drug supply)
Overdose hotspots
Trainings
Funding opportunities
Conferences/convenings
Harm reduction research findings
Other (please specify): ______
Choose not to answer
Which sources does your SSP rely on for information related to delivering or improving services? Please select all that
apply.
Other harm reduction programs
National Harm Reduction Coalition (NHRC)
North American Syringe Exchange Network (NASEN)
National Alliance of State and Territorial AIDS Directors (NASTAD)
National Association of County and City Health Officials (NACCHO)
National Harm Reduction Technical Assistance Center
City or county government
State government
Federal government
Other (please specify): ______
Choose not to answer

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In which ways does your SSP prefer to receive information related to delivering or improving services? Please select
all that apply.
State-wide or regional group meetings (online or in-person)
National conferences
Webinars
Issue Briefs or factsheets
Implementation manuals
Websites
Listservs
Facebook
Instagram
Twitter
Other (please specify): ______
Choose not to answer
Please indicate your level of agreement with the following statements.
Strongly
Disagree 1

2

3

4

Strongly Agree 5

I have access to the information
I need to improve my SSP's
operations.
I have access to the most
updated information to improve
the health and wellbeing of my
SSP's participants.

If you have the time, please tell us about some of the biggest challenges you have faced over the past year that may
or may not have been captured in this survey.

We value your input and would like to ask you a few questions about your experience taking this survey so that we
can improve it and ensure that the information you provide is useful.
What topic(s) were missing from this survey and need to be added in the future?

Please use the space below for any other suggestions or comments for improving this survey to make it useful to
programs.

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Are you willing to provide an address for us to mail you the $125 check as a thank you for completing this survey?
If you are unable or unwilling to provide an address to mail the check or would like to donate your incentive
payment to another SSP, please answer "No" here and email [NAME] at [EMAIL] to arrange compensation.

Yes
No
Please tell us the name and mailing address of the organization that the $125 check should be made out to.
Organizational name for payment:  

To whose attention should the check be mailed:

Address Line 1:

Address Line 2 (if applicable):

City:

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__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

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State:

Zip:

AL
CA
DC
ID
KS
MD
MS
NE
NM
ND
OR
SD
VT
WI

AK
CO
FL
IL
KY
MA
MO
NV
NY
OH
PA
TN
VA
WY

AZ
CT
GA
IN
LA
MI
MT
NH
NC
OK
RI
TX
WA
PR

AR
DE
HI

IA
ME
MN
NJ
SC
UT
WV

__________________________________

Thank you for your willingness to complete this survey. However, this year's survey is focused on services provided
in [year]. Next year, we will reach out to gather information about services provided in 2024.
Once you submit your survey, you will not be able to go back to previous questions or change any of your answers,
so please make sure you are ready before proceeding.
You have now completed the survey. Thank you so much for your participation.
Once you submit your survey, you will not be able to go back to previous questions or change any of your answers,
so please make sure you are ready before proceeding.

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