Smoking Cessation Survey

 

1. Please identify the one statement that best describes your center’s current smoking policies.      Smoking is allowed indoors in designated smoking areas Smoking is prohibited in facility buildings, but permitted openly outdoors Smoking is prohibited in facility buildings, but permitted outdoors in designated areas only Smoking is prohibited on both facility buildings and grounds 2. Does your smoking policy apply to?      Consumers only Staff only Both consumers and staff 3. Do you anticipate that your smoking/tobacco policies will change in the next 12 – 18 months?      Yes No 4. Do you offer smoking cessation supports at your center?      For consumers only For staff only For both consumers and staff None offered 5. What percentage of your staff smoke (please estimate)?      10% or less 11-20% 21-35% 36-50% More than 50%