Fresh Outdoors Project
Smoke-Free Housing Management Survey
Please mark one answer for each
of the following questions unless instructed otherwise.
1) What types of rental property do you own/manager:
_____ Apartments _____ Condos/Town homes _____ Other: ________________________
2) How many units do you own/manager: __________
3) How many years have you been the owner/manager: __________
4) Do you currently have a smoke-free policy implemented on
your property? _____ Yes _____No
5) Where is smoking prohibited on your rental properties?
(Please check all that apply)
___Everywhere ___Inside each rental unit ___Stairwells/hallways ___Laundry
Room
___Recreation Areas ___Lobby ___Parking Lots ___Mailboxes/mailroom
___Playgrounds ___Pool Areas
6) Where have you noticed cigarette butt litter?
(Please check all that apply)
___Everywhere ___Inside each rental unit ___Stairwells/hallways ___Laundry
Room
___Recreation Areas ___Lobby ___Parking Lots ___Mailboxes/mailroom
___Playgrounds ___Pool Areas
7) Which policy would you most prefer?
_____Prohibiting smoking in some apartments
_____Prohibiting smoking in all common areas
_____Prohibiting smoking anywhere in your complex
_____No smoking policy
8) Do you think secondhand smoke is harmful to your health? ___
Yes ___Somewhat ___No
9) Does secondhand smoke bother you? ___Very Much ___Somewhat
___Not at all
10) What is your average turnover cost per unit? ___________
11) What is your average turnover cost per unit that was lived
in by a smoker? ___________
12) What are your concerns about implementing a smoke-free
policy for your rental properties?
______________________________________________________________________
______________________________________________________________________
_______________________________________________________________________
Name: ______________________________ Phone: ___________________________
Thank you for your time!
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