Tobacco Merchant Survey Nov 2016 The Tobacco Merchant Survey will help us assess the current educational materials developed for the tobacco merchant education campaign. In addition, we would like your feedback on how to improve them in the future. OK Question Title * 1. Can you read English? Yes No OK Question Title * 2. Please check what type of store do you work in? a. Gas/Convenience b. Pharmacy c. Department store d. Tobacco Shop e. Campground f. Check Cashing g. Hotel/Motel h. Restaurant/Bar i. Convenience store j. Liquor Store k. Grocery store l. ENDS Shop Other (please specify) OK Question Title * 3. What is your job? (Please select from one of the following) a. Owner b. Manager c. Supervisor d, Clerk Other (please specify) OK Question Title * 4. Please provide your email address so we can send you information in the future. OK Question Title * 5. Which of the following tobacco education materials do you use? Check all that apply. a. Cash register sticker b. Notice of Law c. Online training OK Question Title * 6. If you are not using the following tobacco education materials, please check the reason why. Not Available Not User Friendly Difficult to Understand Cash register stickers Cash register stickers Not Available Cash register stickers Not User Friendly Cash register stickers Difficult to Understand Notice of Law Notice of Law Not Available Notice of Law Not User Friendly Notice of Law Difficult to Understand Online Training Online Training Not Available Online Training Not User Friendly Online Training Difficult to Understand Other (please specify) OK Question Title * 7. Do you find current materials effective? Please check Yes or No. Yes No a. Cash register sticker a. Cash register sticker Yes a. Cash register sticker No b. Notice of Law b. Notice of Law Yes b. Notice of Law No c. Online training c. Online training Yes c. Online training No If not, please explain why. OK Question Title * 8. Would you be more likely to use the online training if it were available on a mobile phone application? Yes No OK Question Title * 9. Do you have suggestions for more effective materials? Please list. OK Question Title * 10. Additional comments/suggestions. OK DONE
