Disposal Bag Survey

Welcome

This short survey is being conducted by the Juneau Opioid Work Group. It asks for information about the drug disposal bag you received and how you used it. The responses you provide will be anonymous.

You may enter a drawing to win a $20 Visa gift card; information that identifies you will not be stored with your responses.

Findings from this survey will help to improve our drug disposal efforts.

Question Title

* 1. Where did you get your prescription disposal bag?

Pharmacy

Emergency Room

Medical Clinic

Community event

A friend or family member

Other (please specify)

Question Title

* 2. If you got your disposal bag at a pharmacy, which one?

Fred Meyer

IGA

Ron's Apothocary

Costco

Safeway

Juneau Drug

Genoa (JAMHI)

SEARHC

I didn't get my disposal bag at a pharmacy

Other (please specify)

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* 3. When did you get your disposal bag

less than a week ago

less than a month ago

between 1 and three 3 ago

more than 3 months ago

Question Title

* 4. Why did you decide to get a disposal bag? (check all that apply)

I have medications to dispose of

I know someone who has medications to dispose of and plan to give it to them

I would like to have the bag on hand in case I need to dispose of medications in the future

It was free

It was offered to me when I picked up my prescription

I wanted to be polite by accepting the bag

I felt pressure to accept the bag

Other (please specify)

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* 5. Have you used your disposal bag yet?

Yes

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* 6. What type of medication did you dispose of in the disposal bag?

Cold/Cough Medicines (Robitussin, Coricidin HBP, Vicks, etc.)

Prescription Opioids (Codeine, Morphine, Oxycodone, etc.)

Sedatives (Anxiety Medications, Sleeping Medications, etc.)

Stimulants (Adderall, Ritalin, etc.)

Anabolic Steroids

I don't know what it was

I have not used the disposal bag yet

Other (please specify)

Question Title

* 7. Not including this time, what have you done with your leftover prescription medications in the PAST?

Threw them in the trash

Flushed them down the toilet or sink

Gave them to a friend or family member for free

Sold them to a friend or family member

Sold them on the street

Brought them to a pharmacy

Disposed of them using a safe disposal bag

Disposed of them at a safe disposal site or "take back" location

Other (please specify)