Public reporting burden of this collection of information is estimated to average three 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/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx)
ask of all
OPTIN
TXT Survey: Thanks for participating in the ICF text surveys. Do you remember agreeing to participate? Reply “Yes”. Reply “STOP” to end survey messages.
monday morning
Display if optin=yes
You have [POP IN] survey points.
ask if optin=yes
ALC1
TXT Survey: Last week, did you drink any type of alcoholic beverage? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
ask if alc1=1
ALC2
TXT Survey: Last week, how many alcoholic beverages did you drink? Reply with the number of drinks. Reply “STOP” to end survey messages.
ask if optin=yes
SMK1
TXT Survey: Last week, did you smoke any cigarettes at all? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
ask if SMK1 =1
SMK2
TXT Survey: Last week, how many cigarettes did you smoke? Reply with the number of cigarettes. Reply “STOP” to end survey messages.
ask if optin=yes
from nats
Ask if smk1=1
CIGWARN
TXT Survey: During the past 7 days, have warning labels on cigarette packages led you to think about quitting? Reply “Yes”, “No”, or “I did not see warning labels”. Reply “STOP” to end survey messages.
ASK OF ALL
OTHTOB In the past 7 days, have you used any of the following products at least once:
ASK OF ALL
OTHTOB_A
TXT Survey: Cigars, cigarillos, or little cigars? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_B
TXT Survey: Chewing tobacco, snuff, or dip? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_C
TXT Survey: Snus, such as Camel or Marlboro snus? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_D
TXT Survey: Dissolvable tobacco products like Ariva, Stonewall, Camel orbs, Camel sticks, or Camel strips? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_E
TXT Survey: Electronic Cigarettes or E-cigarettes, such as Ruyan or NJOY? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_F
TXT Survey: Flavored little cigars? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_G
TXT Survey: Water pipes, also known as hookahs? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_H
TXT Survey: Clove cigarettes or clove cigars? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_I
TXT Survey: Roll your own cigarettes? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
ASK OF ALL
OTHTOB_J
TXT Survey: Flavored cigarettes like Camel Crush? Reply “Yes” or “No”. Reply “STOP” to end survey messages.
1. YES
2. NO
97. DON’T KNOW/NOT SURE
99. REFUSED
read to all
CLOSE1
TXT Survey: All the surveys are complete. You received a total of [POP IN] survey points. Your Amazon.com gift code in the amount of $[POP IN] is: XXXX. Thanks!
read if STOP received at any time
CLOSE2
TXT Survey: All the surveys are complete. You received a total of [POP IN] survey points. Your Amazon.com gift code in the amount of $[POP IN] is: XXXX. Thanks!
File Type | application/msword |
Author | 21280 |
Last Modified By | Macaluso, Renita (CDC/ONDIEH/NCCDPHP) |
File Modified | 2012-02-02 |
File Created | 2012-02-01 |