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* 1. Do you live in the city of Corinth?

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* 2. Do you work in Corinth?

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* 3. Where did you see this information or scan the QR code from?

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* 4. I support a comprehensive smoke-free ordinance protecting employees, patrons, and visitors from exposure to secondhand smoke and secondhand aerosol in all indoor workplaces and public places in Corinth.

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* 5. How has secondhand smoke or secondhand e-cig aerosol impacted you? Why are smoke-free workplaces and public spaces important to you?

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* 6. Contact Information

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* 7. Would you like to be entered to win a $50 gift card for participating in this survey?

Thank you for your participation.
We will notify you through your contact information if you won a gift card. The drawing will be August 1st.

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