For purposes of answering this questionnaire, the term “tobacco industry” refers to:

organizations, entities, associations, and individuals that engage in work for or on behalf of the tobacco industry, such as, but not limited to, tobacco manufacturers, wholesale distributors, importers of tobacco products, tobacco retailers, and any other individual or organization that work to further the interests of the tobacco industry, including their lawyers, scientists, or front groups.

Name/Position: _________________________________________________________
Government Agency: ___________________________________________________

Is your agency concerned with public health policy in relation to tobacco control? Find out more by answering the questions below:

 The development or approval of policies, programs, and projects that may be related to tobacco control?
 The development and/or implementation of health-related policies and programs?
 The promotion of the welfare of vulnerable sectors including protecting the sector’s health?
 The development or implementation of policies on tobacco taxes and/or licenses (e.g., collects taxes or fees on tobacco and related products or proposes measures that affect the rates of taxes, fees, and duties)?
 The registration and licensing of or collection of any type of information from tobacco companies?
 The development or implementation of government policies relating to the promotion of integrity, transparency, and accountability of public officials?
 The interpretation and enforcement of relevant laws or policies such as tobacco-regulation laws (e.g., smoking bans, advertising bans, tobacco smuggling, tax evasion), as well as laws that promote integrity, accountability, and transparency of public officials?
 The development and implementation of policies, plans, and programs relating to the alleviation of poverty and attainment of targets of the Sustainable Development Goals (SDGs)?

 Signed any contract with the tobacco industry?
 Accepted, supported, or endorsed policy drafts from the tobacco industry? Given awards to the tobacco industry?
 Entered into partnerships or agreements with the tobacco industry?
 Received contributions from the tobacco industry?
 Given any privilege, incentives, or benefits to the tobacco industry?
 Participated in tobacco industry’s “socially responsible” activities?
 Allowed any publicity of tobacco industry’s so-called “socially responsible” activities?
 Allowed interaction with the tobacco industry that is not strictly necessary for its effective regulation?

If you checked any of the above, then your agency could be a target of the tobacco industry.

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