1. Where do you usually store your medicines?

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

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

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

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

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

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

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

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