Skip to content
Pledge and Share Your Story
*
1.
Do you have access to convenient disposal options for unwanted medications (meds) and used needles (sharps)?
(Required.)
Yes for both meds and sharps.
No for both meds and sharps
Yes for meds only.
Yes for sharps only.
Other (please specify)
*
2.
Where would you like to have access to a collection (disposal) program for unwanted meds and used sharps?
(Required.)
Pharmacy
Hospital
Veterinarian Office
Medical Office
Police Station
Other (please specify)
*
3.
Do you think meds and sharps manufacturers should share in the responsibility of providing convenient disposal options?
(Required.)
Yes
No
*
4.
Do you pledge to properly dispose of meds and sharps?
(Required.)
Yes
No
*
5.
Please tell us your story about what you have done to properly dispose of meds or sharps. Did you find it challenging or easy?
(Required.)
*
6.
Please provide us your residential zip code.
(Required.)
7.
Optional: Please provide your contact information including name and email.
8.
Optional: How did you find out about this pledge?
Sacramento News and Review insert: "A Prescription for Change"
California Product Stewardship Website - www.calpsc.org/
California Product Stewardship Facebook Page - www.facebook.com/CaliforniaPSC
Don't Rush To Flush Website - www.dontrushtoflush.org/
Don't Rush To Flush Facebook Page - www.facebook.com/DontRushToFlush
California Product Stewardship Newsletter
California Product Stewardship Listserv
Other (please specify)
