Tobacco-Free Sports and Recreation Policies
Tobacco-Free Sports and Recreation Policies - New Brunswick Anti ...
Tobacco-Free Sports and Recreation Policies - New Brunswick Anti ...
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<strong>Tobacco</strong>-<strong>Free</strong> <strong>Sports</strong> <strong>and</strong> <strong>Recreation</strong> <strong>Policies</strong><br />
Spectator/Parent Survey<br />
Date: _________________________<br />
Time:<br />
______________________<br />
City/town: ______________________________ Public Health Unit:<br />
______________________<br />
Name of team: _________________________________<br />
Type of event: _________________________________<br />
1. Are you:<br />
6 A parent of a player<br />
5 Another relative of a player<br />
4 A friend of a player<br />
3 A Volunteer<br />
2 A Spectator<br />
1 Other, please specify _______________________<br />
2. Are you aware that this team has put in place a tobacco-free sports <strong>and</strong> recreation policy?<br />
[Interviewer: define if participant not aware of the policy: a policy whereby all players, coaches,<br />
administrators, visitors <strong>and</strong> volunteers are requested to refrain from the use of tobacco products <strong>and</strong> act as<br />
role models by discouraging the use of tobacco products during all team events (games, practices, team<br />
functions)]<br />
1 Yes (go to question 2a)<br />
0 No (go to question 3)<br />
a. If yes, how did you hear about the policy?<br />
_______________________________________________________________________________________<br />
_______________________________________________________________<br />
3. Do you support this team’s tobacco-free sports <strong>and</strong> recreation policy?<br />
1 Yes<br />
0 No<br />
98 Don’t know<br />
4. Please let us know whether you agree or disagree with the following statements about tobacco-free<br />
sports <strong>and</strong> recreation policies. (Interviewer: please circle only one response per item)<br />
a. Players have a right to<br />
play in a tobacco-free<br />
environment<br />
b. Smoking <strong>and</strong> other<br />
tobacco use is an<br />
important social activity<br />
c. It is ok to use smoke<br />
cigarettes at indoor<br />
sports events outside<br />
Strongly<br />
agree<br />
Agree<br />
Neither<br />
agree nor<br />
disagree<br />
Disagree<br />
Strongly<br />
disagree<br />
Don’t<br />
know/not<br />
sure<br />
5 4 3 2 1 98<br />
5 4 3 2 1 98<br />
5 4 3 2 1 98<br />
Ontario <strong>Tobacco</strong> Research Unit 68
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