Deterra Survey

Whose medication are you disposing of? Select all that apply. 

Is this the first time you have used a Deterra pouch? 
What quantity of medication did you dispose of or plan on disposing of?
List the approximate number of pills, number of patches, and number of liquid bottles you plan to dispose of. 
What method did you previously use to dispose of unwanted medication? Select all that apply. 

Where did you receive your Deterra packet?
What type of medication did you dispose of? Select all that apply. 

What motivated you to use Deterra to dispose of your unwanted medication? Check all that apply. 

When was the last time you disposed of the medications within your home?

How likely are you to recommend Deterra to someone else? (1 being least likely, 5 being most likely)
Security Code
Type Security Code