Tobacco Purchase Survey Form

The below form is a .pdf of the current Tobacco Survey Form.  The form can be used to assist in the collection of data prior to reporting in ECCO.

New additions to the form include:

• Clerk attempted to sell
• # of Clerks 
• Signage Visible 
• Estimated Clerk Demographic
• Young Adult Tested Age
• Young Adult Demographics

Published on September 13, 2019. Revised 8.12.21