Families Devastated by Opioids Survey

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Please tell us about the problems that your family has faced during the opioid epidemic so that Boyk Law can determine if you or a loved one may be eligible for compensation. Please note that completing this form does not establish an attorney/client relationship, but know that all information provided will be held with strict confidentiality and will not be shared with anyone outside of Charles E. Boyk Law Offices, LLC.

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    It is my belief that Opioids caused or led to the following in the opioid user (mark all that apply):

    Have you ever been diagnosed with addiction?

    YesNo

    Have you ever been diagnosed with withdrawals?

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    In your own words, please explain how the opioid user’s family has suffered:

    In your own words, please explain how opioids have devastated the opioid user’s life:

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