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Background: In 2006, Nevada voters approved the Nevada Clean Indoor Air Act, which prohibited smoking in many public places but exemptions still allowed smoking in casinos and 21-and-over bars. The 2016 Nevada Adult Tobacco Survey showed support for prohibiting smoking in casinos (52.9%) and bars (44.6%) but a more detailed understanding of the current level of support-or lack thereof-for 100% smoke-free locations in Washoe County is needed.Methods: A web-based survey was administered to Washoe county residents (n=305) asking them about their attitudes and beliefs regarding smoking in casinos and bars.Results: 60% of residents (and 74% of non-smokers) indicated they would favor a law prohibiting tobacco smoking in all casinos in Washoe County. Similarly, 63% of residents (and 74% of non-smokers) indicated they would favor a law prohibiting tobacco smoking in all bars. Only 24% of residents (and 15% of nonsmokers) oppose the prohibition of tobacco smoking in casinos and bars. 77% of residents dislike smelling like smoke after visiting a casino or bar and 65% agree that smoke bothers them in these establishments. A majority of residents would both be more likely to visit a casino and bar and also find them more enjoyable if they were completely smoke-free. 79% of residents believe customers should be able to breathe smoke-free air while only 21% believe businesses should be able to decide.Conclusions: Growing support for smoke-free casinos and bars indicates this should be a priority discussion in protecting the health of Washoe County citizens.

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