The impact of smoke-free legislation on indoor air quality in bars in ...

Name:
Premises:
ABOUT YOU
1. Have you ever <strong>smoke</strong>d a cigarette, a cigar or a pipe?
Yes No
2. Do you currently <strong>smoke</strong> cigarettes or cigars or a pipe?
Yes No
3. If yes to above question on average how many cigarettes / cigars / pipes <strong>of</strong> tobacco do
you <strong>smoke</strong> each day?
Cigarettes
Cigars
Pipes
Number <strong>smoke</strong>d in a day
4. How many <strong>smoke</strong>rs live in your household?
0 1 2 3 4 or more
ABOUT SMOKING IN THE PREMISES YOU WORK IN
5. Please describe the type <strong>of</strong> premises in which you work
Pub selling food cooked on premises
Pub, no food sales
6 Which <strong>of</strong> the following best describes the current policy on smoking within these
premises.
Smoking is allowed throughout
Certain areas are designated non smoking
Certain areas are designated smoking
Smoking is not allowed anywhere in the venue
If certain areas are designated as non smoking could you tell us where these areas are?
At the bar
Only where food is served
Other (please tell us where)
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