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Please take a couple of minutes to fill out this survey and enter to win a $50 gift card. Your response will help support recycling programs in Washington. 
 
 
 
What are you dropping off here today? (check all that apply)
 
computer/monitor/TV
 
other electronics
 
medicine battery/cell phone
 
Other
 

 
 
 
Did any items you dropped off require two people to carry or a special vehicle due to its size?
 
Yes
 
No
 
If yes, what were the items?
 
 
 
 
Are you doing another errand or task at this location on this trip?
 
Yes
 
No
 
 
 
Have you or are you planning on purchasing something at this location on this trip?
 
Yes
 
No
 
 
 
In addition to what you are doing at this location, how many other tasks or errands are you doing during this outing?
   
 
 
 
What method of transportation did you use to get here today?
 
car
 
bus
 
bike
 
foot
 
Other
 
 
 
 
How many miles do you estimate you will travel for this, round-trip?
   
 
 
 
Is this the first time that you've dropped off a product at this location?
 
Yes
 
No
 
 
 
What is your zip code?
   
 
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