Doctors and Lawyers for a Drug Free Youth, the organization of which Dr. Radecki has been the Research Director, is conducting the below survey to measure patient attitudes about hospital policies on narcotic usage.  If you would like to help us, use this survey in your area and tabulate the responses.  Contact us and work with us to lobby your area hospital(s) to change their policies.

Anonymous Health Survey Study

Please fold this answer sheet after you complete it without the researcher seeing any of your answers and place it in the research envelope.

Should a patient have a right to be informed before surgery whether a strong narcotic is planned to be used either in surgery or during recovery for pain relief?

Yes ___________                   No _____________

Should a hospital be required to inform a patient that a narcotic may be given?

Yes ___________                   No _____________

Should a patient have a right to be offered a non-narcotic pain relief option to planned narcotic pain relief if research has shown that a non-narcotic offers as effective of pain relief as narcotics for that type of surgery?

Yes ___________                   No _____________

If you were having surgery and were offered a choice between being given a strong narcotic or a non-narcotic pain reliever and were informed that both had been found equally effective for pain relief for this type of surgery, which drug would you choose?

The narcotic _______________                      The non-narcotic ______________

If a doctor knows that a non-narcotic has been proven in research to be as effective as a narcotic, and if a patient is having surgery, should a patient have the right to demand the narcotic even if the doctor doesn’t want to offer the narcotic?

Yes ___________                   No _____________

Do you have the impression that narcotics are more powerful pain relievers than non-narcotic pain relievers?

Yes ___________                   No _____________