Adult Survey E-Cigarette (Electronic Delivery Devices)
(12 Survey Questions Total)

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* 1. It is very difficult for kids to get E-Cigarettes (Vapes, JUULs. etc.) in
our community

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* 2. Kids are attracted to E-Cigarettes, (JUULs, Vapes) because they
come in candy flavors such as (Cotton Candy/Watermelon) and many other flavors.

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* 3. I am aware of the following brands of E-Cigarettes (vape products).
Please choose all that apply.

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* 4. I am aware that substances other than liquid nicotine can be used in many of the E-Cigarettes (Vapes JUUL's).

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* 5. Unlike Conventional Cigarettes, E-Cigarettes (Vape Products) can be adevertised on radio, TV, billboards, newspaper, and social media.

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* 6. Currently anyone interested in selling only E-Cigarettes or liquid nicotine could do so in Wisconsin without a tobacco retail license.

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* 7. Currently there is not a Federal or State of Wisconsin requirement to list the ingredients in liquid used in E-Cigarettes, (JUUL's, Vapes), or bottles of the liquid nicotine/E-Juice.

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* 8. I am concerned that the aerosol (vapor) coming from a E-Cigarette
(JUUL,  Vape), contains some heavy metals such as lead and nickel
as well as formaldehyde.

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* 9. I feel anywhere you can't smoke a cigarette (workplaces, restaurants, bars,) no one should be allowed to use (E-cigarettes, JUULs, Vapes)

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* 10. I use the following Tobacco or Nicotine Products. Please choose all
that apply.

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* 11. If you answered question Q10 as using E-Cigarettes, choose all that
apply from the following statements below that best describe why
you use E-Cigarettes. If you do not use E-Cigarettes skip Q11.

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* 12. In the text box below please enter the City, Village, or Township that you currently reside in (live in).

0 of 12 answered
 

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