Purpose

Your answers to the Community Survey will help guide the local work on educating and engaging Putnam County tobacco prevention and cessation efforts.

The Demographic set of questions, at the bottom of the survey, will be used to determine whether the sample of responses that were collected represent Putnam County. You may skip those questions if you do not want to answer.

If you are interested in a chance to win one of the 5 $50 gift cards and a chance to win the grand prize of $100, please fill out your personal information at the end of the survey.

Please note, that to be eligible for the gift card sweepstakes, you must be 18 years old or older and live in Putnam County.

Thank you in advance for your time.

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* 1. Tobacco use by adults should not be allowed on school grounds or at any school events. Do you...

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* 2. Tobacco use by anyone (e.g., students, staff, visitors) should not be allowed on college or university campuses or at any college-sponsored events. Do you...

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* 3. Smoking should not be allowed in outdoor public spaces. Do you...

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* 4. E-cigarettes and other electronic vaping products should be treated the same as regular cigarettes in terms of tobacco laws and policies. Do you...

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* 5. Our community should take steps to limit the impact of tobacco advertising on our community. Do you...

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* 6. Tobacco manufacturers comply with laws to prohibit advertising to youth. Do you...

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* 7. It is important that adolescents and young adults never experiment with tobacco or products containing nicotine. Do you...

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* 8. Tobacco use should not be allowed on the grounds of behavioral health treatment facilities (e.g., mental health facility, drug and alcohol recovery center). Do you...

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* 9. Tobacco 21, or the prohibition of selling tobacco products to individuals who are not at least twenty-one years of age, is being enforced in my community. Do you...

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* 10. Candy and fruit flavorings should be prohibited in e-cigarettes and other tobacco products. Do you...

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* 11. Menthol or mint-like flavorings should be prohibited in e-cigarettes and other tobacco products. Do you...

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* 12. People with mental health and substance use issues who smoke are less likely to want to quit smoking than people without such issues. Do you...

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* 13. During the past SEVEN DAYS, in which of the following places have you smelled secondhand tobacco smoke? (Select all that apply)

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* 14. Exposure to secondhand vapor from someone who is using an e-cigarette or other electronic "vaping" product nearby causes:

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* 15. Tobacco companies have historically targeted advertising towards people who may be hindered by social inequality. Do you...

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* 16. The use of tobacco negatively impacts some groups in our community more than others. Do you...

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* 17. It is extremely important for our community to consistently enforce no sale of tobacco and other nicotine products to people under 21 years of age. Do you...

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* 18. Our community should pass additional laws like Tobacco 21 (no sales to anyone under 21) to limit access to tobacco by youth. Do you...

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* 19. How important is it that community leaders and health care agencies make reducing the use and burden of tobacco in our community one of the top priorities of their work? Is it...

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* 20. If you were a tobacco user/smoker in the community, how certain are you that you would know how to get help quitting if you wanted it?

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* 21. How important is it that health care practitioners ask patients about tobacco/nicotine product use and provide help for those who want to quit?

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* 22. Age

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* 23. Gender

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* 24. Ethnicity

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* 25. Zip Code

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* 26. Are you blind, or do you have serious difficulty seeing, even when wearing glasses?

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* 27. Are you deaf, or do you have serious difficulty hearing?

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* 28. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?

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* 29. Do you have serious difficulty walking or climbing stairs?

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* 30. Do you have difficulty dressing or bathing?

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* 31. Because of a physical, mental or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?

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* 32. What is the highest level of education you completed?

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* 33. What is your household income?

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* 34. Do you currently use any form of tobacco?

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* 35. If you are interested in a chance to win a gift card, please fill in your information below.

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* 36. Verify you are not a robot. Click the picture of a heart.

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