RITCN Retail 360

Check out Big Tobacco's presence in your neighborhood - and tell us what you find!!!

Don't worry about getting exact details for every brand of product being sold!! We are more interested in what categories of products are being sold, advertised and at what prices.

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* 1. We need some info on you - our RITCN Retail Reporter. Don't worry - this will not be made public but we may need to contact you with questions about what you found and we'd love to let you know how your investigative work is being used to help educate lawmakers and the media about the need to protect kids from Big Tobacco in their neighborhoods.

Name: *

Organization/School: *

Your Home Address:

City/Town:

ZIP:

Email Address: *

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* 2. Name of the store you visited

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* 3. Street address of store

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* 4. City or town where store is located

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* 5. Date of your visit to this store

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* 6. CIGARETTES (sold in packs of 20)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising cigarettes?	Were there signs OUTSIDE of the stores advertising cigarettes? Yes	Were there signs OUTSIDE of the stores advertising cigarettes? No	Were there signs OUTSIDE of the stores advertising cigarettes? Unsure
Were there advertisements INSIDE of the store for cigarettes?	Were there advertisements INSIDE of the store for cigarettes? Yes	Were there advertisements INSIDE of the store for cigarettes? No	Were there advertisements INSIDE of the store for cigarettes? Unsure
Were cigarettes sold in the store?	Were cigarettes sold in the store? Yes	Were cigarettes sold in the store? No	Were cigarettes sold in the store? Unsure
Were all cigarettes placed behind the counter, requiring customers to ask for them?	Were all cigarettes placed behind the counter, requiring customers to ask for them? Yes	Were all cigarettes placed behind the counter, requiring customers to ask for them? No	Were all cigarettes placed behind the counter, requiring customers to ask for them? Unsure
Were any cigarettes placed on the counter for easy customer access?	Were any cigarettes placed on the counter for easy customer access? Yes	Were any cigarettes placed on the counter for easy customer access? No	Were any cigarettes placed on the counter for easy customer access? Unsure

How much did a pack of cigarettes cost at this store?

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* 7. CIGARETTES (Buy-One-Get-One Free) Promotions

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising (Buy-One-Get-One Free) cigarettes?	Were there signs OUTSIDE of the stores advertising (Buy-One-Get-One Free) cigarettes? Yes	Were there signs OUTSIDE of the stores advertising (Buy-One-Get-One Free) cigarettes? No	Were there signs OUTSIDE of the stores advertising (Buy-One-Get-One Free) cigarettes? Unsure
Were there (Buy-One-Get-One Free) advertisements INSIDE of the store for cigarettes?	Were there (Buy-One-Get-One Free) advertisements INSIDE of the store for cigarettes? Yes	Were there (Buy-One-Get-One Free) advertisements INSIDE of the store for cigarettes? No	Were there (Buy-One-Get-One Free) advertisements INSIDE of the store for cigarettes? Unsure

What brands were being offered through a Buy-One-Get-One Free) deal?

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* 8. LOOSIES (single cigarettes sold out of pack)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising loosies?	Were there signs OUTSIDE of the stores advertising loosies? Yes	Were there signs OUTSIDE of the stores advertising loosies? No	Were there signs OUTSIDE of the stores advertising loosies? Unsure
Were there advertisements INSIDE of the store for loosies?	Were there advertisements INSIDE of the store for loosies? Yes	Were there advertisements INSIDE of the store for loosies? No	Were there advertisements INSIDE of the store for loosies? Unsure
Were loosies sold in the store?	Were loosies sold in the store? Yes	Were loosies sold in the store? No	Were loosies sold in the store? Unsure
Were all loosies placed behind the counter, requiring customers to ask for them?	Were all loosies placed behind the counter, requiring customers to ask for them? Yes	Were all loosies placed behind the counter, requiring customers to ask for them? No	Were all loosies placed behind the counter, requiring customers to ask for them? Unsure
Were any loosies placed on the counter for easy customer access?	Were any loosies placed on the counter for easy customer access? Yes	Were any loosies placed on the counter for easy customer access? No	Were any loosies placed on the counter for easy customer access? Unsure

How much did a loosie cost at this store?

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* 9. LITTLE CIGARS (sold in pack of 20 and looks like cigarette pack - Cheyenne is one brand)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising little cigars?	Were there signs OUTSIDE of the stores advertising little cigars? Yes	Were there signs OUTSIDE of the stores advertising little cigars? No	Were there signs OUTSIDE of the stores advertising little cigars? Unsure
Were there advertisements INSIDE of the store for little cigars?	Were there advertisements INSIDE of the store for little cigars? Yes	Were there advertisements INSIDE of the store for little cigars? No	Were there advertisements INSIDE of the store for little cigars? Unsure
Were little cigars sold in the store?	Were little cigars sold in the store? Yes	Were little cigars sold in the store? No	Were little cigars sold in the store? Unsure
Were all little cigars placed behind the counter, requiring customers to ask for them?	Were all little cigars placed behind the counter, requiring customers to ask for them? Yes	Were all little cigars placed behind the counter, requiring customers to ask for them? No	Were all little cigars placed behind the counter, requiring customers to ask for them? Unsure
Were any little cigars placed on the counter for easy customer access?	Were any little cigars placed on the counter for easy customer access? Yes	Were any little cigars placed on the counter for easy customer access? No	Were any little cigars placed on the counter for easy customer access? Unsure

How much did a pack of little cigars cost at this store?

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* 10. CIGARILLOS (single little cigars - may be fruit flavored or not)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising single cigarillos?	Were there signs OUTSIDE of the stores advertising single cigarillos? Yes	Were there signs OUTSIDE of the stores advertising single cigarillos? No	Were there signs OUTSIDE of the stores advertising single cigarillos? Unsure
Were there advertisements INSIDE of the store for single cigarillos?	Were there advertisements INSIDE of the store for single cigarillos? Yes	Were there advertisements INSIDE of the store for single cigarillos? No	Were there advertisements INSIDE of the store for single cigarillos? Unsure
Were single cigarillos sold in the store?	Were single cigarillos sold in the store? Yes	Were single cigarillos sold in the store? No	Were single cigarillos sold in the store? Unsure
Were all single cigarillos placed behind the counter, requiring customers to ask for them?	Were all single cigarillos placed behind the counter, requiring customers to ask for them? Yes	Were all single cigarillos placed behind the counter, requiring customers to ask for them? No	Were all single cigarillos placed behind the counter, requiring customers to ask for them? Unsure
Were any single cigarillos placed on the counter for easy customer access?	Were any single cigarillos placed on the counter for easy customer access? Yes	Were any single cigarillos placed on the counter for easy customer access? No	Were any single cigarillos placed on the counter for easy customer access? Unsure

How much did a single cigarillo cost at this store?

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* 11. CIGARILLOS (sold in packs of more than one)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising packs of cigarillos?	Were there signs OUTSIDE of the stores advertising packs of cigarillos? Yes	Were there signs OUTSIDE of the stores advertising packs of cigarillos? No	Were there signs OUTSIDE of the stores advertising packs of cigarillos? Unsure
Were there advertisements INSIDE of the store for packs of cigarillos?	Were there advertisements INSIDE of the store for packs of cigarillos? Yes	Were there advertisements INSIDE of the store for packs of cigarillos? No	Were there advertisements INSIDE of the store for packs of cigarillos? Unsure
Were packs of cigarillos sold in the store?	Were packs of cigarillos sold in the store? Yes	Were packs of cigarillos sold in the store? No	Were packs of cigarillos sold in the store? Unsure
Were all packs of cigarillos placed behind the counter, requiring customers to ask for them?	Were all packs of cigarillos placed behind the counter, requiring customers to ask for them? Yes	Were all packs of cigarillos placed behind the counter, requiring customers to ask for them? No	Were all packs of cigarillos placed behind the counter, requiring customers to ask for them? Unsure
Were any packs of cigarillos placed on the counter for easy customer access?	Were any packs of cigarillos placed on the counter for easy customer access? Yes	Were any packs of cigarillos placed on the counter for easy customer access? No	Were any packs of cigarillos placed on the counter for easy customer access? Unsure

How much did a pack of cigarillos cost at this store?

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* 12. BLUNT WRAPS and ROLL-YOUR-OWN WRAPPERS

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising packs of blunt wraps?	Were there signs OUTSIDE of the stores advertising packs of blunt wraps? Yes	Were there signs OUTSIDE of the stores advertising packs of blunt wraps? No	Were there signs OUTSIDE of the stores advertising packs of blunt wraps? Unsure
Were there advertisements INSIDE of the store for packs of blunt wraps?	Were there advertisements INSIDE of the store for packs of blunt wraps? Yes	Were there advertisements INSIDE of the store for packs of blunt wraps? No	Were there advertisements INSIDE of the store for packs of blunt wraps? Unsure
Were packs of blunt wraps sold in the store?	Were packs of blunt wraps sold in the store? Yes	Were packs of blunt wraps sold in the store? No	Were packs of blunt wraps sold in the store? Unsure
Were all packs of blunt wraps placed behind the counter, requiring customers to ask for them?	Were all packs of blunt wraps placed behind the counter, requiring customers to ask for them? Yes	Were all packs of blunt wraps placed behind the counter, requiring customers to ask for them? No	Were all packs of blunt wraps placed behind the counter, requiring customers to ask for them? Unsure
Were any packs of blunt wraps placed on the counter for easy customer access?	Were any packs of blunt wraps placed on the counter for easy customer access? Yes	Were any packs of blunt wraps placed on the counter for easy customer access? No	Were any packs of blunt wraps placed on the counter for easy customer access? Unsure

How much did a pack of blunt wraps cost at this store?

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* 13. LOOSE TOBACCO (for pipes or roll-your-own)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising loose tobacco?	Were there signs OUTSIDE of the stores advertising loose tobacco? Yes	Were there signs OUTSIDE of the stores advertising loose tobacco? No	Were there signs OUTSIDE of the stores advertising loose tobacco? Unsure
Were there advertisements INSIDE of the store for loose tobacco?	Were there advertisements INSIDE of the store for loose tobacco? Yes	Were there advertisements INSIDE of the store for loose tobacco? No	Were there advertisements INSIDE of the store for loose tobacco? Unsure
Was loose tobacco sold in the store?	Was loose tobacco sold in the store? Yes	Was loose tobacco sold in the store? No	Was loose tobacco sold in the store? Unsure
Was all loose tobacco placed behind the counter, requiring customers to ask for them?	Was all loose tobacco placed behind the counter, requiring customers to ask for them? Yes	Was all loose tobacco placed behind the counter, requiring customers to ask for them? No	Was all loose tobacco placed behind the counter, requiring customers to ask for them? Unsure
Was any loose tobacco placed on the counter for easy customer access?	Was any loose tobacco placed on the counter for easy customer access? Yes	Was any loose tobacco placed on the counter for easy customer access? No	Was any loose tobacco placed on the counter for easy customer access? Unsure

How much did loose tobacco cost at this store?

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* 14. DISSOLVABLES (Dissolvable tobacco products, which include Camel Orbs, Camel Strips and Camel Sticks, are relatively new. They all contain nicotine and dissolve in the mouth. They are not intended to help people quit smoking.)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising dissolvables?	Were there signs OUTSIDE of the stores advertising dissolvables? Yes	Were there signs OUTSIDE of the stores advertising dissolvables? No	Were there signs OUTSIDE of the stores advertising dissolvables? Unsure
Were there advertisements INSIDE of the store for dissolvables?	Were there advertisements INSIDE of the store for dissolvables? Yes	Were there advertisements INSIDE of the store for dissolvables? No	Were there advertisements INSIDE of the store for dissolvables? Unsure
Were dissolvables sold in the store?	Were dissolvables sold in the store? Yes	Were dissolvables sold in the store? No	Were dissolvables sold in the store? Unsure
Were dissolvables placed behind the counter, requiring customers to ask for them?	Were dissolvables placed behind the counter, requiring customers to ask for them? Yes	Were dissolvables placed behind the counter, requiring customers to ask for them? No	Were dissolvables placed behind the counter, requiring customers to ask for them? Unsure
Were any dissolvables placed on the counter for easy customer access?	Were any dissolvables placed on the counter for easy customer access? Yes	Were any dissolvables placed on the counter for easy customer access? No	Were any dissolvables placed on the counter for easy customer access? Unsure

How much did dissolvables cost at this store?

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* 15. SNUS (Snus are a smoke-free, spit-free tobacco pouch product, usually flavored and may be packaged in tins or slidepaks.)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising snus?	Were there signs OUTSIDE of the stores advertising snus? Yes	Were there signs OUTSIDE of the stores advertising snus? No	Were there signs OUTSIDE of the stores advertising snus? Unsure
Were there advertisements INSIDE of the store for snus?	Were there advertisements INSIDE of the store for snus? Yes	Were there advertisements INSIDE of the store for snus? No	Were there advertisements INSIDE of the store for snus? Unsure
Were snus sold in the store?	Were snus sold in the store? Yes	Were snus sold in the store? No	Were snus sold in the store? Unsure
Were snus placed behind the counter, requiring customers to ask for them?	Were snus placed behind the counter, requiring customers to ask for them? Yes	Were snus placed behind the counter, requiring customers to ask for them? No	Were snus placed behind the counter, requiring customers to ask for them? Unsure
Were any snus placed on the counter for easy customer access?	Were any snus placed on the counter for easy customer access? Yes	Were any snus placed on the counter for easy customer access? No	Were any snus placed on the counter for easy customer access? Unsure

How much did snus cost at this store?

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* 16. CHEWING TOBACCO, SPIT TOBACCO or DIPPING TOBACCO (Skoal is a popular brand)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising chewing tobacco?	Were there signs OUTSIDE of the stores advertising chewing tobacco? Yes	Were there signs OUTSIDE of the stores advertising chewing tobacco? No	Were there signs OUTSIDE of the stores advertising chewing tobacco? Unsure
Were there advertisements INSIDE of the store for chewing tobacco?	Were there advertisements INSIDE of the store for chewing tobacco? Yes	Were there advertisements INSIDE of the store for chewing tobacco? No	Were there advertisements INSIDE of the store for chewing tobacco? Unsure
Was chewing tobacco sold in the store?	Was chewing tobacco sold in the store? Yes	Was chewing tobacco sold in the store? No	Was chewing tobacco sold in the store? Unsure
Was chewing tobacco placed behind the counter, requiring customers to ask for them?	Was chewing tobacco placed behind the counter, requiring customers to ask for them? Yes	Was chewing tobacco placed behind the counter, requiring customers to ask for them? No	Was chewing tobacco placed behind the counter, requiring customers to ask for them? Unsure
Was chewing tobacco placed on the counter for easy customer access?	Was chewing tobacco placed on the counter for easy customer access? Yes	Was chewing tobacco placed on the counter for easy customer access? No	Was chewing tobacco placed on the counter for easy customer access? Unsure

How much did chewing tobacco cost at this store?

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* 17. E-CIGARETTES (According to Wikipedia, an e-cigarettes is an electrical device that simulates the act of tobacco smoking by producing an inhaled mist bearing the physical sensation, appearance, and often the flavor and nicotine content of inhaled tobacco smoke.)

	Yes	No	Unsure
Were there signs OUTSIDE of the stores advertising e-cigarettes?	Were there signs OUTSIDE of the stores advertising e-cigarettes? Yes	Were there signs OUTSIDE of the stores advertising e-cigarettes? No	Were there signs OUTSIDE of the stores advertising e-cigarettes? Unsure
Were there advertisements INSIDE of the store for e-cigarettes?	Were there advertisements INSIDE of the store for e-cigarettes? Yes	Were there advertisements INSIDE of the store for e-cigarettes? No	Were there advertisements INSIDE of the store for e-cigarettes? Unsure
Were e-cigarettes sold in the store?	Were e-cigarettes sold in the store? Yes	Were e-cigarettes sold in the store? No	Were e-cigarettes sold in the store? Unsure
Were e-cigarettes placed behind the counter, requiring customers to ask for them?	Were e-cigarettes placed behind the counter, requiring customers to ask for them? Yes	Were e-cigarettes placed behind the counter, requiring customers to ask for them? No	Were e-cigarettes placed behind the counter, requiring customers to ask for them? Unsure
Were any e-cigarettes placed on the counter for easy customer access?	Were any e-cigarettes placed on the counter for easy customer access? Yes	Were any e-cigarettes placed on the counter for easy customer access? No	Were any e-cigarettes placed on the counter for easy customer access? Unsure

How much did e-cigarettes cost at this store?

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* 18. If there were other forms of tobacco or nicotine delivery products sold at this store, please describe below.

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* 19. Finally, if you visited a gas station, corner store, convenience, store, pharmacy, grocery store or department store that could have sold tobacco products BUT DID NOT SELL ANY TOBACCO PRODUCTS, please let us know and we may create an award for tobacco-free retailers if we can find enough of them across the state. Thank you for all of your help with this research. Because of you, the RITCN will be able to tell the truth about Big Tobacco. We really appreciate all of your help!