1. Default Section

* 1. 1. How did you hear about this survey?

* 2. Do you live or work in Jefferson County?

* 3. In Birmingham and Jefferson County, how dangerous is it for someone to walk in a neighborhood that has no sidewalks?

* 4. How bad for your health do you think working in a smoke filled environment is?

* 5. Whose responsibility is it to ensure that people are not exposed to second hand smoke? (Check all that apply)

* 6. How likely are you to choose an establishment, such as a bar or restaurant, based on:

  Very Unlikely Somewhat Unlikely Neither Likely nor Unlikely Somewhat Likely Very Likely
a. Whether it’s nonsmoking?
b. Whether is has healthy menu choices?

* 7. How often do you talk to others about:

  Never Rarely Sometimes Often Very Often
Dangers of second hand smoke.
Safe places to walk in neighborhoods.
How easy or hard it is to make healthy choices.
Importance of what you eat for having a healthy weight.
Importance of exercise for a healthy weight.

* 8. How likely are to vote for a candidate who campaigns for:

  Very Unlikely Somewhat Unlikely Neither Unlikely nor likely Somewhat Likely Very Likely
a) a healthier community?
b) a better economy?
c) lower crime?
d) high speed rail?

* 9. Which of the following would you do to support: (check all that apply)

  Nothing Talk to neighbor or friend about it Place yard sign in your yard Place a sticker on car Attend a community or neighborhood meeting Write a letter to the editor Contact an elected official
Smoke Free Workplaces
Policy to make communities more walkable

* 10. Have you listened to the radio drama "Staying Well in Camberwell"?

* 11. How often do you listen to "Staying Well in Camberwell" episodes?

* 12. Where do you listen to "Staying Well in Camberwell" episodes? (check all that apply)

* 13. Which of the following age groups best describes you?

* 14. What is your race?

* 15. Can we contact you to follow up on your responses? If so, please leave your name, phone number and email address where we might contact you.

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