What is the date & time you visited the MedDrop location?

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* 1. What is the date & time you visited the MedDrop location?

Date & Time
What is the location of the MedDrop box you visited?

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* 2. What is the location of the MedDrop box you visited?

How did you hear about this MedDrop box?

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* 3. How did you hear about this MedDrop box?

If you answered 'Flyers' in Question 2, name the location from which you received the flyer.

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* 4. If you answered 'Flyers' in Question 2, name the location from which you received the flyer.

What is your gender?

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* 5. What is your gender?

What is your age?

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* 6. What is your age?

What is your motivation for using this MedDrop box?

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* 7. What is your motivation for using this MedDrop box?

What else can we be doing to promote safe communities?

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* 8. What else can we be doing to promote safe communities?

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