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Welcome!  This survey is designed to help us help you and communities in New Mexico on the journey to better wellness.  Please fill out the survey below.  No one will contact you without your permission.  Your opinions and information will be handled with the utmost of privacy, which means we are not sharing or selling them with others.  ASE! 

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* 1. Do you drink water daily?

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* 2. In a typical week, how many days do you exercise?

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* 3. What is your 5-digit zipcode?

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* 4. Do you smoke or use vape devices? 

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* 5. Do you think commercial tobacco is harmful?

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* 6. Do you think vaping is harmful? 

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* 7. What age did you start smoking/vaping?

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* 8. What is your age?

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* 9. How likely are you to smoke or vape menthol products? 

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* 10. How likely are you to smoke or vape a flavored product, other than menthol?

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* 11. About how many cups of fruit do you eat each day? If you don’t know for certain, please provide an estimate.

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* 12. About how many cups of vegetables do you eat each day? If you don’t know for certain, please provide an estimate.

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* 13. How often do you think about your health?

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* 14. Which race/ethnicity best describes you? (Please choose only one.)

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* 15. On average, over the last year, how often have you engaged in the following practices?

  Daily/Regularly Weekly Monthly  Not Nearly Enough N/A
Spending Time in the Outdoors
Religious, Spiritual, or Traditional Practices
Prayer
Partying, Hanging Out, Having Fun
Using THC or CBD
Spending Time with Friends
Community Service
Using Alcohol
Engaging in a Hobby
Attending to Loved Ones
Meditation, Yoga, Mindfulness Practice

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* 16. Do you think marketing and advertising greatly impact your perspectives on smoking/vaping?

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* 17. Select the top 3 factors which you think makes smoking & vaping so popular? Only select 3 choices, please.

  Top Reason Why Definitely a Factor This Counts Too
They are affordable
Nicotine is a habitual drug
It’s legal
They are easily available
They combine well with other drugs
Friends/Relatives who engage in the behavior
It can be easily shared with others
It looks cool
Stressful times

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* 18. Do you feel influenced to smoke or vape in your household?

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* 19. Would you ask someone close to you who smokes/vapes to quit if you thought it would improve their life?

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* 20. Do you think smoking cessation products work like they’re supposed to?

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* 21. Do you think smoking cessation products should be available at no-cost?

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* 22. Would health reasons make you stop smoking nicotine products?

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* 23. Would you support an effort to remove nicotine products from the marketplace today?

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* 24. Thank you for participating in the NMAAT “Let’s Be Real Community Survey”. We expect the results to be ready by late June.  If you’d like to review the results of this survey – please leave your contact information and we will keep in touch about the findings. For more information – go to our website at www.NMAATp.com

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