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If you have used in Adair county, Iowa, add your statistic by filling out this brief questionnaire*. For help with the survey, click here

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Usage Info

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Date used or purchased? (yyyy-mm-dd)

How many times was it used on the date entered? (5 max, re-do form if needed)

Price / Product Info

Common Brand Name?

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Where in Adair county was it used or purchased? (Intersection, address, business name or latitude/longitude)

Price of the referenced on the date entered?

Size / Weight? (If multiple items, just enter the standard weight of one. The name above should specify how many items. Example - Corona 12 PK)

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UPC or barcode number? (If available)

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Drug Name:

Number of Uses: 0

Total Economic Cost in 2011: $0.00

Average Street Prices / Amount / Quality

*Prices and other data shown for
Adair, Iowa.

*Images updated September 1, 2011
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