National Adult Tobacco Survey - end of cell

Appendix H

National Adult Tobacco Survey Questionnaire

English

March, 2012

Surveillance Team/ Epidemiology Branch/ Office on Smoking and Health/ National Center for Chronic Disease Prevention and Health Promotion/ Centers for Disease Control and Prevention

Center for Tobacco Products/ Food and Drug Administration

Table of Contents

H-1. Landline Screener 3

H-2. Cell Phone Screener 9

H-3. Main Body of Questionnaire 12

Introductory Questions 12

Cigarette Smoking 13

Susceptibility—Cigarettes 23

Other Tobacco Products 25

Addiction 47

Cessation 51

Marketing/Public Education 56

Purchasing 63

Demographics 66

Knowledge/Attitudes/Perceptions 75

Secondhand Smoke 82

Closing Questions 84