Community Tobacco Survey-Brunswick, Ohio How strongly do you agree or disagree with each of the following statements: Question Title * 1. Tobacco use by adults should not be allowed on school grounds or at any school events. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 2. Tobacco use should not be allowed on college or university campuses or at any college-sponsored events. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 3. Smoking should not be allowed in multi-unit housing residences or any living quarters where secondhand smoke infiltration may occur. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 4. Smoking should not be allowed in outdoor public spaces. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 5. Tobacco use of any kind should not be allowed in outdoor public spaces. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 6. E-cigarettes and other electronic vaping products should be treated the same as regular cigarettes in terms of tobacco laws and policies. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 7. E-cigarettes should not be allowed in places that prohibit smoking. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 8. Tobacco companies should not be allowed to advertise any tobacco products. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 9. Tobacco companies should not be allowed to advertise any tobacco products towards youth. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 10. E-cigarette companies should be prohibited from marketing and advertising their products on the radio, television or other means like cigarette companies are? Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 11. It is important that adolescents and young adults never experiment with tobacco. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 12. The age to buy tobacco products, including e-cigarettes, should be raised to 21. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 13. Tobacco companies should reduce the amount of nicotine in cigarettes so that kids who experiment with smoking do not become addicted. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 14. Candy and fruit flavorings, including menthol, should be prohibited in e-cigarettes and other tobacco products. Do you… Strongly Agree Agree Disagree Strongly Disagree Question Title * 15. During the past SEVEN DAYS, in which of the following places have you smelled secondhand tobacco smoke? (Select all that apply) In your home In your car At work In an indoor public space, such as a restaurant or bar At an outdoor event, such as a sporting event or concert Demographic Questions – the next set of questions will be used to determine whether the sample of responses that were collected were representative of Brunswick, Ohio. No identifiable information will be collected so please feel free to answer honestly, but you may omit questions you don’t want to answer. Question Title * 16. Age Less than 18 years old 18-25 years old 26-35 years old 36-45 years old 46-55 years old 56+ years old Question Title * 17. Gender Female Male Nonbinary Prefer not to answer Prefer to self identify: Question Title * 18. Ethnicity (select all that apply) Asian Black/African Caucasian Hispanic/Latino Native American Pacific Islander Prefer not to answer Prefer to self identify: Question Title * 19. Do you identify as a member of the LGBTQ+ community? Yes No Prefer not to answer The next six questions ask about having a disability or long-term health problem (6 months or longer). A disability or long-term health problem can cause physical, emotional, learning, hearing, communication, speech, vision, or attention difficulty. Question Title * 20. Are you deaf, or do you have serious difficulty hearing? Yes No Question Title * 21. Are you blind, or do you have serious difficulty seeing, even when wearing glasses? Yes No Question Title * 22. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? Yes No Question Title * 23. Do you have serious difficulty walking or climbing stairs? Yes No Question Title * 24. Do you have difficulty dressing or bathing? Yes No Question Title * 25. Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping? Yes No Question Title * 26. Education Less than high school diploma High school degree or equivalent (e.g. GED) Some college, no degree Associate degree (e.g. AA, AS) Bachelor’s degree (e.g. BA, BS) Master’s degree (e.g. MA, MS, MEd) Professional degree (e/g/ MD, DDS, DVM) Doctorate (e.g. PhD, EdD) Prefer not to answer Question Title * 27. Household Income Less than $20,000 $20,000 to $34,999 $35,000 to $49,999 $50,000-$74,999 $75,000 to $99,999 Over $100,000 Question Title * 28. *OPTIONAL*: Thank you for completing our community tobacco survey! Enter your telephone number to be entered into our optional drawing for a $50 gift card to various food and entertainment establishments in Brunswick. A winner will be selected and contacted by September 30, 2019. Done