Tobacco Policy Change

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Tobacco Policy Change - Survey Topics

This plan describes a company-level survey consisting of three modules. Each module has four parts:

1. Profile

-company

-contact/champion

-workforce

-worksite(s)

2. Objectives

-Purpose

-Scope

-Policy

-Timeframe

3. Current Situation

-policy

-cessation benefits & programs

-tracking

-promotion

Create Profile

Worksite(s)

Resources

security

occ. health

wellness

Ownership

shared

owned

Type

<100 ee's

100+ ee's

other large campus or plant

HQ/large corporate

Workforce

job characteristics

turn-over

wages

unionized

blue-collar

demographics

education

race

gender

age

ee characteristics

# ee's

User (company rep)

role

volunteer

'other duties as assisgned' responsibility

primary job responsibility

authority

delegate

decision-maker

representing

multiple worksites

single worksite

company

Company

Decision-makers

Industry

Name

Survey Current Situation

Use existing Consulting survey questions

Promotion

wellness staff

communication channels

Tracking

Prevalence

Cessation

Benefits

enrollment

coverage

for each, assess level of coverage across all plans

utilization

Counseling

NRT-OTC

NRT

Zyban

Chantix

Programs

on-site

telephone/online

exisiting site with model policy?

Restriction

Events

Vehicles

Smoke breaks

Designated areas

Outdoors

Indoor

Ban

Tobacco-free

Smoke-free

Specify Objectives

Timeframe

1-5 months

6-11 months

12-18 months

Policy

must not include

must include

Scope

specify by address/zipcode

Geography

single state

multiple states

U.S.

Global