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SAFE Firearms Locks and Safes Distribution Survey
Please fill out the form below to help our SAFE Chapters improve their distribution of firearms locks and safes operations. Thank you!
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
What city and state do you live in?
*
Your answer
What kind of lock or safe did you recieve?
*
Cable Lock
Trigger Lock
Lock Boxes (Safes)
I don't know or I'm not sure.
Required
Prior to receiving this firearm safe/lock, have you ever owned a safe or lock before?
*
Yes
No
Where did you receive a firearm lock or safe from?
*
Healthcare Provider Office
Hospital
Community Event (e.g., Farmers Market)
Required
Currently, how comfortable would you be in discussing firearm safety with your friends and family?
*
Not at all comfortable
Somewhat comfortable
Comfortable with assistance/guide
Comfortable
Very comfortable
Currently, how comfortable would you feel in discussing firearm safety with your doctor?
*
Not at all comfortable
Somewhat comfortable
Comfortable
Very comfortable
To what extent do you agree on the following statement?
"I feel safer with a firearm safe or lock."
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
If you own more than 1 firearm, will you need another safe or lock?
Yes
No
Maybe
Clear selection
Do you have any feedback to help improve our distribution operation?
Your answer
Submit
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