Global Tobacco Control Organizational Assessment

1. Organizational Information

The Global Tobacco Research Network (GTRN) is conducting this assessment in order to collect information about organizations currently involved in tobacco control funding, research, and implementation worldwide. The results of the assessment will be used to create a number of resources. First, the basic organizational information collected will be entered into GTRN's global tobacco control organizational database. Second, the networking data gathered will be used to develop a map to show the linkages between organizations. Finally, the networking and organizational needs data will be used, whenever possible, to inform GTRN's tobacco control capacity building efforts.

The assessment is composed of 8 sections focused on a different aspect of your organization's work in tobacco control. The entire assessment is likely to take less than 30 minutes to complete. You can close the survey and come back to it later.

We greatly appreciate your participation!!

To begin, we would like some basic contact information for your organization.

1. Organization's Name:

2. Organization's Website:

3. Contact Person's Last Name:

4. Contact Person's First Name:

5. Contact Person's Position:

6. Contact Person's Email:

7. Organization's Headquarters' Street Address:

8. Organization's Headquarters' City and State / Province:

9. Organization's Headquaters' Postal Code:

10. Organization's Headquarters' Country: