City of Bellingham Pharmaceuticals Take-Back Program staff greatly appreciate you taking the time to complete this survey. Thank you!http://www.cob.org/services/environment/pharm-take-back-program.aspx

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* 1. Where do you usually store your medicines?

Medicine lock box

Kitchen

Bathroom

Bedroom

Linen Closet

On the counter or table

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* 2. Do you currently have expired, leftover or otherwise unwanted medicines in your home?

Yes

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* 3. Why are medicines in your home leftover? (choose all that apply)

Medicines are expired

Doctor said I should stop taking

Doctor gave me new medicines

Didn't like the side effects

Had a negative reaction or allergy

Didn't want to take my medicines

Felt better

Death of a family member or friend

Purchased too much

I don't know

Comment

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* 4. How do you dispose of medicines you no longer want or need?
(please check all that apply)

A medicine take-back program (into a bin at a pharmacy)

Take them to the Police Department

A DEA Take-Back event

In the trash

In the trash with kitty litter or coffee grounds

Flush down the toilet

Pour down the drain

Do not know how to dispose of medicines

Holding onto medicines to use or dispose of later

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* 5. When was the last time you used one of the disposal methods above?

Less than a month ago

1 - 6 months

6 - 12 months

More than a year

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* 6. Did you know about the City of Bellingham Pharmaceuticals Take-Back Program prior to this survey?

Yes

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* 7. If you use the City's Take-Back Program, when did you first start using this service?

3 Years ago (2010)

2 Years ago (2011)

1 Year ago (2012)

This year (2013)

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* 8. How did you dispose of your medicines before using the take-back service at your pharmacy?

Down the drain

In the trash

Gave them to a friend or relative

Saved for later use or disposal someday

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* 9. If you are using a medicine take-back program at your local pharmacy, would you like this service to continue?

Yes

Comments?

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* 1. Where do you usually store your medicines?

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* 2. Do you currently have expired, leftover or otherwise unwanted medicines in your home?

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* 3. Why are medicines in your home leftover? (choose all that apply)

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* 4. How do you dispose of medicines you no longer want or need?(please check all that apply)

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* 5. When was the last time you used one of the disposal methods above?

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* 6. Did you know about the City of Bellingham Pharmaceuticals Take-Back Program prior to this survey?

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* 7. If you use the City's Take-Back Program, when did you first start using this service?

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* 8. How did you dispose of your medicines before using the take-back service at your pharmacy?

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* 9. If you are using a medicine take-back program at your local pharmacy, would you like this service to continue?

* 4. How do you dispose of medicines you no longer want or need?
(please check all that apply)