第一篇：公共场所抽烟调查问卷
关于“校内公共场所禁烟”的问卷调查
亲爱的同学：
您好，十分感谢您能在百忙之中抽空填写我们的调查问卷，为了了解我们身边存在的公共场合吸烟的问题同时为了了解公共场所禁止吸烟的情况提高人们的意识我们进行了此次的调查问卷，希望此次的调查能得到大家的支持和协作，您的支持对我们研究工作十分重要。我们也郑重承诺绝不泄露您的任何信息，再次感谢您的支持和协助！
1.您的性别（）A.男
B.女
2.您目前所在年级是（）
A.大一
B.大二
C.大三
D.大四
3.您觉得学校哪些场所适合吸烟（）
A.宿舍
B.食堂
C.操场
D.教室
E.其他
4.您觉得学校关于禁止公共场所吸烟的决定会取得良好的效果吗？（）A.一定会
B.有可能
C.不可能 D.其他
5.您对吸烟这种行为怎么看？（）A.成熟时尚 B.猥琐变态C.其他
6.您觉得学校对禁烟活动的态度是？（）
A.非常强硬 B.一般 C.口头工作，表面而已 D.其他
7.您觉得学校该不该在公共场所禁烟？（）
A.非常应该 B.学生自由，不该干涉C.与我无关，不关心D.其他
8.关于学校禁烟您认为会采取什么措施？（）A.只是贴个标语，应该不会强制推行 B.出台文件，强制推行 C.成立小组，进行监督 D.其他
9.如果学校禁烟全面推行，您觉得对于被发现在公共场所吸烟的同学该怎么处罚（）A.记过
B.罚款
C.取消评奖评优资格
D.其他
10.您认为吸烟会是一笔很大的花费吗？（）A.是的 B.还好
C.不是
D.其他
11.您觉得如果禁烟对你影响怎么样？（）A.非常大
B.一般
C.丝毫没影响D.其他
12.您举得吸烟对人的危害程度（）
A,非常大
B,一般
C,有点危害，不太影响健康D.其他
13.您身边吸烟的人（）
A.非常普遍B.一般，还好C.很少人，几乎没有D.其他
14.对于公共场所吸烟的人您会怎么做（）A.上前制止B.装作没看见C.偷拍照举报D.其他
15.如果举报公共场所吸烟有奖励，您会举报吗？（）
A.想去并且实施
B.想去但嫌麻烦不会去做C.漠不关心D.其他
16.对学校将要实施的公共场所禁烟提几点建议？
17.你觉得公共场所全面禁烟会取得什么成效？
18.作为一个吸烟/不吸烟的人，对不吸烟/吸烟的人有什么话说？
第二篇：西安市雁塔区公共场所安全调查问卷
西安市雁塔区公共场所安全调查问卷亲爱的朋友们：十分感谢您抽出时间填写这份调查问卷，请根据您的自身情况如实填写，最终结果仅作为学术研究，不会外泄您的个人资料，谢谢合作！
（1）您所处的公共场所是（）
A 娱乐场所B医疗场所C旅游景点D学校
（2）您经常所处的公共场所的密集程度（）
A密集B较密集C 不密集
（3）您身边公共场所的安全标志是否明显（）
A明显B 不明显
（4）您所处的公共场所是否有足够的安保人员进行排查（）
A 是B否
（5）您对雁塔区公共场所的安全是否满意（）
A 满意B较满意C不满意
（6）您觉得雁塔区公共机关发挥作用如何（）
A 作用很大B作用较大 C作用一般 D没有作用
（7）您对自己所在社区的道路交通安全是否满意（）
A非常满意B比较满意 C满意D不满意
（8）您对自己所在社区火灾防范工作是否满意（）
A非常满意B比较满意 C满意D不满意
（9）您身边的公共设施如被破坏是否会及时得到维修（）
A是B 否C 没注意到
（10）您是否经常在雁塔区见到民警或巡警（）
A 是B否
（11）您认为雁塔区是否存在威胁居民安全和健康的危险隐患
A是B否C 不太清楚
（12）如果有请列举。
第三篇：英文版调查问卷加结论(大学生抽烟现状)
Survey of Students’ Attitudes towards University Students’ Smoking
Hello, Thank you for your participation in this survey!In order to learn about students’ attitudes toward university students’ smoking, we designed this questionnaire.The information you fill in will only be used in our research.We will not disclose any of your personal information, please fill in according to the actual situation.Thanks again for your sincere cooperation and assistance!
1.What is your gender:（）
A maleB female
2.Do you smoke or not?（）
A yesB no
3.How do you look on the phenomenon of university students’ smoking?（）
A normalB informal
C a sign of the progress of society, but don’t support student smoking
D it does not matter
4.What do you think of the smoking students?（）
A very fashionB having the individuality
C rebelliousD bad studentE looks good
5.Do you accept a smoking boyfriend/ girlfriend?（）
A yesB no
6.How many smoking students are there around you?（）
A noneB only a few
C a little more than a dozen D many, almost all of them
7.What do you think is the main reason that causes student smoking?（）
A the influence from families, friends and classmates
B just out of curiosity and mimicry
C for releasing the pressure of study and life
D for soothing the mental wound caused by negative emotions or frustration
E just filling the boring hours
F for refreshing
G thinks it stylish, cool
H the others ________
8.Which of the following disadvantages of smoking do you think has the most bad influence onuniversity students？（）
A harmful to healthB affect other people
C giving a bad impression to the othersD waste of money
E the other _______
9.Which of the following harms of smoking do you know?（）
A The effect that cause cancer
B Smoking is main risk factors of heart, cerebrovascular diseases
C osteoporosis
D Smoking is chronic bronchitis, emphysema and chronic airway obstruction is one of the main causes
E The harm of smoking on women more than the men
F Passive smoking
10.After understanding the great harm of smoking on our body, your attitude towards smoking of university students is:（）
A normalB it depends
C objectD it does not matter
Respondents: The students of Wuhan University of Technology Huaxia College
Sample number :5
Effective recovery:5
Report on Students’ Attitudes towards University Students’ Smoking
Introduction
The aim of this report is to Survey the status of college smoking students, and to investigate their view of the smoking students, and to the understanding of the smoke
Findings
The phenomenon of university students smoking is very common.As is known to all that the harm of smoking on women more than the men.Even so, there are some female college students smoking.Surprisingly, many university students still smoking even they know the harms of smoking.Many university students think of the smoking students very fashion.We also found that the college has some management loose in students smoking.We have to say that the signs of “NO SMOKING” hanging on the wall are so weakness to the smoking students.At last, cigarette butts were thrown away here and there, it not only pollute our public places and also cause the danger of fire hazard
Recommendations
1.No smoking in teaching place
2.Strengthen propaganda the harm of smoking
3.The college must strengthen the management of smoking in public place
第四篇：英文版调查问卷加结论(大学生抽烟现状)（xiexiebang推荐）
Survey of Students’ Attitudes towards University Students’ Smoking
Hello, Thank you for your participation in this survey!In order to learn about students’ attitudes toward university students’ smoking, we designed this questionnaire.The information you fill in will only be used in our research.We will not disclose any of your personal information, please fill in according to the actual situation.Thanks again for your sincere cooperation and assistance!
1.What is your gender:（）
A male
B female
2.Do you smoke or not?（）
A yes
B no
3.How do you look on the phenomenon of university students’ smoking?（）
A normal
B informal
C a sign of the progress of society, but don’t support student smoking
D it does not matter
4.What do you think of the smoking students?（）
A very fashion
B having the individuality C rebellious
D bad student
E looks good
5.Do you accept a smoking boyfriend/ girlfriend?（）
A yes
B no
6.How many smoking students are there around you?（）
A none
B only a few
C a little more than a dozen D many, almost all of them
7.What do you think is the main reason that causes student smoking?（）
A the influence from families, friends and classmates B just out of curiosity and mimicry
C for releasing the pressure of study and life
D for soothing the mental wound caused by negative emotions or frustration E just filling the boring hours F for refreshing G thinks it stylish, cool H the others ________
8.Which of the following disadvantages of smoking do you think has the most bad influence on university students？（）
A harmful to health
B affect other people C giving a bad impression to the others
D waste of money
E the other _______
9.Which of the following harms of smoking do you know?（）A The effect that cause cancer
B Smoking is main risk factors of heart, cerebrovascular diseases
C osteoporosis D Smoking is chronic bronchitis, emphysema and chronic airway obstruction is one of the main causes E The harm of smoking on women more than the men F Passive smoking
10.After understanding the great harm of smoking on our body, your attitude towards smoking of university students is:（）A normal
B it depends
C object
D it does not matter
Respondents: The students of Wuhan University of Technology Huaxia College Sample number :5 Effective recovery:5
Report on Students’ Attitudes towards University Students’ Smoking
Introduction The aim of this report is to Survey the status of college smoking students, and to investigate their view of the smoking students, and to the understanding of the smoke
Findings The phenomenon of university students smoking is very common.As is known to all that the harm of smoking on women more than the men.Even so, there are some female college students smoking.Surprisingly, many university students still smoking even they know the harms of smoking.Many university students think of the smoking students very fashion.We also found that the college has some management loose in students smoking.We have to say that the signs of “NO SMOKING” hanging on the wall are so weakness to the smoking students.At last, cigarette butts were thrown away here and there, it not only pollute our public places and also cause the danger of fire hazard
Recommendations
1.No smoking in teaching place 2.Strengthen propaganda the harm of smoking
3.The college must strengthen the management of smoking in public place
第五篇：关于“昆明市区公共场所禁烟文化建设状况”的调查 问卷
关于“昆明市区公共场所禁烟文化建设状况”的调查
尊敬的朋友，很荣幸您能成为我们此次调查活动的对象，希望您能够真实而客观的填写这份调查问卷，感谢您的参与！
注：一下题目若无特殊说明，均为单项选择题。
1.您认为吸烟行为在昆明市区的公共场所是否常见？
A、是，时常见到B、偶尔会见到C、否，几乎没有
2.您是否在每个公共场所都看到禁烟标示？
A、是，处处可见B、一些有、一些没有C、否，几乎没有
3.您认为公共场所禁烟标示的内容是否易于接受？
A、富有内涵，意味深刻B、简单明了，通俗易懂C、庸俗无聊，不知所云
4.您认为在公共场所悬挂或摆设的禁烟标示是否显眼？
A、是，都很容易看到B、大部分比较显眼C、否，太小或太偏，都不够显眼
5.您在公共场所看到有人吸烟，是否会主动制止？
A、是，会主动制止B、会找管理人员来制止C、否，不予理会或远远避开
6.您是否赞成在公共场所抽烟的行为？
A、不赞成，公共场所严禁吸烟B、不关心，保持中立C、赞成，人生自由不予干涉
7.您是否在每个公共场所都遇到过管理人员来制止吸烟行为？
A、是，经常碰到B、偶尔碰到C、否，从来没碰到
8.您认为公共场所管理人员制止吸烟行为的力度如何？
A、非常严厉，抓到就罚款B、一般，劝诫为主C、随便劝劝或不予理会
9.作为吸烟者，您是否有在公共场所被制止吸烟或罚款的经历？
A、有碰到过B、没碰到过C、不吸烟
10.您认为昆明市区公共场所的禁烟文化氛围如何？
A、良好，人人都遵守禁烟规则B、一般C、极差，禁烟标示形同虚设
11.您对于昆明市区公共场所文明卫生的满意情况如何？
A、非常干净，相当满意B、还能接受，比较满意C、非常不满意
12.您认为昆明市区公共场所禁烟文化建设哪些方面还有待加强？
A、警示牌的制作摆放B、禁烟管理员素质水平C、市民认知程度
D、其他
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