Education World ® - Lesson Planning Skills Page: Smoking Survey

Smoking Survey

DIRECTIONS: Next to each statement below put a checkmark in the column that shows how you feel about that statement.

Statement	Agree	Disagree	Don't Know/ No Opinion
1. Seeing someone smoke turns me off.	___	___	___
2. I'd rather be friends with people who don't smoke.	___	___	___
3. It's safe to smoke for only a year or two.	___	___	___
4. Smoking can help you when you're bored.	___	___	___
5. Smoking helps reduce stress.	___	___	___
6. Smoking helps keep your weight down.	___	___	___
7. Chewing tobacco and snuff cause cancer.	___	___	___
8. I strongly dislike being around smokers.	___	___	___