Healthy Lungs at Play Survey
 
 
This survey is about the signs in the parks. Thank you for sharing your opinion.
 
 
Have you seen the Healthy Lungs at Play signs in your local park(s)?
 
Yes
 
No
 
 
In the past six months, have you noticed a difference in the number of people smoking in the park(s)?
 
Yes, there are less people smoking
 
No, there has been no change
 
Yes, there are more people smoking
 
 
How often do you go to a park in Jackson County?
 
Daily
 
Weekly
 
Monthly
 
Yearly
 
This is my first time
 
 
Have you smoked at least 100 cigarettes in your entire life?
 
Yes
 
No
 
Don’t know/not sure
 
 
How often do you smoke cigarettes NOW?
 
Every day
 
Some days
 
Not at all
 
Don’t know/not sure
 
 
What zip code do you live in?
   
 
 
Gender:
 
Female
 
Male
 
 
Age:
   
 
 
Race: (Check all that apply.)
 
White
 
Black
 
Asian
 
Native Hawaiian or Pacific Islander
 
American Indian or Alaska Native
 
Other

 
 
What is the highest grade or year of school you completed?
 
Never attended school or only attended kindergarten
 
Grades 1 through 8
 
Grades 9 through 11 (some high school)
 
Grade 12 or GED (High school graduate)
 
College: 1 year to 3 years (Some college or technical school)
 
College: 4 years or more (College graduate)
 
Don’t know/not sure