Experience Survey: Deterra Drug Deactivation System

Wilmington's Drug Disposal Program

Please complete the following questions regarding your experience with the Deterra pouch to safely dispose of unwanted/expired/unused medications. Responses are anonymous and used to secure further funding to provide this resource at no-cost to Wilmington residents.

Please note: If you find yourself needing more pouches than were left at your home, please reach back out to Samantha @ sreif@wpd.org or 978-447-2296. Available while supplies last.

Question Title

* 1. What is your gender and age?

Female

Male

Other

Prefer not to answer gender

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 to 84

85+

Question Title

* 2. Do any of the following populations reside in your home (2+ days a week)?

Youth/adolescent(s)

Older adult(s) (65+)

Low-resource individual(s)

Individual(s) with chronic/complex conditions

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* 3. Do you have youth/adolescents visit your home occasionally or frequently, but whom do not reside with you?

Yes, occassionally

Yes, frequently (2+ times/week)

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* 4. What type(s) of medicine did you use the Deterra pouch to safely dispose of?

Over the counter medications (OTC)

Prescription medications (Rx)

Both

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* 5. How have you discarded your unwanted/expired/unused medications in the past? (check all that apply)

Flushed them down the toilet

Put them down the sink/disposal

Thrown them away with the trash

Dropped them off to a "Drug Take Back" Kiosk (at or similar to the one located at Wilmington Public Safety)

Given them to someone whom went on to use them for them self

Other (please specify)

Question Title

* 6. In the future, which Deterra pouch size would you feel to be most practical in order to safely dispose of all unwanted/expired/unused medications in your personal home?

Small Pouch SP - 15 pills/2oz liquid/2 patches

Medium Pouch MP - 45 pills/6oz liquid/6 patches (this is size you received)

Large Pouch LP - 90 pills/12oz liquid/12 patches

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* 7. Do you have any transportation and/or mobility barriers?

Yes, no transportation

Yes, limited transportation

Yes, mobility concerns

Yes, no transportation and mobility concerns

No, neither

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* 8. Would you use Deterra again to safely dispose of unwanted/expired/unused medications?

Definitely would

Probably would

Probably would not

Definitely would not

Question Title

* 9. When you think about Deterra, do you think of it as something you need or don’t need?

Definitely need

Probably need

Probably don’t need

Definitely don’t need

Experience Survey: Deterra Drug Deactivation System

Wilmington's Drug Disposal Program

Question Title

* 1. What is your gender and age?

Question Title

* 2. Do any of the following populations reside in your home (2+ days a week)?

Question Title

* 3. Do you have youth/adolescents visit your home occasionally or frequently, but whom do not reside with you?

Question Title

* 4. What type(s) of medicine did you use the Deterra pouch to safely dispose of?

Question Title

* 5. How have you discarded your unwanted/expired/unused medications in the past? (check all that apply)

Question Title

* 6. In the future, which Deterra pouch size would you feel to be most practical in order to safely dispose of all unwanted/expired/unused medications in your personal home?

Question Title

* 7. Do you have any transportation and/or mobility barriers?

Question Title

* 8. Would you use Deterra again to safely dispose of unwanted/expired/unused medications?

Question Title

* 9. When you think about Deterra, do you think of it as something you need or don’t need?

Question Title

* 10. In your own words, what are any additional thoughts, problems, or positives of Deterra?