Exit this survey Tobacco Assessment Survey 1. Default Section Question Title * 1. Classification? Undergraduate Graduate University Staff Faculty Question Title * 2. Gender? Male Female Question Title * 3. Age? Below 18 18 -22 22 or above Question Title * 4. If an employee, in which department do you work?If a student, in which clubs/organization are you a member? Question Title * 5. Where do you live? On Campus Off Campus Question Title * 6. What is the current tobacco policy at CBU? Have no knowledge of the current tobacco policy Use tobacco where I want No smoking inside buildings Question Title * 7. Second hand smoke is defined as the smoke from a burning tobacco product and the exhaled smoke from a person smoking. How often do you notice second hand smoke around the entrances of campus buildings? Frequently Occasionally Rarely Never Question Title * 8. To what degree are you currently exposed to second hand smoke at CBU? None Somewhat Very Much Question Title * 9. Do you have asthma, respiratory issues, or allergies that are affected by breathing in secondhand cigarette smoke? Yes No Question Title * 10. Given a choice, would you choose to enroll in, work at or live on a tobacco free campus? Yes No Question Title * 11. If you are in favor of tobacco free campus at CBU, would you prefer that tobacco free be defined as: 100% tobacco free campus Tobacco free campus with a designated smoking area I am not in favor of a tobacco free campus Question Title * 12. Do you mind being around smokers? I do not like it I don’t care I try my best to avoid it Question Title * 13. How often do you use tobacco? None (socially)1-5 times per day (occasionally)5-10 times per day (moderately)10-15 times per day Next