COMMUNITY FEEDBACK QUESTIONNAIRE

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Feedback Questions

Please help us continue to improve our program by answering the questions below.

Have you heard, seen, or read anything in the past year about the opportunity for residents to safely store and dispose of unwanted medicine?

YesNoDon't Know

Have you used MED-Project drop-off locations or mail-back services to dispose of unwanted medicine in the past year?

YesNoDon't Know

Please indicate how well you feel each following phrase describes the medicine disposal programs that currently exist?

	Very well	Somewhat well	Not very well	Don’t know/No opinion
Easy to Locate	Very well	Somewhat well	Not very well	Don’t know/No opinion
Easy to Use	Very well	Somewhat well	Not very well	Don’t know/No opinion
Easy to Access	Very well	Somewhat well	Not very well	Don’t know/No opinion

Do you find the design of MED-Project's unwanted medicine kiosks recognizable and easy to use?

YesNoDon't Know

Do you find MED-Project's instructions for disposing of unwanted medicine clear and understandable?

YesNoDon't Know

Which statement do you agree with more (please select one):

I prefer to drop off my unwanted medicine in a kiosk at a pharmacy or law enforcement agency

I prefer to pick up a mail-back package at a mail-back distribution location, such as a library or town hall

I prefer to go to a take-back event every six months to return my unwanted medicine

I prefer to have a mail-back package sent directly to my home address

No preference

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