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* 1. Where do you usually live?

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* 2. In your opinion, should the following areas in Hauraki (this includes the towns of Paeroa, Waihi and Ngatea) be Smokefree?

  Yes No Don't know
Children's playgrounds
Sports grounds including rugby and football fields, netball courts, hockey turf and tennis clubs
Youth spaces and skate parks
Reserves and parks
Beachfront and river reserves
Hauraki Rail Trail
Bus stops and shelters
Public outdoor areas in town centre
Footpaths outside your local block of shops
Near the entrance of public buildings such as offices, shops, museum, library, i-Site, events centre, cafes and halls
Outdoor eating places, cafes, bars and pubs
Markets

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* 3. What is your Smokefree/Auahi kore status?

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* 4. Do you have any other comments or suggestions?

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