The 2010 NC Smoke Free Restaurants and Bars Law (N.C Gen. Stat. 130A-498) allows local government to adopt and enforce smoke free ordinances that are broader than State law in local government buildings, on local government grounds, in local government vehicles, or in public places.

As a part of its strategic plan, Region 7 of the North Carolina Community Transformation Grant Project staff and networks are reviewing existing county smoke free policies and considering a new rule that would expand jurisdiction to be more comprehensive of public places.

Your feedback on this issue is important. Please complete this survey so that we can gather opinions from community members who live and/or work in this county.

*Confidentiality Note-This information is being collected for assessment purposes only. Your responses will remain confidential. Responses will not be publicized by name, but reported in a collective manner.

Please complete this survey by November 2013

* 1. We are only asking county residents and/or people who live or work in this county and its municipalities (towns) to complete this survey.

* 2. Do you currently smoke or use tobacco? (Note-This includes smoking in social settings)

* 3. How important is it to you that the following places be smoke-free? (Smoke-free includes prohibiting the use if lighted cigarettes, lighted cigars, lighted pipes, or any other lighted tobacco products.)

  Very Important Somewhat Important Not Important
Government vehicles (County or town vehicles, buses)
Government Grounds (,parking lots of county or town buildings)
Parks, recreational facilities, trails, playgrounds
Bus Stops
Polling Places
Child Care Facilities
Public Restrooms
Retail stores, shopping malls, and convenience stores
Gaming facilities(ex.internet sweepstakes, video poker)
Lobbies, and other common areas of residential facilities, nursing homes, and apartments
Entertainment and sports arenas
Galleries, libraries, and museums
Office, and commercial space where the public is invited

* 4. In general, do you support the idea of having smoke-free public places (that is, any enclosed area to which the public is invited or where the public is permitted) (like recently passed in Orange and Durham counties)?

* 5. What do you believe are the greatest benefits of a smoke-free public places rule?

* 6. What do you believe are the biggest drawbacks of a smoke-free public places rule?

* 7. What would make you supportive of a smoke-free public places rule in this county and its municipalities (towns)?

* 8. Please mark whether you agree or disagree with this statement: Secondhand smoke is harmful to adults and children. (Secondhand smoke is environmental tobacco smoke which is either from the lighted end of a cigarette, cigar, or pipe, or the smoke exhaled by a smoker.)

* 9. Are there any additional comments you would like to share?

Please complete the following demographic questions.

* 10. Are you a parent or care giver?

* 11. What is your age?

* 12. Please describe your race/ethnicity.

* 13. What is your highest level of education completed?

* 14. What is the range of your total household income?

* 15. What county do you currently reside or work in?