You're Invited!
Tobacco Free Rhode Island Statewide Network Meeting
Friday, May 5, 2017 9:00 AM - 11:00 AM

Please RSVP by May 1st so we can get a good headcount for refreshments and materials!

Question Title

* 1. About you....

Full Name: *

Organization:

Address: *

Unit#

City/Town: *

ZIP: *

Email Address: *

Mobile Phone Number: *

Question Title

* 2. Will you be able to attend the Tobacco Free Rhode Island Statewide Network meeting on Friday, May 5, 2017 from 9:00 AM to 11:00 AM?

Yes

Question Title

* 3. Have you ever attended a Tobacco Free Rhode Island meeting before?

Yes

Unsure

Question Title

* 4. Please check any and all box(es) below that best describe you.

Local coalition director

Local appointed official

Public health advocate

Parent

Lobbyist or government affairs professional

Grandparent

Educator

College student

Retailer

Youth advocate

Faith community leader

Nurse

Physician

Dentist

Substance abuse prevention specialist

Current tobacco user

Former tobacco user

Media

Coach (athletics)

Business owner

Law enforcement officer

State elected official

State appointed official - including staff from Department of Health

Retiree

PTA/PTO member

School committee member

Firefighter

Housing authority staff

Survivor of a tobacco-caused illness

Other (please specify)

Question Title

* 5. Tell us which policy issues most interest you.

Preventing illegal sales to minors

Enforcement

Tobacco-21

Smoke-free outdoor public places

Reducing use access to tobacco through product placement restrictions

Taxation and cutting down on black market tobacco sales

Reducing tobacco disparities through targeted state funding

Adding e-cigarettes to smoke-free law

Ending tobacco use on college campuses

Eliminating tobacco product litter

Helping smokers quit

Reducing access to emerging tobacco products

Reducing access to flavored tobacco products (little cigars, smokeless)

Other (please specify)

Question Title

* 6. When thinking about Tobacco Free Rhode Island, what would you most like the Network's priorities to be? Pick your top three!

State level policy and advocacy - including funding

Local level policy and advocacy

Youth empowerment

Public education

Smoking cessation

Retailer education

Convener of individuals and organizations who are connected, in some way, to tobacco control

Question Title

* 7. The full Network has not met in a long time. Please describe what you would like to get out of this meeting.

Question Title

* 8. Is there anything you have done during the past 6 months related to tobacco control that you would like to share during this meeting? If so, please describe in the box below.
Thanks so much for taking the time to RSVP! We hope to see you on May 5th!!

Question Title

* 1. About you....

Question Title

* 2. Will you be able to attend the Tobacco Free Rhode Island Statewide Network meeting on Friday, May 5, 2017 from 9:00 AM to 11:00 AM?

Question Title

* 3. Have you ever attended a Tobacco Free Rhode Island meeting before?

Question Title

* 4. Please check any and all box(es) below that best describe you.

Question Title

* 5. Tell us which policy issues most interest you.

Question Title

* 6. When thinking about Tobacco Free Rhode Island, what would you most like the Network's priorities to be? Pick your top three!

Question Title

* 7. The full Network has not met in a long time. Please describe what you would like to get out of this meeting.

Question Title

* 8. Is there anything you have done during the past 6 months related to tobacco control that you would like to share during this meeting? If so, please describe in the box below.Thanks so much for taking the time to RSVP! We hope to see you on May 5th!!

* 8. Is there anything you have done during the past 6 months related to tobacco control that you would like to share during this meeting? If so, please describe in the box below.
Thanks so much for taking the time to RSVP! We hope to see you on May 5th!!