Questionnaire for Persuasive Speaking Topic: Smoking Bans Age : _______________

Please do not put your name on this!!! Gender (circle one): Male Female

(Example of Fixed Alternative Questions) 1. Do you smoke? ______ Yes 2. 3.

______ No

Indicate your position on smoking bans in all restaurants. _____ Approve _____ Disapprove Indicate your position on smoking bans in all bars. ______ Approve _____ Disapprove

(Example of Scale Questions) 4. All restaurant owners should be able to make their own policies concerning smoking/non-smoking sections. Check one. Mildly Agree Undecided Mildly Disagree Strongly Disagree

Strongly Agree 5.

Local communities (voters) should have the opportunity to vote on policies concerning smoking. Check one. Mildly Agree Undecided Mildly Disagree Strongly Disagree

Strongly Agree

(Example of Open-Ended Questions) 6. If you are opposed to smoking in restaurants will you still patronize this establishment if there is a non-smoking section? Why or why not?

7.

Should college campuses implement a smoking ban? Why or Why not?