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Seatbelt Survey

Thank you for taking time to participate.<

Seatbelt Survey

Please take a moment to share your response to several questions regarding Act 13.

In general, do you feel that exposure to secondhand smoke is a serious health hazard to others, a minor health hazard, or not at all a health hazard?

 Serious health hazard

 Minor health hazard

 Not at all a health hazard

Do you have rules about smoking or not smoking in your vehicle?

 Yes

 No

 I'm not sure.

Do you have rules about smoking or not smoking in your home?

 Yes

 No

 I'm not sure.

Would you support a law in Arkansas that makes it illegal to smoke in a vehicle with young children present?

 Yes

 No

 I'm not sure.

Are you aware of any law in Arkansas that makes it illegal to smoke in a vehicle with a child less than 6 years old?

 Yes

 No

 I'm not sure.

Would violations to this law be a...\\"

 Primary offense

 Secondary offense

 I'm not sure.

For survey purposes, please enter which city and state you are from.


This survey powered by Survey Fly for WordPress.

1 Comment »

  Act 13 Survey | tpcpnews.com wrote @ October 4th, 2007 at 10:21 am

[…] Now that you have received your Act 13 Fact Card.  Please take a second to give Stamp Out Smoking feedback on Act 13 by taking the Act 13 Survey. […]

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