B-4 Screening Module

Population Assessment of Tobacco and Health (PATH) Study

Wave 4 Cognitive Testing Protocol

Cardsort Screening Module

Screening Module

Screening

RESEARCH QUESTIONS

Determine respondent’s current use.

I have a set of cards here, each labeled with a type of tobacco product. On one side is the name and picture of the product. On the back is a description. Are you unfamiliar with any of these products? IF YES, Which ones?

Which of these products (YOUTH ONLY: , if any,) have you ever used, even just once?

FOR EACH PRODUCT EVER USED,
Did you try it just once or twice, or did you use it regularly?
Do you still use it?
 MARK each product currently uses ON SKIP SHEET

NOTE ANY REACTIONS RESPONDENT HAS TO PICTURES OR DESCRIPTIONS, IF APPLICABLE.

Besides these products, are you aware of any other products that contain nicotine?

PROBE MORE ON ANY PRODUCT R MENTIONS (PARTICULARLY NICOTINE GEL OR OR NICOTINE WATER) THAT IS NOT A CESSATION AID