| Question/Statement |
| Location |
| Where are medicines stored at home? |
| What kind of storage is used? |
| Are medicines stored in an orderly/structured way? |
| Is the medication kept out of the reach of children? |
| Refrigeration |
| Are medicines needing refrigeration present? |
| Are medicines that do not need refrigeration present in the refrigerator? |
| Medication |
| Are expired medicines present? |
| Are the products stored in their original packaging? |
| Are the indications of the medicines known? |
| Are you familiar about how the medication is used? |
| Medication scheme/plan |
| Are the patients aware what medicine should be taken at what moment? |
| Is a Medication scheme/plan present? |