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<br /> <br /> <br />16. About how much do you weigh without shoes? <br />Weight: ______________ pounds <br />€ Refused to Answer <br /> <br />17. About how tall are you without shoes? <br />Height: ___________feet ___________ inches <br />€ Refused to Answer <br />NOTE: Body Mass Index (BMI) is a measure of body fat based on height and weight that applies to adult <br />men and women. <br />Environmental Health <br /> <br />18. Have you been exposed to secondhand smoke in the past year? <br />€ Yes <br />€ Don’t know/Not sure <br />€ No. <br />€ Refused to Answer <br /> <br />19. If yes, where do you think you are exposed to secondhand smoke most often? (Check all <br />that apply) <br />€ N/A; I am not exposed to <br />secondhand smoke <br />€ Home <br />€ Work <br />€ Hospitals <br />€ Restaurants <br />€ School <br />€ Bars/Nightclubs <br />€ Coffee Shops <br />€ Public Places <br />€ Other: ___________________ <br />€ Refused to Answer <br /> <br />20. Do you currently smoke or use tobacco products, whether regularly or in social settings? <br />(Products such as e-cigarettes, hookah, etc.) <br />€ Yes <br />€ Refused to Answer <br />€ No <br /> <br />21. If yes, where would you go for help first if you wanted to quit? (Choose only one.) <br />€ N/A; I don’t want to quit <br />€ Quit Line NC <br />€ Doctor <br />€ Church/Minister <br />€ Pharmacy <br />€ Private Counselor/Therapist <br />€ Health Department <br />€ Don’t know/Not sure <br />€ Other: ___________________ <br />€ Refused to Answer <br /> <br />