Drug Takeback Survey
Alcohol and Drug Abuse Treatment Centers, Inc. appreciates your participation in our Drug Takeback Survey. Please fill out the following questions to help us better serve your community with bringing awareness to the dangers of abusing medications.
How did you hear about this drug takeback event?
Please Select
Social Meda
Flyers
Newsletter
Word of Mouth
What types of medications are you bringing for disposal? (Select all that apply)
Prescription medications
Over-the-counter medications
Vitamins/supplements
Unused or expired medications
Vitamins/supplements
Other
How important is it for you to dispose of unused medications safely?
Please Select
Very Important
Somewhat Important
Not Important
Have you participated in a drug takeback event before?
Please Select
Yes
No
What motivated you to participate in this event? (Select all that apply)
Please Select
Safety Concerns
Environmental Concerns
Awareness of Drug Misuse
Community Responsibility
Other
10. What additional steps can Alcohol and Drug Abuse Treatment Centers, Inc. take to improve future drug takeback events?
Submit
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