Prescription Medication Survey July Please help us by answering the following questions: Question Title * 1. Have you seen, read or heard any advertising about children abusing prescription drugs? Yes No Not sure OK Question Title * 2. Have you seen, read or heard any advertising encouraging you to lock up your medications to prevent prescription drug abuse? Yes No Unsure OK Question Title * 3. How do you recall seeing or hearing this ad? Movie Theater Online Highway billboard OK Question Title * 4. Did what you see, read, or hear cause you to change your prescription medication storage habits? Yes No Unsure OK Question Title * 5. When you have prescription medications, do you typically: Take them until they are gone Have some pills left over Unsure OK Question Title * 6. If you have part of a prescription medication left over, what do you do with it? Keep it in case you need it later Drop it off at a medication disposal site Throw it in the trash Flush it down the toilet Return it to the pharmacy Other OK Question Title * 7. When you think about where you keep your medications, how secure do you think it is? Very secure Somewhat secure Not secure Unsure OK Question Title * 8. Be as specific as possible, where do you keep over-the-counter medications? (example: bathroom cupboard) OK Question Title * 9. Be as specific as possible, where do you keep prescription medications? (example: bathroom cupboard) OK Question Title * 10. The Center for Disease Control had labeled prescription drug abuse a national epidemic. Do you agree? Yes, I agree No, I do not agree Unsure OK Question Title * 11. Are you concerned that a teenager may be able to access medications in your home? Yes, I am concerned No, I am not concerned Unsure OK Question Title * 12. Where do you get most of your news and information from? Local television news stations Cable television news stations Local newspapers The internet The radio Other OK Question Title * 13. What is your zip code? OK DONE