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.

Question Title

* 1. Who is this lock box for?

You

Loved One

Neighbor

Other (please specify)

Question Title

* 2. Why do you feel it is important to have a lock box?

Secure Rx medications in my home or the home of a loved one

I have had medications stolen

To protect children or grandchildren

Other (please specify)

Question Title

* 3. What is the gender of the person who will have the lock box?

Male

Female

Prefer not to disclose

Other (please specify)

Question Title

* 4. What is the approcimate age of the person who will have the lock box?

20's

30's

40's

50's

60's

70's

80's

90's

Other (please specify)

Question Title

* 5. Are you a veteran?

Yes

Question Title

* 6. What is your race/ethnicity?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Prefer not to disclose

Other (please specify)