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* 1. What is your zip code?

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* 2. How often does someone in your family visit a local park?

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* 3. Click the number on the scale that best describes how you feel about whether the following places should be tobacco-free:

  Strongly Disagree 1 2 3 4 Strongly Agree 5
Parks
Playgrounds
Outdoor sports fields
Skateboard/bike parks
Hiking/biking trails
Nature Preserves
Golf courses
Swimming Pools
Outdoor festivals

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* 4. Do you think litter from tobacco products is a problem in these places?

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* 5. Have you been bothered by tobacco smoke at any of the above places?

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* 6. Do you think outdoor tobacco smoke is harmful?

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* 7. What is your age?

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* 8. Please check all the boxes that apply to you. I am a...

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* 9. Has tobacco use at any of the above places affected you?

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* 10. If yes, how?

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* 11. Is there anything else you would like to share?

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