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Free Medication Lock Boxes (2021)

The Door County Alcohol and other Drug Coalition is offering free medications lock boxes (while supplies last). If you would like a free medication lock box please fill out the survey. Contact shauna@unitedwaydc.com or call 920-421-2166 to set up a pick up time. 
1.Who is this lock box for?(Required.)
2.Why do you feel it is important to have a lock box?(Required.)
3.What is the gender of the person who will have the lock box?(Required.)
4.What is the approcimate age of the person who will have the lock box?(Required.)
5.Are you a veteran?(Required.)
6.What is your race/ethnicity? (Required.)
Current Progress,
0 of 6 answered