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Lamoille Valley Tobacco and Vaping Community Needs Survey

Healthy Lamoille Valley's Tobacco Prevention Task Force wants your input on how to support you, those around you and our community on the topic of smoking and vaping cessation and prevention in this time of COVID-19. Thank you for taking the time to complete our community needs survey!  Estimated time to complete - 4 minutes.

After completing this survey, you can choose to be entered in a raffle to win one of four $25 gift certificates of your choosing from our Lamoille Valley Business Friends of Prevention list. Your survey responses will not be connected to your contact information.
1.Select your town
2.Select your age:
3.What is your gender? (Please choose one)
4.Are you the parent or guardian of a child under 18?
5.Are you a student at one of these Lamoille Valley colleges?
6.COVID-19 is a respiratory illness and data tells us that it is even more dangerous for people who smoke and vape. 

Has COVID-19 caused you to think about or do any of the following?  Please select all that apply.
7.Which of the following helps you balance stress in your life?  Please select all that apply.
8.Are you familiar with any of these organizations or campaigns related to quitting?  Select all you recognize.
9.Have you smoked or vaped any of these substances in the past 30 days?(Required.)