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1. What city or township do you live in?

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2. Do you agree or disagree with the following statements:
Tobacco is harmful to health.

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3. Breathing secondhand smoke is harmful to your health.

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4. Children who breathe secondhand smoke are at risk for health problems.

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5. Cigarette litter and tobacco by-products are harmful to the environment and the health of children.

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6. Does it bother you when others smoke around you?

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7. Do you notice cigarette litter when you're at parks?

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8. Would you support policies that ban tobacco use in the following areas? (check all that apply)

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9. Would you support a tobacco-free ordinance in your township parks?

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10. Comments?

T