National Adult Tobacco Survey - end of cell

Appendix I

National Adult Tobacco Survey

Questionnaire

Spanish

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

Public Health Data and Evaluation Branch/ Office of Policy/ Center for Tobacco Products/ Food and Drug Administration

Table of Contents

I-1. Landline Screener 3

I-2. Cell Phone Screener 9

I-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 76

Secondhand Smoke 83

Closing Questions 84

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