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?

Question Title

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

Question Title

* 3. When did you get your disposal bag

Question Title

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

Question Title

* 5. Have you used your disposal bag yet?

Question Title

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

Question Title

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

T