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Take this survey and be entered to win a gift card!

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* 1. I am a resident of:

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* 2. I am _______ years old.

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* 3. I heard about the Love Pets Fulton County campaign via the following:  (check all that apply)

In the next question please use the following definitions: 
Current smoker is defined as someone who has smoked at least 100 cigarettes in their lifetime and who smokes cigarettes some or all days.
Former smokers is defined as having smoked 100 cigarettes in their lifetime and now do not smoke.

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* 4. Please select the statement below that best describes you.

Add your name and contact information on page two and be entered to win a gift card!

We will not use your name and contact information for anything other than to contact gift card winners.  Your survey answers will remain anonymous and will not be connected with your personal information collected for the gift card drawing. 
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