ROOTS Community Needs Assessment Survey

The ROOTS Coalition is a group of people that are working to collectively dismantle the tobacco industry’s impact on our Black and African American neighbors in CT. Sharing your experience and perspectives with us will help support our mission to reduce tobacco consumption, vaping, and secondhand smoke exposure among Black residents in CT, while also helping people in their quit journeys. ROOTS is an initiative of Living Life Tobacco Free, a program supported by the Tobacco Health Trust Fund in partnership with the CT DPH. The survey will take 5-10 minutes depending on your answers and you will be 1 of 50 people to receive a $10 Amazon gift card upon your completion.

The first questions of this survey are screening questions that will assess your eligibility to complete the remainder of the survey. If you are ineligible, you cannot take the survey and will be redirected to survey monkey.


If you have any questions, please don't hesitate to contact Antoinette at avthuillier@wheelerhealth.org
1.Do you live, work, or go to school in Connecticut?(Required.)
2.Do you identify as Black or African American?(Required.)
3.Select the age group that you are in.(Required.)