Which of the following best describes your employment status? *
Choose
Employed Full Time
Employed Part Time
Retired
Full Time Homemaker
Student
Unemployed
What industry do you currently work in? *
Choose
Academia/University Level
Agriculture or Food Production
Automotive
Construction
Education
Energy
Entertainment
Finance/Banking or Insurance
Government
Healthcare
Hospitality/Travel/Tourism
Marketing or Market Research
Media/Journalism
Janitorial/Housekeeping
Law
Manufacturing/Factory Production
Non-Profit
Real Estate
Retail
Technology/Internet
Think Tank
Transportation
Other
I am not currently employed full-time
What is your current occupation or job title? Please specify your department or area of expertise. *
Your answer
What company or government entity do you currently work for? *
Your answer
What is the highest level of education you have completed? *
Choose
Did not complete high school
High school
Some College
College graduate
Masters degree
Professional degree (law/medicine/etc.)
What is your current annual PERSONAL income? *
Choose
Less than $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $124,000
$125,000 to $149,999
$150,000 or more
How many days a week do you watch each of the following types of news on TV, listen on the radio, read about in a daily newspaper, or read about online? *
7 days a week
5-6 days a week
3-4 days a week
2 days a week or less
National News
Local News
International News
7 days a week
5-6 days a week
3-4 days a week
2 days a week or less
National News
Local News
International News
How often, if ever, do you follow news related to the following topics?
Everyday
At least once a week
At least once a month
Every once in a while
Never
Business
Health Policy / Global Health
Politics
Entertainment
Arts
Technology
Everyday
At least once a week
At least once a month
Every once in a while
Never
Business
Health Policy / Global Health
Politics
Entertainment
Arts
Technology
Overall, compared to personal acquaintances, how would you describe your knowledge of health policy / public health industries? *
Choose
Far above average
Somewhat above average
A little above average
About average
A little less than average
Somewhat less than average
Far less than average
Overall, compared to personal acquaintances, how would you describe your knowledge of policy issues, business trends and initiatives from the alcohol, tobacco, and fast food industries? *
Choose
Far above average
Somewhat above average
A little above average
About average
A little less than average
Somewhat less than average
Far less than average
And now thinking about the tobacco industry (cigars, cigarettes, e-cigarettes, and alternative products) alcoholic beverage industry and fast food industry. Generally speaking, what is your overall opinion of the of them? Would it be *
Extremely favorable
Highly favorable
Somewhat favorable
Neither favorable nor unfavorable
Somewhat unfavorable
Highly unfavorable
Extremely unfavorable
Don’t know
Tobacco Industry (cigars, cigarettes, e-cigarettes and alternative products)
Alcoholic Beverage Industry
Fast Food Industry
Extremely favorable
Highly favorable
Somewhat favorable
Neither favorable nor unfavorable
Somewhat unfavorable
Highly unfavorable
Extremely unfavorable
Don’t know
Tobacco Industry (cigars, cigarettes, e-cigarettes and alternative products)
Alcoholic Beverage Industry
Fast Food Industry
And, would you say the tobacco industry, alcoholic beverage industry and fast food industry..? *
Needs more regulation
Needs less regulation
Has just the right amount of regulation
Don’t know
Tobacco Industry (cigars, cigarettes, e-cigarettes and alternative products)
Alcoholic Beverage Industry
Needs more regulation
Needs less regulation
Has just the right amount of regulation
Don’t know
Tobacco Industry (cigars, cigarettes, e-cigarettes and alternative products)
Alcoholic Beverage Industry
Have you ever TRIED any of the following? *
Required
On the whole, would you say the introduction of hookah to the market has been...? *
Choose
Totally positive
Mostly positive
Somewhat positive
Neutral
Somewhat negative
Mostly negative
Totally negative
On a scale from 0 to 10, with 0 being ABSOLUTELY UNFAVORABLE and 10 being ABSOLUTELY FAVORABLE, overall, what is your perception of the shisha and hookah industry? *
Absolutely Unfavorable
Absolutely Favorable
Thinking of all the elections that you vote in, would you say that you generally vote for...? *
Choose
All Democrats
Mostly Democrats
A few more Democrats than Republicans
Evenly Democrat and Republican
A few more Republicans than Democrats
Mostly Republicans
All Republicans
Do not vote
Overall, do you consider yourself to be liberal or conservative? *
Choose
Strong Conservative
Moderate Conservative
Moderate
Moderate Liberal
Strong Liberal
Have you participated in a focus group discussion in the last 6 months? *
Choose
Yes
No
How comfortable are you sharing your opinions in a group setting? *
Not at all comfortable
Very comfortable
Submit
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