Jefferson County Medication Safety Survey

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Thank you for taking the time to provide feedback through our recent survey! As part of your participation, you’re automatically eligible* to win exciting prizes, including:

🎧 A pair of Beats headphones
💳 A $250 Amazon gift card
🎁 And more!

Stay connected with us for updates, winner announcements, and valuable resources:
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Below, you’ll find a few questions related to the safe disposal of prescription medications. Your responses will help us better understand our community’s needs and promote safety in our homes.

Thank you for helping us create a healthier, safer community!

Warm regards,
Nichole Dawsey, Executive Director

Contact Information

Name
Address

Survey

Do you dispose of medication you no longer use?
What is the most important reason for you to dispose of unused medication?
Select medication disposal options available to you:

Terms and Conditions

Eligibility for prizes is subject to the following terms and conditions:

Survey Participation: Participants must complete the survey and provide valid contact information in full to be eligible for prize consideration. Contact information will not be shared with any third party.

Residency and Age: Participants must be legal residents of the United States and 18 years or older at the time of entry.

One Entry Per Person: Multiple entries by the same individual are not permitted.

Exclusions: Employees, contractors, and immediate family members of Addiction Prevention Coalition and DisposeRx, Inc., and its affiliates are not eligible to participate.

Prize Availability: Prizes are awarded on a random basis, and the availability of specific items is subject to change.

Tax Liability: Winners are responsible for reporting and paying any applicable taxes associated with prize receipt.

Opt-In Consent: By participating, you agree to the terms outlined, including receiving communication related to the survey, prize announcements, or follow-up questions.

No Purchase Necessary: Participation in the survey is free, and making a purchase will not increase your chances of winning.

Odds of Winning: Odds are dependent on the total number of eligible participants.

Prize Claims: Winners will be notified via the contact information provided in the survey. Failure to respond within 14 days of notification may result in forfeiture of the prize.

Addiction Prevention Coalition and DisposeRx, Inc., reserve the right to amend or terminate this promotion at any time without notice. By participating, you agree to abide by these rules and release DisposeRx, Inc., from any liability related to this survey or associated prizes.

For questions or comments

For questions, comments, please use the contact form on MedicationSafetyMadeSimple.com.