SUSTAIN-INDIA Survey
A Survey to Understand Patients' Knowledge and Practices Related to Disposal of Used Inhalers in India
Demographic Information
Which lung condition do you suffer from (select all that apply):
Asthma
COPD
Other lung condition
Not sure
Since how long have you had the lung condition?
<6 months
6–12 months
1–3 years
3–5 years
>5 years
What is your age? (Please mention the age of the patient in case a caregiver is filling this form)
<6
6-12
13-17
18–30
31–50
51–65
>65
Which type of devices have you been prescribed? (select all that apply)
Metered Dose Inhaler (MDI) without spacer
Metered Dose Inhaler with a spacer
Breath-actuated inhaler (Synchrobreathe)
Dry Powder Inhaler (DPI)
Nebulizer
Not sure
City:
How long have you been using inhalers?
<6 months
6–12 months
1–3 years
>3 years
Please choose the option that best describes you. Choose only one option, unless otherwise mentioned. Your answers are confidential.
1. Are you aware that inhalers can harm the environment if not disposed of properly?
Yes
No
Not sure
2. Which of the following statements do you think is correct about inhalers, if not disposed correctly?
Inhalers are biodegradable and decompose within a few years
Inhalers may release harmful chemicals and take many years to decompose in landfills
Inhalers have no significant environmental impact
I am not sure
3. Has anyone explained how to dispose of used inhalers?
Yes, in detail
Yes, briefly
No
I don't remember
4. Who provided disposal guidance? (select all that apply)
Doctor
Pharmacist
Nurse
Health educator
Manufacturer materials (leaflet/video)
No one
Got information online
Other (specify)
5. How do you usually dispose of used inhalers?
Throw in regular household waste
Return to pharmacy/clinic for safe disposal
Recycle with plastic waste
Keep them at home (not disposed)
Burn them in the backyard
Flush them down the toilet
Other (please specify)
6. How often do you think about the environment when disposing of inhalers?
Always
Often
Sometimes
Rarely
Never
7. What makes proper inhaler disposal difficult for you? (select all that apply)
I don't know the correct method
No nearby place to return
Not enough time/convenience
No one told me it was important
Cost/effort of travel to return sites
I forget
Other (specify)
8. What would make it easier to dispose of inhalers properly? (select all that apply)
Clear instructions from my healthcare provider
Pharmacy/clinic return bins
Reminder messages (SMS/app)
Manufacturer takeback programs
Community awareness campaigns
Including disposal instructions on prescription/discharge papers
Incentives for returning inhalers
Other (please specify)
9. If clear instructions or a simple return program were available, how likely are you to dispose of inhalers correctly?
Very likely
Probably likely
Not sure
Probably unlikely
Very unlikely
10. Would you like to receive information on safe inhaler disposal?
Yes
No
11. How would you prefer to receive disposal instructions?
Doctor/pharmacist during visit
Printed leaflet
SMS/app notification
Video tutorial
Other (specify)
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