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1. Please rank each of the Nonsmokers’ Rights issues below in order of importance to you: (1 = most important, 2 = 2nd in importance, etc.). To help us prioritize, please do not use the same ranking for more than one issue:
Question - Not Required -
Workplaces
Please select response
1 - Most Important
2 - 2nd most imporant
3 - 3rd most imporant
4 - 4th most imporant
5 - 5th most imporant
6 - 6th most imporant
7 - 7th most imporant
8 - 8th most imporant
9 - 9th most imporant
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Apartments
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Airports
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Casinos/Gaming
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5 - 5th most imporant
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Universities/Campuses
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Smokefree Movies
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Tobacco Prevention/Education Programs for Youth
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Tracking Tobacco Industry Tactics
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Other (please specify in the space below)
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5 - 5th most imporant
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Other (Please describe the issue you rated here):
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2a. Have you visited our website, www.no-smoke.org?
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2b. Do you feel comfortable donating online?
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2c. How do you PREFER making donations?
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3c. What is your preferred frequency for receiving materials from us by REGULAR MAIL?
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4a. If you are employed, does your employer match employee charitable contributions?
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4b. If you checked "Yes, Other" above, please describe.
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5a. Would you like to become more involved? If yes, let us know how below (select all that apply):
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5b. I'd like to volunteer my skills/services in the following area(s) (please choose all that apply):
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5c. Other area(s) you'd like to volunteer your skills/services.
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6a. How did you first hear about ANR? (Check all that apply)
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6b. If you checked Other above, please describe
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7. Why do you support smokefree air?
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8. Please enter any other comments here if you would like.
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