Please provide us with the following information about yourself. Your answers will be kept private.

* 1. Please enter your name. (This is the name that will appear on the Certificates of Completeness when you complete section 2 and the last online survey)

* 2. Please enter today's date.

* 3. Please enter your city and state.

Please answer the following questions about prescription drug storage and disposal. *

* 4. What are some recommended ways to dispose of your unused/unwanted medications? (Please check all that apply.)

* 5. Where are the two drug drop boxes located in Catoosa county?

* 6. How likely are you to purchase a Medicine Safe for your home?

* 7. How likely are you to lock up your medications in your home using something other than a Medicine Safe?

* 8. How likely are you to dispose of unwanted/unused medications at your local drug drop box?

* 9. How likely are you to dispose of unwanted/unused medications during a take-back day event?

* 10. How likely are you to dispose of unwanted/unused medications by mixing them with kitty litter (or another undesirable substance) and disposing them in the trash?

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