Darlington Primary Care Trust

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Annual Report and Summary of Accounts 07/08

Smoking in Public Places - Your Views

1. Do you think that smoking in the following public places should be allowed?

	Allowed in all areas	Not allowed	Allowed in separate area	No opinion
WorkPlace
GP Surgeries/Health Clinics
Hospitals, including their grounds
Any indoor place where children are present
Pubs and Social Clubs
Shopping Centres
Cafes
Restaurants
Bingo Clubs
Nightclubs
Football grounds / sports venues
Community Centres

2. Overall to what extent are you bothered by smoking in public places?

Not at all	A little	Quite bothered	A great deal

3. Would you support a law to make all workplaces smoke-free?

Yes	No

4. Do you think that the Darlington Partnership should encourage employers to provide smoke-free workplaces?

Yes	No

5. Are you currently

A Smoker	A Non-Smoker	An Ex-Smoker

Ethnic Origin (Please select from one of the following)

White
White British White Irish Other White Background

Mixed
White and Carribean Black White and Black African White and Asian Any Other Mixed Background

Asian or Asian British
Indian Pakistani Any Other Asian Background

Chinese or other ethnic groups
Chinese Other Other Pls Specify:

Not Stated

Age

Male Female

Name
Address
PostCode

Darlington PCT, Dr Piper House, King Street, Darlington DL3 6JL
Tel. 01325 364271 Fax. 01325 746112

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