National Adult Tobacco Survey - Landline

National Adult Tobacco Survey

H-3 Main_NATS_Questionnaire

National Adult Tobacco Survey - Landline

OMB: 0920-0828

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Form Approved

OMB No. 0920-0828

Exp. Date xx/xx/xxxx

H-3. Main Body of Questionnaire

Introductory Questions

genhealth

Rationale: Provides an easy opening to the survey and can prove a useful covariate in analysis.

/ASK ALL/

1. Would you say that in general your health is…?

1. Excellent

2. Very good

3. Good

4. Fair

or

5. Poor


7. DON’T KNOW/NOT SURE

9. REFUSED


age

Rationale: Key covariate.

/ASK ALL/

/RANGE: 7,9,18-130/

2. What is your age?

_ _ _ . Age in years


7. DON’T KNOW/NOT SURE

9. REFUSED

Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC Reports Clearance Officer, 1600 Clifton Road, MS-74, Atlanta, GA 30333, ATTN: PRA (0920-0828).

Cigarette Smoking

smok100

Rationale: To utilize a standard measure to determine whether the respondent ever smoked cigarettes.

/ASK ALL/

HELP: 100 CIGARETTES=5 PACKS

3. Have you smoked at least 100 cigarettes in your entire life?

1. YES

2. NO IF Q2 AGE EQ (7,9,30-130), GO TO Q12 SMOKEVER


7. DON’T KNOW/NOT SURE IF Q2 AGE EQ (7,9,30-130), GO TO Q12 SMOKEVER

9. REFUSED IF Q2 AGE EQ (7,9,30-130), GO TO Q12 SMOKEVER


smoknow

Rationale: To monitor current cigarette usage.

/Asked of respondents who are age 18-29 or have smoked at least 100 cigarettes in their entire life/

/ASK IF Q2 AGE EQ (18-29) OR Q3 SMOK100 EQ 1/

4. Do you now smoke cigarettes every day, some days, or not at all?

1. Every day

2. Some days

3. Not at all IF Q3 SMOK100 eq 1, Go to Q6 SMOKMENTHREG; ELSE GO TO Q12 SMOKEVER


7. DON’T KNOW IF Q3 SMOK100 eq 1, Go to Q6 SMOKMENTHREG; ELSE GO TO Q12 SMOKEVER

9. REFUSED IF Q3 SMOK100 eq 1, Go to Q6 SMOKMENTHREG; ELSE GO TO Q12 SMOKEVER


smoktype

Rationale: To determine the proportion of smokers that purchase loose tobacco.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

5. When you smoke cigarettes, do you usually smoke manufactured cigarettes, roll-your-own, or both?

1. premade cigarettes

2. roll-your-own

3. both


7. DON’T KNOW

9. REFUSED


IF Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9), GO TO Q7 SMOKMENTHNOW


SMOKmenthREG

Rationale: To obtain information about the use of menthol cigarettes

/Asked of respondents who have smoked at least 100 cigarettes in their entire life/

/ASK IF Q3 SMOK100 EQ 1/

6. Have you ever smoked menthol cigarettes for 6 months or more?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q4 SMOKNOW EQ (3,7,9), GO TO Q11 SMOKLAST


SMOKmenthNOW

Rationale: To obtain information about the use of menthol cigarettes

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

7. Currently, when you smoke cigarettes, how often do you smoke menthol cigarettes…?

1. All of the time

2. Most of the time

3. Some of the time

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q4 SMOKNOW EQ 2, GO TO Q9 SMOKDAYS30


smokperday

Rationale: To assess current patterns of cigarette usage.

/Asked of respondents who now smoke cigarettes every day/

/ASK IF Q4 SMOKNOW EQ 1/

/RANGE: 1-180,666,888,777,999, VERIFY IF (888,666,1-3,41-180)/

INTERVIEWER: IF RESPONDENT STATES A RANGE OR IS UNSURE, READ:

You said you smoke about x to y cigarettes a day. Your answer doesn’t have to be exact, but I do need to report one number. What is your best guess of the average number of cigarettes you smoke in one day?

8. On average, about how many cigarettes do you now smoke each day?

HELP: 1 PACK=20 CIGARETTES.

_ _ _. Number of cigarettes


666. Less than one cigarette a day

888. NONE


777. DON’T KNOW/NOT SURE

999. REFUSED


Go to Q13 SMOKFIRSTAGE

smokdays30

Rationale: To assess usage patterns of cigarettes.

/Asked of respondents who now smoke cigarettes some days/

/ASK IF Q4 SMOKNOW EQ 2/

/RANGE: 1-30,88,77,99. VERIFY IF88/

interviewer: if respondent states a range OR is unsure, read:

[You said you smoked cigarettes on [STATE RANGE:] “x to y” days.] Your answer doesn’t have to be exact, but I do need to report one number. What is your best guess of the number of days you smoked cigarettes in the past 30 days?

9. On how many of the PAST 30 DAYS did you smoke cigarettes?

_ _. Number of Days


88. NONE GO TO Q11 SMOKLAST


77. DON’T KNOW/NOT SURE GO TO Q11 SMOKLAST

99. REFUSED GO TO Q11 SMOKLAST


smoksomeday

Rationale: To assess usage patterns of cigarettes.

/Asked of respondents who have smoked at least one day in the past 30 days/

/ASK IF Q9 SMOKDAYS30 EQ (1-30)/

/RANGE: 1-180,666,888,777,999. VERIFY IF (888,666,21-180)/

interviewer: if respondent states a range OR is unsure, read:

[You said you smoke about [STATE RANGE:] x to y cigarettes a day on days when you smoke cigarettes.] Your answer doesn’t have to be exact, but I do need to report one number. What is your best guess of the average number of cigarettes you smoked in one day on days when you smoked cigarettes in the past 30 days?

10. [FILL IF Q9 SMOKDAYS30 EQ 1 “On the day that you smoked, how many cigarettes did you smoke?”/FILL IF Q9 SMOKDAYS30 EQ 2-30 “On the average, on those days, how many cigarettes did you usually smoke each day?”]

HELP: 1 pack=20 cigarettes.

_ _ _. Number of cigarettes


666. Less than one cigarette a day

888. NONE


777. DON’T KNOW/NOT SURE

999. REFUSED


GO TO Q13 SMOKFIRSTAGE

smokLAST1, smokLAST2, SMOKLAST3

Rationale: To assess the duration of time former smokers have been smoke-free.

/Asked of respondents who [have smoked at least 100 cigarettes in their entire life and (now smoke cigarettes not at all or don’t know if they now smoke cigarettes every day, some days, or not at all or refused to say if they now smoke cigarettes every day, some days, or not at all)] or [now smoke cigarettes some days and (smoked no cigarettes in the past 30 days or don’t know if they smoked cigarettes in the past 30 days or refused to say if they smoked cigarettes in the past 30 days)] or now smoke cigarettes not at all/

/ASK IF (Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ (3,7,9)) OR (Q4 SMOKNOW EQ 2 AND Q9 SMOKDAYS30 EQ (88,77,99))/

11. How long has it been since you completely stopped smoking cigarettes?

NUMBER: (_ _ ) SMOKLAST1

UNIT: (_) SMOKLAST2

RANGE: 1-500. VERIFY IF (366-500)

1. DAY(S)

RANGE: 1-150. VERIFY IF (53-150)

2. WEEK(S)

RANGE: 1-60. VERIFY IF (19-60)

3. MONTH(S)

RANGE: 1-90. VERIFY IF (51-90)

4. YEAR(S)



666. DATE

6. DATE

888. TODAY

8. TODAY

777. DON’T KNOW/NOT SURE

7. DON’T KNOW/NOT SURE

999. REFUSED

9. REFUSED


11A. INTERVIEWER: Enter date in SMOKLAST3 as mm/dd/yyyy.

GO TO Q13 SMOKFIRSTAGE



smokever

Rationale: To identify non-smoking respondents with a past history of experimenting with cigarettes.

/Asked of respondents who {are age 18-29 and [(have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke cigarettes not at all or don’t know if they now smoke cigarettes every day, some days, or not at all or refused to say if they now smoke cigarettes every day, some days, or not at all)] or [(are age 30-139 or don’t know how old they are or refused to say how old they are) and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life)]/

/ASK IF (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (3,7,9)) OR (Q2 AGE EQ (7,9,30-130) AND Q3 SMOK100 EQ (2,7,9))/

12. Have you ever tried cigarette smoking, even one or two puffs?

1. YES

2. NO if Q2 AGE EQ (18-29), Go to q18 SUSCEPT1; else go to q21 cigarpast


7. DON’T KNOW/NOT SURE if Q2 AGE EQ (18-29), Go to q18 SUSCEPT1; else go to q21 cigarpast

9. REFUSED if Q2 AGE EQ (18-29), Go to q18 SUSCEPT1; else go to q21 cigarpast




smokFIRSTage

Rationale: To assess past usage patterns of cigarettes.

/Asked of respondents who (have smoked at least 100 cigarettes in their entire life or [(are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke every day or some days)] or have ever smoked cigarettes, even if just one or two puffs/

/ASK IF Q3 SMOK100 EQ 1 OR (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (1,2)) OR Q12 SMOKEVER EQ 1/

/RANGE: 1-130,777,999. VERIFY IF (1-8,30-130)/

13. How old were you the first time you smoked part or all of a cigarette?

_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED




smokDLYPAST

Rationale: To identify former or current daily smokers among all respondents who have ever smoked.

/Asked of respondents who (have smoked at least 100 cigarettes in their entire life or [(are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke every day or some days)] or have ever smoked cigarettes, even if just one or two puffs/

/ASK IF Q3 SMOK100 EQ 1 OR (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (1,2)) OR Q12 SMOKEVER EQ 1/

14. Have you ever smoked cigarettes every day for at least 6 months?

1. YES

2. NO IF q4 SMOKNOW EQ (2,3,7,9), GO TO Q17 SMOKYRAGO


7. DON’T KNOW/NOT SURE IF q4 SMOKNOW EQ (2,3,7,9), GO TO Q17 SMOKYRAGO

9. REFUSED IF q4 SMOKNOW EQ (2,3,7,9), GO TO Q17 SMOKYRAGO




smokdLYage

Rationale: To obtain information on smoking history

/Asked of respondents who now smoke cigarettes every day or have smoked cigarettes every day for at least 6 months/

/ASK IF Q4 SMOKNOW EQ 1 OR Q14 SMOKDLYPAST EQ 1/

/RANGE: 1-130,777,999. VERIFY IF (1-11,31-130)/

15. How old were you when you first started smoking cigarettes every day?

_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED


IF Q4 SMOKNOW EQ (1,3,7,9) OR Q14 SMOKDLYPAST EQ (2,7,9), GO TO Q17 SMOKYRAGO



smokDLYlast1, SMOKDLYLAST2, smokdlylast3

Rationale: To obtain information on smoking history

/Asked of respondents who now smoke some days and have smoked cigarettes every day for at least 6 months/

/ASK IF Q4 SMOKNOW EQ 2 AND Q14 SMOKDLYPAST EQ 1/

16. About how long has it been since you last smoked cigarettes on a daily basis?

NUMBER: (_ _ ) SMOKDLYLAST1

UNIT: (_) SMOKDLYLAST2

RANGE: 1-500. VERIFY IF (366-500)

1. DAY(S) AGO

RANGE: 1-150. VERIFY IF (53-150)

2. WEEK(S) AGO

RANGE: 1-60. VERIFY IF (19-60)

3. MONTH(S) AGO

RANGE: 1-90. VERIFY IF (51-90)

4. YEAR(S) AGO



666. DATE

6. DATE

888. TODAY

8. TODAY

777. DON’T KNOW/NOT SURE

7. DON’T KNOW/NOT SURE

999. REFUSED

9. REFUSED


16A. INTERVIEWER: Enter date in SMOKDLYLAST3 as mm/dd/yyyy.




smokyrago

Rationale: To obtain information on smoking history

/Asked of respondents who (have smoked at least 100 cigarettes in their entire life or [(are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke every day or some days)] or have ever smoked cigarettes, even if just one or two puffs/

/ASK IF Q3 SMOK100 EQ 1 OR (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (1,2)) OR Q12 SMOKEVER EQ 1/

17. Around this time 12 months ago, were you smoking cigarettes every day, some days, or not at all?

1. Every day

2. Some days

3. Not at all


7. Don't know/Not sure

9. REFUSED


IF Q2 AGE EQ (18-29) AND Q12 SMOKEVER EQ 1, GO TO Q19 SUSCEPT2; ELSE GO TO Q21 CIGARPAST

Susceptibility—Cigarettes

suscept1

Rationale: To gauge young adult never-smokers’ susceptibility to taking up cigarette smoking.

/Asked of respondents who are age 18-29 and (who have never tried cigarette smoking or don’t know if they have ever tried cigarette smoking or refused to say if they have ever tried cigarette smoking)/

/ASK IF Q2 AGE EQ (18-29) AND Q12 SMOKEVER EQ (2,7,9)/

18. Have you ever been curious about smoking a cigarette? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


suscept2

Rationale: To gauge young adult never-smokers’ susceptibility to taking up cigarette smoking.

/Asked of respondents who are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke not at all or don’t know if they now smoke every day, some days or not at all or refused to say if they now smoke every day, some days or not at all)/

/ASK IF Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (3,7,9)/

19. Do you think you will smoke a cigarette soon? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


suscept3

Rationale: To gauge young adult never-smokers’ susceptibility to taking up cigarette smoking.

/Asked of respondents who are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke not at all or don’t know if they now smoke every day, some days or not at all or refused to say if they now smoke every day, some days or not at all)/

/ASK IF Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (3,7,9)/

20. Do you think you will smoke a cigarette in the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED




Other Tobacco Products

cigarPAST

Rationale: To monitor use of non-cigarette combustible tobacco products.

/ASK ALL/

21. The next questions ask about tobacco products that you might smoke other than cigarettes, specifically cigars, cigarillos and little filtered cigars. “Cigarillos” are medium cigars that sometimes are sold with plastic or wooden tips. Some common brands are Black and Mild’s, Swisher Sweets, Dutch Masters and Phillies Blunts. Cigarillos are usually sold individually or in packs of 5 or 8. In contrast, little filtered cigars look like cigarettes and are usually brown in color. Like cigarettes, little filtered cigars have a spongy filter and are sold in packs of 20. Some common brands are Prime Time and Winchester little filtered cigars.

Have you smoked cigars, cigarillos, or little filtered cigars at least 50 times in your entire life?

1. YES

2. NO IF Q2 AGE EQ (7,9,30-130), Go to q31 PIPEWTREVER


7. DON’T KNOW/NOT SURE IF Q2 AGE EQ (7,9,30-130), Go to q31 PIPEWTREVER

9. REFUSED Go to q31 PIPEWTREVER


cigarnow

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who [are age 18-29 and (have not smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life or don’t know if they have smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life)] or have smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life/

/ASK IF (Q2 AGE EQ (18-29) AND Q21 CIGARPAST EQ (2,7)) OR Q21 CIGARPAST EQ 1/

22. Do you now smoke cigars, cigarillos, or little filtered cigars every day, some days, rarely, or not at all?

1. Every day

2. some days

3. rarely

4. not at all IF Q2 AGE EQ (18-29) AND Q21 CIGARPAST EQ (2,7), GO TO Q27 CIGARSUSCEPT, ELSE IF Q21 CIGARPAST EQ 1, Go to Q28 PIPREGPAST


7. DON’T KNOW/NOT SURE IF Q2 AGE EQ (18-29) AND Q21 CIGARPAST EQ (2,7), GO TO Q27 CIGARSUSCEPT, ELSE IF Q21 CIGARPAST EQ 1, Go to Q28 PIPREGPAST

9. REFUSED Go to Q28 PIPREGPAST


cigarTYPE

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely/

/ASK IF (Q22 CIGARNOW EQ (1,2,3)/

23. Is the size of the cigars, cigarillos, or little filtered cigars that you usually smoke…?

1. Around the length of a cigarette

2. Around the length of a dollar bill

3. Somewhere in between the length of a cigarette and a dollar bill

4. I do not have a usual size of cigar that I smoke GO TO Q26 CIGARFLAV


7. Don’t know/not sure

9. Refused GO TO Q26 CIGARFLAV




CIGARFILT

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely and (who smoke cigars, cigarillos, or little filtered cigars that are around the length of a cigarette , around the length of a dollar bill, somewhere in between the length of a cigarette and a dollar bill, or don’t know or are not sure of the length of the cigars, cigarillos, or little filtered cigars that they usually smoke)/

/ASK IF (Q22 CIGARNOW EQ (1,2,3) AND Q23 CIGARTYPE EQ (1,2,3,7)/

24. Do you usually smoke a cigar, cigarillo or little filtered cigar that has….

1. A spongy filter

2. A plastic tip

2. A wooden tip

4. No filter or tip


7. Don’t know/not sure

9. Refused GO TO Q26 CIGARFLAV


CIGARBRAND

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely and (who smoke cigars, cigarillos, or little filtered cigars that are around the length of a cigarette , around the length of a dollar bill, somewhere in between the length of a cigarette and a dollar bill, or don’t know or are not sure of the length of the cigars, cigarillos, or little filtered cigars that they usually smoke) and (who usually smoke a cigar, cigarillo or little filtered cigar that has a spongy filter, a plastic tip, a wooden tip, no filter or tip,or don’t know or are not sure of the type of filter or type of the cigars, cigarillos, or little filtered cigars that they usually smoke/

/ASK IF (Q22 CIGARNOW EQ (1,2,3) AND Q23 CIGARTYPE EQ (1,2,3,7) AND Q24 CIGARFILT EQ (1,2,3,4,7)/

/LENGTH OF CIGARBRAND=40/

25. What is the name brand of the cigar, cigarillo, or little filtered cigar that you usually smoke?

cigarFLAV

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely/

/ASK IF (Q22 CIGARNOW EQ (1,2,3)/

26. In the past 30 days, were any of the cigars, cigarillos, or little filtered cigars that you smoked flavored to taste like menthol or mint, clove, spice, candy, fruit, chocolate or other sweets?

1. YES

2. NO

6. RESPONDENT DID NOT SMOKE ANY CIGARS IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


GO TO Q28 PIPEREGPAST

CIGARsuscept

Rationale: To monitor susceptibility to initiating cigar smoking among young adults.

Asked of respondents who are age 18-29 and (have not smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life or don’t know if they have smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life) and (now smoke cigars, cigarillos, or little filtered cigars not at all or don’t know if they now smoke cigars, cigarillos, or little filtered cigars every day, some days, rarely, or not at all)

/ASK IF Q2 AGE EQ (18-29) AND Q21 CIGARPAST EQ (2,7) AND Q22 CIGARNOW EQ (4,7)/

27. Do you think you will smoke a cigar, cigarillo or little filtered cigar within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


PIPEREGPAST

Rationale: To monitor use of non-cigarette combustible tobacco products.

/ASK ALL/

28. Moving away from cigars, the next questions that I am going to ask concern smoking tobacco in pipes. The first set of questions asks about smoking tobacco in a regular pipe. The second set of questions asks about smoking tobacco in a hookah, which is a type of water pipe.

Have you smoked a regular pipe filled with tobacco at least 50 times in your entire life?

1. YES

2. NO IF Q2 AGE EQ (7,9,30-130), GO TO Q36 ECIGHEARD


7. DON’T KNOW/NOT SURE IF Q2 AGE EQ (7,9,30-130), GO TO Q36 ECIGHEARD

9. REFUSED Go to Q36 ECIGHEARD


PIPEREGnow

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who [are age 18-29 and (have not smoked tobacco in a regular pipe at least 50 times in their entire life or don’t know if they have smoked tobacco in a regular pipe at least 50 times in their entire life)] or have smoked tobacco in a regular pipe at least 50 times in their entire life/

/ASK IF (Q2 AGE EQ (18-29) AND Q28 PIPEREGPAST EQ (2,7)) OR Q28 PIPEREGPAST EQ 1/

29. Do you now smoke a regular pipe filled with tobacco every day, some days, rarely, or not at all?

1. Every day GO TO Q36 ECIGHEARD

2. some days GO TO Q36 ECIGHEARD

3. rarely GO TO Q36 ECIGHEARD

4. not at all IF Q28 PIPEREGPAST EQ 1, GO TO Q36 ECIGHEARD


7. DON’T KNOW/NOT SURE IF Q28 PIPEREGPAST EQ 1, GO TO Q36 ECIGHEARD

9. REFUSED GO TO Q36 ECIGHEARD

PIPEREGsuscept

Rationale: To monitor susceptibility to initiating regular pipe use among young adults.

Asked of respondents who are age 18-29 and (have not smoked tobacco in a regular pipe at least 50 times in their entire life or don’t know if they have ever smoked tobacco in a regular pipe at least 50 times in their life) and (now smoke tobacco in a regular pipe not at all or don’t know if they now smoke tobacco in a regular pipe)

/ASK IF Q2 AGE EQ (18-29) AND Q28 PIPEREGPAST EQ (2,7) AND Q29 PIPEREGNOW EQ (4,7)/

30. Do you think you will smoke a regular pipe filled with tobacco within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


pipewtREVER

Rationale: To monitor use of non-cigarette combustible tobacco products.

/ASK ALL/

31. The next question asks you about smoking tobacco in a hookah. A hookah is a type of water pipe. Have you ever smoked tobacco in a hookah in your entire life?

1. YES

2. NO IF Q2 AGE EQ (18-29), GO TO Q34 PIPEWTRSUSCEPT; else if Q29 PIPREGNOW EQ (1,2,3), go to q35 pipeflav; ELSE Go to Q36ECIGHEARD


7. DON’T KNOW/NOT SURE IF Q2 AGE EQ (18-29), GO TO Q34 PIPEWTRSUSCEPT; else if Q29 PIPREGNOW EQ (1,2,3), go to q35 pipeflav; ELSE Go to Q36ECIGHEARD

9. REFUSED if Q29 PIPREGNOW EQ (1,2,3), go to q35 pipeflav; ELSE Go to Q36ECIGHEARD


pipewtrTIMES

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who have ever smoked tobacco in a water pipe/

/ASK IF Q31 PIPEWTREVER EQ 1/

32. How many times in total do you think you have smoked tobacco in a hookah during your lifetime? Would you say…

1. 1-5

2. 6-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


pipewtrnow

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who have ever smoked tobacco in a water pipe/

/ASK IF Q31 PIPEWTREVER EQ 1/

33. Do you now smoke tobacco in a hookah every day, some days, rarely or not at all?

1. Every day go to q35 pipeflav

2. some days go to q35 pipeflav

3. rarely go to q35 pipeflav

4. not at all IF Q2 AGE EQ (7,9,30-130), GO TO Q36 ECIGHEARD


7. DON’T KNOW/NOT SURE IF Q2 AGE EQ (7,9,30-130), GO TO Q36 ECIGHEARD

9. REFUSED GO TO Q36 ECIGHEARD


PIPEWTRsuscept

Rationale: To monitor susceptibility to initiating hookah use among young adults.

Asked of respondents who are age 18-29 and (have never smoked tobacco in a water pipe in their entire life or don’t know if they have ever smoked tobacco in a water pipe in their entire life or now smoke tobacco in a water pipe not at all or don’t know if they now smoke tobacco in a water pipe)

/ASK IF Q2 AGE EQ (18-29) AND (Q31 PIPEWTREVER EQ (2,7) OR Q33 PIPEWTRNOW EQ (4,7))/

34. Do you think you will smoke tobacco in a hookah within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


GO TO Q36 ECIGHEARD

PIPEFLAV

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who (now smoke tobacco in a regular pipe every day, some days, or rarely) or (now smoke tobacco in a hookah every day, some days, or rarely)/

/ASK IF Q29 PIPREGNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3)/

35. Was any of the tobacco that you smoked [FILL IF Q29 PIPREGNOW EQ (1,2,3) AND Q33 PIPEWTRNOW EQ (4,7,9): “in a regular pipe”/ELSE FILL IF Q29 PIPREGNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (1,2,3): “in a hookah”/ELSE FILL IF Q29 PIPREGNOW EQ (1,2,3) AND Q33 PIPEWTRNOW EQ (1,2,3): “either in a regular pipe or a hookah”] in the past 30 days flavored to taste like menthol or mint, clove, spice, candy, fruit, chocolate, or other sweets?

1. YES

2. NO

6. RESPONDENT DID NOT SMOKE ANY TOBACCO IN A PIPE IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


ECIGHEARD

Rationale: To monitor awareness of non-cigarette tobacco products.

/ASK ALL/

36. Moving away from cigars, the next set of questions that I am going to ask concern electronic cigarettes. Electronic cigarettes, or e-cigarettes as they are often called, are battery-operated devices that simulate smoking a cigarette, but do not involve the burning of tobacco. The heated vapor produced by an e-cigarette often contains nicotine.

Before today, had you ever heard of electronic cigarettes or e-cigarettes?

1. YES

2. NO GO TO Q41 ECIGSUSCEPT


7. DON’T KNOW/NOT SURE GO TO Q41 ECIGSUSCEPT

9. REFUSED IF Q21 CIGARPAST EQ 1 OR Q31 PIPEWTREVER EQ 1 OR Q28 PIPEREGPAST EQ 1, GO TO Q42 SMKOTHAGE; ELSE GO TO Q43 CSDPAST


I

ECIGEVER

Rationale: To monitor use of non-cigarette tobacco products.

/Asked of respondents who have ever heard of electronic cigarettes or e-cigarettes/

/ASK IF Q36 ECIGHEARD EQ 1/

37. Have you ever used an electronic cigarette, even just one time in your entire life?

1. YES

2. NO GO TO Q41 ECIGSUSCEPT


7. DON’T KNOW/NOT SURE GO TO Q41 ECIGSUSCEPT

9. REFUSED IF Q21 CIGARPAST EQ 1 OR Q31 PIPEWTREVER EQ 1 OR Q28 PIPEREGPAST EQ 1, GO TO Q42 SMKOTHAGE; ELSE GO TO Q43 CSDPAST


ECIGTIMES

Rationale: To monitor use of non-cigarette tobacco products.

/Asked of respondents who have ever used an electronic cigarette/

/ASK IF Q37 ECIGEVER EQ 1/

38. How many times in total do you think you have used an electronic-cigarette during your lifetime?

1. 1-10

2. 11-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


ECIGNOW

Rationale: To monitor use of non-cigarette tobacco products.

/Asked of respondents who have ever used an electronic cigarette/

/ASK IF Q37 ECIGEVER EQ 1/

39. Do you now use electronic cigarettes everyday, some days, rarely, or not at all?

1. Every day

2. some days

3. rarely

4. not at all GO TO Q41 ECIGSUSCEPT


7. DON’T KNOW/NOT SURE GO TO Q41 ECIGSUSCEPT

9. REFUSED GO TO Q42 SMKOTHAGE


ECIGflav

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who now use electronic cigarettes every day, some days, or rarely/

/ASK IF Q39 ECIGNOW EQ (1,2,3)/

40. Were any of the electronic cigarettes that you used in the past 30 days flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, or other sweets?

1. YES

2. NO

6. RESPONDENT DID NOT USE ANY SMOKED TOBACCO PRODUCT OTHER THAN CIGARETTES IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


GO TO Q42 SMKOTHAGE

ECIGSUSCEPT

Rationale: To monitor susceptibility to non-cigarette tobacco products.

/Asked of respondents who have never tried an electronic cigarette or don’t know if they have ever tried an electronic cigarette or now use electronic cigarettes not at all or don’t know if they now use electronic cigarettes every day, some days, rarely, or not at all/

/ASK IF Q37 ECIGEVER EQ (2,7) OR Q39 ECIGNOW EQ (4,7)/

41. Do you think you will use an electronic cigarette or e-cigarette in the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q21 CIGARPAST EQ (2,7,9) AND Q31 PIPEWTREVER EQ (2,7,9) AND Q28 PIPEREGPAST EQ (2,7,9) AND Q37 ECIGEVER EQ (2,7,9), GO TO Q42 SMKOTHAGE; ELSE GO TO Q43 CSDPAST

smkothage

Rationale: To monitor youth use and susceptibility to non-cigarette tobacco products.

/Asked of respondents who (have smoked a cigar, cigarillo, or a little filtered cigar at least 50 times in their entire life) or (have ever smoked tobacco in a water pipe)or (have smoked tobacco in a regular pipe at least 50 times in their entire life) or (have ever used an electronic cigarette in their entire life)/

/ASK IF Q21 CIGARPAST EQ 1 OR Q31 PIPEWTREVER EQ 1 OR Q28 PIPEREGPAST EQ 1 OR Q37 ECIGEVER EQ 1/

/RANGE: 1-130,777,999. VERIFY IF (1-11,31-130)/

42. How old were you when you first smoked a cigar, cigarillo or little filtered cigar; a regular pipe or a hookah; or an electronic cigarette—--even if only one or two puffs? Please do not include cigarettes in your answer.

_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED


CSDPAST

Rationale: To monitor use of smokeless tobacco products.

/ASK ALL/

interviewer: pronounce “levi” as lee-vie

43. Now we will ask you about smokeless tobacco products, specifically chewing tobacco, snuff, or dip. Some examples of these product brands are Skoal, Copenhagen, Grizzly, Levi Garrett, Red Man, or Day’s Work.

Have you used chewing tobacco, snuff or dip at least 20 times in your entire life?

1. YES

2. NO IF Q2 AGE EQ (7,9,30-130), Go to q46 SNUSHEARD


7. DON’T KNOW/NOT SURE IF Q2 AGE EQ (7,9,30-130), Go to q46 SNUSHEARD

9. REFUSED Go to q46 SNUSHEARD


csdnow

Rationale: To monitor use of smokeless tobacco products.

/Asked of respondents who [are age 18-29 and (have not used chewing tobacco, snuff or dip at least 20 times in their entire life or don’t know if they have used chewing tobacco, snuff or dip at least 20 times in their entire life)] or or have used chewing tobacco, snuff or dip at least 20 times in their entire life/

/ASK IF (Q2 AGE EQ (18-29) AND Q43 CSDPAST EQ (2,7)) OR Q43 CSDPAST EQ 1/

44. Do you now use chewing tobacco, snuff, or dip every day, some days, rarely, or not at all?

1. Every day Go to q46 SNUSHEARD

2. some days Go to q46 SNUSHEARD

3. rarely Go to q46 SNUSHEARD

4. not at all IF Q43 CSDPAST EQ 1, GO TO Q41 SNUSHEARD


7. DON’T KNOW/NOT SURE IF Q43 CSDPAST EQ 1, GO TO Q41 SNUSHEARD

9. REFUSED Go to q46 SNUSHEARD


CSDsuscept

Rationale: To monitor susceptibility to initiate use of chewing tobacco, snuff or dip among young adults.

/Asked of respondents who are age 18-29 and [(have not used chewing tobacco, snuff or dip at least 20 times in their entire life) or (don’t know if they have used chewing tobacco, snuff or dip at least 20 times in their entire life) ]and [(now use chewing tobacco, snuff, or dip not at all) or (don’t know if they now use chewing tobacco, snuff, or dip)].

/ASK IF Q2 AGE EQ (18-29) AND Q43 CSDPAST EQ (2,7) AND Q44 CSDNOW EQ (4,7)/

45. Do you think you will chew tobacco, or use snuff or dip within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


snusheard

Rationale: To monitor awareness of novel smokeless tobacco products.

/ASK ALL/

iNTERVIEWER: Pronounce “snus” to rhyme with goose.


46. Have you ever heard of snus, such as Camel Snus or Marlboro Snus? Snus is a moist, smokeless tobacco usually sold in individual or pre-packaged small pouches that are placed under the lip against the gum.

1. YES

2. NO Go to Q51 DISSHEARD


7. DON’T KNOW/NOT SURE Go to Q51 DISSHEARD

9. REFUSED Go to Q51 DISSHEARD


snusever

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever heard of snus/

/ASK IF Q46 SNUSHEARD EQ 1/

iNTERVIEWER: Pronounce “snus” to rhyme with goose. If respondent asks what snus is, read: “Snus” is moist, smokeless tobacco, usually sold in individual or pre-packaged small pouches that are placed under the lip against the gum.”


47. Have you ever tried snus, even just one time in your entire life?

1. YES

2. NO Go to Q50 SNUSSUSCEPT


7. DON’T KNOW/NOT SURE Go to Q50 SNUSSUSCEPT

9. REFUSED Go to Q51 DISSHEARD


SNUSTIMES

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried snus/

/ASK IF Q47 SNUSEVER EQ 1/

INTERVIEWER: PRONOUNCE “SNUS” TO RHYME WITH GOOSE

48. How many times in total do you think you have used snus during your lifetime?

1. 1-10

2. 11-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


snusnow

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried snus/

/ASK IF Q47 SNUSEVER EQ 1/

49. Do you now use snus every day, some days, rarely, or not at all?

1. Every day Go to Q51 DISSHEARD

2. some days Go to Q51 DISSHEARD

3. rarely Go to Q51 DISSHEARD

4. not at all


7. DON’T KNOW/NOT SURE

9. REFUSED Go to Q51 DISSHEARD


SNUSsuscept

Rationale: To monitor susceptibility to initiate use of snus among all respondents who have never tried snus or don’t know if they have tried snus or .

/Asked of respondents who have not tried snus even just one time in their entire life or don’t know if they have tried snus even just one time in their life or currently use snus not at all or don’t know if they currently use snus every day, some days, rarely, or not at all

/ASK IF Q47 SNUSEVER EQ (2,7) OR Q49 SNUSNOW EQ (4,7)/

50. Do you think you will use snus within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


dissheard

Rationale: To monitor awareness of novel smokeless tobacco products.

/ASK ALL/

51. Have you ever heard of a dissolvable tobacco product? Some examples of these product names are Ariva, Stonewall, Camel orbs, Camel sticks, or Camel strips. These products contain finely ground tobacco that are placed in the mouth or on the tongue and readily dissolve.

1. YES

2. NO Go to DECISIONBOXpre56


7. DON’T KNOW/NOT SURE Go to DECISIONBOXpre56

9. REFUSED Go to DECISIONBOXpre56


dissEVER

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever heard of dissolvable tobacco products/

/ASK IF Q51 DISSHEARD EQ 1/

52. Have you ever tried a dissolvable tobacco product, even just one time in your entire life?

1. YES

2. NO Go to Q55 disssuscept


7. DON’T KNOW/NOT SURE Go to Q55 disssuscept

9. REFUSED Go to DECISIONBOXpre56


dissTIMES

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried a dissolvable tobacco product/

/ASK IF Q52 DISSEVER EQ 1/

53. How many times in total do you think you have used a dissolvable tobacco product during your lifetime?

1. 1-10

2. 11-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


dissnow

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried any dissolvable tobacco product/

/ASK IF Q52 DISSEVER EQ 1/

54. Do you now use dissolvable tobacco products every day, some days, rarely, or not at all?

1. EVERY DAY GO TO Q56 SMKLSFLAV

2. SOME DAYS GO TO Q56 SMKLSFLAV

3. RARELY GO TO Q56 SMKLSFLAV

4. NOT AT ALL


7. DON’T KNOW/NOT SURE

9. REFUSED Go to DECISIONBOXpre56


DISsSuscept

Rationale: To monitor susceptibility to initiate use of dissolvable tobacco products among all respondents who have never previously tried these products.

/Asked of respondents who who have not tried dissolvable tobacco even just one time in their entire life or don’t know if they have tried dissolvable tobacco even one time in their entire life or now use a dissolvable tobacco not at all or don’t know if they now use a dissolvable tobacco product/

/ASK IF Q52 DISSEVER EQ (2,7) OR Q54 DISSNOW EQ (4,7)/

55. Do you think you will use a dissolvable tobacco product within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


DECISIONBOXPRE56

/ASK ALL/

IF Q43 CSDPAST EQ (2,7,9) AND Q47 SNUSEVER EQ (2,7,9) AND Q52 DISSEVER EQ (2,7,9), GO TO DECISIONBOXPRE58

smklsflav

Rationale: To monitor use of flavored smokeless tobacco products.

/Asked of respondents who now use chewing tobacco, snuff, dip, snus, or dissolvable tobacco every day, some days, or rarely/

/ASK IF Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

CATI PROGRAMMER: SMKLSLIST = [a list of all smokeless tobacco products the respondent currently uses]

56. In the past 30 days, was any of the [FILL SMKLSLIST] that you used flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, or other sweets?

1. YES

2. NO


6. RESPONDENT DID NOT USE ANY SMOKEless TOBACCO PRODUCTS IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


smklsage

Rationale: To monitor susceptibility to use smokeless tobacco products.

/Asked of respondents who have ever used chewing tobacco, snuff or dip every day or have ever tried snus or a dissolvable tobacco product/

/ASK IF Q43 CSDPAST EQ 1 OR Q47 SNUSEVER EQ 1 OR Q52 DISSEVER EQ 1/

/RANGE: 1-130,777,999. VERIFY IF (1-11,31-130)/

57. How old were you when you first tried [FILL SMKLSLIST]?

_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED


DECISIONBOXPRE58

/ASK ALL/

IF NOT {(Q12 SMOKEVER EQ 2 OR Q17 SMOKYRAGO EQ 3) AND (Q21 CIGARPAST EQ 1 OR Q31 PIPEWTREVER EQ 1 OR Q28 PIPEREGPAST EQ 1 OR Q37 ECIGEVER EQ 1 OR Q43 CSDPAST EQ 1 OR Q47 SNUSEVER EQ 1 OR Q52 DISSEVER EQ 1) OR [Q2 AGE EQ (18-29) AND (Q22 CIGARNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3))]}, GO TO DECISIONBOXPRE60

tobacyrago

Rationale: To estimate the proportion of respondents using any tobacco product in the past year

/Asked of respondents who [(have never smoked cigarettes) or (have ever smoked cigarettes and were not smoking 12 months ago)] and have ever used at least one other tobacco product/

/ASK IF (Q12 SMOKEVER EQ 2 OR Q17 SMOKYRAGO EQ 3) AND (Q21 CIGARPAST EQ 1 OR Q31 PIPEWTREVER EQ 1 OR Q28 PIPEREGPAST EQ 1 OR Q37 ECIGEVER EQ 1 OR Q43 CSDPAST EQ 1 OR Q47 SNUSEVER EQ 1 OR Q52 DISSEVER EQ 1) OR [Q2 AGE EQ (18-29) AND (Q22 CIGARNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3))]/

58. Around this time 12 months ago, were you using any kind of tobacco product?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


DECISIONBOXPRE59

/ASK ALL/

IF NOT {[(Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ 3) OR Q12 SMOKEVER EQ 1] AND [(Q21 CIGARPAST EQ 1 AND Q22 CIGARNOW EQ 4) OR (Q31 PIPEWTREVER EQ 1 AND Q33 PIPEWTRNOW EQ 4) OR (Q28 PIPEREGPAST EQ 1 AND Q29 PIPEREGNOW EQ 4) OR (Q37 ECIGEVER EQ 1 AND Q39 ECIGNOW EQ 4) OR (Q43 CSDPAST EQ 1 AND Q44 CSDNOW EQ 4) OR (Q47 SNUSEVER AND Q49 SNUSNOW EQ 4) OR (Q52 DISSEVER AND Q54 DISSNOW EQ 4)]}, GO TO DECISIONBOXPRE62

othquitall

Rationale: To monitor cessation of tobacco products.

/Asked of respondents who have ever used a tobacco product other than cigarettes and do not now use any tobacco product = respondents [(who have smoked 100 cigarettes in their entire life and now smoke not at all) or have ever smoked a cigarette] and have ever used a non-cigarette tobacco product in the past and now do not use any non-cigarette tobacco product/

/ASK IF [(Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ 3) OR Q12 SMOKEVER EQ 1] AND [(Q21 CIGARPAST EQ 1 AND Q22 CIGARNOW EQ 4) OR (Q31 PIPEWTREVER EQ 1 AND Q33 PIPEWTRNOW EQ 4) OR (Q28 PIPEREGPAST EQ 1 AND Q29 PIPEREGNOW EQ 4) OR (Q37 ECIGEVER EQ 1 AND Q39 ECIGNOW EQ 4) OR (Q43 CSDPAST EQ 1 AND Q44 CSDNOW EQ 4) OR (Q47 SNUSEVER AND Q49 SNUSNOW EQ 4) OR (Q52 DISSEVER AND Q54 DISSNOW EQ 4)]/

59. Have you completely quit using all types of tobacco products, including cigarettes, smokeless tobacco, e-cigarettes, cigars and pipes?

1. YES

2. NO GO TO DECISIONBOXPRE62


7. DON’T KNOW/NOT SURE GO TO DECISIONBOXPRE62

9. REFUSED GO TO DECISIONBOXPRE62



othquit1, othquit2, OTHQUIT3

Rationale: To monitor cessation of tobacco products.

/Asked of respondents who have completely quit using all types of tobacco products/

/ASK IF Q59 OTHQUITALL/

60. About how long has it been since you completely quit using tobacco?

NUMBER: (_ _ ) OTHQUIT1

UNIT: (_) OTHQUIT2

RANGE: 1-500. VERIFY IF (366-500)

1. DAY(S) AGO

RANGE: 1-150. VERIFY IF (53-150)

2. WEEK(S) AGO

RANGE: 1-60. VERIFY IF (19-60)

3. MONTH(S) AGO

RANGE: 1-90. VERIFY IF (51-90)

4. YEAR(S) AGO



Range: 1-130. VERIFY IF (1-10)

5. AGE

666. DATE

6. DATE

888. TODAY

8. TODAY

777. DON’T KNOW/NOT SURE

7. DON’T KNOW/NOT SURE

999. REFUSED

9. REFUSED


60A. INTERVIEWER: Enter date in OTHQUIT3 as mm/dd/yyyy.



Addiction

DECISIONBOXPRE61

/ASK ALL/

EVERYDAYPRODUCTCOUNT= 0 +1 for every product the respondents use everyday [where SMOKNOW=1 / CIGARNOW=1 / PIPEWTRNOW= 1/ PIPEREGNOW= 1 / ECIGNOW= 1 / CSDNOW= 1 / SNUSNOW= 1/ DISSNOW= 1] Range= 0-8

SOMEDAYPRODUCTCOUNT= 0 +1 for every product the respondent uses somedays/rarely [where SMOKNOW=2 / CIGARNOW=2,3 / PIPEWTRNOW= 2,3/ PIPEREGNOW= 2,3 / ECIGNOW= 2,3 / CSDNOW= 2,3 / SNUSNOW= 2,3/ DISSNOW= 2,3] Range= 0-8

TOBACLIST= [a list of all tobacco products the respondent currently uses]

IF EVERYDAYPRODUCTCOUNT EQ (1-8), GO TO Q62 SMOKWAKE; ELSE IF SOMEDAYPRODUCTCOUNT EQ (0,1), GO TO Q63 AWAKEN; ELSE IF Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q39 ECIGNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO DECISIONBOXPRE68

SOMEDAYUSE

/Asked of respondents who do not use any tobacco product every day and who use two or more tobacco products some days or rarely/

/ASK IF EVERYDAYPRODUCTCOUNT EQ 0 AND SOMEDAYPRODUCTCOUNT EQ (2-8)

61. Previously you mentioned that you used [INSERT TOBACLIST] on some days or rarely.

Thinking about these products, are there some days when you do not use [FILL IF SOMEDAYPRODUCTCOUNT EQ 2: “either product?”/ELSE FILL IF SOMEDAYPRODUCTCOUNT EQ (3-8): “any of these products?”]

1. YES GO TO q63 AWAKEN

2. NO


7. DON’T KNOW/NOT SURE GO TO q63 AWAKEN

9. REFUSED GO TO q63 AWAKEN


smokwake1, SMOKWAKE2

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use a tobacco product every day/

/ASK IF EVERYDAYPRODUCTCOUNT EQ (1-8) OR Q61 SOMEDAYUSE EQ 2/

62. Thinking about [FILL TOBACLIST], on average, how soon after you wake up do you usually first use [FILL IF EVERYDAYPRODUCTCOUNT EQ (2-8): “one of these products?”/ELSE FILL IF SOMEDAYUSE EQ 1: “this product?”


NUMBER: (_ _ ) SMOKWAKE1

UNIT: (_) SMOKWAKE2

RANGE: 0-120. VERIFY IF (61-120)

1. MINUTES

RANGE: 1-24. VERIFY IF (3-24)

2. HOURS



777. DON’T KNOW/NOT SURE

7. DON’T KNOW/NOT SURE

999. REFUSED

9. REFUSED

awaken

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

63. Do you sometimes wake up at night in order to have a cigarette or other tobacco product?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobaccrave

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

64. During the past 30 days, have you had a strong craving to use tobacco products of any kind?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobacneed

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

65. During the past 30 days, did you ever feel like you really needed to use a tobacco product?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobacwant

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

66. 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?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobacirrit

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

67. How true is this statement for you? After not using tobacco for a while, I feel restless and irritable. Would you say…

1. Not at all true?

2. Sometimes true?

3. Often true?

4. Always true?


7. DON’T KNOW/NOT SURE

9. REFUSED




Cessation

DECISIONBOXPRE68

/ASK ALL/

IF Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ (3,7,9) AND Q11 SMOKLAST LESS THAN OR EQUAL TO 12 MONTHS AND Q37 ECIGEVER EQ 1, GO TO Q69 ECIGSWITCH; ELSE IF Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ (3,7,9) AND Q11 SMOKLAST LESS THAN OR EQUAL TO 12 MONTHS AND Q37 ECIGEVER EQ (2,7,9), GO TO Q70 SMKLSSWITCH; ELSE GO TO DECISIONBOX73

quitATTEMPT

Rationale: To monitor frequency of attempts to quit smoking.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

68. During the past 12 months, have you stopped smoking for 24 hours or more because you were trying to quit?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q4 SMOKNOW EQ 1 OR Q9 SMOKDAYS30 EQ (1-30) OR Q11 SMOKLAST EQ (GREATER THAN 12 MONTHS, DON’T KNOW/NOT SURE, REFUSED), GO TO Q71 QUITCIGS

ECIGswitch

Rationale: To monitor replacement of cigarettes with other tobacco products.

/Asked of respondents who have quit smoking cigarettes in the past 12 months and have ever used e-cigarettes/

/ASK IF Q11 SMOKLAST LESS THAN OR EQUAL TO 12 MONTHS AND Q37 ECIGEVER EQ 1/

69. At any time during the past 12 months, did you completely switch from smoking traditional cigarettes to using electronic or e-cigarettes?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED



smKlsswitch

Rationale: To monitor replacement of cigarettes with other tobacco products.

Asked of respondents who have quit smoking cigarettes in the past 12 months

/ASK IF Q11 SMOKLAST LESS THAN OR EQUAL TO 12 MONTHS/

70. At any point during the past 12 months, did you completely switch from smoking cigarettes to using a smokeless tobacco product, such as chewing tobacco, dip, snuff, or snus?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q4 SMOKNOW EQ (3,7,9) GO TO DECISIONBOXPRE73

quitcigs

Rationale: To monitor the proportion of smokers contemplating quitting smoking.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

71. Are you thinking about quitting cigarettes for good?

1. YES

2. NO GO TO DECISIONBOXPRE73


7. DON’T KNOW/NOT SURE GO TO DECISIONBOXPRE73

9. REFUSED GO TO DECISIONBOXPRE73


quitcigsOON

Rationale: To monitor the proportion of smokers contemplating quitting smoking.

/Asked of respondents who are thinking about quitting smoking for good/

/ASK IF Q71 QUITCIGS EQ 1/

72. How soon are you likely to quit smoking? Would you say…

1. within the next 30 days

2. within the next 6 months

3. within the year

4. longer than a year


7. DON’T KNOW/NOT SURE

9. REFUSED


DECISIONBOXPRE73

/ASK ALL/

IF NOT {[Q71 QUITCIGS EQ 1 AND (Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3))] OR [Q4 SMOKNOW EQ (3,7,9) AND (Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3))]}, GO TO DECISIONBOXPRE75

quitalltobac

Rationale: To monitor the proportion of tobacco users contemplating quitting all tobacco use.

/Asked of respondents [who are thinking about quitting cigarettes for good and now use at least one other tobacco product every day, some days, or rarely] or non-cigarette smokers who use any other tobacco product every day, some days, or rarely/

/ASK IF [Q71 QUITCIGS EQ 1 AND (Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3))] OR [Q4 SMOKNOW EQ (3,7,9) AND (Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3))]/

73. Are you thinking about quitting the use of all tobacco products for good?

1. YES

2. NO GO TO DECISIONBOXPRE75


7. DON’T KNOW/NOT SURE GO TO DECISIONBOXPRE75

9. REFUSED GO TO DECISIONBOXPRE75


quitalltobacSOON

Rationale: To monitor the proportion of tobacco users contemplating quitting tobacco use.

/Asked of respondents who are thinking about quitting all tobacco products/

/ASK IF Q73 QUITALLTOBAC EQ 1/

74. How soon are you likely to quit using all tobacco products? Would you say…

1. within the next 30 days

2. within the next 6 months

3. within the year

4. longer than a year

7. DON’T KNOW/NOT SURE

9. REFUSED


DECISIONBOXPRE75

/ASK ALL/

IF Q2 AGE EQ (18-29) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9) AND Q39 ECIGNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO Q76 PROMO; ELSE IF Q2 AGE EQ (7,9,30-130) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9) AND Q39 ECIGNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO Q78 WARNLOOKCIG

quitpastyr

Rationale: To estimate the number of tobacco users that made at least one attempt to quit all forms of tobacco use within the past year

/Asked of respondents who now smoke cigarettes every day or some days or use any other tobacco product every day, some days, or rarely /

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

75. During the past 12 months, did you stop using all kinds of tobacco products for more than one day because you were trying to quit using tobacco?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED




Marketing/Public Education

promo1-promo4

Rationale: To measure exposure to different types of prohibited tobacco marketing and promotion.

/Asked of respondents who are age 18-29 or who now smoke cigarettes every day or some days or use any other tobacco product every day, some days, or rarely/

/ASK IF Q2 AGE EQ (18-29) OR Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

76.

(1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

PROMO1

76A.

Have you noticed promotions for free samples of cigarettes, in the past 30 days?

( _ )

PROMO2

76B.

Have you noticed promotions for free samples of smokeless tobacco products in stores and venues where children are allowed, in the past 30 days?

( _ )

PROMO3

76C.

(Have you noticed promotions for) events being sponsored by a cigarette or smokeless tobacco brand name or logo,( in the past 30 days)?

( _ )

PROMO4

76D.

(Have you noticed promotions for) cigarettes sold singly in stores, otherwise known as “loosies,” (in the past 30 days)?

( _ )



RECVPROMO1-RECVPROMO8, RECVPROMO_OTH

Rationale: To measure exposure to different types of tobacco marketing and promotion.

/Asked of respondents who are age 18-29 or who now smoke cigarettes every day or some days or use any other tobacco product every day, some days, or rarely/

/ASK IF Q2 AGE EQ (18-29) OR Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

/LENGTH OF RECVPROMO_OTH=40/

77.

(1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

RECVPROMO1

77A.

Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions in the mail for any tobacco product in the past 30 days?

( _ )

RECVPROMO2

77B.

Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions from the internet for any tobacco product in the past 30 days?

( _ )

RECVPROMO3

77C.

(Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) in an email sent by a tobacco company (for any tobacco product in the past 30 days)?

( _ )

RECVPROMO4

77D.

(Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) with the purchase of any tobacco product, (in the past 30 days)??

( _ )

RECVPROMO5

77E.

(Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) with the purchase of a non-tobacco product, (in the past 30 days)??

( _ )

RECVPROMO6

77F.

(Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) at an event, bar, or nightclub for any tobacco product in the past 30 days?

( _ )

RECVPROMO7

77G.

(Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) from friends or family (for any tobacco product in the past 30 days)?

( _ )

RECVPROMO8

77H.

(Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) from some other source (for any tobacco product in the past 30 days)?

( _ )

Interviewer: If respondent has received a promotion from another source, READ:


RECVPROMO_OTH

77I.

What was the source of the promotion that you received?

( _ )




WARNLOOKCIG

Rationale: To monitor awareness of graphic health warnings

/ASK ALL/

78. How often, if at all, have you seen a health warning on cigarette packs in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never Go to Q82 WARNLOOKSMKLS


7. DON’T KNOW/NOT SURE Go to Q82 WARNLOOKSMKLS

9. REFUSED Go to Q82 WARNLOOKSMKLS



WARNSTOPCIG

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on cigarette packs in the past 30 days/

/ASK IF Q78 WARNLOOKCIG EQ (1,2,3,4)/

79. In the past 30 days, has a health warning on a cigarette pack stopped you from having a cigarette when you were about to smoke one? Would you say…

1. Many times

2. A few times

3. Once

4. Never

5. I did not have an urge to smoke a cigarette in the past 30 days.


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNAVDCIG

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on cigarette packs in the past 30 days/

/ASK IF Q78 WARNLOOKCIG EQ (1,2,3,4)/

80. In the past 30 days, have you done anything to avoid seeing health warnings on cigarette packs?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNRISKCIG

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on cigarette packs in the past 30 days/

/ASK IF Q78 WARNLOOKCIG EQ (1,2,3,4)/

81. How often, if at all, have you thought about the health risks of smoking cigarettes in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNLOOKSMKLS

Rationale: To monitor awareness of health warnings

/ASK ALL/

82. How often, if at all, have you seen health warnings on smokeless tobacco packages in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q82 WARNLOOKSMKLS EQ (5,7,9): IF AGE EQ (18-29) OR Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3), GO TO Q85 WARNNOTICE; ELSE GO TO Q93 MARITAL2

WARNSTOPSMKLS

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on smokeless tobacco packages in the past 30 days/

/ASK IF Q82 WARNLOOKSMKLS EQ (1,2,3,4)/

83. In the past 30 days, have the health warnings on smokeless tobacco packages stopped you from using smokeless tobacco when you were about to? Would you say…

1. Many times

2. A few times

3. Once

4. Never

5. I did not have an urge to use smokeless tobacco in the past 30 days.


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNRISKSMKLS

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on smokeless tobacco packages in the past 30 days/

/ASK IF Q82 WARNLOOKSMKLS EQ (1,2,3,4)/

84. How often, if at all, have you thought about the health risks of using smokeless tobacco in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q2 AGE EQ (7,9,30-130) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9) AND Q39 ECIGNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO Q93 MARITAL2

warnNOTICE

Rationale: to measure exposure to health warnings on advertisements.

/Asked of respondents who are age 18-29 or who now use any tobacco product/

/ASK IF Q2 AGE EQ (18-29) OR Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

85. In the past 30 days, have you noticed any health warnings on tobacco advertisements in stores where tobacco products are sold?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q2 AGE EQ (18-29) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9) AND Q39 ECIGNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO Q93 MARITAL2

CHEMSEEN

Rationale: To monitor awareness and risk perceptions of constituents in tobacco products.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)

86. How often have you seen a list of the chemicals contained in tobacco products in the past twelve months? Would you say…?

1. Never

2. Rarely

3. Sometimes

4. Often


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q4 SMOKNOW EQ (3,7,9) , GO TO Q93 MARITAL2



Purchasing

bghtpast30d

Rationale: To understand smokers’ purchasing patterns.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

87. Have you bought any cigarettes for yourself in the past 30 days, that is, since [DATE FILL]?

1. YES

2. NO Go to q93 MARITAL2


7. DON’T KNOW/NOT SURE Go to q93 MARITAL2

9. REFUSED Go to q93 MARITAL2


buyquant2

Rationale: To obtain information on the cost of cigarettes.

Rationale: Screener for Q89 COSTPACK2 AND Q90 COSTCARTON2.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q87 BGHTPAST30D EQ 1/

88. The last time you bought cigarettes for yourself, did you buy them by the pack, by the carton, or as singles or loose cigarettes?

1. By the pack

2. By the carton Go to q90 COSTCARTON2

3. as singles OR loose cigarettes Go to Q91 BUYWHERE

4. OTHER (SPECIFY) Go to Q91 BUYWHERE


7. DON’T KNOW/NOT SURE Go to Q91 BUYWHERE

9. REFUSED Go to Q91 BUYWHERE


costpack2

Rationale: To obtain information on the cost of cigarettes.

/Asked of respondents who last bought cigarettes for themselves by the pack/

/ASK IF Q88 BUYQUANT2 EQ 1/

/RANGE: $.01-$20.00,7777,9999. VERIFY IF (01-2.99,8.50-20.00)/

Interviewer: If respondent asks about discounts or coupons, READ:

Please report the cost after discounts or coupons.

89. What price did you pay for the last pack of cigarettes you bought?

_ _ _ _. Amount paid for last pack of cigarettes (in cents, 2 implied decimals)


7777. DON’T KNOW/NOT SURE

9999. REFUSED


GO TO Q91 BUYWHERE

costcarton2

Rationale: To obtain information on the cost of cigarettes.

/Asked of respondents who last bought cigarettes for themselves by the carton/

/ASK IF Q88 BUYQUANT2 EQ 2/

/RANGE: $10.00-$90.00,7777,9999. VERIFY IF (10.00-18.50,69.00-90.00)</

Interviewer: If respondent asks about discounts or coupons, READ: Please report the cost after discounts or coupons.

90. What price did you pay for the last carton of cigarettes you bought?

_ _ _ _. Amount paid for last carton of cigarettes
(in cents, 2 implied decimals)


7777. DON’T KNOW/NOT SURE

9999. REFUSED


BUYWHERE, buywhere_oth

Rationale: To obtain information on the purchasing habits of cigarette consumers.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q87 BGHTPAST30D EQ 1/

91. The last time you bought cigarettes for yourself, did you buy them...

1. At a convenience store or gas station

2. At a supermarket

3. At a liquor store

4. At a drug store

5. At a tobacco discount store

6. At another discount store, such as Wal-Mart or Costco

7. On an Indian reservation

8. From a vending machine

9. On the internet

10. From another person

11. other (specify)


77. DON’T KNOW/NOT SURE

99. REFUSED


specoffers

Rationale: To obtain information about industry marketing strategies.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q87 BGHTPAST30D EQ 1/

92. In the past 30 days, did you use coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions when you bought cigarettes?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED




Demographics

PRE93

/ASK ALL/

Now I would like to ask you some questions about yourself and your family. Please remember that your answers will be treated in a secure manner and that no one will be able to identify you from any published reports.

marital2

Rationale: Key covariate

/ASK ALL/

Interviewer: if respondent answers “single,” please verify that s/he was never married. if respondent is unsure between “living with a partner” and any other response category, code as “living with a partner.”

93. Are you now…?

01. Married

02. Living with a partner

03. Divorced

04. Widowed

05. Separated

06. Single, that is, never married and not now living with a partner

96. Other (specify)


77. DON’T KNOW/NOT SURE

99. REFUSED


hispanic

Rationale: Key covariate

/ASK ALL/

94. Are you Hispanic or Latino, or of Spanish origin?

1. YES

2. NO Go to Q96 RACEMULTI


7. DON’T KNOW/NOT SURE Go to Q96 RACEMULTI

9. REFUSED Go to Q96 RACEMULTI


hispMULTI1-HISPMULTI4, HISPMULTI_OTH

Rationale: Key covariate

/ASK IF Q94 HISPANIC EQ 1/

/LENGTH OF HISPMULTI_OTH=40/

INTERVIEWER: CODE ANY HYPENATED RESPONSE ENDING IN “‑AMERICAN” to the first group mentioned. IF A RESPONDENT MENTIONS A COUNTRY IN CENTRAL OR SOUTH AMERICA, HISPMULTI4=1

95. Which one or more of the following describes your Hispanic origin or ancestry?

(1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

HISPMULTI1

95A.

Mexican, Mexican American, Chicano

( _ )

HISPMULTI2

95B.

Puerto Rican

( _ )

HISPMULTI3

95C.

Cuban

( _ )

HISPMULTI4

95D.

Another Hispanic, Latino, or Spanish origin

( _ )

HISPMULTI_OTH

95E.

SPECIFY

( ________ )



racemulti1-RACEMULTI6, RACEMULTI_OTH

Rationale: Key covariate

/ASK ALL/

/LENGTH OF RACEMULTI_OTH=40/

INTERVIEWER: IF respondent volunteers information prior to your having read the response list or in the middle of you reading the response list, ok to code without reading full list. IF this happens, please probe with “in addition to “XXX” are there any other racial categories that describe you.” to see if more than one category is appropriate.

96. I’m going to read a list of racial categories. Which one or more of the following do you consider yourself to be?

(1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

RACEMULTI1

96A.

White

( _ )

RACEMULTI2

96B.

Black or African American

( _ )

RACEMULTI3

96C.

Asian

( _ )

RACEMULTI4

96D.

Native Hawaiian or Other Pacific Islander

( _ )

RACEMULTI5

96E.

American Indian or Alaska Native

( _ )

RACEMULTI6

96F.

Some other racial category

( _ )

RACEMULTI_OTH

96G.

SPECIFY

( ______ )


IF Q96C RACEMULTI3 EQ 1, GO TO Q97 ASIANMULTI; ELSE IF (Q96C RACEMULTI3 NE 1 AND Q96D RACEMULTI4 EQ 1), GO TO Q98 NHPOIMULTI; ELSE GO TO Q99 EDUCA2

asianmulti1-ASIANMULTI7, ASIANMULTI_OTH

Rationale: Key covariate

/ASK IF Q96C RACEMULTI3 EQ 1/

/LENGTH OF ASIANMULTI_OTH=40/

97. Which one or more of the following describes your Asian ancestry?

(1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

ASIANMULTI1

97A.

Asian Indian

( _ )

ASIANMULTI2

97B.

Chinese

( _ )

ASIANMULTI3

97C.

Filipino

( _ )

ASIANMULTI4

97D.

Japanese

( _ )

ASIANMULTI5

97E.

Korean

( _ )

ASIANMULTI6

97F.

Vietnamese

( _ )

ASIANMULTI7

97G.

Some other Asian category

( _ )

ASIANMULTI_OTH

97H.

SPECIFY

( _______ )


IF Q96D RACEMULTI4 EQ 1, GO TO Q98 NHPOIMULTI; ELSE GO TO Q99 EDUCA2

NHOPImulti1-NHOPIMULTI4, NHOPIMULTI_OTH

Rationale: Key covariate

/ASK IF Q96D RACEMULTI4 EQ 1/

/LENGTH OF NHOPIMULTI_OTH=40/

98. Which one or more of the following describes your Native Hawaiian or other Pacific Islander ancestry?

(1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

NHOPIMULTI1

98A.

Native Hawaiian

( _ )

NHOPIMULTI2

98B.

Guamanian or Chamorro

( _ )

NHOPIMULTI3

98C.

Samoan

( _ )

NHOPIMULTI4

98D.

Some other Pacific Islander category

( _ )

NHOPIMULTI_OTH

98E.

SPECIFY

( ___ )




educa2

Rationale: Key covariate

/ASK ALL/

99. What is the highest level of school you have completed or the highest degree you have received?

INTERVIEWER: Read only if necessary.

01. 5TH GRADE OR LESS

02. 6TH GRADE

03. 7TH GRADE

04. 8TH GRADE

05. 9TH GRADE

06. 10TH GRADE

07. 11TH GRADE

08. 12TH GRADE, NO DIPLOMA

09. GED OR EQUIVALENT

10. HIGH SCHOOL DIPLOMA

11. SOME COLLEGE, NO DEGREE

12. CERTIFICATE, DIPLOMA, OR ASSOCIATE DEGREE: OCCUPATIONAL, TECHNICAL, OR VOCATIONAL PROGRAM

13. ASSOCIATE DEGREE: ACADEMIC PROGRAM

14. BACHELOR’S DEGREE

15. MASTER’S DEGREE

16. PROFESSIONAL SCHOOL DEGREE (EXAMPLES: MD, DDS, DVM, LLB, JD)

17. DOCTORAL DEGREE (EXAMPLES: PHD, EDD)


77. DON’T KNOW/NOT SURE

99. REFUSED


gender

Rationale: Key covariate

/ASK ALL/

INTERVIEWER: Ask only if necessary.

100. Are you male or female?

1. Male

2. Female


7. DON’T KNOW/NOT SURE

9. REFUSED


IF SAMPLE FILE TYPE EQ CELL PHONE, GO TO Q107 STATEFIPS

TELNOSGT1

Rationale: Needed for weighting.

/ASK IF SAMPLE FILE TYPE EQ LANDLINE/

101. Now I’m going to ask you about how many different telephone numbers your household has. Do not include numbers that are only used by a computer or fax machine. Also, do not include cell phone telephone numbers. Do you have more than one landline telephone number in your household?

INTERVIEWER, READ ONLY IF NECESSARY: By landline telephone, we mean a “regular” telephone in your home that is connected to outside telephone lines through a cable or cord and is used for making or receiving calls. Please include landline phones used for both business and personal use.

NOTE: TELEPHONE SERVICE OVER THE INTERNET COUNTS AS LANDLINE SERVICE.

1. YES

2. NO Go to Q103 CELLPERS


7. DON’T KNOW/NOT SURE Go to Q103 CELLPERS

9. REFUSED Go to Q103 CELLPERS


telnosres

Rationale: Needed for weighting.

/ASK IF Q101 TELNOSGT1 EQ 1/

/RANGE: 0-6,8,9/

102. How many of these are residential numbers?

INTERVIEWER: enter 6 if number of residential telephone numbers is 6 or more.

_. Number of residential telephone numbers


8. NONE


7. DON’T KNOW/NOT SURE

9. REFUSED


cellpers

Rationale: for data weighting on the combined cell and landline data

/ASK IF SAMPLE FILE TYPE EQ LANDLINE/

103. Do you have a cell phone for personal use? Please include cell phones used for both business and personal use.

1. YES Go to Q105 CELLUSUAL

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


cellshare

Rationale: For data weighting purpose

/Asked of respondents who do not have a cell phone for personal use, don’t know or are not sure if they have a cell phone for personal use, or refused to say whether or not they have a cell phone for personal use/

/ASK IF Q103 CELLPERS EQ (2,7,9)/

104. Do you share a cell phone for personal use (at least one-third of the time) with other adults?

1. YES Go to Q106 cellpctsh

2. NO Go to Q107 STATEFIPS


7. DON’T KNOW/NOT SURE Go to Q107 STATEFIPS

9. REFUSED Go to Q107 STATEFIPS


cellusual

Rationale: For data weighting purpose

/Asked of respondents who have a cell phone for personal use/

/ASK IF Q103 CELLPERS EQ 1/

105. Do you usually share this cell phone (at least one-third of the time) with any other adults?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


cellpctsh

Rationale: For data weighting purpose

/Asked of respondents who have a cell phone for personal use or share a cell phone for personal use (at least one-third of the time) with other adults/

/ASK IF Q103 CELLPERS EQ 1 OR Q104 CELLSHARE EQ 1/

/RANGE: 0-100,777,999/

INTERVIEWER, READ ONLY IF NECESSARY: By landline telephone, we mean a “regular” telephone in your home that is connected to outside telephone lines through a cable or cord and is used for making or receiving calls. Please include landline phones used for both business and personal use.

NOTE: TELEPHONE SERVICE OVER THE INTERNET COUNTS AS LANDLINE SERVICE.

106. Thinking about all of the phone calls that you have received over the past 30 days on your landline and cell phone, what percent, between 0 and 100, are received on your cell phone?

_ _ _. percent of incoming phone calls received on cell phone


777. DON’T KNOW/NOT SURE

999. REFUSED


statefips

Rationale: Key covariate

/ASK ALL/

/RANGE: 1-56,77,99/

107. What state do you live in?

_ _. state fips code


77. DON’T KNOW/NOT SURE

99. REFUSED


zipcode

Rationale: Key covariate

/ASK ALL/

108. What is your ZIP Code?

_____. zip code


777. DON’T KNOW/NOT SURE

999. REFUSED




Knowledge/Attitudes/Perceptions

smkaddict

Rationale: To monitor risk perceptions of cigarette smoking.

/ASK ALL/

109. Overall, would you say that cigarette smoking is—…?

1. Not at all addictive

2. Moderately addictive

3. Very addictive


7. DON’T KNOW/NOT SURE

9. REFUSED


CGRADDICT

Rationale: To monitor risk perceptions of cigar smoking.

/ASK ALL/

110. Overall, would you say that cigar smoking is—…?

1. Not at all addictive

2. Moderately addictive

3. Very addictive


7. DON’T KNOW/NOT SURE

9. REFUSED


SMKLSADDICT

Rationale: To monitor risk perceptions of smokeless tobacco use.

/ASK ALL/

111. Overall, would you say that smokeless tobacco use is—…?

1. Not at all addictive

2. Moderately addictive

3. Very addictive


7. DON’T KNOW/NOT SURE

9. REFUSED


harmCIG

Rationale: To monitor risk perceptions of cigarette smoking.

/ASK ALL/

112. How harmful do you think cigarette smoking is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmCIGAR

Rationale: To monitor risk perceptions of cigar smoking.

/ASK ALL/

113. How harmful do you think cigar smoking is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmSMKLS

Rationale: To monitor risk perceptions of smokeless tobacco use.

/ASK ALL/

114. How harmful do you think using smokeless tobacco is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmDISS

Rationale: To monitor risk perceptions of smokeless tobacco use.

/ASK ALL/

115. How harmful do you think using dissolvable tobacco is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmLONG

Rationale: To monitor risk perceptions of cigarette smoking.

/ASK ALL/

116. How long do you think someone has to smoke before it harms their health? Would you say…

1. Less than a year

2. 1 year

3. 5 years

4. 10 years

5. 20 years or more


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q2 AGE EQ (18-29) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9), GO TO Q118 HARMSOME; ELSE IF Q2 AGE EQ (7,9,30-130) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND (Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)), GO TO Q119 SMKLSHALF; ELSE IF Q2 AGE EQ (7,9,30-130) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9) AND (Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3)), GO TO Q120 CHEMTHINK; ELSE IF Q2 AGE EQ (7,9,30-130) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9) AND Q39 ECIGNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO Q123 HOMEULES2

CIGHALF

Rationale: To monitor risk perceptions of cigarette or cigar smoking.

/Asked of respondents who now smoke every day or some days or who now smoke cigars every day some days, or rarely/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3)/

117. How much do you think your risk of developing a smoking-related disease would decrease if you cut the amount that you smoke in half? Would you say…

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q2 AGE EQ (7,9,30-130) AND Q4 SMOKENOW EQ (3,7,9) AND (Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)), GO TO Q119 SMKLSHALF; ELSE IF Q2 AGE EQ (7,9,30-130) AND Q4 SMOKENOW EQ (3,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO Q120 CHEMTHINK

harmsome

Rationale: To monitor risk perceptions of cigarette smoking among young adults or current smokers.

/Asked of respondents who are age 18-29 or now smoke cigarettes every day or some days/

/ASK IF Q2 AGE EQ (18-29) OR Q4 SMOKENOW EQ (1,2)/

118. How much do you think people harm themselves when they smoke cigarettes some days but not every day? Would you say…

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


IF [Q2 AGE EQ (18-29) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9) AND (Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3))] OR (Q2 AGE EQ (7,9,30-130) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9)), GO TO GO TO Q120 CHEMTHINK; ELSE IF Q2 AGE EQ (18-29) AND Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9) AND Q39 ECIGNOW EQ (4,7,9) AND Q44 CSDNOW EQ (4,7,9) AND Q49 SNUSNOW EQ (4,7,9) AND Q54 DISSNOW EQ (4,7,9), GO TO Q123 HOMEULES

SMKLSHALF

Rationale: To monitor risk perceptions of smokeless tobacco products.

/Asked of respondents who now use chewing tobacco, snuff, dip, snus, or dissolvable tobacco every day, some days, or rarely/

/ASK IF Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

119. How much do you think your risk of developing a smoking-related disease would decrease if you cut your smokeless tobacco use by half? Would you say…

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


chemTHINK

Rationale: To monitor awareness and risk perceptions of constituents in tobacco products.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

120. How often have you thought about the chemicals contained in tobacco products in the past twelve months? Would you say…?

1. Never

2. Rarely

3. Sometimes

4. Often


7. DON’T KNOW/NOT SURE

9. REFUSED


IF Q4 SMOKNOW EQ (3,7,9) AND Q22 CIGARNOW EQ (4,7,9) AND Q33 PIPEWTRNOW EQ (4,7,9) AND Q29 PIPEREGNOW EQ (4,7,9), GO TO Q122 SMOKSTART

cncrnoth

Rationale: To monitor risk perceptions of smoking.

/Asked of respondents who now smoke any combustible tobacco product: cigarettes, cigars, cigarillos, little filtered cigars, water pipes, hookahs, or pipes other than water pipes or hookahs/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3)/

121. How concerned are you that your smoking could affect the health of someone else? Would you say….

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


smokstart

Rationale: to monitor risk perceptions of tobacco products.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q22 CIGARNOW EQ (1,2,3) OR Q33 PIPEWTRNOW EQ (1,2,3) OR Q29 PIPEREGNOW EQ (1,2,3) OR Q39 ECIGNOW EQ (1,2,3) OR Q44 CSDNOW EQ (1,2,3) OR Q49 SNUSNOW EQ (1,2,3) OR Q54 DISSNOW EQ (1,2,3)/

122. If you had to do it over again, would you have started using tobacco? Would you say…

1. Definitely not

2. Probably not

3. Probably yes

4. Definitely yes


7. DON’T KNOW/NOT SURE

9. REFUSED




Secondhand Smoke

homerules2

Rationale: To monitor perceptions about the harmful effects of secondhand smoke, which is one of the warning statements appearing on the graphic health warnings.

/ASK ALL/

123. Not counting decks, porches, or garages, inside your home, is smoking …?

1. Always allowed

2. Allowed only at some times or in some places

3. Never allowed


7. DON’T KNOW/NOT SURE

9. REFUSED


Shsvehpol

Rationale: To monitor perceptions about the harmful effects of secondhand smoke, which is one of the warning statements appearing on the graphic health warnings.

/ASK ALL/

124. Not counting motorcycles, in the vehicles that you or family members who live with you own or lease, is smoking

1. Always allowed

2. Sometimes allowed in at least one vehicle

3. Never allowed in any vehicle


8. RESPONDENT’S FAMILY DOES NOT OWN OR LEASE A VEHICLE

7. DON’T KNOW/NOT SURE

9. REFUSED




Closing Questions

income2

Rationale: Key covariate

/ASK ALL/

Note: 2006 median U.S. household income eq $48,201

125. Now I would like to ask about the combined income of everybody who lives with you. Combined income includes income from all sources for all persons in this household, including income from jobs, Social Security, retirement income, public assistance, and all other sources. Is your annual household income from all sources…?

04. Less than $50,000 If "no," ask 05; if "yes," ask 03
($40,000 to less than $50,000)

03. Less than $40,000 If "no," code 04; if "yes," ask 02
($30,000 to less than $40,000)

02. Less than $30,000 If "no," code 03; if "yes," ask 01
($20,000 to less than $30,000)

01. Less than $20,000 If "no," code 02

05. Less than $70,000 If "no," ask 06
($50,000 to less than $70,000)

06. Less than $100,000 If "no," ask 07
($70,000 to less than $100,000)

07. Less than $150,000 If "no," code 08
($100,000 to less than $150,000)

08. $150,000 or more


77. DON’T KNOW/NOT SURE

99. REFUSED


sexualorient1

Rationale: Key covariate

/ASK ALL/

INTERVIEWER: AS THE QUESTION IS READ, READ ALOUD THE NUMBERSOF THE RESPONSES. THIS ALLOWS THE RESPONDENT TO REPLY WITH A NUMBER IF, FOR WHATEVER REASON, THEY ARE UNCOMFORTABLE SAYING THE WORDS.

126A. Do you think of yourself as…?

CATI PROGRAMMER: IF Q100 GENDER EQ 1, SHOW RESPONSES AS:


1. Gay GO TO CLOSE

2. Straight, that is, not gay GO TO CLOSE

3. Bisexual GO TO CLOSE

4. Something else


6. respondent Does not understand responses GO TO CLOSE

7. DON’T KNOW/NOT SURE GO TO Q126c sexualorient3

9. REFUSED GO TO CLOSE



CATI PROGRAMMER: IF Q100 GENDER EQ (2,7,9) SHOW RESPONSES AS:


1. Lesbian or gay GO TO CLOSE

2. Straight, that is, not lesbian or gay GO TO CLOSE

3. Bisexual GO TO CLOSE

4. Something else


6. respondent Does not understand responses GO TO CLOSE

7. DON’T KNOW/NOT SURE GO TO Q126c sexualorient3

9. REFUSED GO TO CLOSE


SEXUALORIENT2

126B. By something else, do youm ean that …

1. You are not straight, but identify with another label such as queer, trisexual, omnisexual or pansexual. GO TO CLOSE

2. You are transgender, transsexual or gender variant. GO TO CLOSE

3. You have not figured out your sexuality or are in the process of figuring it out. GO TO CLOSE

4. You do not think of yourself as having sexuality. GO TO CLOSE

5. You do not use labels to identify yourself. GO TO CLOSE

6. You made a mistake and did not mean to pick this answer. GO BACK TO Q126A SEXUALORIENT1

7. You mean something else. GO TO Q126D SEXUALORIENT_OTH



SEXUALORIENT3

126C. You gave “Don’t know” as an answer. Is that because …

1. You don’t understand the words. GO TO CLOSE

2. You understand the words, but you have not figured out your sexuality or you are in the process of figuring it out. GO TO CLOSE

3. You mean something else.



SEXUALORIENT_OTH

/LENGTH OF SEXUALORIENT_OTH=40/

126D. Please tell me what you mean by “something else”?


CLOSE

/ASK ALL/

That’s my last question. Everyone’s answers will be combined to give us information about tobacco in the U.S. The information you have provided will be used to help improve the health of people all across the US. Thank you very much for your time and cooperation.

LANGUAGE

INTERVIEWER: IN WHAT LANGUAGE WAS THE INTERVIEW CONDUCTED? IF MORE THAN ONE, INDICATE THE PREDOMINANT LANGUAGE USED.

1. ENGLISH

2. SPANISH



Page 18 of 86



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNational Adult Tobacco Survey Questionnaire, 2012-2013
Authormariolis_p
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File Created2021-01-30

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