Tobacco-free Retailers Survey

We would appreciate it if you could complete the Tobacco-free Retailer Survey with the retailer. The information in this survey will form part of a national database that will help provide robust evidence for future research.

Having a centralised database of all tobacco-free retailers will provide an overview of the number and type of tobacco-free retailers throughout the country and their reasons for making this decision.

The survey can also help you gather information to support possible media opportunities.

When you have completed the Tobacco-free Retailer Survey, please scan and email to or enter detail directly into survey form below.