Thank you for agreeing to participate in our survey. This survey is designed to help improve Queen Anne’s County Prevention Program’s efforts at combating underage drinking and reduce harm in our community. Your feedback is very important to us, but your participation is completely voluntary, and your responses will be anonymous. You have the right to stop the survey at any time. This survey is for those 18 years of age or older who lives in Queen Anne’s County. There will be no payment for participation. If you have any questions or are interested in learning more about our prevention services, call 410-758-0720 or email dorine.fassett@maryland.gov. If you have any questions or concerns regarding your rights as a participant in this survey, you may call Ms. Gay Hutchen, IRB Administrator, at the Maryland Department of Health at 410-767-8448 or email her at gay.hutchen@maryland.gov. Thank You!

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* 1. Are you a Queen Anne’s County resident?

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* 2. If you keep alcohol in your home, is it in a locked cabinet?

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* 3. Have you ever provided alcohol to a minor?

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* 4. Do you know where the prescription/medication drop box is in Queen Anne’s County?

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* 5. If you have prescription opioids at home, are they in a locked box or cabinet?

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* 6. Have you ever heard about the drug Naloxone (Narcan)?

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* 7. Have you ever seen any information on underage drinking or providing alcohol to minors in Queen Anne’s County?

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* 8. Have you ever seen any information on proper prescription medication storage in Queen Anne’s County?

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* 9. Have you ever seen any information on proper prescription medication disposal in Queen Anne’s County?

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* 10. Do you know what a Deterra bag is?

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