Prevent20 Organization Survey
Please take a few minutes to fill out this form. It will give the Prevent20 campaign some idea of your interests and goals within the campaign, your engagement with tobacco taxes and other policy issues and your capacity. We look forward to working with you to reduce cancer deaths around the world!
What is the name of your organization?
Your answer
In what country is your organization located?
Your answer
How active is your organization in engaging directly with elected officials on cancer-related issues?
Not active
Very active
How active is your organization in engaging directly with the media on cancer-related issues?
Not active
Very active
Which of the following statements best represents the level of involvement of your organization in cancer prevention activities? (Select just one):
What are the current capacities of your organization (experience, skills & human resources) in engaging on policy issues related to cancer prevention?
None
Very high
Is tobacco control currently an integral part of your organization's strategic priorities for action?
How would you rate your organization’s level of confidence in speaking or writing about tobacco taxation?
Not confident
Very confident
Please indicate your organization’s top 3 reasons for joining this coalition
Please indicate which types of information resources & assistance you would most want to receive through our coalition (Select top 3):
If you were provided with talking points and/or a sample letter with the purpose of contacting an elected official about making tobacco products less affordable in your country because it is a vital cancer prevention strategy, please indicate whether your organization would be willing to . . . . (check all that apply):
If you were provided with talking points and/or a sample op-ed to communicate through the media about making tobacco products less affordable in your country because it is a vital cancer prevention strategy, please indicate whether your organization would be willing to . . . . (check all that apply):
In general, how much do you know about your country's use of tobacco tax increases to reduce tobacco use in your country?
Nothing
A lot
Does your organization have dedicated staff member(s) working on tobacco control and/or cancer prevention?
If you answered "yes" to the above question, please share the name and email address of your dedicated staff member who is working on tobacco control and / or cancer prevention
Your answer
Please feel free to name up to 3 other cancer organizations in your country that may be interested in joining this Coalition.
Your answer
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