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2. Zip code of overdose
3. What happened to the person?

   1. Reversal (Lived)
   2. Died
   3. Unknown
5. Naloxone recipient gender
6. Type of place overdose occured

   1. Outside (Park, street, car, camp).
   2. Private home/apt
   3. Hotel/motel
   4. Business
   5. Social service agency
   6. Uknown
8. Naloxone recipient race/ethnicity
9. Who administered the naloxone?

   1. Me
   2. Someone else
   3. Police
   4. EMT
   5. Uknown
11. Type of naloxone administered

    1. Injectable
    2. Nasal Spray
12. What was done to the person?

    1. Rescue breather
    2. Sternal rub
    3. Chest compression
    4. Slap/shake
    5. Ice
    6. Shower
    7. Nothing - Person woke up
    8. Other
14. How many doses of naloxone were used?
15. If the overdose was reversed, where did you receive the naloxone used?
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