Please tell us what you think about smoke-free recreational spaces in the Louisville Metro area by answering the following questions. All of your responses will be kept confidential.

* 1. Tobacco smoke should not be allowed in the following places:

  Strongly Agree Agree Disagree Strongly Disagree No Opinion
Outdoor sports facilities
Indoor sports arenas
Skate/Bike parks
Vehicles transporting people to recreational activities

* 2. Do you support a no smoking policy in our parks, playgrounds and spraygrounds?

* 3. What is your age?

* 4. What is your race?

* 5. Are you Hispanic?

* 6. Are you a smoker?

* 7. Are you a...? (Check all that apply)

* 8. What is the zip code of your residential home?