JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Moves to ban smoking in all public places
Public support sees councils take lead on issue
There are no 'right' or 'wrong' answers and you should select the option that best reflects your views.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Gender
*
Female
Male
I prefer not to answer
What is your age?
*
18-24
25-49
50-64
65+
Did you vote 'Remain' or 'Leave' in the EU Referendum?
*
Remain
Leave
I didn't vote
I prefer not to say
Which of the following best reflects your views about the following statement: smoking should be banned from all public places, including on pavements and gardens outside pubs and restaurants.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
Don’t know
By way of thanks for taking part, individuals who complete the survey can get a free copy of the magazine. Enter your phone number below so that we can call you and arrange the delivery of your free issue.
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Marketing Town (Group) Limited.
Report Abuse
Forms