Attachment I-8

Attachment 1-8 National Youth Tobacco Survey Questionnaire Supplemental Documents – Summary of Questionnaire Changes

Summary of Questionnaire Changes

Questions removed from the NYTS Questionnaire from 2011 to 2012

6. During the last 30 days, about how much money did you have each week to spend any way you want to?

1. None

2. Less than $1

3. $1 to $5

4. $6 to $10

5. $11 to $20

6. $21 to $50

7. More than $50

33. Have you ever tried smoking any of the following, even one or two puffs:

    1. I have never smoked bidis (small brown cigarettes wrapped in a leaf) or kreteks (clove cigarettes)

    2. Bidis

    3. Kreteks

    4. I have tried both bidis and kreteks

33. During the past 30 days, on how many days did you smoke bidis?

    1. 0 days

    2. 1 or 2 days

    3. 3 to 9 days

    4. 10 to 19 days

    5. 20 to 29 days

    6. All 30 days

33. During the past 30 days, on how many days did you smoke clove cigarettes?

    1. 0 days

    2. 1 or 2 days

    3. 3 to 9 days

    4. 10 to 19 days

    5. 20 to 29 days

    6. All 30 days

38. How easy would it be for you to get tobacco products if you wanted some?

    1. Very easy

    2. Somewhat easy

    3. Not easy at all

38. Do you believe that tobacco companies try to get young people under 18 to use tobacco products?

    1. Yes

    2. No

52. During the past 12 months, did any doctor, dentist, or nurse ask you if you use tobacco of any kind?

    1. I did not see a doctor, dentist, or nurse during the past 12 months

    2. Yes

    3. No

52. During the past 12 months, did any doctor, dentist, or nurse advise you not to use tobacco of any kind?

    1. I did not see a doctor, dentist, or nurse during the past 12 months

    2. Yes

    3. No

54. Do you want to stop smoking cigarettes for good?

    1. I do not smoke now

    2. Yes

    3. No

59. In the past 12 months, did you do any of the following to help you quit using tobacco of any kind for good? (You can CHOOSE ONE ANSWER or MORE THAN ONE ANSWER)

    1. I did not use tobacco of any kind during the past 12 months

    2. I did not try to quit during the past 12 months

    3. Attended a program in my school

    4. Attended a program in the community

    5. Called a telephone help line or telephone quit line

    6. Used nicotine gum

    7. Used nicotine patch

    8. Used any medicine to help quit

    9. Visited an Internet quit site

    10. Got help from family or friends

    11. Used another method, such as hypnosis or acupuncture

    12. Tried to quit on my own or quit “cold turkey”

60. During the past 7 days, on how many days did someone smoke tobacco products in your home while you were there?

    1. 0 days

    2. 1 day

    3. 2 days

    4. 3 days

    5. 4 days

    6. 5 days

    7. 6 days

    8. 7 days

60. During the past 7 days, on how many days did you ride in a vehicle where someone was smoking a tobacco product?

    1. 0 days

    2. 1 day

    3. 2 days

    4. 3 days

    5. 4 days

    6. 5 days

    7. 6 days

    8. 7 days

60. During the past 7 days, on how many days did you breathe the smoke from someone who was smoking a tobacco product at your school, including school buildings, school grounds, and school parking lots?

    1. 0 days

    2. 1 day

    3. 2 days

    4. 3 days

    5. 4 days

    6. 5 days

    7. 6 days

    8. 7 days

60. During the past 7 days, on how many days did you breathe the smoke from someone who was smoking tobacco products in the place where you work?

    1. 0 days

    2. 1 day

    3. 2 days

    4. 3 days

    5. 4 days

    6. 5 days

    7. 6 days

    8. 7 days

60. During the past 7 days, on how many days did you breathe the smoke from someone who was smoking tobacco products in an indoor or outdoor public place? Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Examples of outdoor public places are school grounds, parking lots, stadiums and parks.

    1. 0 days

    2. 1 day

    3. 2 days

    4. 3 days

    5. 4 days

    6. 5 days

    7. 6 days

    8. 7 days

65. Inside your home (not counting decks, garages, or porches) is smoking…

    1. Always allowed

    2. Allowed only at some times or in some places

    3. Never allowed

65. In the vehicles that you and family members who live with you own or lease, is smoking…

    1. Always allowed

    2. Sometimes allowed

    3. Never allowed

68. How many of your four closest friends smoke cigarettes?

    1. None

    2. One

    3. Two

    4. Three

    5. Four

    6. Not sure

68. How many of your four closest friends use chewing tobacco, snuff, or dip?

1. None

2. One

3. Two

4. Three

5. Four

6. Not sure

70. In your opinion, inside your home, smoking tobacco products should….

1. Always be allowed

2. Be allowed only at some times or in some places

3. Never be allowed

70. In your opinion, in their vehicles, people should …

1. Always allow smoking

2. Sometimes allow smoking

3. Never allow smoking

77. During the past 12 months, have you been involved in any organized activities to keep people your age from using any form of tobacco product?

1. Yes

2. No

77. During this school year, were you taught in any of your classes about why you should not use tobacco products?

1. Yes

2. No

77. During the past 30 days, to your knowledge, has anyone, including yourself, smoked a tobacco product on school property when he or she was not supposed to?

1. Yes

2. No

80. During the past 30 days, to your knowledge, has anyone, including yourself, used some other type of tobacco product (that is, one that is not smoked) on school property when he or she was not supposed to?

1. Yes

2. No

81. During the past 30 days, how many days did you miss at least one class period because you skipped or "cut" or just did not want to be there?

1. 0 days

2. 1 day

3. 2 to 5 days

4. 6 to 10 days

5. 11 or more days

New Questions Added to the 2012 NYTS

Original Question (Before Cognitive Testing)	Changes Made Based on Cognitive Testing	Final Question (After Cognitive Testing)
Have you ever tried cigarette smoking, even one or two puffs? Yes No	No changes were made.	Have you ever tried cigarette smoking, even one or two puffs? A. Yes B. No
17. Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes that you usually smoked menthol? A. I did not smoke cigarettes during the past 30 days B. Yes C. No D. Not sure	No changes were made.	Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes that you usually smoked menthol? A. I did not smoke cigarettes during the past 30 days B. Yes C. No D. Not sure
During the past 30 days, how did you get your own cigarettes? (CHOOSE ALL THAT APPLY) I did not smoke cigarettes during the past 30 days I bought them myself I had someone else buy them for me I borrowed or bummed them Someone gave them to me without my asking I took them from a store or another person I got them some other way	Response category D changed to: I asked someone to give me a cigarette.	During the past 30 days, how did you get your own cigarettes? (CHOOSE ALL THAT APPLY) I did not get cigarettes during the past 30 days I bought a pack of cigarettes myself I had someone else buy a pack of cigarettes for me I asked someone to give me a cigarette Someone offered me a cigarette I bought cigarettes from another person I took cigarettes from a store or another person I got cigarettes some other way
Which of the following tobacco products have you ever tried, even just one time? (CHOOSE ALL THAT APPLY) Roll-your-own cigarettes Bidis (small brown cigarettes wrapped in a leaf) Smoking tobacco from a hookah or a waterpipe Snus, such as Camel or Marlboro Snus Dissolvable tobacco products, such as Ariva, Stonewall, Camel orbs, Camel sticks, Marlboro sticks, or Camel strips Electronic Cigarettes or E-cigarettes, such as Ruyan or NJOY Some other new tobacco products not listed here I have never tried any of the products listed above or any new tobacco product	No changes made based on cognitive testing. Response Category C (clove cigarettes) added based on internal discussions.	Which of the following tobacco products have you ever tried, even just one time? (CHOOSE ALL THAT APPLY) A. Roll-your-own cigarettes B. Bidis (small brown cigarettes wrapped in a leaf) C. Clove cigarettes (kreteks) D. Smoking tobacco from a hookah or a waterpipe E. Snus, such as Camel or Marlboro Snus F. Dissolvable tobacco products, such as Ariva, Stonewall, Camel orbs, Camel sticks, Marlboro sticks, or Camel strips G. Electronic Cigarettes or E-cigarettes, such as Ruyan or NJOY H. Some other new tobacco products not listed here I. I have never tried any of the products listed above or any new tobacco product

Original Question (Before Cognitive Testing)	Changes Made Based on Cognitive Testing	Final Question (After Cognitive Testing)
Were any of the tobacco products you used in the past 30 days flavored to taste like menthol (mint), clove, spice, alcohol (wine, cognac), candy, fruit, chocolate, or other sweets? I did not use any flavored tobacco products in the past 30 days Yes No	No changes were made.	39. Were any of the tobacco products you used in the past 30 days flavored to taste like menthol (mint), clove, spice, alcohol (wine, cognac), candy, fruit, chocolate, or other sweets? A. I did not use any flavored tobacco products in the past 30 days B. Yes C. No
Have you ever had a strong craving to use tobacco products of any kind (such as smoking a cigarette or using smokeless or other tobacco products)? A. Yes B. No During the past 30 days, did you ever feel like you really needed to use a tobacco product? A. Yes B. No	Questions combined.	During the past 30 days, have you had a strong craving or felt like you really needed to use a tobacco product of any kind (such as smoking a cigarette or using chewing tobacco, snuff, dip, or snus)? Yes No
During the past 30 days, was there a time when you wanted to use a tobacco product so much that you found it difficult to think of anything else? Yes No	No changes were made.	41. During the past 30 days, was there a time when you wanted to use a tobacco product so much that you found it difficult to think of anything else? A. Yes B. No
How soon after you wake up do you want to use a tobacco product? Within 10 minutes 11-30 minutes 31 to 60 minutes More than 60 minutes I do not use tobacco	Response categories were changed.	42. How soon after you wake up do you want to use a tobacco product? A. I do not use tobacco B. Within 5 minutes C. From 6 to 30 minutes D. From more than 30 minutes to 1 hour E. After more than 1 hour but less than 24 hours F. I rarely want to use tobacco
43. How true is this statement for you? I feel restless and irritable when I don’t use tobacco for a while. A. I do not use tobacco B. Not at all true C. Sometimes true D. Often true E. Always true	No changes were made.	43. How true is this statement for you? I feel restless and irritable when I don’t use tobacco for a while. A. I do not use tobacco B. Not at all true C. Sometimes true D. Often true E. Always true

Original Question (Before Cognitive Testing)	Changes Made Based on Cognitive Testing	Final Question (After Cognitive Testing)
47. During the past 30 days, did you receive coupons from a tobacco company through… (CHOOSE ALL THAT APPLY) The mail E-mail The Internet Facebook Myspace A text message I did not receive coupons from a tobacco company	Response categories were changed.	During the past 30 days, did you receive coupons from a tobacco company through… (CHOOSE ALL THAT APPLY) The mail E-mail The Internet Social Networks (such as Facebook and Twitter) A text message On a cigarette pack or other tobacco product I did not receive coupons from a tobacco company
During the past 30 days, did you receive ads from a tobacco company through… (CHOOSE ALL THAT APPLY) The mail E-mail The Interrnet Facebook Myspace A text message I did not receive any ads from a tobacco company	Changed “ads” to “information”. Response categories were changed.	48. During the past 30 days, did a tobacco company send you information (other than coupons) through… (CHOOSE ALL THAT APPLY) A. The mail B. E-mail C. A text message D. Some other way E. I did not receive any information from a tobacco company
53. A warning label tells you if a product is harmful to you and can be either a picture or words. During the past 30 days, how often did you see a warning label on a cigarette pack? A. I did not see a cigarette pack during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always	No changes were made.	A warning label tells you if a product is harmful to you and can be either a picture or words. During the past 30 days, how often did you see a warning label on a cigarette pack? I did not see a cigarette pack during the past 30 days Never Rarely Sometimes Most of the time Always
During the past 30 days, to what extent did warning labels on cigarette packs make you think about the health risks of smoking? I did not see a warning label on a cigarette pack in the past 30 days. Not at all A little Somewhat A lot	No changes were made.	54. During the past 30 days, to what extent did warning labels on cigarette packs make you think about the health risks of smoking? I did not see a warning label on a cigarette pack in the past 30 days. Not at all A little Somewhat A lot

Original Question (Before Cognitive Testing)	Changes Made Based on Cognitive Testing	Final Question (After Cognitive Testing)
During the past 30 days, how often did you see a warning label on a smokeless tobacco product? I did not see a smokeless tobacco product during the past 30 days Never Rarely Sometimes Most of the time Always	Snuff, dip, and snus were added as examples of smokeless tobacco products.	55. During the past 30 days, how often did you see a warning label on a smokeless tobacco product, such as chewing tobacco, snuff, dip, or snus? A. I did not see a smokeless tobacco product during the past 30 days B. Never C. Rarely D. Sometimes E. Most of the time F. Always
57. Are you seriously thinking about quitting cigarettes?… (PLEASE CHOOSE THE FIRST ANSWER THAT FITS) A. I do not smoke cigarettes B. Yes, within the next 30 days C. Yes, within the next 6 months D. Yes, within the year E. Yes, but not within the year F. No, I am not thinking about quitting cigarettes	No changes were made.	57. Are you seriously thinking about quitting cigarettes?… (PLEASE CHOOSE THE FIRST ANSWER THAT FITS) A. I do not smoke cigarettes B. Yes, within the next 30 days C. Yes, within the next 6 months D. Yes, within the year E. Yes, but not within the year F. No, I am not thinking about quitting cigarettes
59. During the past 12 months, how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good? A. I did not smoke during the past 12 months B. I did not try to quit during the past 12 months C. 1 time D. 2 times E. 3 to 5 times F. 6 to 9 times G. 10 or more times	No changes were made.	During the past 12 months, how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good? A. I did not smoke during the past 12 months B. I did not try to quit during the past 12 months C. 1 time D. 2 times E. 3 to 5 times F. 6 to 9 times G. 10 or more times
60. When you last tried to quit for good, how long did you stay off cigarettes? (PLEASE CHOOSE THE FIRST ANSWER THAT FITS) I have never smoked cigarettes I have never tried to quit Less than a day 1 to 7 days More than 7 days but less than 30 days More than 30 days but less than 6 months More than 6 months but less than 1 year 1 year or more	No changes were made.	60. When you last tried to quit for good, how long did you stay off cigarettes? (PLEASE CHOOSE THE FIRST ANSWER THAT FITS) I have never smoked cigarettes I have never tried to quit Less than a day 1 to 7 days More than 7 days but less than 30 days More than 30 days but less than 6 months More than 6 months but less than 1 year 1 year or more

Original Question (Before Cognitive Testing)	Changes Made Based on Cognitive Testing	Final Question (After Cognitive Testing)
65. How long do you think someone has to smoke before it harms their health? A. Less than a year B. 1 year C. 5 years D. 10 years E. 20 years or more	No changes were made.	How long do you think someone has to smoke before it harms their health? A. Less than a year B. 1 year C. 5 years D. 10 years E. 20 years or more
66. How much do you think people harm themselves when they smoke a few cigarettes every day? A. No harm B. Little harm C. Some harm D. A lot of harm	No changes were made.	66. How much do you think people harm themselves when they smoke a few cigarettes every day? A. No harm B. Little harm C. Some harm D. A lot of harm
67. How much do you think people harm themselves when they smoke cigarettes some days but not every day? No harm Little harm Some harm A lot of harm	No changes were made.	67. How much do you think people harm themselves when they smoke cigarettes some days but not every day? No harm Little harm Some harm A lot of harm
Do you believe that electronic cigarettes or e-cigarettes, such as Ruyan or NJOY, are (LESS HARMFUL, EQUALLY HARMFUL, or MORE HARMFUL) than regular cigarettes? Less harmful Equally harmful More harmful I have never heard of electronic cigarettes or e-cigarettes	Response Category E was added.	69. Do you believe that electronic cigarettes or e-cigarettes, such as Ruyan or NJOY, are (LESS HARMFUL, EQUALLY HARMFUL, or MORE HARMFUL) than regular cigarettes? A. Less harmful B. Equally harmful C. More harmful D. I have never heard of electronic cigarettes or e-cigarettes E. I don’t know enough about these products
70. How much do you think people harm themselves when they use smokeless tobacco some days but not everyday? A. No harm B. Little harm C. Some harm D. A lot of harm	Snuff, dip, and snus were added as examples of smokeless tobacco products.	70. How much do you think people harm themselves when they use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus, every day? No harm Little harm Some harm A lot of harm

Original Question (Before Cognitive Testing)	Changes Made Based on Cognitive Testing	Final Question (After Cognitive Testing)
71. How much do you think people harm themselves when they use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus, some days but not every day? A. No harm B. Little harm C. Some harm D. A lot of harm	Snuff, dip, and snus were added as examples of smokeless tobacco products.	How much do you think people harm themselves when they use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus, some days but not every day? No harm Little harm Some harm A lot of harm
72. Do you believe that dissolvable tobacco products, such as Ariva, Stonewall, or Camel orbs, sticks, or strips, are (LESS HARMFUL, EQUALLY HARMFUL, or MORE HARMFUL) than other smokeless tobacco products? A. Less harmful B. Equally harmful C. More harmful D. I have never heard of dissolvable tobacco products, such as Ariva, Stonewall, or Camel orbs, ticks, or strips	Added Response Category E. Eliminated repeated examples given in Response Category D.	Do you believe that dissolvable tobacco products, such as Ariva, Stonewall, Camel orbs, Camel sticks, Marlboro sticks, or Camel strips are (LESS HARMFUL, EQUALLY HARMFUL, or MORE HARMFUL) than other smokeless tobacco products, such as chewing tobacco, snuff, dip, or snus? Less harmful Equally harmful More harmful I have never heard of dissolvable tobacco products I don’t know enough about these products
74. In the past 30 days, how often have you thought about the harmful chemicals in tobacco products? A. Never B. Rarely C. Sometimes D. Often E. Very Often	No changes were made.	In the past 30 days, how often have you thought about the harmful chemicals in tobacco products? A. Never B. Rarely C. Sometimes D. Often E. Very Often
76. Out of every 10 students in your grade at school, how many do you think smoke cigarettes? 0 1 2 3 4 5 6 7 8 9 10	Emphasized “in your grade” by bolding and underlining.	76. Out of every 10 students in your grade at school, how many do you think smoke cigarettes? 0 1 2 3 4 5 6 7 8 9 10