Community Tobacco Survey

 
Please tell us what you think about smoke-free recreational spaces in the Louisville Metro area by answering the following questions. All of your responses will be kept confidential.
1. Tobacco smoke should not be allowed in the following places:
Strongly AgreeAgreeDisagreeStrongly DisagreeNo Opinion
Parks
Playgrounds
Spraygrounds
Outdoor sports facilities
Indoor sports arenas
Skate/Bike parks
Vehicles transporting people to recreational activities
2. Do you support a no smoking policy in our parks, playgrounds and spraygrounds?
3. What is your age?
4. What is your race?
5. Are you Hispanic?
6. Are you a smoker?
7. Are you a...? (Check all that apply)
8. What is the zip code of your residential home?
Powered by SurveyMonkey
Check out our sample surveys and create your own now!