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No Smoking Survey
1
. Are you a Resident or Non-Resident of Georgina?
Are you a Resident or Non-Resident of Georgina?
Resident
Non-Resident
2
. What is your age?
What is your age?
Under 18yrs
18-30yrs
31-45yrs
45-59yrs
60+yrs
3
. Do you smoke or use tobacco products?
Do you smoke or use tobacco products?
Yes
No
Used To
4
. Are you aware that the Town of Georgina passed a No-Smoking By-Law (effective July 1, 2011) that prohibits tobacco use within 10 metres of any Town owned playground, splash pad, skateboard park, sports field and The ROC (Recreational Outdoor Campus)?
Are you aware that the Town of Georgina passed a No-Smoking By-Law (effective July 1, 2011) that prohibits tobacco use within 10 metres of any Town owned playground, splash pad, skateboard park, sports field and The ROC (Recreational Outdoor Campus)?
Yes
No
5
. Throughout the year, do you attend or use any of the Town of Georgina’s parks &/or Beaches?
Throughout the year, do you attend or use any of the Town of Georgina’s parks &/or Beaches?
Yes
No
6
. Would you support the current No-Smoking By-Law to be amended to include no-smoking in all Town Parks and Beaches?
Would you support the current No-Smoking By-Law to be amended to include no-smoking in all Town Parks and Beaches?
Yes
No
If No (please specify)
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