1) Do you currently smoke?
Yes
No

2) Are you aware of the $25 fine for smoking in the car with a child under age 14?

Yes
No
3) What is your preferred method of receiving
health-related information?
TV
Radio
Internet
Billboard
Social Media (i.e., Facebook, Twitter, etc.)

4) Would you consider calling the Arkansas Tobacco Quit Line

(1-800-QUIT NOW)
for quitting assistance?

Yes
No

5) Would you consider calling the Arkansas Tobacco Quit Line

(1-800-QUIT NOW) to refer a friend/ family member?

Yes
No

6) Are you aware that UAPB is a tobacco-free campus?

Yes
No

University of Arkansas Pine Bluff
www.uapb.edu

Americans for Non Smokers Rights
www.no-smoke.org

Arkansas Department of Health Stamp Out Smoking
http://www.stampoutsmoking.com

Arkansas Evaluation Center
arkansasevaluationcenter.blogspot.com/

Campaign for Tobacco Free Kids
www.tobaccofreekids.org

Centers for Disease Control Office of Smoking Health
www.cdc.gov/tobacco

Coalition for a Tobacco Free Arkansas
www.arfreshair.com

Master of Science Degree in Addiction Studies
addictionstudies.uapb.edu

The National African American Tobacco Education Network
www.healthedcouncil.org/naaten/

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