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12. Electronic devices sold:
<br />a. Closed systems (cig-a-likes, e -cigarettes, or e -hookah that
<br />either use cartridges or do not have a refillable tank)?
<br />❑, Yes
<br />❑, No
<br />b. Vape pens/eGos/vape sticks, all with a tank to fill with e -juice?
<br />❑, Yes
<br />❑, No
<br />c. Mods/RBAs/RDAs?
<br />❑, Yes
<br />❑, No
<br />d. Herbal/dry-chamber vaporizers, designed for loose -leaves?
<br />❑, Yes
<br />❑, No
<br />13. E-liquids/juices
<br />a. Are e-llqulds4uices sold?
<br />b. Candy/fruit flavored?
<br />c. Flavor of alcoholic drinks?
<br />d. Menthol/mint flavored?
<br />e. Nicotine -free?
<br />f. ContalnsTHC?
<br />g. Contains CBD?
<br />h. Contains caffeine?
<br />I. Displayed in self-service display?
<br />❑, Yes
<br />❑o No (check N/A for #13B —#14)
<br />❑, Yes
<br />O, No
<br />❑, N/A
<br />❑, Yes
<br />❑, No
<br />❑, N/A
<br />❑, Yes
<br />❑, No
<br />09 N/A
<br />❑, Yes
<br />Q. No
<br />❑, N/A
<br />❑, Yes
<br />O, No
<br />❑, N/A
<br />01 Yes
<br />0, No
<br />E3, N/A
<br />❑, Yes
<br />U. No
<br />❑, N/A
<br />O, Yes
<br />❑, No
<br />0, N/A
<br />14. If e-liquids/juices are sold, does the store have a menu for them?
<br />O, Yes - booklet, pamphlet, or menu board on wall/counter
<br />Oa No
<br />❑, N/A - not sold
<br />15. Cartridges
<br />a. Are cartridges sold?
<br />b. Candy/fruit flavored?
<br />c. Flavor of alcoholic drinks?
<br />d. Menthol/mint flavored?
<br />e. Nicotine -free?
<br />f. ContainsTHC7
<br />g. Contains CBD7
<br />h. Contains caffeine?
<br />1. In self-service displayl
<br />O, Yes
<br />Q. No (check N/A for #15b-1)
<br />❑, Yes
<br />Q. No
<br />❑, N/A
<br />❑, Yes
<br />❑, No
<br />❑, N/A
<br />O, Yes
<br />Q. No
<br />❑, N/A
<br />O, Yes
<br />U, No
<br />❑, N/A
<br />❑, Yes
<br />Q. No
<br />❑, N/A
<br />❑, Yes
<br />❑, No
<br />O9 N/A
<br />❑, Yes
<br />U. No
<br />❑, N/A
<br />❑, Yes
<br />O, No
<br />❑, N/A
<br />16. Price promotions, including clearance, on e -liquids or devices?
<br />❑, Yes
<br />❑, No
<br />17. Can customers sample products while inside the store/kiosk...
<br />a. If they bring their own device
<br />❑, Yes
<br />❑, No
<br />b. Using a device provided by the store
<br />❑, Yes
<br />❑, No
<br />MESSAGING
<br />18. One or more sign(s) posted inside the store/kiosk that...
<br />a. Suggest vaping Is saferthan cigarettes
<br />❑, Yes Do No
<br />(including customer testimonials)?
<br />b. Promote vaping as a way to quit smoking
<br />U Yes Q. No
<br />cigarettes (including customer testimonlals)?
<br />c. Promote vaping as a cheaper alternative
<br />❑Yes ❑ No
<br />to conventional cigarettes?
<br />u
<br />d. Promote vaping in places where smoking
<br />LI, ❑ No
<br />Is not allowed?
<br />u
<br />e. Promote a customer loyalty program? O, Yes Oa No
<br />f. Are directed towards veterans or ❑ Yes ❑ No
<br />the military population?
<br />g. Are directed towards college students? ❑, Yes Q. No
<br />h. Display graphic health warnings? ❑, Yes U, No
<br />19. Signs stating that vaping is allowed in the store/kiosk?
<br />❑, Yes, vaping is allowed
<br />❑o No, vaping is not allowed
<br />❑, N/A, there are no signs
<br />20. Anyone vaping while you completed this audit
<br />(including store staff)?
<br />❑, Yes
<br />❑, No
<br />21. Branded marketing materials for vaping products placed
<br />In the interior of the store?
<br />❑, Yes
<br />❑, No
<br />22. Branded marketing materials for vaping products placed
<br />on the exterior of the store, or on store property?
<br />❑, Yes
<br />❑, No
<br />23. Ask clerk at the end of the survey:
<br />a. "Can store staff make e -liquids (mix propylene glycol,
<br />and/or vegetable glycerin, flavors, and/or nicotine) on-site?"
<br />❑, Yes
<br />❑o No
<br />❑, Refused to answer
<br />b. "Does the store allow customers/staff to mix e -liquids on-site?"
<br />❑, Yes
<br />❑, No
<br />❑, Refused to answer
<br />FIELD NOTES
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