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
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