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RCHD Tobacco Usage Survey
August 1 - August 30 2019
1.
Tobacco use by adults should not be allowed on school grounds or at any school events. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
2.
Tobacco use should not be allowed on college or university campuses or at any college-sponsored events. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
3.
Smoking should not be allowed in multi-unit housing residences or any living quarters where secondhand smoke infiltration may occur. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
4.
Smoking should not be allowed in outdoor public spaces. Do you...
Strongly Agree
Agree
Disagree
Strongly Disagree
5.
Tobacco use of any kind should not be allowed in outdoor public spaces. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
6.
E-cigarettes and other electronic vaping products should be treated the same as regular cigarettes in terms of tobacco laws and policies. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
7.
E-cigarettes should not be allowed in places that prohibit smoking. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
8.
Tobacco companies should not be allowed to advertise any tobacco products. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
9.
Tobacco companies should not be allowed to advertise any tobacco products towards youth. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
10.
E-cigarette companies should be prohibited from marketing and advertising their products on the radio, television or other means like cigarette companies are? Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
11.
It is important that adolescents and young adults never experiment with tobacco. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
12.
The age to buy tobacco products, including e-cigarettes, should be raised to 21. Do you
Strongly Agree
Agree
Disagree
Strongly Disagree
13.
Tobacco companies should reduce the amount of nicotine in cigarettes so that kids who experiment with smoking do not become addicted. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
14.
Candy and fruit flavorings, including menthol, should be prohibited in e-cigarettes and other tobacco products. Do you…
Strongly Agree
Agree
Disagree
Strongly Disagree
15.
During the past SEVEN DAYS, in which of the following places have you smelled secondhand tobacco smoke? (Select all that apply) In your home
In your car
At work
In an indoor public space, such as a restaurant or bar
At an outdoor event, such as a sporting event or concert
Demographic Questions
- the next set of questions will be used to determine whether the sample of responses that were collected were representative of Chillicothe. No identifiable information will be collected so please feel free to answer honestly, but you may omit questions you don't want to answer.
16.
Age
Less than 18 years old
18-25 years old
26-35 years old
36-45 years old
46-55 years old
56+ years old
17.
Gender
Female
Male
Nonbinary
Prefer not to answer
Prefer to self-identify:
18.
Ethnicity (select all that apply)
Asian
Black/African
Caucasian
Hispanic/Latin
Native American
Pacific Islander
Prefer not to answer
Prefer to self-identify:
19.
Do you identify as a member of the LGBTQ+ community?
Yes
No
Prefer not to answer
The next six questions ask about having a disability or long-term health problem (6 months or longer). A disability or long-term health problem can cause physical, emotional, learning, hearing, communication, speech, vision, or attention difficulty.
20.
Are you deaf, or do you have serious difficulty hearing?
Yes
No
21.
Are you blind, or do you have serious difficulty seeing, even when wearing glasses?
Yes
No
22.
Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?
Yes
No
23.
Do you have serious difficulty walking or climbing stairs?
Yes
No
24.
Do you have difficulty dressing or bathing?
Yes
No
25.
Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping?
Yes
No
26.
Education
Less than high school diploma
High school degree or equivalent (e.g. GED)
Some college, no degree
Associate degree (e.g. AA, AS)
Bachelor’s degree (e.g. BA, BS)
Master’s degree (e.g. MA, MS, MEd)
Professional degree (e/g/ MD, DDS, DVM)
Doctorate (e.g. PhD, EdD)
Prefer not to answer
27.
Household Income
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
Over $100,000
Current Progress,
0 of 27 answered