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pdfPopulation Assessment of Tobacco and Health (PATH) Study (NIDA)
Attachment 2c
PATH Study Data Collection Instruments:
Adult Extended Interview
July 23, 2012
THIS INSTRUMENT IMMEDIATELY FOLLOWS THE LAST QUESTION OF THE
INDIVIDUAL SCREENER FOR THOSE RESPONDENTS WHO ARE SELECTED FOR
THE PATH STUDY.
PATH
Adult Extended Interview
Version 6.2
Section
Number of questions
Cigarettes
51
E-Cigarette
48
Cigar, Cigarillo and Filtered Cigar
41
Pipe Tobacco
35
Hookah
45
Smokeless Tobacco
45
Dissolvable Tobacco
42
Polyuse
4
Nicotine Dependence
61
Packaging and Health Warnings
24
Product Regulation-Modified Risk Tobacco Products
31
Media Use
13
Secondhand Smoke Exposure
7
Peer and Family Influences
4
Health Effects Outcome
113
Industry Advertising and Promotion
16
Additional Demographics
15
Recent Use of Tobacco and Related Products
64
Blood Collection Suitability
1
Contact Information
29
Path
Adult Extended Interview
ii
PATH
Adult Extended Interview
Version 6.2
Table of Contents
CIGARETTE SECTION ...................................................................................................... 1
E-CIGARETTE SECTION ................................................................................................. 21
CIGAR, CIGARILLO AND FILTERED CIGAR SECTION ................................................. 37
PIPE SECTION ................................................................................................................. 50
HOOKAH SECTION ......................................................................................................... 62
SMOKELESS TOBACCO SECTION ................................................................................ 76
DISSOLVABLE TOBACCO SECTION ............................................................................. 92
POLYUSE SECTION ...................................................................................................... 106
NICOTINE DEPENDENCE SECTION ............................................................................ 110
PACKAGING AND HEALTH WARNINGS SECTION ..................................................... 133
PRODUCT REGULATION - MODIFIED RISK TOBACCO PRODUCTS ....................... 142
MEDIA USE SECTION ................................................................................................... 152
SECONDHAND SMOKE EXPOSURE SECTION .......................................................... 156
PEER AND FAMILY INFLUENCES ................................................................................ 159
HEALTH EFFECTS OUTCOME SECTION .................................................................... 161
INDUSTRY ADVERTISING AND PROMOTION SECTION ........................................... 196
ADDITIONAL DEMOGRAPHICS .................................................................................... 201
RECENT USE OF TOBACCO AND RELATED PRODUCTS ........................................ 206
BLOOD COLLECTION SUITABILITY............................................................................. 222
CONTACT INFORMATION SECTION ........................................................................... 223
APPENDIX A: LOGIC CHECKS AND CONFIRMATIONS ............................................. 231
APPENDIX B: USER GROUP DEFINITIONS ................................................................ 235
PATH
Adult Extended Interview
iii
PATH
Adult Extended Interview
Version 6.2
OMB Control Number: 0925-XXXX
Expiration Date:XX/XX/XXXX
Public reporting burden for this collection of information is estimated to average 69 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: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-XXXX). Do
not return the completed form to this address.
PATH
Adult Extended Interview
iv
PATH
Adult Extended Interview
Version 6.2
CIGARETTE SECTION
DISPLAY TRANSITION TEXT: The following questions ask about your experience with cigarettes.
PATH ID:
AC1005
Screen ID:
How many cigarettes have you smoked in your entire life?
1
2
3
4
5
-8
-7
1 to 10 cigarettes (about ½ pack total)
11 to 20 cigarettes (about ½ pack to 1 pack)
21 to 50 cigarettes (more than 1 pack but less than 3 packs)
51-99 (more than 2 ½ packs but less than 5 packs)
At least 100 or more cigarettes (5 packs or more)
DON’T KNOW
REFUSED
ASK: Respondents who have ever smoked a cigarette (EVER USER CIG =1)
PATH ID:
AC1006
Screen ID:
How old were you the first time you smoked part or all of a cigarette? Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who have ever smoked a cigarette (EVER USER CIG =1)
GO TO: Respondents who have ever smoked a cigarette but who HAVE NOT smoked 100 or more
cigarettes (EVER USER CIG = 1 AND AC1005 = 1, 2, 3, 4, DK OR R) GO TO BOX AC1. Respondents who
have ever smoked a cigarette but who HAVE smoked 100 or more cigarettes (EVER USER CIG = 1 AND
AC1005 = 5) GO TO AC1007.
PATH ID:
AC1100
Screen ID:
Have you ever smoked cigarettes fairly regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO BOX AC1
GO TO BOX AC1
GO TO BOX AC1
ASK: Respondents who have ever smoked a cigarette (EVER USER CIG =1)
PATH
Adult Extended Interview
1
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1007
Screen ID:
How old were you when you first started smoking fairly regularly? Please enter your age in years.
1
-8
-7
I___|___|___|
DON’T KNOW
REFUSED
ASK: Respondents who have ever smoked fairly regularly (AC1100=1)
BOX AC1
PROGRAM: Define the following variables (see Appendix B):
CURRENT USER CIGS
EVERY DAY USER CIGS
SOME DAY USER CIGS
EXPERIMENTAL CURRENT USER CIGS
EXPERIMENTAL FORMER USER CIGS
FORMER USER CIGS
AFTER CREATING NEW VARIABLES, DO THE FOLLOWING:
IF EVERY DAY USER, GO TO AC1020
IF (SOME DAY USER OR EXPERIMENTAL CURRENT USER) AND AGE 18-24, GO TO AC9022IF
((SOME DAY USER OR EXPERIMENTAL CURRENT USER) AND AGE > 24) OR EXPERIMENTAL
FORMER USER OR FORMER USER, GO TO AC9020
CIGSCIGSCIGS
PATH ID:
AC1020
Screen ID:
How old were you when you first started smoking cigarettes every day? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Everyday users
GO TO: If Age 18-24, go to AC9022.
Else go to AC9020
PATH
Adult Extended Interview
2
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9022
Screen ID:
Do you consider yourself a smoker?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Experimental Current users who are 18-24 years old (AM0003=2).
PATH ID:
AC9020
Screen ID:
When you first started smoking cigarettes, did you start with cigarettes flavored to taste like menthol or
mint?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AC1009
ASK: Current users, Former users, Experimental Current users, and Experimental Former users
PATH ID:
AC9021
Screen ID:
When you first started smoking cigarettes, did you start with cigarettes flavored to taste like clove, spice,
candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Former users, Experimental Current users, and Experimental Former users
GO TO: If Current user, go to AC9002
Else if Experimental Current user, go to BOX AC2
Else go to AC1009
PATH
Adult Extended Interview
3
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1009
Screen ID:
About how long has it been since you completely quit smoking cigarettes?
-8
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
-7
REFUSED
1
2
3
ASK: Former users and Experimental Former users
GO TO: If Former user, go to AC9002
Else go to BOX AC2
PATH ID:
AC9002
Screen ID:
About how long [have you been smoking | did you smoke] fairly regularly? Do not count the time you stayed
off cigarettes.
1
-8
-7
I___I___I
I___I___I
Years
Months
DON’T KNOW
REFUSED
ASK: Current users and Former users
GO TO: If Former user, go to AC9003
Else go to BOX AC2
PATH ID:
AC9003
Screen ID:
On average, about how many cigarettes did you smoke per day while you were smoking regularly?
1
-8
-7
|__|__|
Cigarettes per day
DON’T KNOW
REFUSED
ASK: Former users
PATH
Adult Extended Interview
4
PATH
Adult Extended Interview
Version 6.2
BOX AC2
PROGRAM: Define the following variables (see Appendix B) :
FORMER USER 12 MONTH CIGS
FORMER USER 12 MONTH PLUS CIGS
After defining the variables, then:
EVERY DAY USER CIG GO TO AC1021
SOME DAY USER CIG OR EXPERIMENTAL CURRENT USER CIG GO TO AC1022
FORMER USER 12 MONTH CIG AND AC9003 NOT IN (0, DK, RF) GO TO BOX AC5
ELSE IF FORMER USER 12 MONTH CIG GO TO AC1025
EXPERIMENTAL FORMER USER CIG OR FORMER USER 12 MONTH PLUS CIG GO TO NEXT
SECTION
PATH ID:
AC1021
Screen ID:
On average, about how many cigarettes do you now smoke each day? A pack usually has 20 cigarettes in
it.
GO TO AC9004
I___I___I
1
Cigarettes
-8
-7
DON’T KNOW
REFUSED
GO TO AC1090
GO TO AC1090
ASK: Everyday users
GO TO: If AC1021 = 0, go to AC1024
Else if AC1021 IN (DK, RF), go to AC1090
Else go to BOX AC5
PATH ID:
AC1090
Screen ID:
Would you say that, on average, you now smoke more than 20 cigarettes, about 20 cigarettes, or less than
20 cigarettes each day? A pack usually has 20 cigarettes in it.
1
More than 20 cigarettes each day
GO TO BOX AC5
2
About 20 cigarettes each day
GO TO BOX AC5
3
Less than 20 cigarettes each day
GO TO BOX AC5
-8
DON’T KNOW
GO TO AC1024
-7
REFUSED
GO TO AC1024
ASK: Everyday users who don’t know or refused to report how many cigarettes they smoke each day
(AC1021=-8,-7)
PATH
Adult Extended Interview
5
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1022
Screen ID:
On how many of the past 30 days did you smoke cigarettes?
1
|__|__|
Days
-8
-7
DON’T KNOW
REFUSED
ASK: Some Day users and Experimental Current users
GO TO: If AC1022 = 0 and some day user, go to AC9004
Else if AC1022 = 0 and experimental current user, go to AC1025
Else go to AC1023
PATH ID:
AC1023
Screen ID:
On average, on those [FILL NUMBER OF DAYS FROM AC1022] days, how many cigarettes did you usually
smoke each day?
I___I___I
1
Cigarettes
-8
DON’T KNOW
-7
REFUSED
ASK: Some Day users and Experimental Current users who smoked at least one day in past 30 or did not
provide the number of days smoked in the past 30 (AC1022>0 OR AC1022 IN (DK, R))If DK/RF, FILL=[days
you smoked].
GO TO: IF EXPERIMENTAL CURRENT USER CIG, GO TO AC1025
Else if AC1023 IN (0, DK, R), go to AC1024
Else go to BOX AC5
BOX AC5
Create variable CIGSPERDAY
If AC9003 > 0, assign CIGSPERDAY = AC9003
Else if AC10201 >0, assign CIGSPERDAY = AC1021
Else if AC1090 = 1, assign CIGSPERDAY = “more than 20 cigarettes each day”
Else if AC1090 = 2, assign CIGSPERDAY = “about 20 cigarettes each day”
Else if AC1090 = 3, assign CIGSPERDAY = “less than 20 cigarettes each day”
Else assign CIGSPERDAY = AC1023
PATH
Adult Extended Interview
6
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9004
Screen ID:
You mentioned that you [smoked | smoke ] [#] cigarettes per day. [Did you smoke I Have you smoked]
about this many cigarettes per day [during the time you smoked I since you started smoking] regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current and Former users 12 Month PROGRAM: For 12 month former smokers display “smoked”,
“Did you smoke”, “during the time you smoked”; For current smokers display “smoke”, “Have you smoked”,
“since you started smoking”;
AUTOFILL [#] with CIGSPERDAY
GO TO: IF AC1007 NOT IN (DK, RF) AND AC9004=2, go to AC9005
Else If current user, go to AC1024
Else go to AC1025
PATH ID:
AC9005
Screen ID:
On average, about how many cigarettes did you smoke per day in the years you smoked regularly in the
past?
1
I___I___I
Cigarettes
-7
-8
REFUSED
DON’T KNOW
ASK: Current users and Former users 12 Month who reported an age when they started smoking fairly
regularly (AC1007<>Refused or Don’t Know) AND who say they now smoke more or less than they used to
(AC9004=2)
GO TO: If Current User, go to AC1024
Else go to AC1025
PATH ID:
AC1024
Screen ID:
[On the days that you smoke, how | How] soon after you wake up do you typically smoke your first cigarette
of the day? Please enter the number of minutes or hours.
1
|__|__| MINUTES after waking
GO TO AC1025
2
|__|__| HOURS after waking
GO TO AC1025
-8
DON’T KNOW
GO TO AC1092
-7
REFUSED
GO TO AC1092
ASK: Current users.
PROGRAM: For Every day smokers, display “How”. For Some day smokers, display “On the days that you
smoke, how”
PATH
Adult Extended Interview
7
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1092
Screen ID:
[On the days that you smoke, would | Would] you say you smoke your first cigarette of the day within the
first 30 minutes after you wake up?
1
Yes
2
No
3
It varies
-8
DON’T KNOW
-7
REFUSED
ASK: Current users who don’t know or refuse to answer how soon after waking up (AC1024=-8,-7)
PROGRAM: For Every day smokers, display “Would”. For Some day smokers, display “On the days that
you smoke, would”
PATH ID:
AC1025
Screen ID:
Around this time 12 months ago, were you smoking cigarettes every day, some days, or not at all?
1
2
3
-8
-7
Every day
Some days
Not at all
DON’T KNOW
REFUSED
GO TO AC1097
GO TO AC1097
GO TO AC1097
GO TO AC1097
ASK: Current Users, Experimental Current users, and Former users 12 Month
GO TO: Experimental Current USER CIG GO TO NEXT SECTION
PATH ID:
AC9006
Screen ID:
Around this time 12 months ago, on the average, about how many cigarettes did you smoke each day? A
pack usually has 20 cigarettes in it.
1
I___I___I
Cigarettes
GO TO AC1097
-8
-7
DON’T KNOW
REFUSED
GO TO AC9140
GO TO AC9140
ASK: Everyday users around this time 12 months ago (AC1025=1)
PATH
Adult Extended Interview
8
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9140
Screen ID:
Would you say that, around this time 12 months ago, on the average, you smoked more than 20 cigarettes,
about 20 cigarettes, or less than 20 cigarettes each day? A pack usually has 20 cigarettes in it.
1
2
3
-8
-7
More than 20 cigarettes each day
About 20 cigarettes each day
Less than 20 cigarettes each day
DON’T KNOW
REFUSED
ASK: Everyday users around this time 12 months ago (AC1025=1) who refused or did not know how many
cigarettes they smoked each day 12 months ago (AC9006=DK/R)
GO TO: If Current user, go to AC1094
Else if Former User 12 month, go to AC9007
PATH ID:
AC1097
Screen ID:
During the past 30 days, did you use a coupon when buying cigarettes?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AC9007
GO TO AC9007
GO TO AC9007
ASK: Current users
PATH ID:
AC1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy cigarettes?
1
-8
-7
I__I__I
Number of times
DON’T KNOW
REFUSED
ASK: Current users who have used a coupon to buy cigarettes in the last 30 days (AC1097=1)
BOX – DISPLAY INSTRUCTIONS
For AC9007, display a “Yes” and “No” column with options for each response category.
PATH
Adult Extended Interview
9
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9007
Screen ID:
When you usually [buy I bought] cigarettes for yourself, [do I did] you buy manufactured cigarettes or a
pouch of tobacco to roll your own cigarettes? Choose all that apply.
1
2
-8
-7
Manufactured cigarettes
Roll your own tobacco
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month
PROGRAM: For current smokers, display “buy” and “do”; For 12 month former smokers, display “bought”
and “did”
PROGRAM:
If respondent provides more than one response in AC9007, create and repeat AC1030 TO AC1051 once for
each cigarette type, following appropriate skip patterns.
If AC9007 = DK or R, go through AC1030 TO AC1051 following the display instructions for manufactured
cigarettes.
PATH ID:
AC1030
Screen ID:
How [do I did] you usually buy [cigarettes | a pouch of roll your own cigarette tobacco] for yourself? Is it…
1
In person
2
From the internet
GO TO AC1039
3
By telephone
GO TO AC1039
-8 DON’T KNOW
GO TO AC1039
-7 REFUSED
GO TO AC1039
ASK: Current users and Former users 12 Month
PROGRAM: For Current smokers, display “do”. For 12 month former smokers, display “did”. For Current
smokers or 12 month former smokers who smoke manufactured cigarettes (AC9007=1) display “cigarettes”.
For Current smokers or 12 month former smokers who smoke roll your own cigarettes (AC9007=2) display
“a pouch of roll your own cigarette tobacco”.
PATH
Adult Extended Interview
10
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1032
Screen ID:
[Do/Did] you usually buy [cigarettes | roll your own cigarette tobacco]...?
1
2
3
-8
-7
In your own state
In another state
Outside the US
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who usually buy cigarettes in person (AC1030=1)
PROGRAM: For current smokers display “Do”; For 12 month former smokers display “Did”. For Current
smokers or 12 month former smokers who smoke manufactured cigarettes (AC9007=1) display “cigarettes”.
For Current smokers or 12 month former smokers who smoke roll your own cigarettes (AC9007=2) display
“a roll your own cigarette tobacco”.
PATH ID:
AC1033
Screen ID:
Where [ do | did ] you usually buy your [cigarettes | roll your own cigarette tobacco]?
1
2
3
4
5
6
7
8
9
10
11
-8
-7
A convenience store or gas station,
A supermarket, grocery store, or drug store,
A warehouse club, such as Sam’s or Costco,
A tobacco specialty store or tobacco outlet store,
A duty free shop or military commissary,
A bar, pub, restaurant or casino,
A friend or relative,
A swap meet or flea market,
A store on an Indian reservation
A liquor store
Or from somewhere else
SPECIFY: ____________________________
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who usually buy in person (AC1030=1)
PROGRAM: For current smokers display “do”. For 12 month former smokers display “did”. For those who
smoke manufactured cigarettes (AC9007=1) display “cigarettes”. For those who smoke roll your own
cigarettes (AC9007=2) display “roll your own cigarette tobacco”.
GO TO: If former user 12 month, go to AC1047
Else go to BOXAC3
PATH
Adult Extended Interview
11
PATH
Adult Extended Interview
Version 6.2
BOXAC3
Current smokers who smoke roll-your-own cigarettes (AC9007=2) GO TO AC1047
PATH ID:
AC1039
Screen ID:
Do you usually buy cigarettes by the carton, pack or as single cigarettes?
1
2
3
-8
-7
Carton
Pack
Single cigarettes
DON’T KNOW
REFUSED
GO TO AC1040
GO TO AC1042
GO TO AC1043
GO TO AC1047
GO TO AC1047
ASK: Current users who usually purchase manufactured cigarettes (AC9007=1)
PATH ID:
AC1040
Screen ID:
How many packs of cigarettes are in the carton you usually buy?
1
I___I___I packs
-7
REFUSED
-8
DON’T KNOW
ASK: Current users whose usual purchase was by the carton (AC1039=1) and who smoke manufactured
cigarettes (AC9007=1)
PATH ID:
AC1041
Screen ID:
How much do you usually pay for a carton of cigarettes?
1
-8
-7
$I___I___I___I . I___I___|
Dollars
Cents
DON’T KNOW
REFUSED
GO TO AC1047
GO TO AC1047
GO TO AC1047
ASK: Current users whose usual purchase was by the carton (AC1039=1) and who smoke manufactured
cigarettes (AC9007=1)
PATH ID:
AC1042
Screen ID:
How much do you usually pay for a pack of cigarettes?
1
-8
-7
$ I___I___I___I . I___I___I
Dollars
Cents
DON’T KNOW
REFUSED
GO TO AC1047
GO TO AC1047
GO TO AC1047
ASK: Current users whose usual purchase was by the pack (AC1039=2) and who smoke manufactured
cigarettes (AC9007=1)
PATH
Adult Extended Interview
12
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1043
Screen ID:
How much do you usually pay for a single cigarette?
1
-8
-7
$ I___I___I___I . I___I___I
Dollars
Cents
DON’T KNOW
REFUSED
ASK: Current users whose usual purchase was a single cigarette (AC1039=3) and who smoke
manufactured cigarettes (AC9007=1)
PATH ID:
AC1047
Screen ID:
[Do I Did] you have a regular brand of [cigarettes | roll your own cigarette tobacco] that you usually [smoke I
smoked]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month
PROGRAM: For current smokers display “Do” and “smoke”; for 12 month former smokers display “Did” and
“smoked”. For current smokers and 12 month former smokers who smoke manufactured cigarettes
(AC9007=1) display “cigarettes”. For current smokers and 12 month former smokers who smoke roll your
own cigarettes (AC9007=2) display “roll your own cigarette tobacco”.
PATH
Adult Extended Interview
13
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1048
Screen ID:
What brand of [cigarettes | roll your own cigarette tobacco] [do I did] you [usually I last] smoke? Please
select it from the choices below by touching the screen. If you do not see your usual brand below, touch the
box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AC1070]
1
-8
-7
I did not see my brand
DON’T KNOW
REFUSED
GO TO AC1049
GO TO AC1050
GO TO AC1050
ASK: Current users and Former users 12 Month
PROGRAM: For current smokers who have regular brand (AC1047=1), display “do” and “usually”; For
current smokers who do not have a regular brand (AC1047=2, DK, RF), display “did” and “last”. For 12
month former smokers who had a regular brand (AC1047=1), display “did” and “usually”; For 12 month
former smokers who did not have a regular brand (AC1047=2, DK, RF), display “did” and “last”. For current
smokers and 12 month former smokers who smoke manufactured cigarettes (AC9007=1) display
“cigarettes”. For current smokers and 12 month former smokers who smoke roll your own cigarettes
(AC9007=2) display “roll your own cigarette tobacco”. For current smokers and 12 month former smokers
who smoke manufactured cigarettes (AC9007=1) display only brands of manufactured cigarettes. For
current smokers and 12 month former smokers who smoke roll your own cigarettes (AC9007=2) display
only brands of roll your own cigarette tobacco.
PATH ID:
AC1070
Screen ID:
You selected [CIGBRANDFILL | RYOBRANDFILL] as your usual brand. What kind of [CIGBRANDFILL |
RYOBRANDFILL] do you usually smoke? Please select it from the choices below by touching the screen. If
you do not see it below, touch the box marked “more products.”
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN AC1048]
1
-8
-7
Some other type not listed here.
DON’T KNOW
REFUSED
GO TO AC1071
GO TO AC1050
GO TO AC1050
ASK: Current users and Former users 12 Month
PROGRAM: For current smokers who have regular brand (AC1047=1), display “do” and “usually”; For
current smokers who do not have a regular brand (AC1047=2, DK, RF), display “did” and “last”. For 12
month former smokers who had a regular brand (AC1047=1), display “did” and “usually”; For 12 month
former smokers who did not have a regular brand (AC1047=2, DK, RF), display “did” and “last”. For current
smokers and 12 month former smokers who smoke manufactured cigarettes (AC9007=1) display
“cigarettes”. For current smokers and 12 month former smokers who smoke roll your own cigarettes
(AC9007=2) display “roll your own cigarette tobacco”. For current smokers and 12 month former smokers
who smoke manufactured cigarettes (AC9007=1) display only products within brand lines of manufactured
cigarettes. For current smokers and 12 month former smokers who smoke roll your own cigarettes
(AC9007=2) display only products within brand lines of roll your own cigarette tobacco.
PATH
Adult Extended Interview
14
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1049
Screen ID:
You said that your brand was not pictured. What brand is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
GO TO AC1050
GO TO AC1050
GO TO AC1050
ASK: CURRENT USERS AND FORMER USERS 12 MONTH WHO DID NOT SELECT AN IMAGE OF
THEIR REGULAR BRAND (AC1048=1)
PATH ID:
AC1071
Screen ID:
You said that the type of [CIGBRANDFILL | RYOBRANDFILL]s that you smoke was not pictured. What type
is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who did not select the type of product they use
(AC1070=”some other type not listed here”) but who DID select a brand (AC1048<>1, -8, -7). Do not ask of
respondents who wrote a brand into AC1049.
PATH ID:
AC1050
Screen ID:
[Is / was] [your regular brand I the last brand] you [smoke I smoked] flavored to taste like menthol or mint?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month
GO TO: If AC9007 IN (1, DK, R), go to AC1051
Else go to AC1052
PATH
Adult Extended Interview
15
PATH
Adult Extended Interview
Version 6.2
PATH ID: AC1052
Screen ID:
[Is / was] [your regular brand I the last brand] of roll your own cigarette tobacco [you smoked] flavored to
taste like menthol or mint?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Current users and Former users 12 month who smoke roll your own cigarettes only (AC9007=2)
PROGRAM: For current smokers who have a regular brand (AC1047=1), display “Is”, “your regular brand”.
For current smokers who do not have a regular brand (AC1047=2, DK, RF), display "Was", "the last brand"
and "you smoked". For 12 month former smokers who had a regular brand (AC1047=1), display "Was",
"your regular brand" and "smoked". For 12 month former smokers who did not have a regular brand
(AC1047=2, DK, RF), display "Was", "the last brand" and "smoked".
PATH ID: AC1053
Screen ID:
[Is / was] [your regular brand I the last brand] of roll your own cigarette tobacco [you smoked] flavored to
taste like clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Current users and Former users 12 month who smoke roll your own cigarettes only (AC9007=2)
whose current or last brand was not mint/menthol (AC1052=2)
PROGRAM: For current smokers who have a regular brand (AC1047=1), display “Is”, “your regular brand”.
For current smokers who do not have a regular brand (AC1047=2, DK, RF), display "Was", "the last brand"
and "you smoked". For 12 month former smokers who had a regular brand (AC1047=1), display "Was",
"your regular brand" and "smoked". For 12 month former smokers who did not have a regular brand
(AC1047=2, DK, RF), display "Was", "the last brand" and "smoked".
GO TO: if current user AND AC1047 = 1, go to AC1051
Else If former user 12 month AND AC9007 = 1 AND AC1047 = 1, go to AC9010
Else if (current user for former user 12 month) AND AC9007 = 1 AND AC1047 <> 1, go to AC9019
Else go to next section
PATH
Adult Extended Interview
16
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC1051
Screen ID:
About how long have you been smoking your regular brand of [cigarettes | roll your own cigarette tobacco]?
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
1
2
3
-8
-7
ASK: Current users who have a regular brand (AC1047=1). For Current users who smoke manufactured
cigarettes (AC9007=1) display “cigarettes”. For Current users who smoke roll your own cigarettes
(AC9007=2) display “roll your own cigarette tobacco”.
GO TO: If AC9007 = 1, go to AC9010
Else go to AC9019
Box AC3
Display question AC9010, AC9011, AC9012, AC9013, AC9014, AC9015, AC9016, AC9017, on one screen.
Show the intro/transition text from AC9010 first, then show each item with a Y/N response. As each item is
answered, show the next one.
PATH ID:
AC9010
Screen ID:
In choosing your regular brand of cigarette [when you smoked], was part of your decision based on any of
the following?
It [is/was] less expensive.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand AC1047=1 and who smoke
manufactured cigarettes (AC9007=1)
PROGRAM: For current smokers, display “is”. For 12 month former smokers, display “when you last
smoked” and “was”
PATH
Adult Extended Interview
17
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9011
Screen ID:
The tar and nicotine levels.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand (AC1047=1) and who smoke
manufactured cigarettes (AC9007=1)
PATH ID:
AC9012
Screen ID:
The design of the pack.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand AC1047=1 and who smoke
manufactured cigarettes (AC9007=1)
PATH ID:
AC9013
Screen ID:
It may not be as bad for your health.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand AC1047=1 and who smoke
manufactured cigarettes (AC9007=1)
PATH ID:
AC9014
Screen ID:
The taste.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand AC1047=1 and who smoke
manufactured cigarettes (AC9007=1)
PATH
Adult Extended Interview
18
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9015
Screen ID:
As a way to help you quit.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand AC1047=1 and who smoke
manufactured cigarettes (AC9007=1)
PATH ID:
AC9016
Screen ID:
The amount of satisfaction it [gives | gave] you.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand AC1047=1 and who smoke
manufactured cigarettes (AC9007=1)
PROGRAM: For current smokers display “it gives”. For 12 month former smokers display “gave”
PATH ID:
AC9017
Screen ID:
People who are important to you smoke this brand.
1
2
-7
-8
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who have a regular brand AC1047=1 and who smoke
manufactured cigarettes (AC9007=1)
PATH
Adult Extended Interview
19
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9019
Screen ID:
Do you think the brand of cigarettes you [usually smoke | last smoked] might be less harmful, no different, or
more harmful, compared to other cigarette brands?
1
2
3
-7
-8
Less harmful
No different
More harmful
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 Month who smoke manufactured cigarettes (AC9007=1)
PROGRAM: If respondent has a regular brand (AC1047=1), fill with “usually smoke”; If respondent does not
have regular brand (AC1047=2, DK, RF), fill with “last smoked”
PATH
Adult Extended Interview
20
PATH
Adult Extended Interview
Version 6.2
E-CIGARETTE SECTION
PATH ID:
Screen ID:
The next questions are about electronic or e-cigarettes. E-cigarettes look like regular cigarettes, but are
battery-powered and produce vapor instead of smoke.
E-cigarettes can be bought as one-time, disposable products, or can be bought as re-usable kits with a
cartridge. These cartridges come in many different flavors and nicotine concentrations.
Some people refill their own cartridges with “juice,” sometimes called “e-juice.”
SHOW GENERIC IMAGES OF E-CIGARETTES, CARTRIDGES AND JUICE.
PATH ID:
AE1090
Screen ID:
Do you own an e-cigarette?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AE1005
GO TO AE1005
GO TO AE1005
ASK: Respondents who have used an e-cigarette (AE1002=1)
PATH ID:
AE9002
Screen ID:
What brand of e-cigarette do you own? Please select it from the choices below by touching the screen. If
you do not see your brand below, touch the box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AE9004]
1
-8
-7
Some other brand not listed here.
DON’T KNOW
REFUSED
GO TO AE9004
GO TO AE9004
ASK: Respondents who own an e-cigarette (AE1090=1)
PATH ID:
AE9003
Screen ID:
You said that the brand of e-cigarette you own was not pictured. What brand is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who did not select an image of their regular brand (AE9002=1)
PATH ID:
AE9004
Screen ID:
About how much did you pay for your e-cigarette?
1
Less than $10
2
$10-$20
3
$21-$100
PATH
Adult Extended Interview
21
PATH
Adult Extended Interview
Version 6.2
4
-8
-7
More than $100
DON’T KNOW
REFUSED
ASK: Respondents who own an e-cigarette (AE1090=1)
PATH ID:
AE1005
Screen ID:
How many cartridges or disposable e-cigarettes have you used in your entire life?
1
2
3
4
5
-8
-7
1-10
11-20
21-50
51-99
At least 100 or more
DON’T KNOW
REFUSED
ASK: Respondents who have used an e-cigarette (AE1002=1)
PATH ID:
AE1006
Screen ID:
How old were you the first time you used an e-cigarette, even one or two times? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have used an e-cigarette (AE1002=1)
PATH ID:
AE1100
Screen ID:
Have you ever used e-cigarettes fairly regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AE1008
GO TO AE1008
GO TO AE1008
ASK: Respondents who have used an e-cigarette (AE1002=1)
PATH ID:
AE1007
Screen ID:
How old were you when you first started using e-cigarettes fairly regularly? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have ever used fairly regularly (AE1100=1)
GO TO: If AE1003 = 1, go to AE1020
Else, go to AE1008
PATH
Adult Extended Interview
22
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE1020
Screen ID:
How old were you when you first started using e-cigarettes every day? Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who use an e-cigarette every day (AE1003=3)
PATH ID:
AE1008
Screen ID:
When you first started using e-cigarettes, did you use cartridges or disposable e-cigarettes flavored to taste
like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have used an e-cigarette (AE1002=1)
GO TO: If AE1003 <> 1, go to AE1009
Else go to AE9005
PATH
Adult Extended Interview
23
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE1009
Screen ID:
About how long has it been since you last took a drag from an e-cigarette? (If it was earlier today, enter 1
day).
1
2
I___I___I
DAYS
I___I___I
MONTHS
3
I___I___I
YEARS
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have used e-cigarettes (AE1002=1) AND do not use every day (AE1003<>1)
GO TO: If AE1003 = 3, go to AE1010
Else go to AE9005
PATH ID:
AE1010
Screen ID:
Have you completely quit using e-cigarettes?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have used e-cigarettes (AE1002=1) AND currently use not at all (AE1003=3)
PATH
Adult Extended Interview
24
PATH
Adult Extended Interview
Version 6.2
Screen ID:
BOX AE2
PROGRAM: DEFINE THE FOLLOWING VARIABLES (SEE APPENDIX B):
EVER USER ECIG
CURRENT USER ECIG
EVERY DAY USER ECIG
SOME DAY USER ECIG
EXPERIMENTAL CURRENT USER ECIG
EXPERIMENTAL FORMER USER ECIG
FORMER USER 12 MONTH ECIG
FORMER USER 12 MONTH PLUS ECIG
ECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGECIGEC
IGECIGECIGECIGECIGECIGAFTER CREATING NEW VARIABLES, DO THE FOLLOWING:
EVERY DAY USER ECIG GO TO AE1021
SOME DAY ECIGUSER ECIG GO TO AE1022
EXPERIMENTAL CURRENT USER ECIG GO TO AE1022
EXPERIMENTAL FORMER USER ECIG GO TO NEXT SECTION
FORMER ECIGUSER 12 MONTH ECIG GO TO AE1025
ECIGFORMER ECIGUSER 12 MONTH PLUS ECIG GO TO AG1005
PATH ID:
AE9005
Screen ID:
Do you/Did you usually use an e-cigarette that uses cartridges or do you/did you use disposable ecigarettes?
1
E-cigarette that uses cartridges
2
Disposable e-cigarettes
3
Both
-8
DON’T KNOW
-7
REFUSED
ASK: If respondent has ever used e-cigarettes (AE1002=1)
PROGRAM: For current users, display “Do you”; For 12 month former users, display “Did you”.
PROGRAM: [ECIGFILL] SERIES
If AE9005=1, fill [ECIGFILL] with “e-cigarette cartridges”; if AE9005=2, fill [ECIGFILL] with “disposable ecigarettes”; if AE9005 IN (3, DK, R), fill [ECIGFILL] with “cartridges or disposable e-cigarettes”.
PATH
Adult Extended Interview
25
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE1021
Screen ID:
On average, about how many [ECIGFILL] do you now use each day? Please enter a number.
1
-8
-7
I___I___I
DON’T KNOW
REFUSED
GO TO AE9006
GO TO AE9006
GO TO AE9006
ASK: Everyday users
PATH ID:
AE1022
Screen ID:
On how many of the past 30 days did you use [ECIGFILL]? Please enter the number of days.
1
|__|__|
-8
-7
DON’T KNOW
REFUSED
ASK: Some day users and Experimental Current users
GO TO: If AE1022 = 0 and some day user, go to AE9006
Else if AE1022 = 0 and experimental current user, go to AE1025
Else go to AE1023
PROGRAM: Range check: 1-30 days
PATH ID:
AE1023
Screen ID:
On average, on those [FILL NUMBER OF DAYS FROM AE1022] days, how many [ECIGFILL] did you
usually use each day? Please enter a number.
1
|__|__|__|
-8
-7
DON’T KNOW
REFUSED
ASK: Some day users and Experimental Current Users who have used at least one day in past 30 or did not
provide the number of days used in the past 30 (AE1022>0 OR AE1022 IN (DK, R))If DK/RF, FILL=[days
you smoked].
GO TO: EXPERIMENTAL CURRENT USER E-CIG GO TO AE1025
PATH
Adult Extended Interview
26
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE9006
Screen ID:
What concentration of nicotine do you usually use in your [ECIGFILL]?
1
2
3
4
5
-8
-7
0 mg or 0.0%
1-12mg or 0.1- 0.6%
12-18 mg or 0.7 - 1.2%
18 - 24+ mg or 1.3 - 1.8%
25+ mg or 1.9%
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AE1024
Screen ID:
(On the days that you use e-cigarettes,) {how/How} soon after you wake up do you typically take your first
drag of the day? Please enter the number of minutes or hours.
1
2
-8
-7
I___I___I___I
Minutes after waking
I___I___I___I
Hours after waking
DON’T KNOW
REFUSED
ASK: Current users
PROGRAM: For Every Day e-cigarette users display “How”; For Some Day e-cigarette users display ‘On the
days that you use e-cigarettes, how’
PATH ID:
AE1025
Screen ID:
Around this time 12 months ago, were you using e-cigarettes…?
1
Every day
2
Some days
3
Not at all
-8
DON’T KNOW
-7
REFUSED
ASK: Current e-cigarette users, 12 month former e-cigarette users, and experimental current e-cigarette
users
GO TO: If Experimental Current user, go to AE1060.
Else if AE1025 IN (1, 2), go to AE9007
Else if current user go to AE1097
Else go to AE1030
PATH
Adult Extended Interview
27
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE9007
Screen ID:
Around this time 12 months ago, what concentration of nicotine did you usually use in your [ECIGFILL]?
1
0 mg or 0.0%
2
1-12 mg or 0.1-0.6%
3
12-18 mg or 0.7-1.2%
4
18 - 24+ mg or 1.3-1.8%
5
25+ mg or 1.9%
-8
DON’T KNOW
-7
REFUSED
ASK: Every day e-cigarette smokers around this time 12 months ago (AE1025=1, 2)
PATH ID:
AE1097
Screen ID:
During the past 30 days, did you use a coupon when buying [ECIGFILL]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AE1030
GO TO AE1030
GO TO AE1030
ASK: Current users
PATH ID:
AE1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy [ECIGFILL]? Please enter a number.
1
-8
-7
I__I__I__I
DON’T KNOW
REFUSED
ASK: Current users who have used a coupon to buy e-cigarettess in the last 30 days (AE1097=1)
PATH ID:
AE1030
Screen ID:
How [do/did] you usually buy [ECIGFILL] or e-juice for yourself? Is it…
1
2
3
-8
-7
In person
From the internet
By telephone
DON’T KNOW
REFUSED
GO TO AE1047
GO TO AE1047
GO TO AE1047
GO TO AE1047
ASK: Current users and Former users 12 month
PROGRAM: For current e-cigarette users display “do”; For 12 month former e-cigarette users display “did”
PATH ID:
AE1032
Screen ID:
[Do/Did] you usually buy [ECIGFILL] or e-juice…
1
In your own state
PATH
Adult Extended Interview
28
PATH
Adult Extended Interview
Version 6.2
2
In another state
3
Outside the US
-8
DON’T KNOW
-7
REFUSED
ASK: Current users and Former users 12 month who usually buy e-cigarettes in person (AE1030=1)
PROGRAM: For current e-cigarette users display “Do”; For 12 month former e-cigarette users display “Did”
PATH ID:
AE1033
Screen ID:
Where [do/did ] you usually buy your [ECIGFILL] or e-juice?
1
A mall kiosk
2
A convenience store or gas station,
3
A supermarket, grocery store, or drug store,
4
A warehouse club, such as Sam’s or Costco,
A tobacco specialty store or tobacco outlet store,
5
6
A duty free shop or military commissary,
7
8
A bar, pub, restaurant or casino,
A friend or relative,
9
A swap meet or flea market,
10
11
A liquor store
Or from somewhere else
-8
DON’T KNOW
-7
REFUSED
SPECIFY: ____________________________
ASK: Current users and Former users 12 month who usually buy e-cigarettes in person (AE1030=1)
PROGRAM: For current e-cigarette users display “do”; For 12 month former e-cigarette users display “did”
PATH ID:
AE1047
Screen ID:
[Do I Did] you have a regular brand of [ECIGFILL] that you usually [use I used]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current users display “Do” and “use”; for 12 month former users display “Did” and “used”.
PATH ID:
AE1048
Screen ID:
What brand of e-cigarette [do I did] you [usually I last] use? Please select it from the choices below by
touching the screen. If you do not see your usual brand below, touch the box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AE9106]
1
I did not see my brand
PATH
Adult Extended Interview
GO TO AE1049
29
PATH
Adult Extended Interview
Version 6.2
-8
-7
DON’T KNOW
REFUSED
GO TO AE1050
GO TO AE1050
ASK: Current users and Former users 12 month
PROGRAM: For current users who have regular brand (AE1047=1), display “do” and “usually”; For current
users who do not have a regular brand (AE1047=2, DK, RF, DK, RF), display “did” and “last”. For 12 month
former users who had a regular brand (AE1047=1), display “did” and “usually”; For 12 month former users
who did not have a regular brand (AE1047=2, DK, RF, DK, RF), display “did” and “last”.
GO TO: If AE1050 NOT IN (1, DK, RF), go to AE9106
PATH ID:
AE1049
Screen ID:
You said that your brand was not pictured. What brand is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month who did not select an image of their regular brand
(AE1048=1)
PATH ID:
AE9106
Screen ID:
You selected [BRANDFILL] as your usual brand. What kind of [BRANDFILL] do you usually use? Please
select it from the choices below by touching the screen. If you do not see it below, touch the box marked
“more products.”
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR MODELS ASSOCIATED WITH
BRAND SELECTED IN AE1048]
1
-8
-7
Some other model not listed here.
DON’T KNOW
REFUSED
GO TO AE9107
GO TO AE1050
GO TO AE1050
ASK: Current users and Former users 12 month who selected a brand image in AE1048.
PROGRAM: If AE1047=1, display “do” and “usually”. If AE1047=2, DK, RF, display “did” and “last”
PATH
Adult Extended Interview
30
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE9107
Screen ID:
You said that your model was not pictured. What model is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who did not select an image for their model (AE9106 = 1).
PATH ID:
AE1050
Screen ID:
[Is / was] [your regular brand I the last brand] you [use I used] flavored to taste like menthol, mint, clove,
spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current users who have a regular brand (AE1047=1), display “Is”, “your regular brand” and
“use.” For current users who do not have a regular brand (AE1047=2, DK, RF), display "Was", "the last
brand" and " used ". For 12 month former users who had a regular brand (AE1047=1), display "Was", "your
regular brand" and " used ". For 12 month former users who did not have a regular brand (AE1047=2, DK,
RF), display "Was", "the last brand" and " used ".
GO TO: If current user AND AE1047 = 1, go to AE1051
Else go to AE1060
PATH ID:
AE1051
Screen ID:
About how long have you been using your regular brand of e-cigarette?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have a regular brand (AE1047=1)
PATH
Adult Extended Interview
31
PATH
Adult Extended Interview
Version 6.2
Box AE3
Display question AE1060, AE1061, AE1085, AE1062, AE1075, AE1063, AE1064, AE1065, AE1066,
AE1067, AE1068, AE1072 on one screen. Show the intro/transition text from AE1060 first, then show each
item with responses. As each item is answered, show the next one.
PATH ID:
AE1060
Screen ID:
The next questions are about the reasons people use e-cigarettes. Please select which reasons apply to
you.
I use e-cigarettes because…
They are affordable.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1061
Screen ID:
People in the media or other public figures use e-cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1085
Screen ID:
I can use e-cigarettes in places where smoking cigarettes isn’t allowed.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
Adult Extended Interview
32
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE1062
Screen ID:
They might be less harmful to me than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1075
Screen ID:
They might be less harmful to people around me than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1063
Screen ID:
[ECIGFILL] come in flavors I like.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1064
Screen ID:
Using e-cigarettes help people to quit smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
Adult Extended Interview
33
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE1065
Screen ID:
E-cigarettes don’t smell
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1066
Screen ID:
Using an e-cigarette feels like smoking regular cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1067
Screen ID:
E-cigarettes are more acceptable to non-tobacco users.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AE1068
Screen ID:
People who are important to me use e-cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
Adult Extended Interview
34
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE1072
Screen ID:
The advertising for e-cigarettes appeals to me.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current Users, Experimental Current users, and Former users 12 Month
GO TO: If (Current user OR Experimental Current user) AND Current user cig, go to AD1086
Else If ((Current user OR Experimental Current user) AND Former user 12 month cig) OR (former user 12
months AND (current user cig or former user 12 months cig)), go to AD1080
Else go to next section
PATH ID:
AE1086
Screen ID:
During the past 30 days, have you used e-cigarettes at times when you could not smoke regular cigarettes?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AE 1080
GO TO AE 1080
GO TO AE 1080
ASK: Current users and Experimental Current users who are also Current users of cigarettes
PATH ID:
AE1087
Screen ID:
How often do you use e-cigarettes at times when you could not smoke regular cigarettes?
1
2
3
-8
-7
Every day
Some days
Rarely
DON’T KNOW
REFUSED
ASK: Current cigarette smokers who have used e-cigarettes when could not smoke regular cigarettes
(AE1086=yes)
PATH
Adult Extended Interview
35
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE1080
Screen ID:
[Do | Did] you use e-cigarettes as a way of cutting down on your cigarette smoking?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current e-cig users or experimental current e-cig users display “do”; For 12 month former ecig users display “did”
PATH ID:
AE1081
Screen ID:
[Do | Did] you use e-cigarettes as an alternative to quitting tobacco altogether?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current e-cig users display “do”; For 12 month former e-cig users display “did”
PATH
Adult Extended Interview
36
PATH
Adult Extended Interview
Version 6.2
CIGAR, CIGARILLO AND FILTERED CIGAR SECTION
PATH ID:
Screen ID:
The next questions are about cigars, cigarillos, and filtered cigars. These products go by lots of different
names, so please use these descriptions and photos to understand what they are.
Traditional cigars contain tightly rolled cured tobacco that is wrapped in a tobacco leaf. Some common
brands of cigars include Macanudo, Romeo y Julieta, and Arturo Fuente, but there are many others.
SHOW GENERIC IMAGE OF TRADITIONAL CIGARS
Cigarillos and filtered cigars are smaller than traditional cigars. They are usually brown. Some are the
same size as cigarettes, and some come with plastic or wood tips. Some common brands are Black and
Mild, Swisher Sweets, Dutch Masters, Phillies Blunts, Prime Time, and Winchester.
SHOW GENERIC IMAGES OF CIGARILLOS AND FILTERED CIGARS
PATH ID:
AG1005
Screen ID:
How many [CIGARFILL]s have you smoked in your entire life?
1
2
3
4
5
-8
-7
1-10
11-20
21-50
51-99
At least 100 or more
DON’T KNOW
REFUSED
ASK: Respondents who have smoked at least one type of cigar where traditional cigar (AG9003=1) and/or
cigarillo (AG9006=1) and/or LFC (AG9007=1)
PATH ID:
AG1095
Screen ID:
How long is the [CIGARFILL] you smoke?
1
2
3
-8
-7
4 inches or less (about the length of a cigarette)
Between 4-6 inches (about the size of a smartphone)
Longer than 6 inches (about the length of a dollar bill)
DON’T KNOW
REFUSED
ASK: Respondents who have smoked at least one type of cigar where traditional cigar (AG9003=1) and/or
cigarillo (AG9006=1) and/or LFC (AG9007=1)
PATH ID:
AG1006
Screen ID:
How old were you the first time you smoked part or all of a [CIGARFILL], even one or two puffs? Please
enter age in years.
1
-8
-7
PATH
Adult Extended Interview
I___I___I___I
DON’T KNOW
REFUSED
37
PATH
Adult Extended Interview
Version 6.2
ASK: Respondents who have smoked at least one type of cigar where traditional cigar (AG9003=1) and/or
cigarillo (AG9006=1) and/or FC (AG9007=1)
PATH ID:
AG1100
Screen ID:
Have you ever smoked [CIGARFILL]s fairly regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AG1008
GO TO AG1008
GO TO AG1008
ASK: Respondents who have smoked at least one type of cigar where traditional cigar (AG9003=1) and/or
cigarillo (AG9006=1) and/or FC (AG9007=1)
PATH ID:
AG1007
Screen ID:
How old were you when you first started smoking [CIGARFILL]s fairly regularly? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have ever smoked fairly regularly (AG1100=1)
GO TO: If AG1003 = 1, go to AG1020
Else, go to AG1008
PATH ID:
AG1020
Screen ID:
How old were you when you first started smoking [CIGARFILL]s every day? Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who have smoked at least one type of cigar where traditional cigar (AG9003=1) and/or
cigarillo (AG9006=1) and/or LFC (AG9007=1)
PATH ID:
AG1008
Screen ID:
When you first started smoking [CIGARFILL]s, did you smoke [CIGARFILL]s flavored to taste like menthol,
mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have smoked [CIGARFILL]s
GO TO: If AG1003 <> 1, go to AG1009
Else go to BOX AG2
PATH
Adult Extended Interview
38
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1009
Screen ID:
About how long has it been since you last smoked [CIGARFILL]s? (If it was earlier today, enter 1 day)
1
2
I___I___I
DAYS
I___I___I
MONTHS
3
I___I___I
YEARS
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have smoked [CIGARFILL]s and do not smoke every day (AG1003<>1)
GO TO: If AG1003 = 3, go to AG1010
Else go to BOX AG2
PATH ID:
AG1010
Screen ID:
Have you completely quit smoking [CIGARFILL]s?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have smoked [CIGARFILL]s and currently smoke not at all (AG1003=3)
PATH
Adult Extended Interview
39
PATH
Adult Extended Interview
Version 6.2
Screen ID:
BOX AG2
PROGRAM: Define the following variables (see Appendix B).
EVER USER [CIGARFILL]
CURRENT USER [CIGARFILL]
EVERY DAY USER [CIGARFILL]
SOME DAY USER [CIGARFILL]
EXPERIMENTAL CURRENT USER [CIGARFILL]
EXPERIMENTAL FORMER USER [CIGARFILL]
FORMER USER 12 MONTH [CIGARFILL]
FORMER USER 12 MONTH PLUS [CIGARFILL]
AFTER CREATING NEW VARIABLES, DO THE FOLLOWING:
EVERY DAY USER [CIGARFILL] GO TO AG1021
SOME DAY [CIGARFILL] USER GO TO AG1022
EXPERIMENTAL CURRENT USER [CIGARFILL] GO TO AG1022
EXPERIMENTAL FORMER USER [CIGARFILL] GO TO NEXT SECTION
IF FORMER USER 12 MONTH [CIGARFILL] GO TO AG1025
IF FORMER USER 12 MONTH PLUS [CIGARFILL] GO TO NEXT SECTION
PATH ID:
AG1021
Screen ID:
On average, about how many [CIGARFILL]s do you now smoke each day?
1
-8
-7
I___I___I
Number
DON’T KNOW
REFUSED
ASK: Every day users
PATH ID:
AG1022
Screen ID:
On how many of the past 30 days did you smoke [CIGARFILL]s?
1
|__|__|
Days
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users
GO TO: If AG1022 = 0 and some day user, go to AG1024
Else if AG1022 = 0 and experimental current user, go to AG1025
Else go to AG1023
PATH
Adult Extended Interview
40
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1023
Screen ID:
On average, on those [FILL NUMBER OF DAYS FROM AG1022] days, how many [CIGARFILL]s did you
usually smoke each day?
1
|__|__|
Number
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users who have smoked at least one day in past 30 or did
not provide the number of days smoked in the past 30 (AG1022>0 OR AG1022 IN (DK, R))
If DK/RF, FILL=[days you smoked].
GO TO: EXPERIMENTAL CURRENT USER E-CIG GO TO AG1025
PATH ID:
AG1024
Screen ID:
(On the days that you smoke [CIGARFILL]s,) {how/How} soon after you wake up do you typically smoke
your first [CIGARFILL] of the day? (enter #minutes or hours)
1
2
-8
-7
I___I___I___I
Minutes after waking
I___I___I___I
Hours after waking
DON’T KNOW
REFUSED
ASK: Current users
PROGRAM: For Every Day Users [CIGARFILL] display “How”; For Some Day [CIGARFILL] smokers display
‘On the days that you smoke [CIGARFILL]s, how’
PATH ID:
AG1025
Screen ID:
Around this time 12 months ago, were you smoking [CIGARFILL]s…??
1
Every day
2
Some days
3
Not at all
-8
DON’T KNOW
-7
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If Former user 12 month, go to AG1030
If Experimental current user, go to AG1060
Else go to AG1097
PATH ID:
AG1097
Screen ID:
During the past 30 days, did you use a coupon when buying [CIGARFILL]s?
1
Yes
PATH
Adult Extended Interview
41
PATH
Adult Extended Interview
Version 6.2
2
-8
-7
No
DON’T KNOW
REFUSED
GO TO AG1030
GO TO AG1030
GO TO AG1030
ASK: Current users
PATH ID:
AG1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy [CIGARFILL]s?
1
-8
-7
I__I__I
Number of times
DON’T KNOW
REFUSED
ASK: Current users who have used a coupon to buy [CIGARFILL]s in the last 30 days (AG1097=1)
PATH ID:
AG1030
Screen ID:
How [do/did] you usually buy [CIGARFILL]s for yourself? Is it…
1
2
3
-8
-7
In person
From the internet
By telephone
DON’T KNOW
REFUSED
GO TO AG1047
GO TO AG1047
GO TO AG1047
GO TO AG1047
ASK: Current users and Former users 12 month
PROGRAM: For current [CIGARFILL] smokers display “do”; For 12 month former [CIGARFILL] smokers
display “did”
PATH ID:
AG1032
Screen ID:
[Do/Did] you usually buy [CIGARFILL]s...?
1
2
3
-8
-7
In your own state
In another state
Outside the US
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month who usually buy [CIGARFILL]s in person (AG1030=1)
PROGRAM: For current [CIGARFILL] smokers display “Do”; For 12 month former [CIGARFILL] smokers
display “Did”
PATH ID:
AG1033
Screen ID:
Where [do/did ] you usually buy your [CIGARFILL]s?
1
2
3
4
A convenience store or gas station,
A supermarket, grocery store, or drug store,
A warehouse club, such as Sam’s or Costco,
A tobacco specialty store or tobacco outlet store,
PATH
Adult Extended Interview
42
PATH
Adult Extended Interview
Version 6.2
A duty free shop or military commissary,
A bar, pub, restaurant or casino,
A friend or relative,
A swap meet or flea market,
A liquor store
Or from somewhere else
SPECIFY: ____________________________
DON’T KNOW
REFUSED
5
6
7
8
9
10
-8
-7
ASK: Current users and Former users 12 month who usually buy [CIGARFILL]s in person (AG1030=1)
PROGRAM: For current [CIGARFILL] smokers display “do”; For 12 month former [CIGARFILL] smokers
display “did”
GO TO: If former user 12 month, go to AG1047
Else go to AG1039
PATH ID:
AG1039
Screen ID:
Do you usually buy [CIGARFILL]s by the box or as single [CIGARFILL]s?
1
2
-8
-7
Box
Single [CIGARFILL]s
DON’T KNOW
REFUSED
GO TO AG1043
GO TO AG1047
GO TO AG1047
ASK: Current users
PATH ID:
AG1042
Screen ID:
How much do you usually pay for a box of [CIGARFILL]s?
1
-8
-7
$ I___I___I___I
Amount
DON’T KNOW
REFUSED
ASK: Respondents who usually buy [CIGARFILL]s by the box
PATH
Adult Extended Interview
43
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1043
Screen ID:
How much do you usually pay for a single [CIGARFILL]?
$ I___I___I___I
Amount
DON’T KNOW
REFUSED
1
-8
-7
ASK: Respondents who usually buy [CIGARFILL]s as single [CIGARFILL]s
PATH ID:
AG1047
Screen ID:
[Do I Did] you have a regular brand of [CIGARFILL]s that you usually [smoke I smoked]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current [CIGARFILL] smokers display “Do”, “smoke”; for 12 month former [CIGARFILL]
smokers display “Did”, “smoked”
PATH ID:
AG1048
Screen ID:
What brand of [CIGARFILL] [do I did] you [usually I last] smoke? Please select it from the choices below by
touching the screen. If you do not see your usual brand below, touch the box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AG1070]
1
-8
-7
Some other brand not listed here.
DON’T KNOW
REFUSED
GO TO AG1049
GO TO AG1050
GO TO AG1050
ASK: CURRENT USERS AND FORMER USERS 12 MONTH
PROGRAM: For current smokers who have regular brand (AG1047=1), display “do” and “usually”; For
current smokers who do not have a regular brand (AG1047=2, DK, RF, DK, RF), display “did” and “last”.
For 12 month former smokers who had a regular brand (AG1047=1), display “did” and “usually”; For 12
month former smokers who did not have a regular brand (AG1047=2, DK, RF, DK, RF), display “did” and
“last”.
GO TO: If AG1050 NOT IN (1, DK, RF), go to AG1070
PATH
Adult Extended Interview
44
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1070
Screen ID:
You selected [BRANDFILL] as your usual brand. What kind of [BRANDFILL] do you usually smoke? Please
select it from the choices below by touching the screen. If you do not see it below, touch the box marked
“more products.”
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN AG1048]
1
-8
-7
Some other type not listed here.
GO TO AG1071
DON’T KNOW
GO TO AG1050
REFUSED
GO TO AG1050
ASK: Current users and Former users 12 month who selected a brand image in AG1048.
PATH ID:
AG1049
Screen ID:
You said that your brand was not pictured. What brand is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
GO TO AG1050
GO TO AG1050
GO TO AG1050
ASK: CURRENT USERS AND FORMER USERS 12 MONTH WHO DID NOT SELECT AN IMAGE OF
THEIR REGULAR BRAND (AG1048=1)
PATH ID:
AG1071
Screen ID:
You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: : Current users and Former users 12 month who did not select the type of product they use
(AG1070=”some other type not listed here”) but who DID select a brand (AG1048<>1, -8, -7). Do not ask of
respondents who wrote a brand into AG1049.
PATH
Adult Extended Interview
45
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1050
Screen ID:
[Is / was] [your regular brand I the last brand] you [smoke I smoked] flavored to taste like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current smokers who have a regular brand (AG1047=1), display “Is”, “your regular brand”
and “smoke”. For current smokers who do not have a regular brand (AG1047=2, DK, RF), display "Was",
"the last brand" and "smoked". For 12 month former smokers who had a regular brand (AG1047=1), display
"Was", "your regular brand" and "smoked". For 12 month former smokers who did not have a regular brand
(AG1047=2, DK, RF), display "Was", "the last brand" and "smoked".
GO TO: If current user AND AG1047 = 1, go to AG1051
Else go to AG1060
PATH ID:
AG1051
Screen ID:
About how long have you been smoking your regular brand of [CIGARFILL]?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have a regular brand (AG1047=1)
Box AG6
Display question AG1060, AG1061, AG1085, AG1062, AG1063, AG1064, AG1066, AG1068, AG1072,
AG1073 on one screen. Show the intro/transition text from AG1060 first, then show each item with
responses. As each item is answered, show the next one.
PATH
Adult Extended Interview
46
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1060
Screen ID:
The next questions are about the reasons people smoke [CIGARFILL]s. Please select which reasons apply
to you.
I smoke [CIGARFILL]s because…
They are affordable.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1061
Screen ID:
People in the media or other public figures smoke [CIGARFILL]s.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1085
Screen ID:
I can smoke [CIGARFILL]s in places where smoking cigarettes isn’t allowed.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1062
Screen ID:
They might be less harmful than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1063
Screen ID:
[CIGARFILL]s come in flavors I like.
1
2
-8
PATH
Adult Extended Interview
Yes
No
DON’T KNOW
47
PATH
Adult Extended Interview
Version 6.2
-7
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1064
Screen ID:
Smoking [CIGARFILL]s help people to quit smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1066
Screen ID:
Smoking a [CIGARFILL] feels like smoking regular cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1068
Screen ID:
People who are important to me smoke [CIGARFILL]s.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1072
Screen ID:
The advertising for [CIGARFILL]s appeals to me.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AG1073
Screen ID:
Of the look and feel of it.
1
2
PATH
Adult Extended Interview
Yes
No
48
PATH
Adult Extended Interview
Version 6.2
-8
-7
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If NOT current user cig, go to next section.
Else: go to AG1080
PATH ID:
AG1080
Screen ID:
[Do | Did] you smoke [CIGARFILL]s as a way of cutting down on your cigarette smoking?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current [CIGARFILL] smokers display “do”; For 12 month former [CIGARFILL] smokers
display “did”
PATH ID:
AG1081
Screen ID:
[Do | Did] you smoke [CIGARFILL]s as an alternative to quitting tobacco altogether?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current [CIGARFILL] smokers display “do”; For 12 month former [CIGARFILL] smokers
display “did”
PATH
Adult Extended Interview
49
PATH
Adult Extended Interview
Version 6.2
PIPE SECTION
The next questions are about smoking tobacco in pipes.
Pipes come in many shapes and sizes. They all have a bowl that holds the tobacco and a stem. Pipe
tobacco is often sold loose in packages or tins. In the following section, we are only asking about smoking
pipes filled with tobacco. The picture below shows a typical pipe and some pipe tobacco.
[SHOW IMAGES OF PIPES AND PIPE TOBACCO – BOTH LOOSE AND IN TINS]
PATH ID:
AP1005
Screen ID:
How many bowls filled with pipe tobacco have you smoked in your entire life?
1
2
3
4
5
-8
-7
1-10
11-20
21-50
51-99
At least 100 or more
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe (AP1002=1)
PATH ID:
AP1006
Screen ID:
How old were you the first time you smoked part or all of a pipe filled with tobacco, even one or two puffs?
Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe (AP1002=1)
PATH ID:
AP1100
Screen ID:
Have you ever smoked a pipe filled with tobacco fairly regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AP1008
GO TO AP1008
GO TO AP1008
ASK: Respondents who have smoked a pipe (AP1002=1)
PATH
Adult Extended Interview
50
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1007
Screen ID:
How old were you when you first started smoking a pipe filled with tobacco fairly regularly? Please enter age
in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents that have ever smoked fairly regularly (AP1100=1)
GO TO: If AP1003 = 1, go to AP1020
Else, go to AP1008
PATH ID:
AP1020
Screen ID:
How old were you when you first started smoking a pipe filled with tobacco every day? Please enter age in
years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who smoke a pipe every day (AP1003=1)
PATH ID:
AP1008
Screen ID:
When you first started smoking a pipe, did you smoke pipe tobacco flavored to taste like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have used a pipe (AP1002=1)
GO TO: If AP1003 <> 1, go to AP1009
Else go to BOX AP1
PATH
Adult Extended Interview
51
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1009
Screen ID:
About how long has it been since you last smoked a pipe filled with tobacco? (If it was earlier today, enter 1
day)
1
2
I___I___I DAYS
I___I___I MONTHS
3
I___I___I YEARS
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe (AP1002=1) and do not smoke every day (AP1003<>1)
GO TO: If AP1003 = 3, go to AP1009
Else go to BOX AP1
PATH ID:
AP1010
Screen ID:
Have you completely quit smoking pipes filled with tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe (AP1002=1) and currently smoke not at all (AP1003=3)
Screen ID:
BOX AP1
PROGRAM: Define the following variables (see Appendix B):
EVER USER PIPE
CURRENT USER PIPE
EVERY DAY USER PIPE
SOME DAY USER PIPE
EXPERIMENTAL CURRENT USER PIPE
EXPERIMENTAL FORMER USER PIPE
FORMER USER 12 MONTH PIPE
FORMER USER 12 MONTH PLUS PIPE
AFTER CREATING NEW VARIABLES, DO THE FOLLOWING:
EVERY DAY USER PIPE GO TO AP1021
SOME DAY USER PIPE OR EXPIERMENTAL CURRENT USER PIPE GO TO AP1022
FORMER USER 12 MONTH PIPE GO TO AP1025
FORMER USER 12 MONTH PLUS PIPE OR EXPERIMENTAL FORMER USER PIPE
GO TO NEXT SECTION
PATH ID:
AP1021
Screen ID:
On average, about how many bowls filled with pipe tobacco do you now smoke each day?
1
I___I___I
PATH
Adult Extended Interview
GO TO AP1024
52
PATH
Adult Extended Interview
Version 6.2
-8
-7
Number
DON’T KNOW
REFUSED
GO TO AP1024
GO TO AP1024
ASK: Every day users
PATH ID:
AP1022
Screen ID:
On how many of the past 30 days did you smoke a pipe filled with tobacco?
1
|__|__|
Days
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users
GO TO: If AP1022 = 0 and some day user, go to AP1024
Else if AP1022 = 0 and experimental current user, go to AP1025
Else go to AP1023
PATH ID:
AP1023
Screen ID:
On average, on those [FILL NUMBER OF DAYS FROM AP1022] days, how many bowls filled with pipe
tobacco did you usually smoke each day?
1
|__|__|
Number
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users who have smoked at least one day in past 30 or did
not provide the number of days smoked in past 30 (AP1022>0 OR AP1022 IN (DK, R))If DK/RF, FILL=[days
you smoked].
GO TO: EXPERIMENTAL CURRENT USER PIPE GO TO AP1025
PATH
Adult Extended Interview
53
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1024
Screen ID:
(On the days that you smoke pipes filled with tobacco,) [how/How] soon after you wake up do you typically
smoke your first pipe bowl of the day?
1
2
-8
-7
I___I___I___I
Minutes after waking
I___I___I___I
Hours after waking
DON’T KNOW
REFUSED
ASK: Current users
PROGRAM: For Every Day pipe smokers display “How”; For Some Day pipe smokers display ‘On the days
that you smoke a pipe filled with tobacco, how’
PATH ID:
AP1025
Screen ID:
Around this time 12 months ago, were you smoking a pipe filled with tobacco every day, some days, or not
at all?
1
Every day
2
Some days
3
Not at all
-8
DON’T KNOW
-7
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If EXPERIMENTAL CURRENT USER PIPE, GO TO AP1060
If Former users 12 month, go to AP1030
Else go to AP1097
PATH ID:
AP1097
Screen ID:
During the past 30 days, did you use a coupon when buying pipe tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AP1030
GO TO AP1030
GO TO AP1030
ASK: Current users
PATH
Adult Extended Interview
54
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy pipe tobacco?
1
-8
-7
I__I__I
Number of times
DON’T KNOW
REFUSED
ASK: Current users
who have used a coupon to buy pipe tobacco in the last 30 days (AP1097=1)
PATH ID:
AP1030
Screen ID:
How [do/did] you usually buy pipe tobacco for yourself? Is it…
1
2
3
-8
-7
In person
From the internet
By telephone
DON’T KNOW
REFUSED
GO TO AP1047
GO TO AP1047
GO TO AP1047
GO TO AP1047
ASK: Current users and Former users 12 month
PROGRAM: For current pipe smokers display “do”; For 12 month former pipe smokers display “did”
PATH ID:
AP1032
Screen ID:
[Do/Did] you usually buy pipe tobacco...?
1
2
3
-8
-7
In your own state
In another state
Outside the US
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy pipe tobacco in person (AP1030=1)
PROGRAM: For current pipe smokers display “Do”; For 12 month former pipe smokers display “Did”
PATH
Adult Extended Interview
55
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1033
Screen ID:
Where [do/did ] you usually buy your pipe tobacco?
1
2
3
4
5
6
7
8
9
10
-8
-7
A convenience store or gas station,
A supermarket, grocery store, or drug store,
A warehouse club, such as Sam’s or Costco,
A tobacco specialty store or tobacco outlet store,
A duty free shop or military commissary,
A bar, pub, restaurant or casino,
A friend or relative,
A swap meet or flea market,
A liquor store
Or from somewhere else
SPECIFY: ____________________________
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy pipe tobacco in person (AP1030=1)
PROGRAM: For current pipe smokers display “do”; For 12 month former pipe smokers display “did”
PATH ID:
AP1047
Screen ID:
[Do I Did] you have a regular brand of pipe tobacco that you usually [smoke I smoked]?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current smokers display “Do” and “smoke”; for 12 month former smokers display “Did” and
“smoked”.
PATH
Adult Extended Interview
56
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1048
Screen ID:
What brand of pipe tobacco [do I did] you [usually I last] smoke? Please select it from the choices below by
touching the screen. If you do not see your usual brand below, touch the box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AP1070]
1
I did not see my brand.
GO TO AP1049
-8 DON’T KNOW
GO TO AP1050
-7 REFUSED
GO TO AP1050
ASK: CURRENT USERS AND FORMER USERS 12 MONTH
PROGRAM: For current smokers who have regular brand (AP1047=1), display “do” and “usually”; For
current smokers who do not have a regular brand (AP1047=2, DK, RF, DK, RF), display “did” and “last”.
For 12 month former smokers who had a regular brand (AP1047=1), display “did” and “usually”; For 12
month former smokers who did not have a regular brand (AP1047=2, DK, RF, DK, RF), display “did” and
“last”.
GO TO: If AP1050 NOT IN (1, DK, RF), go to AP0170
PATH ID:
AP1070
Screen ID:
You selected [BRANDFILL] as your usual brand. What kind of [BRANDFILL] do you usually smoke? Please
select it from the choices below by touching the screen. If you do not see it below, touch the box marked
“more products.”
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN AP1048]
1
-8
-7
Some other type not listed here.
GO TO AP1071
DON’T KNOW
GO TO AP1050
REFUSED
GO TO AP1050
ASK: Current users and Former users 12 month who selected a brand image in AP1048.
PATH ID:
AP1049
Screen ID:
You said that your brand was not pictured. What brand is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
GO TO AP1050
GO TO AP1050
GO TO AP1050
ASK: Current users and Former users 12 month
who did not select an image of their regular brand (AP1048=1)
PATH
Adult Extended Interview
57
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1071
Screen ID:
You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: : Current users and Former users 12 month who did not select the type of product they use
(AP1070=”some other type not listed here”) but who DID select a brand (AP1048<>1, -8, -7). Do not ask of
respondents who wrote a brand into AP1049.
PATH ID:
AP1050
Screen ID:
[Is / was] [your regular brand I the last brand] you [smoke I smoked] flavored to taste like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current smokers who have a regular brand (AP1047=1), display “Is”, “your regular brand”
and “smoke”. For current smokers who do not have a regular brand (AP1047=2, DK, RF), display "Was",
"the last brand" and "smoked". For 12 month former smokers who had a regular brand (AP1047=1), display
"Was", "your regular brand" and "smoked". For 12 month former smokers who did not have a regular brand
(AP1047=2, DK, RF), display "Was", "the last brand" and "smoked".
GO TO: If current user AND AP1047 = 1, go to AP1051
Else go to AP1060
PATH ID:
AP1051
Screen ID:
About how long have you been smoking your regular brand of pipe tobacco?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have a regular brand (AP1047=1)
PATH
Adult Extended Interview
58
PATH
Adult Extended Interview
Version 6.2
Box AP2
Display question AP1060, AP1061, AP1062, AP1063, AP1064, AP1066, AP1068, AP1072 on one screen.
Show the intro/transition text from AP1060 first, then show each item with responses. As each item is
answered, show the next one.
PATH ID:
AP1060
Screen ID:
The next questions are about the reasons people smoke pipes. Please select which reasons apply to you.
I smoke a pipe filled with tobacco because…
It is affordable.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AP1061
Screen ID:
People in the media or other public figures smoke pipes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AP1085
Screen ID:
I can smoke pipes in places where smoking cigarettes isn’t allowed.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
Adult Extended Interview
59
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1062
Screen ID:
It might be less harmful than smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AP1063
Screen ID:
Pipe tobacco comes in flavors I like.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AP1064
Screen ID:
Smoking a pipe helps people to quit smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AP1068
Screen ID:
People who are important to me smoke pipes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
Adult Extended Interview
60
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1072
Screen ID:
The advertising for pipes appeals to me.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If NOT current user cig, go to next section
Else go to AP1080
PATH ID:
AP1080
Screen ID:
[Do | Did] you smoke pipes filled with tobacco as a way of cutting down on your cigarette smoking?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current smokers or experimental current pipe users display “do”; For 12 month former
smokers display “did”
PATH ID:
AP1081
Screen ID:
[Do | Did] you smoke pipes as an alternative to quitting tobacco altogether?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current smokers or experimental current pipe users display “do”; For 12 month former
smokers display “did”
PATH
Adult Extended Interview
61
PATH
Adult Extended Interview
Version 6.2
HOOKAH SECTION
The next few questions are about smoking tobacco in a hookah. A hookah pipe is a type of water pipe that
is sometimes also called a narghile pipe. From now on, we will use hookah to refer to a water pipe or
narghile pipe that is used to smoke tobacco.
There are many types of hookahs. People often smoke tobacco in hookahs in groups at cafes or in hookah
bars.
SHOW GENERIC IMAGES OF HOOKAH
People smoke shisha or hookah tobacco in a hookah. Some shisha contains tobacco and some does not.
Shisha comes in many flavors.
SHOW GENERIC IMAGES OF SHISHA
PATH ID:
AH1005
Screen ID:
How many times have you smoked a hookah in your entire life?
1
1-10
2
11-20
3
21-50
4
51-99
5
At least 100 or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah (AH1002=1)
PATH ID:
AH1006
Screen ID:
How old were you the first time you smoked a hookah, even one or two puffs? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a hookah (AH1002=1)
PATH
Adult Extended Interview
62
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH1100
Screen ID:
Have you ever smoked a hookah fairly regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AH1008
GO TO AH1008
GO TO AH1008
ASK: Respondents who have smoked a hookah (AH1002=1)
PATH ID:
AH1007
Screen ID:
How old were you when you first started smoking a hookah fairly regularly? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have ever smoked fairly regularly (AH1100=1)
PATH ID:
AH1020
Screen ID:
How old were you when you first started smoking a hookah every day? Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who smoke every day (AH1003 = 1)
PATH ID:
AH1008
Screen ID:
When you first started smoking a hookah, did you smoke shisha tobacco flavored to taste like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a hookah (AH1002=1)
GO TO: If AH1003 <> 1, go to AH1009
Else go to AH9006
PATH
Adult Extended Interview
63
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH1009
Screen ID:
About how long has it been since you last smoked a hookah? (If it was earlier today, enter 1 day)
I___I___I
DAYS
I___I___I
MONTHS
GO TO BOX AH3
3
I___I___I
YEARS
GO TO BOX AH3
-8
-7
DON’T KNOW
REFUSED
1
2
GO TO BOX AH3
ASK: Respondents who have smoked a hookah (AH1002=1) and do not smoke every day (AH1003<>1)
PATH ID:
AH9001
Screen ID:
Have you smoked a hookah at least once in the past 30 days?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO BOX AH3
ASK: Respondents who did not provide the amount of time that has passed sinced they had last smoked a
hookah (AH1009 IN (DK,R)
PATH ID:
AH9002
Screen ID:
Have you smoked a hookah at least once in the past three months?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO BOX AH3
ASK: Respondents who did not provide the amount of time that has passed sinced they had last smoked a
hookah or have not smoked a hookah at least once in the past 30 days (AH1009 IN (DK,R) AND AH9001 IN
(2, DK, R))
PATH
Adult Extended Interview
64
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH9010
Screen ID:
Have you smoked a hookah at least once in the past twelve months?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who did not provide the amount of time that has passed sinced they had last smoked a
hookah or have not smoked a hookah at least once in the past 3 months (AH1009 IN (DK,R) AND AH9001
IN (2, DK, R) AND AH9002 IN (2, DK, R))
BOX AH3
If AH9002<>1 OR AH1009>90 DAYS, go to AH1010
PATH ID:
AH1010
Screen ID:
Have you completely quit smoking a hookah?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have not smoked a hookah in the last three months (AH9002<>1 OR AH1009>90
DAYS)
GO TO: If AH1009 <=12 Months OR AH9001=1 OR AH9002=1, go to AH9003
Else go to BOX AH1
PATH ID:
AH9003
Screen ID:
Which of the following choices best describes your hookah smoking? Usually I smoke a hookah…
1
PROGRAM: DISPLAY RESPONSE OPTION 1
ONLY IF AH1003=DK/R
Everyday
2
3
4
Weekly
Monthly
Every couple of months
5
-8
-7
About once a year
DON’T KNOW
REFUSED
GO TO AH9006
GO TO AH9005
GO TO AH9004
GO TO BOX AH1
GO TO BOX AH1
ASK: Respondents who have smoked a hookah (AH1002=1) AND do not smoke every day (AH1003<>1)
AND smoked hookah in the past 12 months (AH1009 <=12 Months Ago OR AH9001=1 OR AH9002=1)
PATH ID:
AH9004
Screen ID:
On average, about how many times did you smoke a hookah in a month?
1
_________________
PATH
Adult Extended Interview
GO TO BOX AH1
65
PATH
Adult Extended Interview
Version 6.2
-8
-7
DON’T KNOW
REFUSED
GO TO BOX AH1
GO TO BOX AH1
ASK: Respondents who smoke monthly (AH9003=3)
PATH ID:
AH9005
Screen ID:
On average, about how many times did you smoke a hookah in a week?
1
-8
-7
_________________
DON’T KNOW
REFUSED
GO TO BOX AH1
GO TO BOX AH1
GO TO BOX AH1
ASK: Respondents who smoke weekly (AH9003=2)
PATH ID:
AH9006
Screen ID:
On average, about how many times did you smoke a hookah each day?
1
-8
-7
_________________
DON’T KNOW
REFUSED
ASK: Respondents who smoke every day (AH1003 = 1 OR AH9003 = 1)
Screen ID:
BOX AH1
PROGRAM: Define the following variables (see Appendix B):
EVER USER HOOK
CURRENT USER HOOK
EVERY DAY USER HOOK
30 DAY USER HOOK
EXPERIMENTAL CURRENT USER HOOK
EXPERIMENTAL FORMER USER HOOK
FORMER USER 12 MONTH HOOK
FORMER USER 12 MONTH PLUS HOOK
AFTER CREATING NEW VARIABLES, DO THE FOLLOWING:
CURRENT USER HOOK, GO TO AH1024
EXPERIMENTAL CURRENT USER HOOK OR FORMER USER 12 MONTH HOOK, GO TO AH1025
FORMER USER 12 MONTH PLUS HOOK OR EXPERIMENTAL FORMER USER HOOK GO TO NEXT
SECTION
PATH ID:
AH1024
Screen ID:
(On the days that you smoke a hookah,) {how/How} soon after you wake up do you typically smoke your
first hookah of the day?
1
2
PATH
Adult Extended Interview
I___I___I___I
Minutes after waking
I___I___I___I
Hours after waking
66
PATH
Adult Extended Interview
Version 6.2
-8
-7
DON’T KNOW
REFUSED
ASK: Current users
PROGRAM: For Every Day hookah smokers display “How”; For 30 Day hookah smokers display ‘On the
days that you smoke a hookah, how’
PATH ID:
AH1025
Screen ID:
Around this time 12 months ago, were you smoking a hookah every day, some days, or not at all?
1
Every day
2
Some days
3
Not at all
-8
DON’T KNOW
-7
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: EXPERIMENTAL CURRENT USER HOOKAH GO TO AH1060
PATH ID:
AH1090
Screen ID:
[Do / Did] you own a hookah?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current hookah smokers display “Do”; For 12 month former hookah smokers display “Did”.
BOX – DISPLAY INSTRUCTIONS
For AH9011, display a “Yes” and “No” column with options for each response category.
PATH ID:
AH9011
Screen ID:
Where [do / did] you usually smoke a hookah? Choose all that apply.
1
2
3
4
-8
-7
At home
In a bar or cafe
At a friend’s house
Somewhere else (SPECIFY:__________)
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current hookah smokers display “Do”; For 12 month former hookah smokers display “Did”.
PATH
Adult Extended Interview
67
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH9012
Screen ID:
[Do/Did] you usually share the same hookah with others?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current hookah smokers display “Do”; For 12 month former hookah smokers display “Did”
GO TO: If Former user 12 month, go to AH1030
Else go to AP1097.
PATH ID:
AH1097
Screen ID:
During the past 30 days, did you use a coupon when buying shisha tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AH1030
ASK: Current users
PATH ID:
AH1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy shisha tobacco?
1
-8
-7
I__I__I
Number of times
DON’T KNOW
REFUSED
ASK: Current users
who have used a coupon to buy shisha tobacco in the last 30 days (AH1097=1)
PATH ID:
AH1030
Screen ID:
How [do/did] you usually buy shisha tobacco for yourself? Is it…
1
2
3
-8
-7
In person
From the internet
By telephone
DON’T KNOW
REFUSED
GO TO AH1047
GO TO AH1047
GO TO AH1047
GO TO AH1047
ASK: Current users and Former users 12 month
PROGRAM: For current hookah smokers display “do”; For 12 month former hookah smokers display “did”
PATH ID:
AH1032
Screen ID:
[Do/Did] you usually buy shisha tobacco...?
PATH
Adult Extended Interview
68
PATH
Adult Extended Interview
Version 6.2
1
2
3
-8
-7
In your own state
In another state
Outside the US
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy shisha tobacco in person (AH1030=1)
PROGRAM: For current hookah smokers display “Do”; For 12 month former hookah smokers display “Did”
PATH ID:
AH1033
Screen ID:
Where [do/did ] you usually buy your shisha tobacco?
1
2
3
4
5
6
7
8
9
10
11
-8
-7
A hookah bar or cafe
A convenience store or gas station,
A supermarket, grocery store, or drug store,
A warehouse club, such as Sam’s or Costco,
A tobacco specialty store or tobacco outlet store,
A duty free shop or military commissary,
A bar, pub, restaurant or casino,
A friend or relative,
A swap meet or flea market,
A liquor store
Or from somewhere else
SPECIFY: ____________________________
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy shisha tobacco in person (AH1030=1)
PROGRAM: For current hookah smokers display “do”; For 12 month former hookah smokers display “did”
PATH ID:
AH1047
Screen ID:
[Do I Did] you have a regular brand of shisha tobacco that you usually [smoke I smoked]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current hookah smokers display “Do” and “smoke”; for 12 month former hookah smokers
display “Did” and “smoked”
PATH ID:
AH1048
Screen ID:
What brand of shisha tobacco [do I did] you [usually I last] smoke? Please select it from the choices below
by touching the screen. If you do not see your usual brand below, touch the box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AH1070]
PATH
Adult Extended Interview
69
PATH
Adult Extended Interview
Version 6.2
1
-8
-7
I did not see my brand
DON’T KNOW
REFUSED
GO TO AH1049
GO TO AH1060
GO TO AH1060
ASK: Current users and Former users 12 month
PROGRAM: For current smokers who have regular brand (AH1047=1), display “do” and “usually”; For
current smokers who do not have a regular brand (AH1047=2, DK, RF), display “did” and “last”. For 12
month former smokers who had a regular brand (AH1047=1), display “did” and “usually”; For 12 month
former smokers who did not have a regular brand (AH1047=2, DK, RF), display “did” and “last”.
GO TO: If AH1048 NOT IN (1, DK, R), go to AH1070
PATH ID:
AH1070
Screen ID:
You selected [BRANDFILL] as your usual brand. What kind of [BRANDFILL] do you usually smoke? Please
select it from the choices below by touching the screen. If you do not see it below, touch the box marked
“more products.”
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN AH1048]
1
-8
-7
Some other type not listed here.
DON’T KNOW
REFUSED
GO TO AH1071
GO TO AH1060
GO TO AH1060
ASK: Current users and Former users 12 month who selected a brand image in AH1048 (AH1048<>1, DK,
R)
GO TO: If AH1070 NOT IN (1, DK, R), go to AH9018
PATH ID:
AH1049
Screen ID:
You said that your brand was not pictured. What brand is it?
-8
-7
__________________________
DON’T KNOW
REFUSED
GO TO AH9108
GO TO AH1060
GO TO AH1060
ASK: Current users and Former users 12 month who did not select an image of their regular brand
(AH1048=1)
PATH ID:
AH1071
Screen ID:
You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
GO TO AH1060
REFUSED
GO TO AH1060
ASK: Current users and Former users 12 month who did not select the type of product they use
(AH1070=”some other type not listed here”) but who DID select a brand (AH1048<>1, DK, R). Do not ask of
respondents who wrote a brand into AH1049.
PATH ID:
AH9108
Screen ID:
Does this brand of shisha contain tobacco?
PATH
Adult Extended Interview
70
PATH
Adult Extended Interview
Version 6.2
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month who DID select a brand (AH1048<>1, -8, -7)
PATH
Adult Extended Interview
71
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH1050
Screen ID:
[Is / was] [your regular brand I the last brand] you [smoke I smoked] flavored to taste like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current smokers who have a regular brand (AH1047=1), display “Is”, “your regular brand”
and “smoke”. For current smokers who do not have a regular brand (AH1047=2, DK, RF), display "Was",
"the last brand" and " smoked ". For 12 month former smokers who had a regular brand (AH1047=1),
display "Was", "your regular brand" and " smoked ". For 12 month former smokers who did not have a
regular brand (AH1047=2, DK, RF), display "Was", "the last brand" and " smoked ".
GO TO: If current user AND AH1047 = 1, go to AH1051
Else go to AH1060
PATH ID:
AH1051
Screen ID:
About how long have you been smoking your regular brand of shisha tobacco?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have a regular brand (AH1047=1)
Box AH2
Display question AH1060, AH1061, AH1085, AH1062, AH1063, AH1064, AH1066, AH1068, AH1069,
AH1072, AH1073 on one screen. Show the intro/transition text from AH1060 first, then show each item with
responses. As each item is answered, show the next one.
PATH
Adult Extended Interview
72
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH1060
Screen ID:
The next questions are about the reasons people smoke a hookah. Please select which reasons apply to
you.
I smoke a hookah because…
It is affordable.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1061
Screen ID:
People in the media or other public figures smoke hookahs.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1085
Screen ID:
I can smoke hookahs in places where smoking cigarettes isn’t allowed.
1
2
-8
-7
Yes
No
DON”T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1062
Screen ID:
It might be less harmful than smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1063
Screen ID:
Shisha tobacco comes in flavors I like.
1
2
PATH
Adult Extended Interview
Yes
No
73
PATH
Adult Extended Interview
Version 6.2
-8
-7
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1064
Screen ID:
Smoking a hookah helps people to quit smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1068
Screen ID:
People who are important to me smoke hookahs.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1069
Screen ID:
I like socializing while smoking a hookah.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
Adult Extended Interview
74
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH1072
Screen ID:
The advertising for hookahs appeals to me.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AH1073
Screen ID:
People like me smoke hookahs. It is part of my culture.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If NOT current user cig, go to next section
Else go to AG1080
PATH ID:
AH1080
Screen ID:
[Do | Did] you smoke a hookah as a way of cutting down on your cigarette smoking?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current hookah smokers display “do”; For 12 month former hookah smokers display “did”
PATH ID:
AH1081
Screen ID:
[Do | Did] you smoke a hookah as an alternative to quitting tobacco altogether?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current or
Former users 12 month of cigarettes
PROGRAM: For current hookah smokers display “do”; For 12 month former hookah smokers display “did”
PATH
Adult Extended Interview
75
PATH
Adult Extended Interview
Version 6.2
SMOKELESS TOBACCO SECTION
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2]=null (respondents who use smokeless BUT not snus), display
the following text:
The next questions ask about smokeless tobacco which you put in your mouth and chew, suck or spit. There
are many kinds of smokeless tobacco, such as loose snus, moist snuff, dip, spit, and chewing tobacco.
Common brands include Redman, Levi Garrett, Beechnut, Skoal and Copenhagen, but there are many others.
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS TIN AND POUCHES]
If SMKLSSTYPE[1]=null and SMKLSSTYPE[2]=2 (respondents who use snus BUT not smokeless), display
the following text:
The next questions ask about snus pouches, a type of smokeless tobacco that comes in a small pouch that
you put under your lip.
Common brands of snus pouches include Camel snus, General snus, Marlboro snus, and Nordic Ice, but there
are many others.
[SHOW GENERIC IMAGE OF SNUS TIN AND POUCHES]
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2]=2 (respondents who use both snus and other smokeless) FIRST
TIME THROUGH, display the following text:
The next questions ask about snus pouches, a type of smokeless tobacco that comes in a small pouch that
you put under your lip.
Common brands of snus pouches include Camel snus, General snus, Marlboro snus, and Nordic Ice, but there
are many others.
Please think about your use of snus pouches as you answer these questions. There will be a separate section
later about other kinds of smokeless tobacco.
[SHOW GENERIC IMAGE OF SNUS TIN AND POUCHES]
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2]=2, SECOND TIME THROUGH, display the following text:
You just answered questions about snus pouches. The next questions are about your use of other kinds of
smokeless tobacco, such as loose snus, moist snuff, dip, spit, and chewing tobacco.
Common brands include Redman, Levi Garrett, Beechnut, Skoal and Copenhagen, but there are many others.
The questions will use the phrase “smokeless tobacco” to refer to these products. Please think about your use
of smokeless tobacco products, not including snus pouches, as you answer these questions.
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS TIN AND POUCHES]
PATH ID:
AS1005
Screen ID:
How many [containers of smokeless tobacco I snus pouches] have you used in your entire life?
1
2
3
4
5
-8
-7
PATH
Adult Extended Interview
1-10
11-20
21-50
51-99
At least 100 or more
DON’T KNOW
REFUSED
76
PATH
Adult Extended Interview
Version 6.2
ASK: Respondents who have used [SMKLSSFILL]
PROGRAM: If SMKLSSTYPE[1]=1, display “containers of smokeless tobacco”; if SMKLSSTYPE[2]=2,
display “snus pouches”.
PATH ID:
AS1006
Screen ID:
How old were you the first time you used [SMKLSSFILL], even one or two times? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have used [SMKLSSFILL]
PATH ID:
AS1100
Screen ID:
Have you ever used [SMKLSSFILL] fairly regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AS1008
GO TO AS1008
GO TO AS1008
ASK: Respondents who have used [SMKLSSFILL] (AS1002=1)
PATH ID:
AS1007
Screen ID:
How old were you when you first started using [SMKLSSFILL] fairly regularly? Please enter age in years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents that have ever used [SMKLSSFILL] fairly regularly (AS1100=1)
GO TO: If AS1003 = 1, go to AS1020
Else go to AS1008
PATH ID:
AS1020
Screen ID:
How old were you when you first started using [SMKLSSFILL] every day? Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who use [SMKLSSFILL] every day (AS1003=1)
PATH ID:
AS1008
Screen ID:
When you first started using [SMKLSSFILL], did you use [smokeless tobacco I snus pouches] flavored to
taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other
PATH
Adult Extended Interview
77
PATH
Adult Extended Interview
Version 6.2
sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have used [SMKLSSFILL]
PROGRAM: If SMKLSSTYPE[1]=1, display “smokeless tobacco”; if SMKLSSTYPE[2]=2, display “snus
pouches”.
GO TO: If AS1003 <> 1, go to AS1009
Else go to BOX AS2
PATH ID:
AS1009
Screen ID:
About how long has it been since you last used [SMKLSSFILL]? (If it was earlier today, enter 1 day)
1
2
I___I___I
DAYS
I___I___I
MONTHS
3
I___I___I
YEARS
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have used [SMKLSSFILL] and do not use every day (AS1003<>1)
GO TO: If AS1003 = 3, go to AS1010
Else go to BOX AS2
PATH
Adult Extended Interview
78
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1010
Screen ID:
Have you completely quit using [SMKLSSFILL]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have use [SMKLSSFILL] and currently use not at all (AS1003=3)
Screen ID:
BOX AS2
PROGRAM: Define the following variables (see Appendix B):
EVER USER SMKLS
CURRENT USER SMKLS
EVERY DAY USER SMKLS
SOME DAY USER SMKLS
EXPERIMENTAL CURRENT USER SMKLS
EXPERIMENTAL FORMER USER SMKLS
FORMER USER 12 MONTH SMKLS
FORMER USER 12 MONTH PLUS SMKLS
AFTER CREATING NEW VARIABLES, DO THE FOLLOWING:
EVERY DAY USER SMKLS GO TO AS1021
SOME DAY USER SMKLS OR EXPIERMENTAL CURRENT USER SMKLS GO TO AS1022
FORMER USER 12 MONTH SMKLS GO TO AS1025
FORMER USER 12 MONTH PLUS SMKLS OR EXPERIMENTAL FORMER USER SMKLS
GO TO NEXT SECTION
PATH ID:
AS1021
Screen ID:
On average, about how many [times do you now use smokeless tobacco each day I snus pouches do you
now use each day]?
1
-8
-7
I___I___I
Number
DON’T KNOW
REFUSED
GO TO AS1024
GO TO AS1024
GO TO AS1024
ASK: Everyday users
PROGRAM: If display SMKLSSFILL[1]=1, “times do you now use smokeless tobacco each day; if
SMKLSSFILL[2]=2, display “snus pouches do you now use each day”
PATH
Adult Extended Interview
79
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1022
Screen ID:
On how many of the past 30 days did you use [SMKLSSFILL]?
1
|__|__|
Days
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users
GO TO: If AS1022 = 0 and some day user, go to AS1024
Else if AS1022 = 0 and experimental current user, go to AS1025
Else go to AS1023
PATH ID:
AS1023
Screen ID:
On average, on those [FILL NUMBER OF DAYS FROM AS1022] days, [how many times did you usually
use smokeless tobacco each day I how many snus pouches did you usually use each day]?
1
|__|__|
Number
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users who have used [SMKLSSFILL] at least one day in
past 30 or did not provide the number of days used in the past 30 (AS1022>0 OR AS1022 IN (DK, R))If
DK/RF, FILL=[days you used].
GO TO: EXPERIMENTAL CURRENT USER [SMKLSSFILL] GO TO AS1025
PROGRAM: If display SMKLSSFILL[1]=1, “how many times did you usually use smokeless tobacco each
day; if SMKLSSFILL[2]=2, display “how many snus pouches did you usually use each day”
PATH ID:
AS1024
Screen ID:
(On the days that you use [SMKLSSFILL],) {how/How} soon after you wake up do you typically use your first
[smokeless tobacco I snus pouch] of the day? (enter #minutes or hours)
1
2
-8
-7
I___I___I___I
Minutes after waking
I___I___I___I
Hours after waking
DON’T KNOW
REFUSED
ASK: Current users
PROGRAM: For Every Day [SMKLSSFILL] users display “How”; For Some Day [SMKLSSFILL] users
display ‘On the days that you use [SMKLSSFILL], how’. If [SMKLSSFILL]=1, display ‘smokeless tobacco’; if
[SMKLSSFILL]=2 display ‘snus pouch’
PATH
Adult Extended Interview
80
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1025
Screen ID:
Around this time 12 months ago, were you using [SMKLSSFILL] every day, some days, or not at all?
1
2
3
-8
-7
Every day
Some days
Not at all
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If EXPERIMENTAL CURRENT USER [SMKLSSFILL] GO TO AS1060
If Former users 12 month, go to AS1030
Else go to AS1097
PATH ID:
AS1097
Screen ID:
During the past 30 days, did you use a coupon when buying [SMKLSSFILL]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AS1030
GO TO AS1030
GO TO AS1030
ASK: Current users
PATH ID:
AS1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy [SMKLSSFILL]?
1
-8
-7
I__I__I
Number of times
DON’T KNOW
REFUSED
ASK: Current users who have used a coupon to buy smokeless tobacco in the last 30 days (AS1097=1)
PATH
Adult Extended Interview
81
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1030
Screen ID:
How [do/did] you usually buy [SMKLSSFILL] for yourself? Is it…
1
2
3
-8
-7
In person
From the internet
By telephone
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current [SMKLSSFILL] users display “do”; For 12 month former [SMKLSSFILL] users
display “did”
GO TO: If AS1030 = 1, go to AS1032
Else if former user 12 months, go to AS1047
Else go to AS1042
PATH ID:
AS1032
Screen ID:
[Do/Did] you usually buy [SMKLSSFILL]...?
1
2
3
-8
-7
In your own state
In another state
Outside the US
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy smokeless tobacco in person (AS1030=1)
PROGRAM: For current [SMKLSSFILL] users display “Do”; For 12 month former [SMKLSSFILL] users
display “Did”
PATH
Adult Extended Interview
82
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1033
Screen ID:
Where [do/did ] you usually buy your [SMKLSSFILL]?
1
2
3
4
5
6
7
8
9
10
-8
-7
A convenience store or gas station,
A supermarket, grocery store, or drug store,
A warehouse club, such as Sam’s or Costco,
A tobacco specialty store or tobacco outlet store,
A duty free shop or military commissary,
A bar, pub, restaurant or casino,
A friend or relative,
A swap meet or flea market,
A liquor store
Or from somewhere else
SPECIFY: ____________________________
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy smokeless tobacco in person (AS1030=1)
PROGRAM: For current [SMKLSSFILL] users display “do”; For 12 month former [SMKLSSFILL] users
display “did”
GO TO: If former user 12 months, go to AS1047
Else go to AS1042
PATH ID:
AS1042
Screen ID:
How much do you usually pay for a container of [SMKLSSFILL]?
1
-8
-7
$ I___I___I___I
Amount
DON’T KNOW
REFUSED
ASK: Current users
GO TO: If SMKLSSFILL[2]=2, go to AU9001
Else go to AS147
PATH ID:
AU9001
Screen ID:
How many pouches are in the container of snus that you usually buy?
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
GO TO AS1047
GO TO AS1047
ASK: Current users snus
PROGRAM: This is only asked of snus users where SMKLSSFILL[2]=2; This is not asked of smokeless
tobacco users where SMKLSSFILL[1]=1.
PATH ID:
AU9002
Screen ID:
About how many days does it take you to use up this size container?
PATH
Adult Extended Interview
83
PATH
Adult Extended Interview
Version 6.2
Enter number of days
I___I___I___I
# of Days
DON’T KNOW
REFUSED
1
-8
-7
ASK: Current users snus who provided the number of pouches in the container of snus they usually buy
(AU9001 NOT IN (DK, R)
PROGRAM: This is only asked of snus users where SMKLSSFILL[2]=2; This is not asked of smokeless
tobacco users where SMKLSSFILL[1]=1.
PATH ID:
AS1047
Screen ID:
[Do I Did] you have a regular brand of [SMKLSSFILL] that you usually [use I used]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current users display “Do” and “use”; for 12 month former users display “Did” and “used”.
PATH ID:
AS1048
Screen ID:
What brand of [SMKLSSFILL] [do I did] you [usually I last] use? Please select it from the choices below by
touching the screen. If you do not see your usual brand below, touch the box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AS1070]
1
-8
-7
I did not see my brand
DON’T KNOW
REFUSED
GO TO AS1049
GO TO AS1050
GO TO AS1050
ASK: Current users and Former users 12 month
PROGRAM: For current users who have regular brand (AS1047=1), display “do” and “usually”; For current
users who do not have a regular brand (AS1047=2, DK, RF), display “did” and “last”. For 12 month former
users who had a regular brand (AS1047=1), display “did” and “usually”; For 12 month former users who did
not have a regular brand (AS1047=2, DK, RF), display “did” and “last”.
GO TO: If AS1050 NOT IN (1, DK, RF), go to AS0170
PATH
Adult Extended Interview
84
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1070
Screen ID:
You selected [BRANDFILL] as your usual brand. What kind of [BRANDFILL] do you usually use? Please
select it from the choices below by touching the screen. If you do not see it below, touch the box marked
“more products.”
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN AS1048]
1
-8
-7
Some other type not listed here.
GO TO AS1071
DON’T KNOW
GO TO AS1050
REFUSED
GO TO AS1050
ASK: Current users and Former users 12 month who selected a brand image in AS1048.
PATH ID:
AS1049
Screen ID:
You said that your brand was not pictured. What brand is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
GO TO AS1050
GO TO AS1050
GO TO AS1050
ASK: Current users and Former users 12 month who did not select an image of their regular brand
(AS1048=1)
PATH ID:
AS1071
Screen ID:
You said that the type of [BRANDFILL]s that you use was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month who did not select the type of product they use
(AS1070=”some other type not listed here”) but who DID select a brand (AS1048<>1, -8, -7). Do not ask of
respondents who wrote a brand into AS1049.
PATH
Adult Extended Interview
85
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1050
Screen ID:
[Is / was] [your regular brand I the last brand] you [use I used] flavored to taste like menthol, mint, clove,
spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current users who have a regular brand (AS1047=1), display “Is”, “your regular brand” and
“use.” For current users who do not have a regular brand (AS1047=2, DK, RF), display "Was", "the last
brand" and " used ". For 12 month former users who had a regular brand (AS1047=1), display "Was", "your
regular brand" and " used ". For 12 month former users who did not have a regular brand (AS1047=2, DK,
RF), display "Was", "the last brand" and " used ".
GO TO: If current user AND AS1047 = 1, go to AS1051
Else go to AS1060
PATH ID:
AS1051
Screen ID:
About how long have you been using your regular brand of [SMKLSSFILL]?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have a regular brand (AS1047=1)
Box AS3
Display question AS1060, AS1061, AS1085, AS1062, AS1075, AS1063, AS1064, AS1065, AS1067,
AS1068, AU1069, AU1070, AS1072 on one screen. Show the intro/transition text from AS1060 first, then
show each item with responses. As each item is answered, show the next one.
PATH
Adult Extended Interview
86
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS1060
Screen ID:
The next questions are about the reasons people use [SMKLSSFILL]. Please select which reasons apply to
you.
I use [SMKLSSFILL] because…
It is affordable.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AS1061
Screen ID:
People in the media or other public figures use [SMKLSSFILL].
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AS1085
Screen ID:
I can use [SMKLSSFILL] in places where smoking cigarettes isn’t allowed.
1
2
-8
-7
Yes
No
DON”T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AS1062
Screen ID:
It might be less harmful to me than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
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PATH ID:
AS1075
Screen ID:
[It I They] might be less harmful to people around me than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
DISPLAY: If smokeless tobacco (SMKLSSFILL[1]=1), display ‘It’; If snus pouches (SMKLSSFILL[2]=2,
display “They”.
PATH ID:
AS1063
Screen ID:
[Smokeless tobacco comes I Snus pouches come] in flavors I like.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PROGRAM: If SMKLSSFILL[1]=1, display “Smokeless tobacco comes”; if SMKLSSFILL[2]=2, display “Snus
pouches come”.
PATH ID:
AS1064
Screen ID:
Using [SMKLSSFILL] helps people to quit smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AS1065
Screen ID:
[Smokeless tobacco doesn’t I Snus pouches don’t] smell.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PROGRAM: IF SMKLSSFILL[1]=1, DISPLAY “Smokeless tobacco doesn’t”; IF SMKLSSFILL[2]=2,
DISPLAY “Snus pouches don’t”
PATH ID:
AS1067
Screen ID:
[Smokeless tobacco is I Snus pouches are] more acceptable to non-tobacco users.
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1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PROGRAM: IF SMKLSSFILL[1]=1, DISPLAY “Smokeless tobacco is”; IF SMKLSSFILL[2]=2, DISPLAY
“Snus pouches are”
PATH ID:
AS1068
Screen ID:
People who are important to me use [SMKLSSFILL].
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If SMKLSSFILL[2]=2, go to AU1069
Else go to AS1072
PATH ID:
AU1069
Screen ID:
No one can tell when I am using a snus pouch.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month of snus
PROGRAM: This is only asked of snus users where SMKLSSFILL[2]=2; This is not asked of smokeless
tobacco users where SMKLSSFILL[1]=1.
GO TO: If current user cig, go to AU1070
Else go to AS1072
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PATH ID:
AU1070
Screen ID:
The sensations are stronger or more pleasurable than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month of snus who are also Current
or Former users 12 month of cigarettesPROGRAM: This is only asked of snus users where
SMKLSSFILL[2]=2 AND dual users of cigarettes; This is not asked of smokeless tobacco users where
SMKLSSFILL[1]=1.
PATH ID:
AS1072
Screen ID:
The advertising for [SMKLSSFILL] appeals to me.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If (Current user OR Experimental Current user) AND Current user cig, go to AS1086
Else If ((Current user OR Experimental Current user) AND Former user 12 month cig) OR (former user 12
months AND (current user cig or former user 12 months cig)), go to AS1080
Else go to next section
PATH ID:
AS1086
Screen ID:
During the past 30 days have you used [SMKLSSFILL] at times when you could not smoke regular
cigarettes?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Experimental Current users who are also Current users of cigarettes
PATH
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PATH ID:
AS1087
Screen ID:
How often do you use [SMKLSSFILL] at times when you could not smoke regular cigarettes?
1
2
3
-8
-7
Every day
Some days
Rarely
DON’T KNOW
REFUSED
ASK: Respondents who used [SMKLSSFILL] when could not smoke regular cigarettes (AS1086=1)
PATH ID:
AS1080
Screen ID:
[Do | Did] you use [SMKLSSFILL] as a way of cutting down on your cigarette smoking?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current users or
Former users 12 month of cigarettes
PROGRAM: For current users or experimental current users display “do”; For 12 month former users
display “did”
PATH ID:
AS1081
Screen ID:
[Do | Did] you use [SMKLSSFILL] as an alternative to quitting tobacco altogether?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current users or
Former users 12 month of cigarettes
PROGRAM: For current [SMKLSSFILL] users or experimental current display “do”; For 12 month former
[SMKLSSFILL] users display “did”
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Version 6.2
DISSOLVABLE TOBACCO SECTION
The next questions ask about another new type of tobacco called dissolvable tobacco. You don’t smoke
dissolvable tobacco products – they are made of finely ground flavored tobacco that dissolves in your
mouth.
Dissolvable tobacco products come in a variety of shapes, including small round pellets, thin sticks and flat
strips. Some common brands are Ariva, Stonewall, or Camel Orbs, Sticks or Strips.
SHOW GENERIC IMAGES OF DISSOLVABLES
PATH ID:
AD1005
Screen ID:
How many dissolvable tobacco products have you used in your entire life?
1
2
3
4
5
-8
-7
1-10
11-20
21-50
51-99
At least 100 or more
DON’T KNOW
REFUSED
ASK: Respondents who have used dissolvable tobacco (AD1002=1)
PATH ID:
AD1006
Screen ID:
How old were you the first time you used dissolvable tobacco, even one or two times? Please enter age in
years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who have used dissolvable tobacco (AD1002=1)
PATH ID:
AD1100
Screen ID:
Have you ever used dissolvable tobacco fairly regularly?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AD1008
GO TO AD1008
GO TO AD1008
ASK: Respondents who have used dissolvable tobacco (AD1002=1)
PATH ID:
AD1007
Screen ID:
How old were you when you first started using dissolvable tobacco fairly regularly? Please enter age in
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years.
1
I___I___I___I
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents that have ever used dissolvable tobacco fairly regularly (AD1100=1)
GO TO: If AD1003 = 1, go to AD1020
Else go to AD1008
PATH ID:
AD1020
Screen ID:
How old were you when you first started using dissolvable tobacco every day? Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who use dissolvable tobacco every day (AD1003=1)
PATH ID:
AD1008
Screen ID:
When you first started using dissolvable tobacco, did you use dissolvable tobacco flavored to taste like
menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have used dissolvable tobacco (AD1002=1)
GO TO: If AD1003 <> 1, go to AD1009
Else go to BOX AD2
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PATH ID:
AD1009
Screen ID:
About how long has it been since you last used dissolvable tobacco? (If it was earlier today, enter 1 day)
1
2
I___I___I
DAYS
I___I___I
MONTHS
3
I___I___I
YEARS
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have used dissolvable tobacco (AD1002=1) and do not use every day
(AD1003<>1)
GO TO: If AD1003 = 3, go to AD1010
Else go to BOX AD2
PATH ID:
AD1010
Screen ID:
Have you completely quit using dissolvable tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have use dissolvable tobacco (AD1002=1) and currently use not at all (AD1003=3)
Screen ID:
BOXAD2
PROGRAM: Define the following variables (see Appendix B):
EVER USER DISSBL
CURRENT USER DISSBL
EVERY DAY USER DISSBL
SOME DAY USER DISSBL
EXPERIMENTAL CURRENT USER DISSBL
EXPERIMENTAL FORMER USER DISSBL
FORMER USER 12 MONTH DISSBL
FORMER USER 12 MONTH PLUS DISSBL
AFTER CREATING NEW VARIABLES, DO THE FOLLOWING:
EVERY DAY USER DISSBL GO TO AD1021
SOME DAY USER DISSBL OR EXPIERMENTAL CURRENT USER DISSBL GO TO ADS1022
FORMER USER 12 MONTH DISSBL GO TO AD1025
FORMER USER 12 MONTH PLUS DISSBL OR EXPERIMENTAL FORMER USER DISSBL
GO TO NEXT SECTION
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PATH ID:
AD1021
Screen ID:
On average, about how many pieces of dissolvable tobacco do you now use each day?
1
-8
-7
I___I___I
Number
DON’T KNOW
REFUSED
GO TO AD1024
GO TO AD1024
GO TO AD1024
ASK: Everyday users
PATH ID:
AD1022
Screen ID:
On how many of the past 30 days did you use dissolvable tobacco?
1
|__|__|
Days
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users
GO TO: If AD1022 = 0 and some day user, go to AD1024
Else if AD1022 = 0 and experimental current user, go to AD1025
Else go to AD1023
PATH ID:
AD1023
Screen ID:
On average, on those [FILL NUMBER OF DAYS FROM AD1022] days, how many pieces of dissolvable
tobacco did you usually use each day?
1
|__|__|
Number
-8
-7
DON’T KNOW
REFUSED
ASK: Someday users and Experimental Current Users who have used dissolvable tobacco at least one day
in past 30 or did not provide the number of days used in the past 30 (AD1022>0 OR AD1022 IN (DK, R))
If DK/RF, FILL=[days you used].
If DK/RF, FILL=[days you used].
GO TO: EXPERIMENTAL CURRENT USER DISSOLVABLE GO TO AD1025
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PATH ID:
AD1024
Screen ID:
(On the days that you use dissolvable tobacco,) {how/How} soon after you wake up do you typically have
your first piece of dissolvable tobacco of the day?
I___I___I___I
Minutes after waking
I___I___I___I
Hours after waking
DON’T KNOW
REFUSED
1
2
-8
-7
ASK: Current users
PROGRAM: For Every Day dissolvable tobacco users display “How”; For Some Day dissolvable tobacco
users display ‘On the days that you use dissolvable tobacco, how’
PATH ID:
AD1025
Screen ID:
Around this time 12 months ago, were you using dissolvable tobacco every day, some days, or not at all?
1
2
3
-8
-7
Every day
Some days
Not at all
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If EXPERIMENTAL CURRENT USER, GO TO AD1060
If Former users 12 month, go to AD1030
Else go to AD1097
PATH ID:
AD1097
Screen ID:
During the past 30 days, did you use a coupon when buying dissolvable tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AD1030
GO TO AD1030
GO TO AD1030
ASK: Current users
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PATH ID:
AD1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy dissolvable tobacco?
1
-8
-7
I__I__I
Number of times
DON’T KNOW
REFUSED
ASK: Current users who have used a coupon to buy dissolvable tobacco in the last 30 days (AD1097=1)
PATH ID:
AD1030
Screen ID:
How [do/did] you usually buy dissolvable tobacco for yourself? Is it…
1
2
3
-8
-7
In person
From the internet
By telephone
DON’T KNOW
REFUSED
GO TO AD1047
GO TO AD1047
GO TO AD1047
GO TO AD1047
ASK: Current users and Former users 12 month
PROGRAM: For current dissolvable tobacco users display “do”; For 12 month former dissolvable tobacco
users display “did”
PATH ID:
AD1032
Screen ID:
[Do/Did] you usually buy dissolvable tobacco...?
1
2
3
-8
-7
In your own state
In another state
Outside the US
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy dissolvable tobacco in person (AD1030=1)
PROGRAM: For current dissolvable tobacco users display “Do”; For 12 month former dissolvable tobacco
users display “Did”
PATH
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PATH ID:
AD1033
Screen ID:
Where [do/did ] you usually buy your dissolvable tobacco – that is, from what kind of store or seller?
1
2
3
4
5
6
7
8
9
10
-8
-7
A convenience store or gas station,
A supermarket, grocery store, or drug store,
A warehouse club, such as Sam’s or Costco,
A tobacco specialty store or tobacco outlet store,
A duty free shop or military commissary,
A bar, pub, restaurant or casino,
A friend or relative,
A swap meet or flea market,
A liquor store
Or from somewhere else
SPECIFY: ____________________________
DON’T KNOW
REFUSED
ASK: Current users or Former users 12 month who usually buy dissolvable tobacco in person (AD1030=1)
PROGRAM: For current dissolvable tobacco users display “do”; For 12 month former dissolvable tobacco
users display “did”
PATH ID:
AD1047
Screen ID:
[Do I Did] you have a regular brand of dissolvable tobacco that you usually [use I used]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
PROGRAM: For current users display “Do” and “use”; for 12 month former users display “Did” and “used”.
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Version 6.2
PATH ID:
AD1048
Screen ID:
What brand of dissolvable tobacco [do I did] you [usually I last] use? Please select it from the choices below
by touching the screen. If you do not see your usual brand below, touch the box marked “more brands.”
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO AD1070]
1
-8
-7
I did not see my brand
DON’T KNOW
REFUSED
GO TO AD1049
GO TO AD1050
GO TO AD1050
ASK: Current users and Former users 12 month
GO TO: If AD1050 NOT IN (1, DK, RF), go to AD0170
PROGRAM: For current users who have regular brand (AD1047=1), display “do” and “usually”; For current
users who do not have a regular brand (AD1047=2, DK, RF), display “did” and “last”. For 12 month former
users who had a regular brand (AD1047=1), display “did” and “usually”; For 12 month former users who did
not have a regular brand (AD1047=2, DK, RF), display “did” and “last”.
PATH ID:
AD1070
Screen ID:
You selected [BRANDFILL] as your usual brand. What kind of [BRANDFILL] do you usually use? Please
select it from the choices below by touching the screen. If you do not see it below, touch the box marked
“more products.”
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN AD1048]
1
-8
-7
Some other type not listed here.
GO TO AD1071
DON’T KNOW
GO TO AD1050
REFUSED
GO TO AD1050
ASK: Current users and Former users 12 month who selected a brand image in AD1048.
PATH ID:
AD1049
Screen ID:
You said that your brand was not pictured. What brand is it?
-8
-7
__________________________
DON’T KNOW
REFUSED
GO TO AD1050
GO TO AD1050
GO TO AD1050
ASK: Current users and Former users 12 month who did not select an image of their regular brand
(AD1048=1)
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PATH ID:
AD1071
Screen ID:
You said that the type of [BRANDFILL]s that you use was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month who did not select the type of product they use
(AD1070=”some other type not listed here”) but who DID select a brand (AD1048<>1, -8, -7). Do not ask of
respondents who wrote a brand into AD1049.
PATH ID:
AD1050
Screen ID:
[Is / was] [your regular brand I the last brand] you [use I used] flavored to taste like menthol, mint, clove,
spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month
GO TO: If current user AND AD1047 = 1, go to AD1051
Else go to AD1060
PATH ID:
AD1051
Screen ID:
About how long have you been using your regular brand of dissolvable tobacco?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have a regular brand (AD1047=1)
Box AD2
Display question AD1060, AD1061, AD1085, AD1062, AD1075, AD1063, AD1064, AD1065, AD1067,
AD1068, AD1069, AD1072 on one screen. Show the intro/transition text from AD1060 first, then show
each item with responses. As each item is answered, show the next one.
PATH ID:
AD1060
Screen ID:
The next questions are about the reasons people use dissolvable tobacco. Please select which reasons
apply to you.
I use dissolvable tobacco because…
PATH
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It is affordable.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1061
Screen ID:
People in the media or other public figures use dissolvable tobacco.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1085
Screen ID:
I can use dissolvable tobacco in places where smoking cigarettes isn’t allowed.
1
2
-8
-7
Yes
No
DON”T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1062
Screen ID:
It might be less harmful to me than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1075
Screen ID:
It might be less harmful to people around me than cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
Adult Extended Interview
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Version 6.2
PATH ID:
AD9062
Screen ID:
Dissolvable tobacco might be less harmful than smokeless tobacco, such as snus, dip, spit, chew, moist
snuff, snus and loose snus.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1063
Screen ID:
Dissolvable tobacco comes in flavors I like.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1064
Screen ID:
Using dissolvable tobacco helps people to quit smoking cigarettes.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
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PATH ID:
AD1065
Screen ID:
Dissolvable tobacco doesn’t smell.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1067
Screen ID:
Dissolvable tobacco is more acceptable to non-tobacco users.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1068
Screen ID:
People who are important to me use dissolvable tobacco.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH ID:
AD1069
Screen ID:
No one can tell when I am using dissolvable tobacco.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
PATH
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Version 6.2
PATH ID:
AD1072
Screen ID:
The advertising for dissolvable tobacco appeals to me.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month
GO TO: If (Current user OR Experimental Current user) AND Current user cig, go to AD1086
Else If ((Current user OR Experimental Current user) AND Former user 12 month cig) OR (former user 12
months AND (current user cig or former user 12 months cig)), go to AD1080
Else go to next section
PATH ID:
AD1086
Screen ID:
During the past 30 days, have you used dissolvable tobacco at times when you could not smoke regular
cigarettes?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users and Experimental Current users who are also Current users of cigarettes
PATH ID:
AD1087
Screen ID:
How often do you use dissolvable tobacco at times when you could not smoke regular cigarettes?
1
2
3
-8
-7
Every day
Some days
Rarely
DON’T KNOW
REFUSED
ASK: Respondents who used dissolvable tobacco when could not smoke regular cigarettes (AD1086=1)
PATH
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Version 6.2
PATH ID:
AD1080
Screen ID:
[Do | Did] you use dissolvable tobacco as a way of cutting down on your cigarette smoking?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current users or
Former users 12 month of cigarettes
PROGRAM: For current or experimental current dissolvable tobacco users display “do”; For 12 month
former dissolvable tobacco users display “did”
PATH ID:
AD1081
Screen ID:
[Do | Did] you use dissolvable tobacco as an alternative to quitting tobacco altogether?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users, Experimental Current users, and Former users 12 month who are also Current users
or Former users 12 month of cigarettes
PROGRAM: For current dissolvable tobacco users display “do”; For 12 month former dissolvable tobacco
users display “did”
PATH
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POLYUSE SECTION
BOX
AN1
Screen ID:
PROGRAM: Define the following variables:
CURRENT PRODUCT COUNT = 0 +1 FOR EVERY PRODUCT THE RESPONDENT USES EVERY DAY
OR SOME DAYS [CIGARETTES, PIPE, CIGARS/CIGARILLOS, LITTLE CIGARS, REGULAR PIPE,
HOOKAH, DISSOLVABLES, E-CIGARETTES, SMOKELESS]. Range 0 to 10.
SOME DAY PRODUCT COUNT = 0 +1 FOR EVERY PRODUCT THE RESPONDENT USES SOME DAYS
[CIGARETTES, PIPE, CIGARS/CIGARILLOS, LITTLE CIGARS, REGULAR PIPE, HOOKAH,
DISSOLVABLES, E-CIGARETTES, SMOKELESS]. Range 0 to 10.
TOBACCO PRODUCT LIST = [A LIST OF ALL TOBACCO PRODUCTS THE RESPONDENT USES]
CURRENT COMBUSTIBLE USER = YES IF (CURRENT SMOKER = YES OR CURRENT CIGAR
SMOKER = YES OR CURRENT CIGARILLO SMOKER = YES OR CURRENT FC SMOKER = YES OR
CURRENT PIPE SMOKER = YES OR CURRENT HOOKAH USER = YES)
CURRENT NONCOMBUSTIBLE USER = YES IF (CURRENT DISSOLVABLE USER = YES OR
CURRENT [SMKLSSFILL] USER = YES)
Define the following variables (see Appendix B):
Ever user Tobacco
Current user Tobacco
Everyday user Tobacco
Experimental current user Tobacco
Former user Tobacco
Former user 12 Month Tobacco
GO TO:
If Former User 12 months Tobacco, go to AN0804
Else If NOT Current User Tobacco, go to next section
If Some Day Product Count>1 and NOT Every Day User Tobacco, go to AY0005
Else go to BOX AN2
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PATH ID:
AY0005
Screen ID:
You mentioned that you use [TOBACCO PRODUCT LIST] on some days.
Thinking about [both/all] of these products, do you now use at least one of them every day or are there
some days you do not use [either/any] of these products?
1
I use at least one of these products every day
2
There are some days I don’t use [either/any] of these products
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who are Some Day Users of more than one tobacco product (Some Day Product
Count>1) and are not Everyday Users of any products (EVERY DAY CIGARETTE=NO AND EVERY DAY
CIGAR=NO AND EVERY DAY FC=NO AND EVERY DAY PIPE=NO AND EVERY DAY HOOKAH=NO AND
EVERY DAY DISSOLVABLE=NO AND EVERY DAY E-CIG=NO AND EVERY DAY SMOKELESS=NO)
PROGRAM: If Current Product Count = 2, display “both” and “either”
If Current Product Count > 2, display “all” and “any”
BOX
AN2
Screen ID:
PROGRAM: Define the following variables:
DAILY TOBACCO USER = YES [IF EVERY DAY USER OF ANY OF THE FOLLOWING: PIPE,
CIGARS/CIGARILLOS, LITTLE CIGARS, REGULAR PIPE, HOOKAH, DISSOLVABLES, E-CIGARETTES,
SMOKELESS OR IF AY0001=1,]
GO TO: If DAILY TOBACCO USER AND Product Count>1, go to AY0010
Else go to BOX AN3
PATH ID:
AY0010
Screen ID:
You mentioned that you use [TOBACCO PRODUCT LIST]. How soon after waking do you usually first use
any one of these products?
1
2
-8
-7
Minutes
Hours
DON’T KNOW
REFUSED
_________________
_________________
ASK: Daily Tobacco users who use more than one tobacco product (Product Count>1)
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BOX
AN3
Screen ID
DEFINE:
CREATE AN ARRAY USEPROD WITH 9 ELEMENTS - ONE FOR EACH TOBACCO TYPE (EXCLUDING
CIGARETTES) - THAT IDENTIFIES WHETHER THE RESPONDENT IS A CURRENT OR SOME DAY
USER OF THE SPECIFIC TOBACCO TYPE.
USEPROD(1-9): Current users of: (1) e-cigarettes; (2) Regular cigars; (3) Cigarillos; (4) Filtered cigars; (5)
Pipes; (6) Hookahs; (7) Snus pouches; (8) Dissolvable tobacco; (9) Smokeless tobacco; (10) Cigarettes
CREATE AN ARRAY HNUPROD WITH 9 ELEMENTS – ONE FOR EACH TOBACCO TYPE (EXCLUDING
CIGARETTES) – THAT IDENTIFIES WHETHER THE RESPONDENT HAS HEARD OF BUT NEVER
USED THE SPECIFIC TOBACCO TYPE.
HNUPROD(1-9): Heard of but have never used: (1) e-cigarettes; (2) Regular cigars; (3) Cigarillos; (4)
Filtered cigars; (5) Pipes; (6) Hookahs; (7) Snus pouches; (8) Dissolvable tobacco; (9) Smokeless tobacco.
PATH ID:
AX0307
Screen ID:
How much do you agree or disagree with this statement: I have considered switching completely from
[USEPROD(1-9)] to [HNUPROD(1-9)].
1
2
3
4
5
-8
-7
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
DON’T KNOW
REFUSED
ASK: Current users of [USEPROD(1-9)] who have heard of but have never used [HNUPROD(1-9)] for all
combinations where the tobacco type in [USEPROD(1-9)] is not the same as the tobacco type in
[HNUPROD(1-9)
NOTE: This question will ask about switching from each product the respondent uses to each product they
have heard of but never used.
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Adult Extended Interview
Version 6.2
PATH ID:
AX0306
Screen ID:
How much do you agree or disagree with this statement: I have considered [using I smoking]
[HNUPROD(1-9)] in addition to [USEPROD(1-9)].
1
2
3
4
5
-8
-7
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
DON’T KNOW
REFUSED
ASK: Current and Some day users of [USEPROD(1-9)] who have heard of but have never used
[HNUPROD(1-9)] for all combinations where the tobacco type in [USEPROD(1-9)] is not the same as the
tobacco type in [HNUPROD(1-9)]. Ask the question one time for each product in HNUPROD(1-9). Each time
the question is asked, fill USEPROD(1-9) with a list of all products in USEPROD(1-9).
PROGRAM: HNUPROD(1-9): Heard of but have never used: (1) e-cigarettes; (2) Regular cigars; (3)
Cigarillos; (4) Filtered cigars; (5) Pipes; (6) Hookahs; (7) Snus pouches; (8) Dissolvable tobacco; (9)
IF HNUPROD(1-9)=1,7,8 or 9, display “using”; IF HNUPROD(1-9)=2, 3, 4, 5, or 6, display “smoking”.
NOTE: This question will ask about using products they’ve heard of in addition to products they use.
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NICOTINE DEPENDENCE SECTION
BOX AN1
DEFINE THE FOLLOWING RESPONSE GROUPS. THESE RESPONSE GROUPS WILL BE USED TO
DEFINE THE FILLS IN THE NICOTINE DEPENDENCE SEQUENCE OF QUESTIONS.
Group
Definition
NC
Only cigarette smoker
NE
Only e-cigarette user
NG
Only regular cigar smoker
NL
Only cigarillo smoker
NF
Only filtered cigar smoker
NP
Only pipe smoker
NH
Only hookah smoker
NU
Only snus user
NS
Only smokeless user
ND
Only dissolvable user
Poly user of combustible products (any two or more of cigarettes, cigars, cigarillos,
FCs, pipe, hookah)
Poly user of noncombustible products only (any two or more of snus, smokeless,
dissolvable)
Poly user of combustible and noncombustible products, not including e-cigarettes
(any two or more of cigarettes, cigars, cigarillos, FCs, pipe, hookah, snus,
smokeless, dissolvable)
Poly user of combustible products (any two or more of cigarettes, cigars, cigarillos,
FCs, pipe, hookah) AND E-Cigarettes
Poly user of noncombustible products only (any two or more of snus, smokeless,
dissolvable) AND E-Cigarettes
Poly user of combustible and noncombustible products, not including e-cigarettes
(any two or more of cigarettes, cigars, cigarillos, FCs, pipe, hookah, snus,
smokeless, dissolvable) AND E-Cigarettes
PCombust
PNonCombust
Pall
PCombustECig
PNonCombustECig
PallECig
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FOR QUESTIONS AN0005 TO AN0245, USE THE FOLLOWING FILLS WHEN CALLED:
ND FILL1:
IF NC=YES FILL WITH “smoke cigarettes”
IF NP=YES FILL WITH “smoke a pipe”
IF NE=YES FILL WITH “use e-cigarettes”
IF NH=YES FILL WITH “smoke a hookah”
IF NG=YES FILL WITH “smoke cigars”
IF NU=YES FILL WITH “use snus pouches”
IF NL=YES FILL WITH “smoke cigarillos”
IF NS=YES FILL WITH “use smokeless tobacco”
IF NF=YES FILL WITH “smoke filtered cigars”
IF NS=YES FILL WITH “use dissolvable tobacco”
IF PCOMBUST=YES FILL WITH “smoke tobacco”
IF PNONCOMBUST=YES FILL WITH “use tobacco”
IF PALL=YES FILL WITH “smoke or use tobacco”
IF PCOMBUSTECIG=YES FILL WITH “smoke tobacco or use e-cigarettes”
IF PNONCOMBUSTECIG=YES FILL WITH “use tobacco or e-cigarettes”
IF PALLECIG =YES FILL WITH “smoke or use tobacco or e-cigarettes”
ND FILL2:
IF NC=YES FILL WITH “cigarettes”
IF NP=YES FILL WITH “pipe smoking”
IF NE=YES FILL WITH “e-cigarettes”
IF NH=YES FILL WITH “hookah”
IF NG=YES FILL WITH “cigars”
IF NU=YES FILL WITH “snus pouches”
IF NL=YES FILL WITH “cigarillos”
IF NS=YES FILL WITH “smokeless tobacco”
IF NF=YES FILL WITH “filtered cigars”
IF NS=YES FILL WITH “dissolvable tobacco”
IF PCOMBUST or PNONCOMBUST or PALL =YES FILL WITH “tobacco”
IF PCOMBUSTECIG or PNONCOMBUSTECIG or PALLECIG =YES fill with “tobacco or e-cigarettes”
ND FILL3:
IF NC=YES FILL WITH “smoking cigarettes”
IF NP=YES FILL WITH “smoking a pipe”
IF NE=YES FILL WITH “using e-cigarettes”
IF NH=YES FILL WITH “smoking a hookah”
IF NG=YES FILL WITH “smoking cigars”
IF NU=YES FILL WITH “using snus pouches”
IF NL=YES FILL WITH “smoking cigarillos”
IF NS=YES FILL WITH “using smokeless tobacco”
IF NF=YES FILL WITH “smoking filtered cigars”
IF NS=YES FILL WITH “using dissolvable tobacco”
IF PCOMBUST=YES FILL WITH “smoking tobacco”
IF PNONCOMBUST=YES FILL WITH “using tobacco”
IF PALL=YES FILL WITH “smoking or using tobacco”
IF PCOMBUSTECIG=YES FILL WITH “smoking tobacco or using e-cigarettes”
IF PNONCOMBUSTECIG=YES FILL WITH “using tobacco or e-cigarettes”
IF PALLECIG =YES FILL WITH “smoking or using tobacco or e-cigarettes”
ND FILL4:
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IF NC=YES FILL WITH “cigarette smoking”
IF NP=YES FILL WITH “pipe smoking”
IF NE=YES FILL WITH “e-cigarette use”
IF NH=YES FILL WITH “hookah smoking”
IF NG=YES FILL WITH “cigar smoking”
IF NU=YES FILL WITH “snus pouch use”
IF NL=YES FILL WITH “cigarillo smoking ”
IF NS=YES FILL WITH “smokeless tobacco use”
IF NF=YES FILL WITH “filtered cigar smoking”
IF NS=YES FILL WITH “dissolvable tobacco use”
IF PCOMBUST=YES FILL WITH “tobacco smoking”
IF PNONCOMBUST=YES FILL WITH “tobacco use”
IF PALL=YES FILL WITH “tobacco smoking and use”
IF PCOMBUSTECIG=YES FILL WITH “tobacco smoking and e-cigarette use”
IF PNONCOMBUSTECIG=YES FILL WITH “tobacco and e-cigarette use”
IF PALLECIG =YES FILL WITH “tobacco smoking and use and e-cigarette use”
PATH ID:
AN0005
Screen ID:
[IF PRODUCT COUNT > 1 AND (CURRENT COMBUSTIBLE = YES, CURRENT NON-COMBUSTIBLE=
YES OR CURRENT ECIG = YES), DISPLAY TEXT BELOW. ELSE IF PRODUCT COUNT = 1 AND
(CURRENT COMBUSTIBLE = YES, CURRENT NON-COMBUSTIBLE= YES OR CURRENT ECIG = YES),
GO TO AN0010]
The next questions ask about your experience with tobacco products [and e-cigarettes]. You said that you
use the following tobacco products: [LIST ALL PRODUCTS RESPONDENT CURRENTLY USES—UP TO
10 TOTAL.
Please think about all of these products together as you answer the next series of questions.
ASK: Current users who use more than one tobacco product (Product Count>1).
PROGRAM: Fill with “and e-cigarettes” if CURRENT ECIG USER = YES.
PATH ID:
AN0010
Screen ID:
Do you consider yourself addicted to [ND FILL2]?
1
2
3
-8
-7
Not at all,
Yes, somewhat addicted or
Yes, very addicted?
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0015
Screen ID:
Do you ever have strong cravings to [ND FILL1]?
1
PATH
Adult Extended Interview
Yes
112
PATH
Adult Extended Interview
Version 6.2
2
-8
-7
No
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0020
Screen ID:
Have you ever felt like you really needed to [ND FILL1]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0025
Screen ID:
The following statements are about the use of tobacco and nicotine in general. Please rate your level of
agreement for each statement using the following scale: 1= not true of me at all and 5=extremely true
of me.
I frequently crave [ND FILL2].
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH
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PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0030
Screen ID:
My urges keep getting stronger if I don’t [ND FILL1].
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0035
Screen ID:
[FILL AS SHOWN BELOW] me.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PROGRAM:
IF NC=YES FILL WITH “Cigarettes control”
IF NP=YES FILL WITH “Pipe smoking controls”
IF NE=YES FILL WITH “E-cigarettes control”
IF NH=YES FILL WITH “Hookah smoking controls”
IF NG=YES FILL WITH “Cigars control”
IF NU=YES FILL WITH “Snus pouches control”
IF NL=YES FILL WITH “Cigarillos control”
IF NS=YES FILL WITH “Smokeless tobacco
controls”
IF NF=YES FILL WITH “Filtered cigars control”
IF NS=YES FILL WITH “Dissolvable tobacco
controls”
IF PCOMBUST or PNONCOMBUST or PALL =YES FILL WITH “Tobacco controls”
IF PCOMBUSTECIG or PNONCOMBUSTECIG or PALLECIG =YES fill with “Tobacco or e-cigarettes
control”
PATH
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Adult Extended Interview
Version 6.2
PATH ID:
AN0045
Screen ID:
My [ND FILL4] is out of control.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0050
Screen ID:
I frequently [ND FILL1] without thinking about it.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0055
Screen ID:
I find myself reaching for [ND FILL2] without thinking about it.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH
Adult Extended Interview
115
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0060
Screen ID:
I usually want to [ND FILL1] right after I wake up.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0065
Screen ID:
I can only go a couple of hours without [ND FILL3].
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0070
Screen ID:
[ND FILL3] really helps me feel better if I’ve been feeling down.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH
Adult Extended Interview
116
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0075
Screen ID:
[ND FILL3] helps me think better.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0080
Screen ID:
I would feel alone without my [ND FILL2].
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0085
Screen ID:
I would find it really hard to stop [ND FILL3].
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH
Adult Extended Interview
117
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0090
Screen ID:
I would find it hard to stop [ND FILL3] for a week.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0095
Screen ID:
After not [ND FILL3] for a while, I need to [ND FILL1] in order to feel less restless and irritable.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0100
Screen ID:
After not [ND FILL3] for a while, I need to [ND FILL1] in order to keep myself from experiencing any
discomfort.
1
2
3
4
5
-8
-7
Not true of me at all
Extremely true of me
DON’T KNOW
REFUSED
ASK: Current users
PATH
Adult Extended Interview
118
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0105
Screen ID:
During the past 12 months, have you tried to quit [ND FILL3]?
1
2
3
-8
-7
I have cutback or reduced
I have tried to quit completely
No, I have not tried to quit completely
DON’T KNOW
REFUSED
ASK: Current users
BOX4
Screen ID:
PROGRAM: Create new variable: 12MonthQuitAttempt=Yes, If AN0105=Yes or if past 12 month
former smoker or user
PATH ID:
AN0110
Screen ID:
In the last 12 months, did you continue to [ND FILL1] even though you knew it was causing you a
health problem or making a health problem worse?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users
Box AN4
Display question AN0804, AN0805, AN0806, AN0807, AN0808, AN0809, AN0810, AN0811 on one
screen. Show the intro/transition text from AN0804 first, then show each item with the
none/minor/moderate/intense responses. As each item is answered, show the next one.
PATH ID:
AN0804
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Feel depressed?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH
Adult Extended Interview
119
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0805
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Have difficulty falling asleep or staying asleep?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0806
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Have difficulty concentrating?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0807
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Eat more than usual or gain weight?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0808
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Become easily irritated, angry, or frustrated?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH
Adult Extended Interview
120
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0809
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Feel anxious or nervous?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0810
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Feel more restless than usual?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0811
Screen ID:
Within days after stopping or cutting down on your [ND FILL4] in the last 12 months, did you….
Use other sources of nicotine like nicotine gum or a patch to relieve or avoid any of these bad aftereffects after you stopped or cut down on your tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0812
Screen ID:
In the last 12 months, did you give up or cut down on activities that were important to you, that you
were interested in or that gave you pleasure because [ND FILL4] was not permitted at the activity?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users
PATH
Adult Extended Interview
121
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0813
Screen ID:
In the last 12 months, did you find it difficult to keep from [ND FILL3] in places where it was prohibited?
1
2
Yes
No
DON’T KNOW
REFUSED
-8
-7
ASK: Current users
PATH ID:
AN0115
Screen ID:
How many times during the past 12 months have you tried to quit [ND FILL2] completely?
I___I___I___I
Number of times
NONE
DON’T KNOW
REFUSED
1
2
-8
-7
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0120
Screen ID:
During the past 12 months have you stopped [ND FILL3] for one day or longer because you were trying
to quit?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0125
Screen ID:
How many times during the past 12 months have you stopped [ND FILL3] for one day or longer
because you were trying to quit?
1
2
-8
-7
I___I___I___I
Number of times
NONE
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH
Adult Extended Interview
122
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0130
Screen ID:
The last time you stopped [ND FILL3] during the past 12 months because you were trying to quit, how
long did you stop for?
1
I___I___I___I
Number
-8
-7
DON’T KNOW
REFUSED
1
Minutes GO TO AN0135
2
Hours GO TO AN0135
3
Days GO TO AN0135
4
Weeks GO TO AN0135
5
Months GO TO AN0135
UNIT
GO TO AN0300
GO TO AN0300
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0300
Screen ID:
Was it more than a week, a week, or less than a week?
1
2
3
-8
-7
More than one week
One week
Less than one week
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who did not provide a duration for the last quit attempt (AN0130 IN (DK, R))
PATH ID:
AN0135
Screen ID:
When was the approximate end date of this last quit attempt that lasted [enter duration from AN0130
OR enter “more than a week” “less than a week” or “a week” from AN0300]?
1
I___I___I I___I___I
DAY
MONTH
-8
-7
DON’T KNOW
REFUSED
I___I___I___I___I
YEAR
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who provided a duration for the last quit attempt (AN0130 NOT IN (DK,R))
PATH
Adult Extended Interview
123
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0140
Screen ID:
In the past 12 months, was [duration of last quit attempt] the longest you went without [ND FILL3]
because you were trying to quit? (enter duration)
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AN0150
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who provided a duration for the last quit attempt (AN0130 NOT IN (DK,R))
PROGRAM: Fill “duration of last quit attempt” with the duration from AN0130 or AN0300
PATH ID:
AN0145
Screen ID:
During the past 12 months, what was the longest time you stopped [ND FILL3] because you were
trying to quit?
1
I___I___I___I
Number
-8
-7
DON’T KNOW
REFUSED
1
Minutes GO TO AN0150
2
Hours GO TO AN0150
3
Days GO TO AN0150
4
Weeks GO TO AN0150
5
Months GO TO AN0150
UNIT
GO TO AN0305
GO TO AN0305
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who provided a duration for the last quit attempt (AN0130 NOT IN (DK,R))
AND who said that their last quit attempt was not their longest in the past 12 months (AN0140=1)
PATH ID:
AN0305
Screen ID:
Was it more than a week, a week, or less than a week?
1
2
3
-8
-7
More than one week
One week
Less than one week
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who provided a duration for the last quit attempt that was one week or less
(AN0130 <=1 week or 7 days) AND who said that their last quit attempt was not their longest in the
past 12 months (AN0140=yes) AND who did not give a duration for their longest quit in the past 12
months (AN0145=DK, R)
PATH
Adult Extended Interview
124
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0150
Screen ID:
Now we have some questions about medications that can help people to stop using tobacco. Thinking
back to the last time you tried to quit [ND FILL3] in the past 12 months, did you use a nicotine patch,
gum, inhaler, nasal spray, lozenge or pill?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0155
Screen ID:
Did you use the nicotine patch, gum, inhaler, nasal spray, lozenge or pill to quit [ND FILL3]
completely?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used NRT to help them (AN0150=1)
BOX – DISPLAY INSTRUCTIONS
For AN0160, display a “Yes” and “No” column with options for each response category.
PATH ID:
AN0160
Screen ID:
Which medication did you use the last time you tried to quit?
Choose all that apply.
1
2
3
4
5
-8
-7
Nicotine patch
Nicotine gum
Nicotine inhaler
Nicotine nasal spray
Nicotine lozenge or pill
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used NRT to help them (AN0150=1)
PATH
Adult Extended Interview
125
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0165
Screen ID:
In total, during the last time you tried to quit [ND FILL3], how long did you use the [LIST ALL
MEDICATIONS SELECTED IN AN0160]?
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
REFUSED
DON’T KNOW
1
2
3
-8
-7
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used NRT to help them (AN0150=1)
If AN0160 = DK, R, Fill = “nicotine patch, gum, inhaler, nasal spray, lozenge or pill”
Note: Obtain the duration used any of the products nominated in AN0160 and not the specific
duration of each individual product.
.
PATH ID:
AN0170
Screen ID:
Are you currently using the nicotine patch, gum, inhaler, nasal spray, lozenge or pill to help you quit?
1
2
-8
-7
Yes
No
REFUSED
DON’T KNOW
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used NRT to help them (AN0150=1)
PATH ID:
AN0251
Screen ID:
About how long have you been using the nicotine patch, gum, inhaler, nasal spray, lozenge or pill to
help you quit?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used NRT to help them (AN0150=1) who are using NRT now
(AN0170=1)
PATH
Adult Extended Interview
126
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0175
Screen ID:
How long ago did you stop using [LIST ALL MEDICATIONS SELECTED IN AN0160]?
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
1
2
3
-8
-7
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used any NRT (AN0160=1) and not currently using NRT
(AN0170<>1)
If AN0160 = DK, R, Fill = “nicotine patch, gum, inhaler, nasal spray, lozenge or pill”
PATH ID:
AN0180
Screen ID:
Thinking back to the last time you tried to quit [ND FILL3] in the past 12 months, did you use a
prescription drug, such as Chantix, varenicline, Wellbutrin, Zyban, or bupropion?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH ID:
AN0185
Screen ID:
Did you use a prescription drug, such as Chantix, varenicline, Wellbutrin, Zyban, or bupropion to quit
[ND FILL3] completely?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used a prescription drug to help them (AN0180=1)
BOX – DISPLAY INSTRUCTIONS
For AN0190, display a “Yes” and “No” column with options for each response category.
PATH
Adult Extended Interview
127
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0190
Screen ID:
Which prescription drug did you use the last time you tried to quit? Choose all that apply.
1
2
-8
-7
Chantix or varenicline
Wellbutrin, Zyban, or bupropion
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used a prescription drug to help them (AN0180=1)
PATH ID:
AN0195
Screen ID:
In total, during the last time you tried to quit [ND FILL3], how long did you use [LIST ALL
MEDICATIONS SELECTED IN AN0190]?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used a prescription drug to help them (AN0180=1)
PATH ID:
AN0200
Screen ID:
Are you currently using a prescription drug, such as Chantix, varenicline, Wellbutrin, Zyban, or
bupropion to help you quit?
1
2
-8
-7
Yes
No
REFUSED
DON’T KNOW
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used a prescription drug to help them (AN0180=1)
PATH
Adult Extended Interview
128
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0252
Screen ID:
About how long have you been using a prescription drug, such as Chantix, varenicline, Wellbutrin,
Zyban, or bupropion to help you quit?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used a prescription drug to help them (AN0180=1)
and are using a
prescription drug now (AN0200=1)
PATH ID:
AN0205
Screen ID:
How long ago did you stop using [LIST ALL MEDICATIONS SELECTED IN AN0190]?
1
2
3
-8
-7
I___I___I
DAYS
I___I___I
MONTHS
I___I___I
YEARS
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES) who used a prescription drug to help them (AN0180=1)
and are not currently using a prescription drug (AN0200<>1)
IF AN0195 = DK, R, FILL = “a prescription drug, such as Chantix, varenicline, Wellbutrin, Zyban,
or bupropion”
PATH ID:
AN0210
Screen ID:
Thinking back to the last time you tried to quit [ND FILL3] in the past 12 months, did you rely on the
support of friends and family to help you?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
PATH
Adult Extended Interview
129
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0215
Screen ID:
Thinking back to the last time you tried to quit [ND FILL3] in the past 12 months, did you use any of the
following to help you: counseling, a telephone help line or quit line, books, pamphlets, videos, a quit
tobacco clinic, class, or support group, or an internet or web-based program?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users who have tried to quit completely in the past 12 month and Former users 12 month
(12MoQuitAttempt=YES)
BOX – DISPLAY INSTRUCTIONS
For AN0225, display a “Yes” and “No” column with options for each response category.
PATH ID:
AN0225
Screen ID:
Thinking back to the last time you tried to quit [ND FILL3] in the past 12 months, did you use: any
different tobacco product, such as smokeless tobacco, snus, dissolvable tobacco or e-cigarettes to help
you quit? Choose alll that apply.
1
2
3
4
5
6
7
8
9
10
-8
-7
Cigarettes
E-cigarettes
Traditional cigars
Cigarillos
Filtered cigars
Pipe Tobacco
Hookah
Snus pouches
Smokeless tobacco, like dip, chew, or snuff
Dissolvable tobacco
DON’T KNOW
REFUSED
ASK: Current or 12 month former tobacco users of any product who tried to quit completely in the past
12 months (12MoQuitAttempt=Yes)
PROGRAM: For respondents where PRODUCT COUNT = 1, omit the single product they currently use
from the list of response options.
PATH
Adult Extended Interview
130
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0230
Screen ID:
Overall, on a scale from 1 to 10 where 1 is not at all interested and 10 is extremely interested, how
interested are you in quitting [ND FILL 4]? (enter # from 1 to 10)
1
2
3
4
5
6
7
8
9
10
-8
-7
Not at all interested
2
3
4
5
6
7
8
9
Extremely Interested
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0235
Screen ID:
Do you plan to quit [ND FILL3] for good?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users
PATH ID:
AN0240
Screen ID:
When do you plan to quit [ND FILL3] for good?
1
2
3
4
5
-8
-7
In the next 7 days
In the next 30 days
In the next 6 months
In the next year
More than one year from now
DON’T KNOW
REFUSED
ASK: Current users who say they plan to quit for good (AN0235=1)
PATH
Adult Extended Interview
131
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0245
Screen ID:
If you did try to quit [ND FILL4] altogether in the next 6 months, how likely do you think you would be to
succeed – not at all, a little likely, somewhat likely or very likely?
1
2
3
4
-8
-7
Not at all likely
A little likely
Somewhat likely
Very likely
DON’T KNOW
REFUSED
ASK: Current users who have some interest in quitting in the next 6 months (AN0240<=3)
PATH ID:
AX0006
Screen ID:
If you had to do it over again, would you have started using tobacco?
1
2
3
4
-8
-7
Definitely would not
Probably would not
Probably would
Definitely would
DON’T KNOW
REFUSED
ASK: Current and Former users
PATH
Adult Extended Interview
132
PATH
Adult Extended Interview
Version 6.2
PACKAGING AND HEALTH WARNINGS SECTION
PATH ID:
AR0005
Screen ID:
In the last month, how often, if at all, have you noticed the health warnings on cigarette packages?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: All respondents
GO TO:
If Current User CIGS and AR0005>=2, go to AR0025
Else if Former user CIGS OR Experimental Former user CIGS, go to AR0045
Else if AC1002=2, go to AR0055
Else go to AR0060
PATH ID:
AR0025
Screen ID:
How believable do you consider the health warnings on cigarette packs to be?
1
2
3
4
5
-8
-7
Not at all believable
A little believable
Somewhat believable
Very believable
Extremely believable
DON’T KNOW
REFUSED
ASK: Current users of cigarettes who have seen health warnings in the past month (AR0005>=2)
PATH ID:
AR0035
Screen ID:
To what extent, if at all, do the health warnings on cigarette packs make you think about the health
risks of smoking?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
A lot
DON’T KNOW
REFUSED
ASK: Current users of cigarettes who have seen health warnings in the past month (AR0005>=2)
PATH
Adult Extended Interview
133
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AR0030
Screen ID:
How do the health warnings on cigarette packs make you feel about smoking?
1
2
3
4
5
-8
-7
Very concerned
Somewhat concerned
Neither concerned nor unconcerned
Somewhat unconcerned
Very unconcerned
DON’T KNOW
REFUSED
ASK: Current users of cigarettes who have seen health warnings in the past month (AR0005>=2)
PATH ID:
AR0010
Screen ID:
In the past 30 days, how often, if at all, have the health warnings stopped you from having a cigarette
when you were about to smoke one?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current users of cigarettes who have seen health warnings in the past month (AR0005>=2).
PATH ID:
AR0015
Screen ID:
In the past 30 days, have you tried to avoid looking at or thinking about the health warnings on
cigarette packs - such as covering them up, keeping them out of sight, using a cigarette case, avoiding
certain warnings, or any other means?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users of cigarettes who have seen health warnings in the past month (AR0005>=2)
PATH
Adult Extended Interview
134
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AR0040
Screen ID:
To what extent, if at all, do the health warnings on cigarette packs make you more likely to quit
smoking?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
A lot
DON’T KNOW
REFUSED
ASK: Current users of cigarettes who have seen health warnings in the past month (AR0005>=2)
PATH ID:
AR0045
Screen ID:
To what extent, if at all, do the health warnings on cigarette packs make you more likely to stay quit?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
A lot
DON’T KNOW
REFUSED
ASK: Former users and Experimental Former user of cigarettes
PATH ID:
AR0055
Screen ID:
To what extent, if at all, have the health warnings on cigarette packs made you less likely to start
smoking?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
A lot
DON’T KNOW
REFUSED
ASK: Respondents who have never used cigarettes (AC1002=2)
PATH
Adult Extended Interview
135
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AR0060
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of
smokeless tobacco products like snus, moist snuff, dip, spit and chew?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: All respondents
GO TO: If (Current User SMKLSS OR Former User 12 month SMKLSS) and AR0060>=2, go to
AR0075
Else go to BOX AR1
PATH ID:
AR0075
Screen ID:
How believable do you consider the health warnings on packages of smokeless tobacco products to
be?
1
2
3
4
5
-8
-7
Not at all believable
A little believable
Somewhat believable
Very believable
Extremely believable
DON’T KNOW
REFUSED
ASK: All current and 12 month former snus, smokeless tobacco users who have noticed smokeless
health warnings on packages (AR0060>=2)
PATH ID:
AR0085
Screen ID:
To what extent, if at all, do the health warnings on packages of smokeless tobacco products make you
think about the health risks of using smokeless tobacco products?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
A lot
DON’T KNOW
REFUSED
ASK: All current and 12 month former snus, smokeless tobacco users who have noticed smokeless
health warnings on packages (AR0060>=2)
PATH
Adult Extended Interview
136
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AR0080
Screen ID:
How do the health warnings on packages of smokeless tobacco products make you feel about using it?
1
2
3
4
5
-8
-7
Very concerned
Somewhat concerned
Neither concerned nor unconcerned
Somewhat unconcerned
Very unconcerned
DON’T KNOW
REFUSED
ASK: All current and 12 month former snus, smokeless tobacco users who have noticed smokeless
health warnings on packages (AR0060>=2)
PATH ID:
AR0065
Screen ID:
In the past 30 days, how often, if at all, have the health warnings stopped you from having a smokeless
tobacco product when you were about to use one?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: All current and 12 month former snus, smokeless tobacco users who have noticed smokeless
health warnings on packages (AR0060>=2)
PATH ID:
AR0070
Screen ID:
In the past 30 days, have you tried to avoid looking at or thinking about the health warnings on
packages of smokeless tobacco products -- such as covering them up, keeping them out of sight,
avoiding certain warnings, or any other means?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All current and 12 month former snus, smokeless tobacco users who have noticed smokeless
health warnings on packages (AR0060>=2)
PATH
Adult Extended Interview
137
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AR0090
Screen ID:
To what extent, if at all, do the health warnings on packages of smokeless tobacco products make you
more likely to quit using smokeless tobacco products?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
A lot
DON’T KNOW
REFUSED
ASK: All current and 12 month former snus, smokeless tobacco users who have noticed smokeless
health warnings on packages (AR0060>=2)
BOX AR1
If Current User CIGS OR Former User 12 month CIGS and AC9007 = 2, go to AR0095
Else go to BOX AR2
PATH ID:
AR0095
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of roll-yourown tobacco?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month of roll-your-own cigarettes
BOX AR2
If Current User ECIG OR Former User 12 month ECIG, go to AR0110
Else go to BOX AR3
PATH ID:
AR0110
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of ecigarettes?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month of e-cigarettes
PATH
Adult Extended Interview
138
PATH
Adult Extended Interview
Version 6.2
BOX AR3
If Current User GTRAD OR Former User 12 month GTRAD, go to AR0115
Else go to BOX AR4
PATH ID:
AR0115
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of traditional
cigars?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current and 12 month fomer cigar smokers
BOX AR4
If Current User GRILLO OR Former User 12 month GRILLO, go to AR0120
Else go to BOX AR5
PATH ID:
AR0120
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of cigarillos?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month of cigarillos
BOX AR5
If Current User LFC OR Former User 12 month LFC, go to AR0125
Else go to BOX AR6
PATH
Adult Extended Interview
139
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AR0125
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of filtered
cigars?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month of FCs
BOX AR6
If Current User PIPE OR Former User 12 month PIPE, go to AR0130
Else go to BOX AR7
PATH ID:
AR0130
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of pipe
tobacco?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month of pipes
.
BOX AR7
If Current User HOOK OR Former User 12 month HOOK, go to AR0135
Else go to BOX AR8
PATH ID:
AR0135
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of shisha
tobacco?
1
2
3
4
5
PATH
Adult Extended Interview
Never
Rarely
Sometimes
Often
Very often
140
PATH
Adult Extended Interview
Version 6.2
-8
-7
DON’T KNOW
REFUSED
ASK: Current users and Former users 12 month of hookahs.
BOX AR8
If Current User DISSBL OR Former User 12 month DISSBL, go to AR0140
Else go to AR0141
PATH ID:
AR0140
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of
dissolvable tobacco?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current and 12 month former dissolvable tobacco users
PATH
Adult Extended Interview
141
PATH
Adult Extended Interview
Version 6.2
PRODUCT REGULATION - MODIFIED RISK TOBACCO PRODUCTS
DISPLAY TRANSITION TEXT: The next questions ask about your opinions on tobacco use.
PATH ID:
AX0005
Screen ID:
How would you describe your overall opinion of using tobacco? Is it…
1
2
3
4
5
-8
-7
Very positive
Positive
Neither positive nor negative
Negative
Very negative
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AR0141
Screen ID:
In the past year, how often have you seen a list of the chemicals contained in tobacco products?
1
2
3
4
-8
-7
Never
Rarely
Sometimes
Often
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AR0142
Screen ID:
In the past year, how often have you thought about the chemicals contained in tobacco products?
1
2
3
4
-8
-7
Never
Rarely
Sometimes
Often
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
142
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0250
Screen ID:
To what extent do you believe nicotine to be the main substance in tobacco that makes people want to
smoke?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
Very much
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AR0143
Screen ID:
If a tobacco product made a claim that it was less harmful to health than other tobacco products, how
likely would you be to use that product?
1
2
3
4
-8
-7
Very likely
Somewhat likely
Somewhat unlikely
Very unlikely
DON’T KNOW
REFUSED
ASK: All respondents
GO TO: If Current user CIGS, go to AX0004
Else go to AC9050
PATH ID:
AX0004
Screen ID:
In the past 30 days, how often did you think about the harm your [smoking I tobacco use I
electronic cigarette use] might be doing to you? Did you think about it…
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: Current users
PROGRAM: Display “smoking” if CURRENT COMBUSTIBLE USER; display “tobacco use” if
CURRENT NONCOMBUSTIBLE USER; display “electronic cigarette use” if current user of e-cigarettes
PATH
Adult Extended Interview
143
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9055
Screen ID:
In the past 30 days, have you stubbed out a cigarette before you finished it because you thought about
the harm of smoking?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current users of cigarettes
PATH ID:
AC9050
Screen ID:
How harmful do you think cigarettes are to health?
1
2
3
4
5
-8
-7
Not at all harmful
Slightly harmful
Somewhat harmful
Very harmful
Extremely harmful
DON’T KNOW
REFUSED
ASK: All respondents
BOX AR9
If AE1001 = 1, go to AE1099
Else go to BOX AR10
PATH ID:
AE1099
Screen ID:
Is using e-cigarettes less harmful, about the same, or more harmful than smoking cigarettes? [SHOW
IMAGE OF E-CIGARETTES]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of e-cigarettes (AE1001=1)
BOX AR10
If AG9002 = 1, go to AG1099
Else go to BOX AR11
PATH
Adult Extended Interview
144
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1099
Screen ID:
Is smoking traditional cigars less harmful, about the same, or more harmful than smoking cigarettes?
[SHOW IMAGE OF TRADITIONAL CIGARS]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of have heard of traditional cigars (AG9002=1)
BOX AR11
If AG9002 = 2, go to AG1106
Else go to BOX AR12
PATH ID:
AG1106
Screen ID:
Is smoking cigarillos less harmful, about the same, or more harmful than smoking cigarettes? [SHOW
IMAGE OF CIGARILLOS]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of cigarillos or filtered cigars (AG9002=2)
PATH ID:
AG1107
Screen ID:
Is smoking filtered cigars less harmful, about the same, or more harmful than smoking cigarettes?
[SHOW IMAGE OF FILTERED CIGARS]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of cigarillos or filtered cigars (AG9002=2)
BOX AR12
If AP1001 = 1, go to AP1099
Else go to BOX AR13
PATH
Adult Extended Interview
145
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP1099
Screen ID:
Is smoking pipes filled with tobacco less harmful, about the same, or more harmful than smoking
cigarettes? [SHOW IMAGE OF PIPES]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of pipe tobacco (AP1001=1)
BOX AR13
If AH1001 = 1, go to AH1099
Else go to BOX AR14
PATH ID:
AH1099
Screen ID:
Is smoking tobacco in a hookah less harmful, about the same, or more harmful than smoking
cigarettes? [SHOW IMAGE OF HOOKAH]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of a hookah (AH1001=1)
BOX AR14
If AS1001 = 1, go to AS1105
Else go to BOX AR15
PATH ID:
AS1105
Screen ID:
Is using [SMKLSSFILL] less harmful, about the same, or more harmful than smoking cigarettes?
[SHOW IMAGE OF SMOKELESS/SNUS]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of [SMKLSSFILL] (AS1001=1)
BOX AR15
If AD1001 = 1, go to AD1099
Else go to AC1110
PATH
Adult Extended Interview
146
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AD1099
Screen ID:
Is using dissolvable tobacco less harmful, about the same, or more harmful than smoking cigarettes?
[SHOW IMAGE OF DISSOLVABLE TOBACCO]
1
2
3
-8
-7
Less harmful
About the same
More harmful
DON’T KNOW
REFUSED
ASK: Respondents who have heard of dissolvable tobacco (AD1001=1)
PATH ID:
AC1110
Screen ID:
How harmful do you think today’s cigarettes are compared to those of five years ago?
1
2
3
4
5
-8
-7
Much less harmful
Somewhat less harmful
About the same
Somewhat more harmful
Much more harmful
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AS1110
Screen ID:
How harmful do you think today’s smokeless tobacco products are compared to those of five years
ago?
1
2
3
4
5
-8
-7
Much less harmful
Somewhat less harmful
About the same
Somewhat more harmful
Much more harmful
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
147
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG1110
Screen ID:
How harmful do you think today’s cigars, cigarillos or filtered cigars are compared to those of five years
ago?
1
2
3
4
5
-8
-7
Much less harmful
Somewhat less harmful
About the same
Somewhat more harmful
Much more harmful
DON’T KNOW
REFUSED
ASK: All respondents
Box AC4
Display question AC9060, AC9065, AC9070, AC9075, AC9080, AC9085, AC9090, AC9100, AC9105,
AC9110, AC9115 on one screen. Show the intro/transition text from AC9060 first, then show each item
with a Y/N response. As each item is answered, show the next one.
PATH ID:
AC9060
Screen ID:
I am going to read you a list of diseases that may or may not be caused by smoking cigarettes. Based
on what you know or believe, does smoking cause…
Stroke in smokers?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
NOTE: The list of health effects should include the diseases that are featured on the new health
warnings if/when they come on cigarette packs, thus these current questions are subject to change
based on this future information
PATH ID:
AC9065
Screen ID:
Lung cancer in smokers?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
148
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9070
Screen ID:
Heart disease in smokers?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AC9075
Screen ID:
Blindness in smokers?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AC9080
Screen ID:
Peripheral vascular disease (poor circulation) in smokers?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AC9085
Screen ID:
Bladder cancer in smokers?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AC9090
Screen ID:
Mouth cancer in smokers?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
PATH
Adult Extended Interview
149
PATH
Adult Extended Interview
Version 6.2
ASK: All respondents
PATH ID:
AC9100
Screen ID:
Lung disease such as emphysema in smokers?
1
2
-8
Yes
No
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
AC9105
Screen ID:
Lung disease in non-smokers, from second-hand smoke?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AC9110
Screen ID:
Heart attack in non-smokers from second-hand smoke?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AC9115
Screen ID:
Harm to fetuses (or unborn children) during pregnancy from second-hand smoke?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
150
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AC9120
Screen ID:
To what extent do you believe the nicotine in cigarettes to be the chemical that causes most of the
cancer caused by smoking?
1
2
3
4
-8
-7
Not at all
A little
Somewhat
Very much
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
151
PATH
Adult Extended Interview
Version 6.2
MEDIA USE SECTION
PATH ID:
AX0055
Screen ID:
The next questions are about how much, if at all, you use cell phones, the internet, TV and radio.
Do you have a cell phone for personal use?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0494
GO TO AX0494
GO TO AX0494
ASK: All respondents
PATH ID:
AX0495
Screen ID:
Is your cell phone a smart phone?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have a cell phone for personal use (AX0055=1)
PATH ID:
AX0056
Screen ID:
Do you send or receive text messages on your cell phone?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0058
GO TO AX0058
GO TO AX0058
ASK: Respondents who have a cell phone for personal use (AX0055=1)
PATH ID:
AX0057
Screen ID:
On average, how many text messages do you send and receive on a normal day? Please enter a
number.
1
-8
-7
I__I__I
DON’T KNOW
REFUSED
ASK: Respondents who send and receive text messages (AX0056=1)
GO TO: If AX0495 = 1, go to AX0058
Else go to AX0494
PATH
Adult Extended Interview
152
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0058
Screen ID:
Have you ever downloaded an app (or application) using your cell phone?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have a smart phone (AX0495=1)
PATH ID:
AX0496
Screen ID:
A Quick Response code is a white square with black dots in it, sometimes called a QR code.
[INSERT IMAGE OF QR CODE FOR AN EXAMPLE]
Have you ever used a smart phone to scan a QR code for a tobacco product or to enter a sweepstakes
or drawing from a tobacco company?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have a smart phone (AX0495=1)
PATH ID:
AX0497
Screen ID:
Did this code take you to a tobacco company Web site?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have scanned a QR code (AX0496 = 1).
PATH
Adult Extended Interview
153
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0494
Screen ID:
About how long do you spend watching TV on a typical day?
1
2
3
4
5
-8
-7
None
Less than 1 hour
1 to 2 hours
3 to 4 hours
More than 4 hours
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0060
Screen ID:
About how long do you listen to the radio on a typical day?
1
2
3
4
5
-8
-7
None
Less than 1 hour
1 to 2 hours
3 to 4 hours
More than 4 hours
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0486
Screen ID:
Overall, how often do you use the internet?
1
2
3
4
5
6
7
-8
-7
Several times a day
About once a day
3-5 days a week
1-2 days a week
Every few weeks
Less often
Don’t have regular internet access
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
154
GO TO AX0062
GO TO AX0062
GO TO AX0062
GO TO AX0062
GO TO AX0062
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0487
Screen ID:
Apart from looking at websites for specific brands of tobacco, there are many different activities related
to tobacco products that a person might do on the Internet, such as sign-up for email alerts, read
commentaries on products, or watch a video about tobacco products.
In the past 6 months, have you done any of these?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents who have used the internet at least once a week (AX0486<5)
PATH ID:
AX0062
Screen ID:
Do you have a Facebook, Google Plus, MySpace, Twitter, or other social networking account?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AM0014
GO TO AM0014
GO TO AM0014
ASK: RESPONDENTS WHO HAVE USED THE INTERNET (AX0486 <7)
PATH ID:
AX0063
Screen ID:
How often do you visit your Facebook, Google Plus, MySpace, Twitter, or other social networking
account?
1
2
3
4
-8
-7
Several times a day
Daily
Weekly
Monthly or less
DON’T KNOW
REFUSED
ASK: Respondents who have a Facebook or other social networking account (AX0062 = 1)
PATH
Adult Extended Interview
155
PATH
Adult Extended Interview
Version 6.2
SECONDHAND SMOKE EXPOSURE SECTION
DISPLAY TRANSITION TEXT: The next questions ask about tobacco use and opinions among
friends, family, and co-workers.
PATH ID:
AM0014
Screen ID:
Which best describes your current job or paid employment status?
1
2
3
4
-8
-7
Work full-time at least 35 hours per week
Work part-time 15 to 34 hours per week
Work part-time less than 15 hours per week
I don't currently work for pay
DON’T KNOW
REFUSED
GO TO AX0066
GO TO AX0066
GO TO AX0066
ASK: All respondents
BOX – DISPLAY INSTRUCTIONS
For AX0064, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0064
Screen ID:
Do you work indoors, outdoors, or in a vehicle? Choose all that apply.
1
2
3
-8
-7
Indoors
Outdoors
In a vehicle
DON’T KNOW
REFUSED
ASK: Respondents who work full time or part time (AM0014=1,2,3)
PATH ID:
AX0065
Screen ID:
How recently did someone smoke around you while you were at work?
1
2
3
4
5
6
7
-8
-7
Never
Today
In the past week
In the past two weeks
In the past month
Longer than a month ago but within the past year
More than a year ago
DON’T KNOW
REFUSED
ASK: Respondents who work full time or part time (AM0014=1,2,3)
PATH
Adult Extended Interview
156
PATH
Adult Extended Interview
Version 6.2
BOX – DISPLAY INSTRUCTIONS
For AM0011, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0066
Screen ID:
Does anyone who lives with you now…? (Choose all that apply)
1
Smoke cigarettes
2
Use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus
3
Smoke cigars, cigarillos, or filtered cigars
4
Use any other form of tobacco
DON’T KNOW
-8
-7
REFUSED
ASK: All respondents
PATH ID:
AR1045
Screen ID:
Which statement best describes the rules about smoking a tobacco product (such as cigarettes, cigars,
pipes) in your home?
Smoking is not allowed anywhere or at any time inside my home
Smoking is allowed in some places or at some times inside my home
Smoking is allowed anywhere and at any time inside my home
DON’T KNOW
REFUSED
1
2
3
-8
-7
ASK: All respondents
PATH ID:
AR1050
Screen ID:
Now think about other tobacco products that are not burned, like smokeless tobacco, dissolvable
tobacco, and electronic cigarettes. Which statement best describes the rules about using these
products inside your home?
1
2
3
-8
-7
Using these products is not allowed anywhere or at anytime inside my home
Using these products is allowed in some places or at some times inside my home
Using these products is allowed anywhere and at any time inside my home
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0068
Screen ID:
During the past seven days, about how many hours were you in close contact with others when they
were smoking? For example, in your home, in a car, at work, or outdoors?
1
-8
-7
I__I__I__I
number of hours
DON’T KNOW
REFUSED
PATH
Adult Extended Interview
157
PATH
Adult Extended Interview
Version 6.2
ASK: All respondents
PATH
Adult Extended Interview
158
PATH
Adult Extended Interview
Version 6.2
PEER AND FAMILY INFLUENCES
GO TO: If Current user CIGS OR Former user 12 months CIGS, go to AX0070
Else go to AX0007
PATH ID:
AX0070
Screen ID:
In the past 12 months, to what extent, if at all, [has/did] the disapproval of close friends and family of
your smoking [led/lead] you to think about quitting?
1
2
3
-8
-7
Not at all
Somewhat
Very much
DON’T KNOW
REFUSED
ASK: Current cigarette smokers and former cigarette smokers who have quit <12 months ago
PROGRAM: For current cigarette smokers display “has”, “led”; For former cigarette smokers who have
quit < 12 months ago display “did”, “lead”.
PATH ID:
AX0071
Screen ID:
People who are important to you believe that you should not smoke.
1
2
3
4
5
-8
-7
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
DON’T KNOW
REFUSED
ASK: Current cigarette smokers and former smokers who have quit <12 months ago
PATH ID:
AX0007
Screen ID:
To what extent do you believe that most people disapprove of using tobacco?
1
2
3
4
-8
-7
A lot
Some
A little
Not at all
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
159
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0072
Screen ID:
Of the five closest friends or acquaintances that you spend time with on a regular basis, how many of
them use any kind of tobacco?
[DISPLAY THE ALLOWABLE RESPONSES ON SCREEN, ONE TO FIVE, FOR USER TO PICK]
ASK: All respondents
PATH
Adult Extended Interview
160
PATH
Adult Extended Interview
Version 6.2
HEALTH EFFECTS OUTCOME SECTION
DISPLAY TRANSITION TEXT: The next questions ask about your health.
PATH ID:
AX0088
Screen ID:
In general, would you say your health is…
1
2
3
4
5
-8
-7
Poor
Fair
Good
Very good
Excellent
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0091
Screen ID:
In general, how would you rate your mental health, including your mood and your ability to think?
1
2
3
4
5
-8
-7
Poor
Fair
Good
Very good
Excellent
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0090
Screen ID:
In general, how would you rate your physical health?
1
2
3
4
5
-8
-7
Poor
Fair
Good
Very good
Excellent
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
161
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0092
Screen ID:
In general, how would you rate your satisfaction with your social activities and relationships?
1
2
3
4
5
-8
-7
Poor
Fair
Good
Very good
Excellent
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0093
Screen ID:
To what extent are you able to carry out your everyday physical activities such as walking, climbing
stairs, carrying groceries, or moving a chair?
1
2
3
4
5
-8
-7
Completely
Mostly
Moderately
A little
Not at all
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0094
Screen ID:
To what extent are you able to carry out your everyday activities such as using a telephone, paying
bills, taking medications, preparing light meals, doing laundry, or going shopping?
1
2
3
4
5
-8
-7
Completely
Mostly
Moderately
A little
Not at all
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
162
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0095
Screen ID:
To what extent are you able to carry out your everyday activities such as bathing, dressing, or getting
around the house?
1
2
3
4
5
-8
-7
Completely
Mostly
Moderately
A little
Not at all
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0096
Screen ID:
To what extent are you able to carry out your everyday activities such as walking, climbing stairs,
grasping objects, reaching overhead, lifting, bending or stooping, or standing for long periods of time?
1
2
3
4
5
-8
-7
Completely
Mostly
Moderately
A little
Not at all
DON’T KNOW
REFUSED
ASK: All respondents
BOX – DISPLAY INSTRUCTIONS
For AX0097 and AX0098, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0097
Screen ID:
Does your health limit you in any of the following activities? Choose all that apply.
1
2
3
4
5
6
7
8
-8
-7
Lifting 10 pounds
Walking up 10 steps
Walking 3 blocks
Walking 1 mile
Standing 20 minutes
Bending or stooping
Reaching overhead
Using fingers to grasp
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
163
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0098
Screen ID:
Are you limited in the ability to go to school, do chores around the house, or work at a job because of a
physical or mental health problem?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0100
ASK: All respondents
PATH ID:
AX5000
Screen ID:
Which activities are you limited in doing because of a physical or mental health problem? Choose all
that apply.
1
2
3
-8
-7
Going to school
Doing chores
Working at a job
DON’T KNOW
REFUSED
ASK: If AX0098=1
GO TO: If AX0097 IN (1…8) OR AX0098 = 1, go to AX0099
Else go to AX0100
PATH ID:
AX0099
Screen ID:
Besides the limitation noted in the previous question, are you limited in participating in social,
recreational, or family activities because of a health problem?
1
2
-8
-7
Yes.
No
DON’T KNOW
REFUSED
ASK: Respondents whose activities are limited by their health (1<=AX0097<=8) or who are limited in
their ability to go to school, do chores, or work (AX0098=1)
PATH
Adult Extended Interview
164
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0100
Screen ID:
In the past 7 days, how would you rate your pain on average on a scale from 1 to 10 where 1 is no pain
and 10 is the worst pain imaginable?
1
2
3
4
5
6
7
8
9
10
-8
-7
No pain
Worst pain imaginable
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0101
Screen ID:
In the past 7 days, how would you rate your fatigue on average?
1
2
3
4
5
-8
-7
None
Mild
Moderate
Severe
Very severe
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0102
Screen ID:
In the past 7 days, in general, please rate how well you carried out your usual social activities and
roles. Include activities and responsibilities at home, work and in your community.
1
2
3
4
5
-8
-7
Poor
Fair
Good
Very good
Excellent
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
165
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0103
Screen ID:
In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious,
depressed, or irritable?
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: All respondents
GO TO: If Ever User Tobacco, go to AX0104
Else go to AX0108
PATH ID:
AX0104
Screen ID:
To what extent, if at all, has [using / your past use of] tobacco products damaged your health?
1
2
3
4
-8
-7
A great deal
A fair amount
Just a little
Not at all
DON’T KNOW
REFUSED
ASK: Respondents who used any tobacco in their lifetime
PROGRAM: For current tobacco users display “using”; For former tobacco users display “your past use
of”.
PATH ID:
AX0105
Screen ID:
How worried are you, if at all, that [using / your past use of] tobacco products WILL damage your
health in the future?
1
2
3
4
-8
-7
Not at all worried
A little worried
Moderately worried
Very worried
DON’T KNOW
REFUSED
ASK: Respondents who used any tobacco in their lifetime
PROGRAM: For current tobacco users display “using”; For former tobacco users display “your past use
of”.
PATH
Adult Extended Interview
166
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0108
Screen ID:
The next questions ask about some basic medical information that is important for the study.
What is your current height? Please enter your height in feet and inches.
1
2
-8
-7
I__I__I
Feet
I__I__I
Inches
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0109
Screen ID:
What is your current weight? Please enter your weight in pounds.
1
-8
-7
I__I__I__I
Pounds
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0001
Screen ID:
In the past 12 months have you seen a medical doctor?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0002
Screen ID:
In the past 12 months have you seen a dentist?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
GO TO: If Current User Tobcacco, go to AX0003
Else go to AX0110
PATH
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167
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0003
Screen ID:
During the past 12 months did any medical doctor, dentist or other healthcare professional advise you
to stop using tobacco [or e-cigarettes]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All tobacco users who have seen a medical doctor (AX0001=1) or dentist (AX0002=1)
PROGRAM: For respondents who use e-cigarettes, display “or e-cigarettes”
PATH ID:
AX0110
Screen ID:
Has a doctor or other health professional ever told you that you had any heart diseases such as a heart
attack, angina, hypertension, hyperlipidemia, congestive heart failure, or stroke?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0118
GO TO AX0118
GO TO AX0118
ASK: All respondents
BOX – DISPLAY INSTRUCTIONS
For AX0111, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0111
Screen ID:
Which heart disease did a doctor or other health professional tell you that you had? Choose all that
apply.
1
2
3
4
5
6
-8
-7
Heart attack (also called myocardial infarction)
Angina
Hypertension
Hyperlipidemia
Congestive heart failure
Stroke
DON’T KNOW
REFUSED
ASK: Respondents who have been told they have one of these diseases (AX0110=1)
PATH ID:
AX0112
Screen ID:
How old were you when you were first told you…
Had a heart attack (also called myocardial infarction)? Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondents who have had a heart attack (AX0111 IN heart attack)
PATH
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168
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0113
Screen ID:
How old were you when you were first told you…
Had angina? Please enter age in years.
1
|___|___|___|
-8
-7
DON’T KNOW
REFUSED
ASK: Respondents who have had angina (AX0111 IN angina)
PATH ID:
AX0114
Screen ID:
How old were you when you were first told you…
Had hypertension? Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondents who have had hypertension (AX0111 IN hypertension)
PATH ID:
AX0115
Screen ID:
How old were you when you were first told you…
Had hyperlipidemia? Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondents who have had hyperlipidemia (AX0111 IN hyperlipidemia)
PATH ID:
AX0116
Screen ID:
How old were you when you were first told you…
Had congestive heart failure? Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondents who have had congestive heart failure (AX0111 IN congestive heart failure)
PATH ID:
AX0117
Screen ID:
How old were you when you were first told you…
Had a stroke? Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondents who have had a stroke (AX0111 IN stroke)
PATH
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169
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0118
Screen ID:
Has a doctor or other health professional ever told you that you have any pulmonary diseases such as
COPD, chronic bronchitis, emphysema, or asthma?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0129
GO TO AX0129
GO TO AX0129
ASK: All respondents
BOX – DISPLAY INSTRUCTIONS
For AX0119, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0119
Screen ID:
Which pulmonary disease did a doctor or other health professional tell you that you had? Choose all
that apply.
1
2
3
4
-8
-7
COPD
Chronic bronchitis
Emphysema
Asthma
DON’T KNOW
REFUSED
ASK: Respondents who have been told they have one of these diseases (AX0118=1)
PATH ID:
AX0120
Screen ID:
How old were you when you were first told you…
Had COPD? Please enter age in years.
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had COPD (AX0119=1 COPD)
PATH ID:
AX0121
Screen ID:
How old were you when you were first told you…
Had chronic bronchitis? Please enter age in years.
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had chronic bronchitis (AX0119=2 chronic bronchitis)
PATH
Adult Extended Interview
170
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0123
Screen ID:
How old were you when you were first told you…
Had emphysema? Please enter age in years.
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had emphysema (AX0119=3 emphysema)
PATH ID:
AX0124
Screen ID:
How old were you when you were first told you…
Had asthma? Please enter age in years.
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had asthma (AX0119=4 asthma)
PATH ID:
AX0125
Screen ID:
During the past 12 months, have you had an episode of asthma or an asthma attack?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0127
GO TO AX0127
GO TO AX0127
ASK: Respondents who have had asthma (AX0119=4 asthma)
PATH ID:
AX0126
Screen ID:
During the past 12 months, how many episodes of asthma attacks have you had?
1
|___|___|___| episodes
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had asthma (AX0119=4 asthma) and had an episode of asthma or
asthma attack in the past 12 months (AX0125=1)
PATH
Adult Extended Interview
171
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0127
Screen ID:
During the past 12 months, have you had to visit an emergency room or urgent care center because of
asthma?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have had asthma in the past 12 months (AX0119=4 asthma)
DISPLAY INSTRUCTION: For AX0128, display as a stem and leaf question. For each leaf, display a
yes/no response.
PATH ID:
AX0128
Screen ID:
In the past 12 months, which of the following medications did you regularly take for asthma? Choose
all that apply.
1
Quick-relief inhaler - for example: albuterol (ProAir, Ventolin, Xopenex)
Controller or long-acting inhaler including steroid inhaler – for example:
2
beclomethasone (Qvar), fluticasone (Flovent), salmeterol (Serevent), or a
combination inhaler (Advair)
Other controlling medication – for example: montelukast (Singulair), zafirlukast
3
(Accolate), theophylline
Oral or injected steroid medication – for example: prednisone, prednisolone
4
(Orapred), dexamethasone (Decadron)
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had asthma in the past 12 months (AX0119=4 asthma)
DISPLAY INSTRUCTION: For AX0301, display as a stem and leaf question. For each leaf, display a
yes/no response.
PATH ID:
AX0301
Screen ID:
In the past 12 months, which of the following medications did you regularly take for COPD, chronic
bronchitis, or emphysema? Choose all that apply.
Quick-relief inhaler – for example: albuterol (ProAir, Ventolin, Xopenex), ipratropium
1
(Atrovent), or a combination inhaler (Combivent)
Controller or long-acting inhaler including steroid inhaler – for example:
2
beclomethasone (Qvar), fluticasone (Flovent), salmeterol (Serevent), tiotropium
(Spiriva) or a combination inhaler (Advair)
3
Other controlling medication – for example: theophylline, roflumilast (Daliresp)
Oral or injected steroid medication – for example: prednisone, prednisolone (Orapred),
4
dexamethasone (Decadron)
5
Oxygen therapy
-8 DON’T KNOW
-7 REFUSED
PATH
Adult Extended Interview
172
PATH
Adult Extended Interview
Version 6.2
ASK: Respondents who have had COPD, chronic bronchitis, or emphysema ( AX0119=1, 2 or 3)
PATH ID:
AX0129
Screen ID:
Have you ever been told by a doctor or health care professional that you have gum disease?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0132
GO TO AX0132
GO TO AX0132
ASK: All respondents
PATH ID:
AX0131
Screen ID:
How old were you when you were first told you…
Had gum disease? Please enter age in years.
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had gum disease (AX0129=1)
PATH ID:
AX0130
Screen ID:
Have you ever had treatment for gum disease such as scaling and root planning, sometimes called
deep cleaning?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have had a doctor or dentist tell them they have gum disease (AX0129=1)
PATH ID:
AX0132
Screen ID:
Have you ever been told by a doctor or health care professional that you have pre-cancerous oral
lesions?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0134
GO TO AX0134
GO TO AX0134
ASK: All respondents
PATH
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173
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0133
Screen ID:
How old were you when you were first told you…
Had pre-cancerous oral lesions? Please enter age in years.
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have had pre-cancerous oral lesions ( AX0132=)
PATH ID:
AX0281
Screen ID:
Have you ever been told by a doctor or health care professional that you have diabetes or raised
glucose levels?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0134
GO TO AX0134
GO TO AX0134
ASK: All respondents
PATH ID:
AX0280
Screen ID:
How old were you when you were first told you…
Had diabetes or raised glucose levels? Please enter age in years.
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have diabetes or raised glucose levels ( AX0281=1)
GO TO: If AM0004 = 2, go to AX0134
Else go to AX0141
PATH ID:
AX0134
Screen ID:
The next questions are about your pregnancy history.
Have you ever been pregnant? Please include current pregnancy, live births, miscarriages, induced
abortions, ectopic or tubal pregnancies and stillbirths.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0141
GO TO AX0141
GO TO AX0141
ASK: Female respondents
BOX – DISPLAY INSTRUCTIONS
For AX0135, display a “Yes” and “No” column with options for each response category.
PATH
Adult Extended Interview
174
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0135
Screen ID:
Have you ever had any of the following pregnancy outcomes? Choose all that apply.
1
2
3
4
5
-8
-7
Live birth
Miscarriage
Induced abortion
Ectopic or tubal pregnancy
Stillbirth
DON’T KNOW
REFUSED
ASK: Female respondents who have been pregnant (AX0134=1)
GO TO: If AX0135 = 1, go to AX0300
Else If Age < 50, go to AX0136
Else go to AX0303
BOX – DISPLAY INSTRUCTIONS
For AX0300, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0300
Screen ID:
Have you ever had any of the following outcomes of any of the live births?
1
2
3
4
5
6
-8
-7
Preterm birth (birth of baby less than 37 weeks gestational age)
Baby with low birth weight (less than 5.5 pounds)
Baby with birth defects
Placenta Previa
Placenta Abruption
Pre-eclampsia
DON’T KNOW
REFUSED
ASK: Female respondents who answer ‘live birth’ (AX0135=1
)
PATH ID:
AX0136
Screen ID:
Are you currently pregnant?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0138
GO TO AX0138
GO TO AX0138
ASK: Female respondents who are <50 years old
PATH
Adult Extended Interview
175
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0137
Screen ID:
How many weeks or months pregnant are you? Please enter the number of months or weeks.
1
2
-8
-7
|___|___|
Months
|___|___|
Weeks
DON’T KNOW
REFUSED
ASK: Female respondents who are currently pregnant (AX0136=1)
PATH ID:
AX0303
Screen ID:
During your most recent pregnancy, did you consume any alcoholic drinks? (If you are now pregnant,
answer for your current pregnancy).
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0304
GO TO AX0304
GO TO AX0304
ASK: Female respondents who have been pregnant (AX0134=1)
PATH ID:
AX0138
Screen ID:
How many alcoholic drinks did you have in an average week? Please enter a number.
1
|__|__|__|
-8
-7
DON’T KNOW
REFUSED
ASK: Female respondents who have ever been pregnant and consumed alcoholic drinks during their
most recent pregnancy (AX0303 = 1)
PATH ID:
AX0304
Screen ID:
During your most recent pregnancy, did you smoke any cigarettes? (If you are now pregnant, answer
for your current pregnancy).
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0305
GO TO AX0305
GO TO AX0305
ASK: Female respondents who have been pregnant (AX0134=1)
GO TO: If AC1005 = 5, go to AX0139
Else go to AX0305
PATH
Adult Extended Interview
176
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0139
Screen ID:
How many cigarettes did you smoke in an average week? Please enter a number.
1
|__|__|__|
-8
-7
DON’T KNOW
REFUSED
ASK: Female respondents who have ever been pregnant and have smoked > 100 cigarettes
PATH ID:
AX0305
Screen ID:
During your most recent pregnancy, did you use tobacco products other than cigarettes (cigars, pipe,
hookah, e-cigarettes, smokeless tobacco, snus, dissolvable tobacco, etc.)? (If you are now pregnant,
answer for your current pregnancy).
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0156
ASK: Women that have ever been pregnant
GO TO: If (EVER USER CIGAR=YES OR EVER USER FC=YES OR EVER USER PIPE=YES OR
EVER USER HOOKAH=YES OR EVER USER DISSOLVABLE=YES OR EVER USER E-CIG=YES
OR EVER USER SMOKELESS=YES), go to AX0140
Else to go AX0141
PATH ID:
AX0140
Screen ID:
How many times in an average week did you use tobacco products other than cigarettes (cigars, pipe,
hookah, e-cigarettes, smokeless tobacco, snus, dissolvable tobacco, etc.)? Please enter a number
1
|__|__|__|
-8
-7
DON’T KNOW
REFUSED
ASK: Female respondents who have ever been pregnant and have used tobacco products other than
cigarettes
PATH ID:
AX0141
Screen ID:
Have you ever been told by a doctor or other health professional that you had an ulcer? Include
stomach, duodenal or peptic ulcers.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0144
GO TO AX0144
GO TO AX0144
ASK: All respondents
PATH
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177
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0143
Screen ID:
How old were you when you were first told you had an ulcer? Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondent who were told they had an ulcer (AX0141=1)
PATH ID:
AX0144
Screen ID:
Have you ever been told by a doctor or other health professional that you had cancer?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX00147
GO TO AX00147
GO TO AX00147
ASK: All respondents
BOX – DISPLAY INSTRUCTIONS
For AX0145, display a “Yes” and “No” column with options for each response category.
PATH
Adult Extended Interview
178
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0145
Screen ID:
What kind of cancer was it? Choose all that apply.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-8
-7
BLADDER
BLOOD
BONE
BRAIN
BREAST
CERVIX (CERVICAL)
COLON
ESOPHAGUS (ESOPHAGEAL)
GALLBLADDER
KIDNEY
LARYNX/WINDPIPE
LEUKEMIA
LIVER
LUNG
LYMPHOMA/HODGKINS' DISEASE
MELANOMA
MOUTH/TONGUE/LIP
NERVOUS SYSTEM
OVARY (OVARIAN)
PANCREAS (PANCREATIC)
PROSTATE
RECTUM (RECTAL)
SKIN (NON-MELANOMA)
SKIN (DON'T KNOW WHAT KIND)
SOFT TISSUE (MUSCLE OR FAT)
STOMACH
TESTIS (TESTICULAR)
THROAT
THYROID
UTERUS (UTERINE)
OTHER
DON’T KNOW
REFUSED
ASK: Respondents who have had cancer (AX0144=YES)
PATH
Adult Extended Interview
179
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0146
Screen ID:
How old were you when [TYPE OF CANCER/cancer] was first diagnosed? Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondent who reported having cancer (AX0144=1)
PROGRAM: Fill TYPE OF CANCER with AX0145. Repeat for each type.
PATH ID:
AX0147
Screen ID:
Have you ever been told by a doctor or other health professional that you had stomach or other gastrointestinal bleeding?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0149
GO TO AX0149
GO TO AX0149
ASK: All respondents
PATH ID:
AX0148
Screen ID:
How old were you when you were first told you had stomach or other gastro-intestinal bleeding?
Please enter age in years.
1
-8
-7
|___|___|___|
DON’T KNOW
REFUSED
ASK: Respondent who were told they had stomach or other GI bleeding (AX0147=1)
PATH ID:
AX0149
Screen ID:
Have you ever been told by a doctor or other health professional that you have osteoporosis or had a
history of unexplained bone fractures?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0151
GO TO AX0151
GO TO AX0151
ASK: All respondents
PATH
Adult Extended Interview
180
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0150
Screen ID:
How old were you when you were first told you had osteoporosis or had a history of unexplained bone
fractures? Please enter age in years.
|___|___|___|
DON’T KNOW
REFUSED
1
-8
-7
ASK: Respondent who were told they had osteoporosis or had a history of unexplained bone fractures
(AX0149=1)
PATH ID:
AX0151
Screen ID:
Have you ever been told by a doctor or other health professional that you have a cataract, glaucoma,
or vision loss?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0153
GO TO AX0153
GO TO AX0153
ASK: All respondents
PATH ID:
AX0152
Screen ID:
How old were you when you were first told you had a cataract, glaucoma, or vision loss? Please enter
age in years.
|___|___|___|
DON’T KNOW
REFUSED
1
-8
-7
ASK: Respondent who were told they had a cataract, glaucoma, or vision loss (AX0151=1)
PATH ID:
AX0153
Screen ID:
Including living and deceased, were any of your close biological, that is, blood relatives including father,
mother, sisters or brothers, ever told by a health professional that they had…
A heart attack or angina before age 50?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
181
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0154
Screen ID:
Asthma?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0302
Screen ID:
During the past 12 months, have you visited an emergency room or urgent care center for a health
problem of your own?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0156
GO TO AX0156
GO TO AX0156
ASK: All respondents
PATH ID:
AX0155
Screen ID:
During the past 12 months, how many times have you visited an emergency room or urgent care center
for a health problem of your own? Please enter a number.
1
-8
-7
I__I__I
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0156
Screen ID:
On average in the past two years, how frequently did you take aspirin? Please do not count other pain
relievers such as Ibuprofen and Tylenol.
1
2
3
4
5
6
-8
-7
Never
1-3 days per month
1-2 days per week
3-4 days per week
5-6 days per week
Daily
DON’T KNOW
REFUSED
GO TO AX0158
GO TO AX0158
GO TO AX0158
ASK: All respondents
PATH
Adult Extended Interview
182
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0157
Screen ID:
What type of aspirin do you usually take?
1
2
-8
-7
Baby aspirin
Regular or extra strength aspirin
DON’T KNOW
REFUSED
ASK: Respondents who have taken aspirin in the past two years (AX0156>1)
BOX – DISPLAY INSTRUCTIONS
For AX0158, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0158
Screen ID:
What type of anti-inflammatory or pain medication, other than aspirin, do you usually take? Choose all
that apply.
1
2
3
-8
-7
Cox-2 inhibitors, for example Celebrex, Vioxx
Tylenol (acetaminophen)
Other anti-inflammatory medications other than aspirin, for example, ibuprofen,
Motrin, Advil, Naprosyn, Aleve
DON’T KNOW
REFUSED
ASK: All respondents
BOX – DISPLAY INSTRUCTIONS
For AX0159, display a “Yes” and “No” column with options for each response category.
PATH
Adult Extended Interview
183
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0159
Screen ID:
What type of heart or blood pressure medications do you usually take? Choose all that apply.
1
2
3
4
5
6
7
8
-8
-7
Calcium Channel Blocker – for example: nifedipine (Procardia, Adalat), diltiazem
(Cardizem), amlodipine (Norvasc), verapamil (Calan), nisoldipine (Sular)
Beta Blocker – for example: metoprolol (Lopressor), atenolol (Tenormin), propranolol
(Inderal)
Angiotensin Receptor Blocker – for example: iosartan (Cozaar ), irbesartan (Avapro),
valsartan (Diovan), candesartan (Atacand), telmisartan (Micardis), olmesartan (Benicar)
Ace Inhibitor – for example: enalapril (Vasotec), lisinopril (Zestril, Prinivil), captopril
(Capoten), benazepril (Lotensin), quinapril (Accupril), fisinopril (Monopril)
Diuretic – for example: furosemide (Lasix), indapamide (Lozol), triamterene (Dyrenium),
thiazides (HCTZ), triamterene/HCTZ (Dyazide)
Digoxin
Antiarrhythmic
Other heart or blood pressure medications, for example: methyldopa (Aldomet,
Apresoline)
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0160
Screen ID:
Have you ever taken any medications to reduce cholesterol, for example: pravastatin (Pravachol),
atorvastatin (Lipitor), simvastatin (Zocor)?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
Box AX3. Display question AX0161, AX0162, AX0163, AX0164 on one screen. Show the
intro/transition text from AX0161 first, then show each item and responses. As each item is answered,
show the next.
PATH
Adult Extended Interview
184
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0161
Screen ID:
The following questions are about common problems people may have.
When was the last time that you had significant problems with…
Feeling very trapped, lonely, sad, blue, depressed, or hopeless about the future?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0162
Screen ID:
When was the last time that you had significant problems with…
Sleep trouble, such as bad dreams, sleeping restlessly, or falling asleep during the day?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0163
Screen ID:
When was the last time that you had significant problems with…
Feeling very anxious, nervous, tense, scared, panicked, or like something bad was going to happen?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
185
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0164
Screen ID:
When was the last time that you had significant problems with…
Becoming very distressed and upset when something reminded you of the past?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
Box AX4. Display question AX0165, AX0166, AX0167, AX0168, AX0169, AX0250, AX0251 on one
screen. Show the intro/transition text from AX0165 first, then show each item and responses. As each
item is answered, show the next.
PATH ID:
AX0165
Screen ID:
When was the last time that you did the following things two or more times?
Lied or conned to get things you wanted or to avoid having to do something
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0166
Screen ID:
When was the last time that you did the following things two or more times...
Had a hard time paying attention at school, work, or home?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
186
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0167
Screen ID:
When was the last time that you did the following things two or more times…
Had a hard time listening to instructions at school, work, or home?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0168
Screen ID:
When was the last time that you did the following things two or more times…
Were a bully or threatened other people?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0169
Screen ID:
When was the last time that you did the following things two or more times…
Started physical fights with other people?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
187
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0250
Screen ID:
When was the last time that you did the following things two or more times…
Felt restless or the need to run around or climb on things?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0251
Screen ID:
Gave answers before the other person finished asking the question?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0084
Screen ID:
The next questions ask about your use of alcohol and other drugs.
Have you ever used alcohol?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0085
GO TO AX0085
GO TO AX0085
ASK: All respondents
PATH ID:
AX0073
Screen ID:
How long has it been since you last used alcohol? Is it …
1
2
3
-8
-7
Within the past 30 days
More than 30 days, but within the past year
More than a year ago
DON’T KNOW
REFUSED
ASK: Respondents who have ever used alcohol (AX0084=1)
PATH
Adult Extended Interview
188
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0074
Screen ID:
About how old were you when you first started drinking, not counting small tastes or sips of alcohol?
Please enter age in years.
I___I___I___I
DON’T KNOW
REFUSED
1
-8
-7
ASK: Respondents who have ever used alcohol (AX0084=1)
PATH ID:
AX0075
Screen ID:
Think specifically about the past 30 days, from [DATEFILL*], up to and including today. During the past
30 days, on how many days did you drink one or more drinks of an alcoholic beverage? Count a drink
as a can or bottle of beer; a wine cooler or a glass of wine, champagne, or sherry; a shot of liquor or a
mixed drink or cocktail.
1
-8
-7
# OF DAYS |__|__|
DON’T KNOW
REFUSED
[RANGE: 0 - 30]
ASK: Respondents who have ever used alcohol (AX0084=1)
PROGRAM: *DATEFILL is the date 30 days prior to the date of the interview.
GO TO: If AX0075 > 0, go to AX0076
Else if Ever user Tobacco, go to AX0077
Else go to AX0085
PATH ID:
AX0076
Screen ID:
On the days that you drank during the past 30 days, how many drinks did you usually have each day?
Count a drink as a can or bottle of beer; a wine cooler or a glass of wine, champagne, or sherry; a shot
of liquor or a mixed drink or cocktail.
1
-8
-7
# OF DRINKS |__|__|
DON’T KNOW
REFUSED
[RANGE: 1 - 90]
ASK: Respondents who drank alcohol one or more days (AX0075>0)
GO TO: If Ever user Tobacco, go to AX0077
Else go to AX0085
PATH
Adult Extended Interview
189
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0077
Screen ID:
At the age that you first started drinking, did you also [ smoke cigarettes | use tobacco products |
smoke cigarettes or use other tobacco products ]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Ever tobacco users who have also ever used alcohol (AX0084=1)
PROGRAM: If cigarette-only user fill with “smoke cigarettes”
If non-cigarette tobacco user fill with “use tobacco products”
If cigarette+tobacco user, fill with “smoke cigarettes or use other tobacco products”.
PATH ID:
AX0085
Screen ID:
Have you ever used marijuana, hash, THC, or grass?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0089
GO TO AX0089
GO TO AX0089
ASK: All respondents
PATH ID:
AX0078
Screen ID:
How long has it been since you last used marijuana, hash, THC, or grass?
1
2
3
-8
-7
Within the past 30 days
More than 30 days ago, but within the past year
More than a year ago
DON’T KNOW
REFUSED
ASK: Respondents who have ever used marijuana (AX0085=1)
PATH ID:
AX0079
Screen ID:
How old were you when you first started using marijuana, hash, THC, or grass? Please enter age in
years.
I___I___I___I
1
DON’T KNOW
-8
REFUSED
-7
ASK: Respondents who have ever used marijuana (AX0085=1)
GO TO: If Ever user Tobacco, go to AX0080
Else go to AG9105
PATH
Adult Extended Interview
190
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0080
Screen ID:
At the age that you first started using marijuana, hash, THC or grass, did you also [ smoke cigarettes |
use tobacco products | smoke cigarettes or use other tobacco products ]?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who are ever tobacco users who have also ever used marijuana (AX0085=1)
PROGRAM: If cigarette-only user fill with “smoke cigarettes”
If non-cigarette tobacco user fill with “use tobacco products”
If cigarette+tobacco user, fill with “smoke cigarettes or use other tobacco products”.
PATH ID:
AG9105
Screen ID:
Sometimes people take tobacco out of a cigar or cigarillo and replace it with marijuana. This is
sometimes called a “blunt”.
Have you ever smoked part or all of a cigar or cigarillo with marijuana in it?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have ever used marijuana (AX0085=1)
BOX – DISPLAY INSTRUCTIONS
For AX0089, display a “Yes” and “No” column with options for each response category
PATH ID:
AX0089
Screen ID:
Have you ever used any of the following substances? Choose all that apply.
1
2
3
-8
-7
Cocaine or crack
Stimulants like methamphetamine, speed, or Ritalin® and Adderall® not prescribed for
you or that you took only for the experience or feeling they caused
Any other drugs like heroin, inhalants, solvents, hallucinogens or painkillers, sedatives,
and tranquilizers not prescribed for you or that you took only for the experience or feeling
they caused
DON’T KNOW
GO TO AX0170
REFUSED
GO TO AX0170
ASK: All respondents
GO TO: If AX0089 NOT IN (1,2,3), go to AX0170
Else go to BOX
PATH
Adult Extended Interview
191
PATH
Adult Extended Interview
Version 6.2
BOX – FILL INSTRUCTIONS
CREATE [SUBSTANCEFILL]
Display: If AX0089[1]=1, display ‘cocaine or crack’
If AX0089[2]=1, display ‘stimulants like methamphetamine, speed, or Ritalin® and Adderall® not
prescribed for you or that you took only for the experience or feeling they caused’
If AX0089[3]=3, display ‘Any other drugs like heroin, inhalants, solvents, hallucinogens or painkillers,
sedatives, and tranquilizers not prescribed for you or that you took only for the experience or feeling
they caused’
Repeat AX0081- AX0083 for each group of substances respondent reports ever using in AX0089.
If no substances were selected in AX0089[1]=2 AND AX0089[2]=2 AND AX0089[3]=2, GO TO
AX0170
PATH ID:
AX0081
Screen ID:
How long has it been since you last used [SUBSTANCEFILL]?
1
2
3
-8
-7
Within the past 30 days
More than 30 days, but within the past year
More than a year ago
DON’T KNOW
REFUSED
ASK: Respondents that have ever used [SUBSTANCEFILL] in AX0089
PATH ID:
AX0082
Screen ID:
How old were you when you first started using [SUBSTANCEFILL]? Please enter age in years.
1
-8
-7
I___I___I___I
DON’T KNOW
REFUSED
ASK: Respondents who have ever used [SUBSTANCEFILL] in AX0089
PATH ID:
AX0083
Screen ID:
At the age that you first started using [SUBSTANCEFILL], did you also [ smoke cigarettes | use
tobacco products | smoke cigarettes or use other tobacco products ]?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have ever used [SUBSTANCEFILL] in AX0089
PROGRAM: If cigarette-only user fill with “smoke cigarettes”
If non-cigarette tobacco user fill with “use tobacco products”
If cigarette+tobacco user, fill with “smoke cigarettes or use other tobacco products”.
PATH
Adult Extended Interview
192
PATH
Adult Extended Interview
Version 6.2
Box AX5. Display question AX0170, AX0171, AX0172, AX0173, AX0174 on one screen. Show the
intro/transition text from AX0170 first, then show each item and responses. As each item is answered,
show the next.
PATH ID:
AX0170
Screen ID:
When was the last time that…
You used alcohol or other drugs weekly or more often?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (AX0084=1 OR AX0085=1 OR
AX0089=1 for at least 1 substance)
PATH ID:
AX0171
Screen ID:
When was the last time that…
You spent a lot of time either getting alcohol or other drugs, using alcohol or other drugs, or recovering
from the effects of alcohol or other drugs?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (AX0084=1 OR AX0085=1 OR
AX0089=1 for at least 1 substance)
PATH ID:
AX0172
Screen ID:
When was the last time that…
You kept using alcohol or other drugs even though it was causing social problems, leading to fights, or
getting you into trouble with other people?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (AX0084=1 OR AX0085=1 OR
AX0089=1 for at least 1 substance)
PATH
Adult Extended Interview
193
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0173
Screen ID:
When was the last time that…
Your use of alcohol or other drugs caused you to give up or reduce your involvement in activities at
work, school, home, or social events?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (AX0084=1 OR AX0085=1 OR
AX0089=1 for at least 1 substance)
PATH ID:
AX0174
Screen ID:
When was the last time that…
You had withdrawal problems from alcohol or other drugs like shaky hands, throwing up, having trouble
sitting still or sleeping, or you used any alcohol or other drugs to stop being sick or avoid withdrawal
problems?
1
2
3
4
-8
-7
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (AX0084=1 OR AX0085=1 OR
AX0089=1 for at least 1 substance)
GO TO: If AX0170 IN (1,2,3), go to AX0175
Else if AX0172 IN (1,2,3) OR AX0173 IN (1,2,3) OR AX0174 IN (1,2,3), go to AX0176
Else go to AX0250
BOX – DISPLAY INSTRUCTIONS
For AX0175, display a “Yes” and “No” column with options for each response category.
PATH
Adult Extended Interview
194
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0175
Screen ID:
You mentioned that you used alcohol or drugs at least weekly sometime in the past. Which substances
did you use weekly or more often? Please do not include drugs that were prescribed for you. Choose
all that apply.
1
2
3
4
5
-8
-7
Alcohol
Marijuana, hash, THC or grass
Cocaine or crack
Stimulants like Ritalin®, Adderall®, methamphetamine, or speed
Any other drugs like heroin, painkillers, inhalants, solvents, sedatives,
tranquilizers, or hallucinogens
DON’T KNOW
REFUSED
ASK: Respondents who used alcohol or other drugs weekly or more often (AX0170 IN (1,2,3))
PROGRAM: LIST ONLY THOSE SUBSTANCES A RESPONDENT PREVIOUSLY INDICATED
HE/SHE USED
GO TO: If AX0172 IN (1,2,3) OR AX0173 IN (1,2,3) OR AX0174 IN (1,2,3), go to AX0176
Else go to AX0177
BOX – DISPLAY INSTRUCTIONS
For AX0176, display a “Yes” and “No” column with options for each response category.
PATH ID:
AX0176
Screen ID:
You mentioned that alcohol or drugs caused some problems for you. Which substances caused these
problems? Please do not include drugs that were prescribed for you. Choose all that apply.
1
2
3
4
5
-8
-7
Alcohol
Marijuana, hash, THC or grass
Cocaine or crack
Stimulants like Ritalin®, Adderall®, methamphetamine, or speed
Any other drugs like heroin, painkillers, inhalants, solvents, sedatives, tranquilizers, or
hallucinogens
DON’T KNOW
REFUSED
ASK: Respondents who indicated alcohol or drugs caused problems for them (AX0172 IN (1,2,3) or
AX0173 IN (1,2,3) or AX0174 IN (1,2,3)).
PROGRAM: LIST ONLY THOSE SUBSTANCES A RESPONDENT PREVIOUSLY INDICATED
HE/SHE USED
PATH
Adult Extended Interview
195
PATH
Adult Extended Interview
Version 6.2
INDUSTRY ADVERTISING AND PROMOTION SECTION
DISPLAY TRANSITION TEXT: The following questions ask about tobacco advertising that you may
have seen.
PATH ID:
AX0177
Screen ID:
Thinking about everything that happens around you, in the last 6 months -- since [6 month anchor] -how often have you noticed things that promote tobacco? Would that be…
1
2
3
4
5
-8
-7
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0178
Screen ID:
In the last 6 months -- since [6 month anchor] -- have you noticed tobacco ads or promotions on store
windows or inside stores where tobacco is sold?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0179
Screen ID:
In the last 6 months -- since [6 month anchor] -- have you received an e -mail message with promotions
or coupons for cigarettes or tobacco products?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
196
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0180
Screen ID:
In the last 6 months -- since [6 month anchor] -- have you received promotions or coupons for
cigarettes or tobacco products in the mail?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AX0205
Screen ID:
The next questions are about things you may have seen inside or outside shops or stores where
people can buy tobacco products.
In the past 30 days, have you seen cigarette or other tobacco packages being displayed, including on
shelves or on the counter?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: All respondents
GO TO: If Current User Tobacco AND (AC1047 = 1 OR AE1047 = 1 OR AG1047 = 1 OR AP1047 = 1
OR AH1047 = 1 OR AS1047 = 1 OR AD1047 = 1), go to AX0206
Else if Former User Tobacco, go to AX0212
Else if Age 18-24, go to AX0181
Else if AM0014 IN (1,2,3), go to AM0016
Else if AM0014 = 4, go to AM0017
Else go to AM0018
PATH ID:
AX0206
Screen ID:
In the past 30 days when you were in a store that sells tobacco, did you buy a brand other than your
usual brand because you noticed a special price offer?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AX0208
GO TO AX0208
GO TO AX0208
ASK: Current tobacco users who have a regular brand
PATH
Adult Extended Interview
197
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0207
Screen ID:
In the past 30 days, has this happened just once or twice, a few times, or quite regularly?
1
2
3
-8
-7
Once or twice
A few times
Quite regularly
DON’T KNOW
REFUSED
ASK: Respondents who bought a brand other than their usual brand because it was on sale
(AX0206=1)
PATH ID:
AX0208
Screen ID:
In the past 30 days, have you bought a brand other than your usual brand because of a promotion?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current tobacco users who have a regular brand
PATH ID:
AX0209
Screen ID:
In the past 30 days, have you ever bought a brand because you noticed a promotion for it?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Current tobacco users who do not have a regular brand
PATH ID:
AX0210
Screen ID:
In the past 30 days, have you bought a brand other than your usual brand because you noticed it
displayed in the store or on signs?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AM0016
GO TO AM0016
GO TO AM0016
ASK: Current tobacco users who have a regular brand
PATH
Adult Extended Interview
198
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0211
Screen ID:
In the past 30 days, has this happened just once or twice, a few times, or quite regularly?
1
2
3
-8
-7
Once or twice
A few times
Quite regularly
DON’T KNOW
REFUSED
ASK: Respondents who bought a brand other than their usual brand because it was on display
(AX0210=1)
GO TO: If Former User Tobacco, go to AX0212
Else if Age 18-24, go to AX0181
Else if AM0014 IN (1,2,3), go to AM0016
Else if AM0014 = 4, go to AM0017
Else go to AM0018
PATH ID:
AX0212
Screen ID:
Since you quit using tobacco, has there been a time when seeing a tobacco product display or other
signs that tobacco is sold there, has given you an urge to buy tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Former tobacco users
GO TO: If AX0212 = 1, go to AX0213
Else if Age 18-24, go to AX0181
Else if AM0014 IN (1,2,3), go to AM0016
Else if AM0014 = 4, go to AM0017
Else go to AM0018
PATH ID:
AX0213
Screen ID:
In the past 30 days, since you quit using tobacco, has this happened just once or twice, a few times, or
quite regularly?
1
2
3
-8
-7
Once or twice
A few times
Quite regularly
DON’T KNOW
REFUSED
ASK: Respondents who had the urge to buy tobacco when seeing a display (AX0212=1)
GO TO: if Age 18-24, go to AX0181
Else if AM0014 IN (1,2,3), go to AM0016
Else if AM0014 = 4, go to AM0017
Else go to AM0018
PATH
Adult Extended Interview
199
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AX0181
Screen ID:
DISPLAY 8 RANDOMLY SELECTED CIGARETTE ADS HERE, ONE AT A TIME. THE SELECTION
OF SPECIFIC ADS WILL BE MADE JUST PRIOR TO LAUNCH OF FIELD OPERATIONS BASED ON
THE MOST CURRENT INFORMATION.
EACH PICTURE SHOWS A CIGARETTE ADVERTISEMENT
In the past 12 months, have you seen this advertisement before this study?
Yes
No
DON’T KNOW
REFUSED
1
2
-8
-7
GO TO NEXT AD; IF LAST AD, GO TO BOX AX7
GO TO NEXT AD; IF LAST AD, GO TO BOX AX7
GO TO NEXT AD; IF LAST AD, GO TO BOX AX7
ASK: Respondents age 18 to 24
PATH ID:
AX0183
Screen ID:
Did this ad grab your attention?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents age 18 to 24 who have seen the ad (AX0181=1)
PATH ID:
AX0182
Screen ID:
Did you talk to your friends or family members about this ad?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents age 18 to 24 who have seen the ad (AX0181=1)
PROGRAMMING NOTE: Go to next ad; if last ad, go to BOX AX7
BOX AX7
GO TO: If AM0014 IN (1,2,3), go to AM0016
Else if AM0014 = 4, go to AM0017
Else go to AM0018
PATH
Adult Extended Interview
200
PATH
Adult Extended Interview
Version 6.2
ADDITIONAL DEMOGRAPHICS
DISPLAY TRANSITION TEXT: Finally, we have a few additional questions about you, your work,
education and health insurance.
PATH ID:
AM0016
Screen ID:
What is your main job title or occupation?
________________________________________________________________
ASK: Respondents who currently work for pay (AM0014=1,2,3)
GO TO: AM0018
PATH ID:
AM0017
Screen ID:
Are you currently:
1
2
3
4
5
6
7
-8
-7
Looking for paid work
A student not looking for paid work
A homemaker or caregiver not looking for paid work
Retired
Unable to work for physical or mental health reasons
Unable to work due to other reasons
None of the above
DON’T KNOW
REFUSED
ASK: Respondents who don’t currently work for pay (AM0014=4)
PATH ID:
AM0018
Screen ID:
What is the highest grade or level of school you completed?
1
2
3
4
5
6
7
8
9
10
11
-8
-7
Less than high school
Some high school, no diploma
GED
High school graduate—diploma
Some college but no degree
Associate degree—occupational/vocational
Associate degree—academic program
Bachelor’s degree (ex: for example, BA, AB, BS)
Master’s degree (ex: MA, MS, MEng, Med, MSW)
Professional school degree (ex: MD, DDS, DVM, JD)
Doctorate degree (ex: PhD, EdD)
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
201
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AM0019
Screen ID:
Are you currently enrolled in a degree program?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
GO TO AM0021
GO TO AM0021
GO TO AM0021
ASK: All respondents
PATH ID:
AM0020
Screen ID:
Is it a graduate or professional program, technical or vocational program, a 2-year degree program, or
a 4-year degree program, or a graduate or professional program?
1
2
3
4
-8
-7
Technical/vocational program
2-year degree program
4-year degree program
Graduate/professional program
DON’T KNOW
REFUSED
ASK: Respondents who are enrolled in a degree program (AM0019=1)
PATH ID:
AM0015
Screen ID:
In the past 30 days, because of a shortage of money, were you unable to pay any important bills on
time, such as electricity, telephone or rent bills?
1
2
7
-8
-7
Yes
No
Not applicable
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
202
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AM0021
Screen ID:
The next question asks about your level of sexual attraction to BOTH males and females. Please
consider the response choices carefully, as it is important that you understand them and are as honest
as you can be in your answer.
To whom have you felt sexually attracted, even if you did not take any action based on feeling
attracted?
1
2
3
4
5
6
-8
-7
Only to females, never to males
Mostly to females, and at least once to a male
About equally often to females and to males
Mostly to males, and at least once to a female
Only to males, never to females
I have never felt sexually attracted to anyone at all
DON’T KNOW
REFUSED
ASK: All respondents
PROGRAM: Order shown is for male respondents. Reverse the order of categories 1 to 5 for female
respondents.
PATH ID:
AM0022
Screen ID:
Do you think of yourself as:
1
2
3
4
-8
-7
[Gay | Lesbian or gay]
[Straight, that is not gay | Straight, that is, not Lesbian or gay]
Bisexual
Something else
DON’T KNOW
REFUSED
GO TO AM0026
GO TO AM0026
GO TO AM0026
GO TO AM0024
GO TO AM0026
ASK: All respondents
PROGRAM: For male respondents, display the first option for response categories 1 and 2. For
female respondents, display the second option.
PATH
Adult Extended Interview
203
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AM0023
Screen ID:
By something else, do you mean that…
1
2
3
4
5
6
7
-8
-7
You are not straight, but identify with another label such as queer,
trisexual, omnisexual or pan-sexual
You are transgender, transsexual, or gender variant
You have not figured out your sexuality or are in the process of
figuring it out
You do not think of yourself as having a sexuality
You do not use labels to identify yourself
You made a mistake and did not mean to pick this answer
You mean something else
DON’T KNOW
REFUSED
GO TO AM0026
GO TO AM0026
GO TO AM0026
GO TO AM0026
GO TO AM0026
GO TO AM0022
GO TO AM0025
GO TO AM0024
GO TO AM0026
ASK: Respondents who selected “something else” in (AM0022
=4)
PATH ID:
AM0024
Screen ID:
You did not enter an answer for the question. Is that because:
1
2
7
-8
-7
You don’t understand the words
You understand the words, but you have not figured out your
sexuality or are in the process of figuring it out
You mean something else
DON’T KNOW
REFUSED
GO TO AM0026
GO TO AM0026
GO TO AM0026
GO TO AM0026
ASK: Respondents who selected “don’t know” in (AM0022=-8 or AM0023=-8)
PATH ID:
AM0025
Screen ID:
What do you mean by something else? Please type in your answer:
-8
-7
[OPEN TEXT FIELD]
DON’T KNOW
REFUSED
ASK: Respondents who selected “something else” in (AM0023=7 or AM0024=7)
BOX – DISPLAY INSTRUCTIONS
For AM0026, display a “Yes” and “No” column with options for each response category.
PATH
Adult Extended Interview
204
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AM0026
Screen ID:
Are you currently covered by any of the following types of health insurance or health coverage
plans? Choose all that apply.
1
2
3
4
5
6
7
-8
-7
Insurance through a current or former employer or union (of yourself or a family member)
Insurance purchased directly from an insurance company (by yourself or a family
member)
Medicare, for people 65 and older, or people with certain disabilities
Medicaid, Medical Assistance, or any kind of government-assistance plan for those with
low incomes or a disability
TRICARE or other military health care
VA
Indian Health Service
DON’T KNOW
REFUSED
ASK: All respondents
GO TO: If Current User tobacco, go to AX0214
Else go to AL0001
PATH ID:
AX0214
Screen ID:
We would like to scan the bar code on any tobacco products you have right now. Our interviewer will
do the scanning for you. Other people in your home might see the products as you hand them to the
interviewer.
Is it OK to scan your tobacco products now?
1
2
-7
Yes
No
REFUSED
GO TO AL0001
GO TO AL0001
ASK: Respondents who use a tobacco product
PATH ID:
AX0215
Screen ID:
Thank you. Please hand the computer to the interviewer. Then get all your own tobacco products and
give them to the interviewer. The interviewer will give them right back to you.
-7
REFUSED
ASK: Respondents who use a tobacco product and agreed to scanning (AX0214=1)
PATH ID:
AX0217
Screen ID:
SCAN ALL BARCODES.
RETURN ALL PRODUCTS TO THE RESPONDENT.
ASK: Respondents who use a tobacco product and did not refuse to get products for scanning
(AX0215 <> -7)
PATH
Adult Extended Interview
205
PATH
Adult Extended Interview
Version 6.2
RECENT USE OF TOBACCO AND RELATED PRODUCTS
PATH ID:
AC0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Cigarettes?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who smoke cigarettes and have agreed to biospecimen collection
PATH ID:
AC0101
Screen ID:
When did you last smoke a cigarette?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a cigarette today, yesterday or the day before yesterday
(AC0100=1)
PATH ID:
AC0102
Screen ID:
What time of day did you last smoke a cigarette?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a cigarette today, yesterday or the day before yesterday
(AC0100=1)
PATH ID:
AC0103
Screen ID:
During the day you last smoked a cigarette, how many did you smoke?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK Respondents who have smoked a cigarette today, yesterday or the day before yesterday
(AC0100=1)
PATH
Adult Extended Interview
206
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AE0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
E-cigarettes?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use e-cigarettes and have agreed to biospecimen collection
PATH ID:
AE0101
Screen ID:
When did you last use an e-cigarette?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used an e-cigarette today, yesterday or the day before yesterday
(AE0100=1)
PATH ID:
AE0102
Screen ID:
What time of day did you last use an e-cigarette?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used an e-cigarette today, yesterday or the day before yesterday
(AE0100=1)
PATH ID:
AE0103
Screen ID:
During the day you last used an e-cigarette, how many times did you use it?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used an e-cigarette today, yesterday or the day before yesterday
(AE0100=1)
PATH
Adult Extended Interview
207
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Cigars?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who smoke cigars and have agreed to biospecimen collection
PATH ID:
AG0101
Screen ID:
When did you last smoke a cigar?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a cigar today, yesterday or the day before yesterday
(AG0100=1)
PATH ID:
AG0102
Screen ID:
What time of day did you last smoke a cigar?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a cigar today, yesterday or the day before yesterday
(AG0100=1)
PATH ID:
AG0103
Screen ID:
During the day you last smoked a cigar, how many did you smoke?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a cigar today, yesterday or the day before yesterday
(AG0100=1)
PATH
Adult Extended Interview
208
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG0104
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Cigarillos?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who smoke cigarillos and have agreed to biospecimen collection
PATH ID:
AG0105
Screen ID:
When did you last smoke cigarillos?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have smoked cigarillos today, yesterday or the day before yesterday
(AG0104=1)
PATH ID:
AG0106
Screen ID:
What time of day did you last smoke cigarillos?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have smoked cigarillos today, yesterday or the day before yesterday
(AG0104=1)
PATH ID:
AG0107
Screen ID:
During the day you last smoked cigarillos, how many did you smoke?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have smoked cigarillos today, yesterday or the day before yesterday
(AG0104=1)
PATH
Adult Extended Interview
209
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AG0108
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Filtered cigars?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who smoke filtered cigars and have agreed to biospecimen collection
PATH ID:
AG0109
Screen ID:
When did you last smoke filtered cigars?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have smoked filtered cigars today, yesterday or the day before yesterday
(AG0108=1)
PATH ID:
AG0110
Screen ID:
What time of day did you last smoke filtered cigars?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have smoked filtered cigars today, yesterday or the day before yesterday
(AG0108=1)
PATH ID:
AG0111
Screen ID:
During the day you last smoked filtered cigars, how many did you smoke?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have smoked filtered cigars today, yesterday or the day before yesterday
(AG0108=1)
PATH
Adult Extended Interview
210
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AP0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Regular pipe filled with tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who smoke pipes and have agreed to biospecimen collection
PATH ID:
AP0101
Screen ID:
When did you last smoke a regular pipe filled with tobacco?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe today, yesterday or the day before yesterday (AP0100=1)
PATH ID:
AP0102
Screen ID:
What time of day did you last smoke a regular pipe filled with tobacco?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe today, yesterday or the day before yesterday (AP0100=1)
PATH ID:
AP0103
Screen ID:
During the day you last smoked a regular pipe filled with tobacco, how many bowls did you smoke?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe today, yesterday or the day before yesterday (AP0100=1)
PATH
Adult Extended Interview
211
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AH0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Hookah?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who smoke a hookah and have agreed to biospecimen collection
PATH ID:
AH0101
Screen ID:
When did you last smoke a hookah?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a hookah today, yesterday or the day before yesterday
(AH0100=1)
PATH ID:
AH0102
Screen ID:
What time of day did you last smoke a hookah?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a hookah today, yesterday or the day before yesterday
(AH0100=1)
PATH ID:
AH0103
Screen ID:
During the day you last smoked a hookah, how many times did you smoke it?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a hookah today, yesterday or the day before yesterday
(AH0100=1)
PATH
Adult Extended Interview
212
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AU0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Snus pouches?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use snus and have agreed to biospecimen collection
PATH ID:
AU0101
Screen ID:
When did you last use snus pouches?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used snus today, yesterday or the day before yesterday (AU0100=1)
PATH ID:
AU0102
Screen ID:
What time of day did you last use snus pouches?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used snus today, yesterday or the day before yesterday (AU0100=1)
PATH ID:
AU0103
Screen ID:
During the day you last used snus pouches, how many did you use?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used snus today, yesterday or the day before yesterday (AU0100=1)
PATH
Adult Extended Interview
213
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AS0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Smokeless tobacco (such as chew, snuff, or dip)?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use smokeless tobacco and have agreed to biospecimen collection
PATH ID:
AS0101
Screen ID:
When did you last use smokeless tobacco?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used smokeless tobacco today, yesterday or the day before yesterday
(AS0100=1)
PATH ID:
AS0102
Screen ID:
What time of day did you last use smokeless tobacco?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used smokeless tobacco today, yesterday or the day before yesterday
(AS0100=1)
PATH ID:
AS0103
Screen ID:
During the day you last used smokeless tobacco, how many times did you use it?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used smokeless tobacco today, yesterday or the day before yesterday
(AS0100=1)
PATH
Adult Extended Interview
214
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AD0100
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Dissolvable tobacco?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use dissolvable tobacco and have agreed to biospecimen collection
PATH ID:
AD0101
Screen ID:
When did you last use dissolvable tobacco?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used dissolvable tobacco today, yesterday or the day before yesterday
(AD0100=1)
PATH ID:
AD0102
Screen ID:
What time of day did you last use dissolvable tobacco?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used dissolvable tobacco today, yesterday or the day before yesterday
(AD0100=1)
PATH ID:
AD0103
Screen ID:
During the day you last used dissolvable tobacco, how many pieces did you use?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used dissolvable tobacco today, yesterday or the day before yesterday
(AD0100=1)
PATH
Adult Extended Interview
215
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0306
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Nicotine patch?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use a nicotine patch and have agreed to biospecimen collection
PATH ID:
AN0307
Screen ID:
When did you last use a nicotine patch?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine patch today, yesterday or the day before yesterday
(AN0306=1)
PATH ID:
AN0308
Screen ID:
What time of day did you last use a nicotine patch?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine patch today, yesterday or the day before yesterday
(AN0306=1)
PATH ID:
AN0309
Screen ID:
During the day you last used a nicotine patch, how many did you use?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine patch today, yesterday or the day before yesterday
(AN0306=1)
PATH
Adult Extended Interview
216
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0310
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Nicotine gum?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use nicotine gum and have agreed to biospecimen collection
PATH ID:
AN0311
Screen ID:
When did you last use nicotine gum?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used nicotine gum today, yesterday or the day before yesterday
(AN0310=1)
PATH ID:
AN0312
Screen ID:
What time of day did you last use nicotine gum?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used nicotine gum today, yesterday or the day before yesterday
(AN0310=1)
PATH ID:
AN0313
Screen ID:
During the day you last used nicotine gum, how many pieces did you use?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used nicotine gum today, yesterday or the day before yesterday
(AN0310=1)
PATH
Adult Extended Interview
217
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0314
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Nicotine inhaler?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use a nicotine inhaler and have agreed to biospecimen collection
PATH ID:
AN0315
Screen ID:
When did you last use a nicotine inhaler?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine inhaler today, yesterday or the day before yesterday
(AN0314=1)
PATH ID:
AN0316
Screen ID:
What time of day did you last use a nicotine inhaler?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine inhaler today, yesterday or the day before yesterday
(AN0314=1)
PATH ID:
AN0317
Screen ID:
During the day you last used a nicotine inhaler, how many times did you use it?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine inhaler today, yesterday or the day before yesterday
(AN0314=1)
PATH
Adult Extended Interview
218
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0318
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Nicotine nasal spray?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use a nicotine nasal spray and have agreed to biospecimen collection
PATH ID:
AN0319
Screen ID:
When did you last use a nicotine nasal spray?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine nasal spray today, yesterday or the day before yesterday
(AN0318=1)
PATH ID:
AN0320
Screen ID:
What time of day did you last use a nicotine nasal spray?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine nasal spray today, yesterday or the day before yesterday
(AN0318=1)
PATH ID:
AN0321
Screen ID:
During the day you last used a nicotine nasal spray, how many times did you use it?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine nasal spray today, yesterday or the day before yesterday
(AN0318=1)
PATH
Adult Extended Interview
219
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0322
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Nicotine lozenge or pill?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who use a nicotine lozenge or pill and have agreed to biospecimen collection
PATH ID:
AN0323
Screen ID:
When did you last use a nicotine lozenge or pill?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine lozenge or pill today, yesterday or the day before
yesterday (AN0322=1)
PATH ID:
AN0324
Screen ID:
What time of day did you last use a nicotine lozenge or pill?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine lozenge or pill today, yesterday or the day before
yesterday (AN0322=1)
PATH ID:
AN0325
Screen ID:
During the day you last used a nicotine lozenge or pill, how many times did you use it?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have used a nicotine lozenge or pill today, yesterday or the day before
yesterday (AN0322=1)
PATH
Adult Extended Interview
220
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AN0326
Screen ID:
Have you used any of the following products today, yesterday or the day before yesterday?
Prescription drug to stop smoking (such as Chantix, varenicline, Wellbutrin, Zyban, or bupropion)?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who take a prescription drug to stop smoking and have agreed to biospecimen
collection
PATH ID:
AN0327
Screen ID:
When did you last take a prescription drug to stop smoking?
1
2
3
4
-8
-7
In the past hour
Sometime today
Yesterday
Day before yesterday
DON’T KNOW
REFUSED
ASK: Respondents who have taken a prescription drug to stop smoking today, yesterday or the day
before yesterday (AN0326=1)
PATH ID:
AN0328
Screen ID:
What time of day did you last take a prescription drug to stop smoking?
1
2
3
-8
-7
Morning
Afternoon
Evening
DON’T KNOW
REFUSED
ASK: Respondents who have taken a prescription drug to stop smoking today, yesterday or the day
before yesterday (AN0326=1)
PATH ID:
AN0329
Screen ID:
During the day you last took a prescription drug to stop smoking, how many did you take?
1
-8
-7
I__I__I
Number
DON’T KNOW
REFUSED
ASK: Respondents who have taken a prescription drug to stop smoking today, yesterday or the day
before yesterday (AN0326=1)
PATH
Adult Extended Interview
221
PATH
Adult Extended Interview
Version 6.2
BLOOD COLLECTION SUITABILITY
PATH ID:
AX0241
Screen ID:
Do you have hemophilia or any bleeding disorder?
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
DO NOT SCHEDULE A BLOOD DRAW.
ASK: Respondents who have agreed to blood collection
PATH
Adult Extended Interview
222
PATH
Adult Extended Interview
Version 6.2
CONTACT INFORMATION SECTION
BOX AL1
ASK CONTACT INFORMATION 1 TIME FOR ADULT RESPONDENT. IF ADULT RESPONDENT IS
SAME RESPONDENT ON PARENT INTERVIEW AND CONTACT INFORMATION WAS NOT
OBTAINED ON PARENT INTERVIEW, PROCEED WITH CONTACT INFORMATION SECTION.
IF ADULT RESPONDENT IS NOT THE SAME RESPONDENT FROM PARENT INTERVIEW,
PROCEED WITH CONTACT INFORMATION SECTION. ELSE SKIP CONTACT INFORMATION
SECTION AND END INTERVIEW.
PATH ID:
AL0001
Screen ID:
I’d like to take a brief moment and get some of your contact information for my records. I’ll use this
information to contact you about your participation in the study. I would like to re-confirm your name
and street address. [PROBE FOR APT AS NECESSARY. VERIFY ALL SPELLING.]
NAME: ______________________________________________________________
FIRST
MI
LAST
___________________________________________________________________
STREET
APT #
___________________________________________________________________
CITY
STATE
ZIP
PROGRAM: PRE-POPULATE NAME FIELDS (FIRST, MI, LAST) BASED ON INFO OBTAINED IN
THE SCREENER
PATH ID:
AL0002
Screen ID:
Do you receive mail at the address you just gave me?
1
2
-8
-7
YES
NO
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0003
Screen ID:
Can I please have your mailing address? [VERIFY ALL SPELLING.]
_________________________________________________________________
MAILING ADDRESS
__________________________________________________________________
CITY
STATE
ZIP
PROGRAM: PRE-POPULATE NAME FIELDS (FIRST, MI, LAST) FROM THE SCREENER
PATH
Adult Extended Interview
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Adult Extended Interview
Version 6.2
PATH ID:
AL0004
Screen ID:
I’d like to get up to two telephone numbers to reach you in the future. Can I please have your
telephone number with area code?
__________
______________________________
AREA CODE
PHONE NUMBER
ASK: All respondents
PATH ID:
AL0005
Screen ID:
Is this your home phone, cell phone or work number?
1
2
3
4
-8
-7
HOME
CELL
WORK
OTHER
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0006
Screen ID:
Can I please have a second telephone number with area code?
__________
______________________________
AREA CODE
PHONE NUMBER
ASK: All respondents
PATH ID:
AL0007
Screen ID:
Is this your home phone, cell phone or work number?
1
2
3
4
-8
-7
HOME
CELL
WORK
OTHER
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0008
Screen ID:
Do you have any other phone numbers you wish to provide?
__________
______________________________
AREA CODE
PHONE NUMBER
ASK: All respondents
PATH
Adult Extended Interview
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PATH
Adult Extended Interview
Version 6.2
PATH ID:
AL0009
Screen ID:
What type of phone number is this?
1
2
3
4
-8
-7
HOME
CELL
WORK
OTHER
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0010
Screen ID:
What is the best number to use to contact you?
1
2
3
4
-8
-7
HOME
CELL
WORK
OTHER
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0011
Screen ID:
What is the best time of day to reach you? Is it…
1
2
3
-8
-7
Morning
Afternoon
Anytime
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0012
Screen ID:
Can you please give me your e-mail address? [LIST UP TO 2 E-MAIL ADDRESSES. VERIFY ALL
SPELLING AND PUNCTUATION.]
_____________________________@________________
E-MAIL ADDRESS
_____________________________@________________
E-MAIL ADDRESS
ASK: All respondents
PATH
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PATH
Adult Extended Interview
Version 6.2
PATH ID:
AL0017
Screen ID:
Of all the contact information you just provided, what is the best way to reach you?
1
2
3
4
-8
-7
Is it your…
Home Phone
Cell Phone
Work Phone
E-mail
DON’T KNOW
REFUSED
ASK: All respondents
PROGRAM: Only display categories for which respondent provided information in AL0004 – AL0012.
PATH ID:
AL0013
Screen ID:
Do you have a Facebook® account?
1
2
-8
-7
YES
NO
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0014
Screen ID:
Can I please have your Facebook® name? We would only use this to contact you about the study. We
would not use it for any other reason. [VERIFY ALL SPELLING, PUNCTUATION AND SPACING.]
__________________________________________________
FACEBOOK® NAME
ASK: RESPONDENTS WHO HAVE A FACEBOOK ACCOUNT (AL0013=1)
PATH ID:
AL0015
Screen ID:
Do you have a Twitter® account?
1
2
-8
-7
YES
NO
DON’T KNOW
REFUSED
ASK: All respondents
PATH
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226
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AL0016
Screen ID:
Can I please have your Twitter® handle? We would only use this to contact you about the study. We
would not use it for any other reason. [VERIFY ALL SPELLING, PUNCTUATION AND SPACING.]
__________________________________________________
TWITTER® HANDLE
ASK: RESPONDENTS WHO HAVE A TWITTER ACCOUNT (AL0015=1)
PATH ID:
AL0018
Screen ID:
Do you anticipate moving or relocating either permanently or temporarily in the next 6 to 12 months?
1
2
3
-8
-7
YES
NO
MAYBE
DON’T KNOW
REFUSED
GO TO AL0020
GO TO AL0020
GO TO AL0020
ASK: All respondents
PATH ID:
AL0019
Screen ID:
Can you provide any additional information on your relocation plans? For example, your new street
address or the city or state to which you plan to move? [PROBE FOR AND RECORD ANY KNOWN
INFORMATION.]
__________________________________________________________________
ASK: Respondents who indicate they might be moving (AL0018=1)
PATH ID:
AL0020
Screen ID:
In case we cannot reach you, can you please give me the contact information of two relatives, friends or
neighbors who will always know how to get in touch with you? We would prefer to have information on
someone who does not live with you. Who is the first person? [VERIFY ALL SPELLING.]
__________________________________________________________________
FIRST NAME
MI
LAST NAME
ASK: All respondents
PATH
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Adult Extended Interview
Version 6.2
PATH ID:
AL0021
Screen ID:
How is [FIRST NAME IN AL0020] related to you?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
91
92
-8
-7
HUSBAND/WIFE
FATHER/MOTHER
FATHER-IN-LAW/MOTHER-IN-LAW
GRANDPARENT
SON/DAUGHTER
SON-IN-LAW/DAUGHTER-IN-LAW
GRANDCHILD
BROTHER/SISTER
BROTHER-IN-LAW/SISTER-IN-LAW
AUNT/UNCLE/COUSIN
NIECE/NEPHEW
ROOMMATE
FRIEND
NEIGHBOR
OTHER RELATIVE (SPECIFY) ________________
OTHER NON-RELATIVE (SPECIFY) ____________
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0022
Screen ID:
What is [FIRST NAME IN AL0020]’s address and telephone number? [VERIFY ALL SPELLING.]
_________________________________________________________________
MAILING ADDRESS
__________________________________________________________________
CITY
STATE
ZIP
_________
______________________________
AREA CODE
PHONE NUMBER
ASK: All respondents
PATH ID:
AL0023
Screen ID:
What type of phone number is this?
1
2
3
4
-8
-7
HOME
CELL
WORK
OTHER
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
228
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Adult Extended Interview
Version 6.2
PATH ID:
AL0024
Screen ID:
Can you please tell me [FIRST NAME IN AL0020]’s e-mail address? [VERIFY ALL SPELLING AND
PUNCTUATION.]
_____________________________@________________
E-MAIL ADDRESS
ASK: All respondents
PATH ID:
AL0025
Screen ID:
What is the name of the second friend or relative? Again, we would prefer someone who does not live
with you.
__________________________________________________________________
FIRST NAME
MI
LAST NAME
ASK: All respondents
PATH ID:
AL0026
Screen ID:
How is [FIRST NAME IN AL0025] related to you?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
91
92
-8
-7
HUSBAND/WIFE
FATHER/MOTHER
FATHER-IN-LAW/MOTHER-IN-LAW
GRANDPARENT
SON/DAUGHTER
SON-IN-LAW/DAUGHTER-IN-LAW
GRANDCHILD
BROTHER/SISTER
BROTHER-IN-LAW/SISTER-IN-LAW
AUNT/UNCLE/COUSIN
NIECE/NEPHEW
ROOMMATE
FRIEND
NEIGHBOR
OTHER RELATIVE (SPECIFY) ________________
OTHER NON-RELATIVE (SPECIFY) ____________
DON’T KNOW
REFUSED
ASK: All respondents
PATH
Adult Extended Interview
229
PATH
Adult Extended Interview
Version 6.2
PATH ID:
AL0027
Screen ID:
What is [FIRST NAME IN AL0025]’s address and telephone number? [VERIFY ALL SPELLING.]
_________________________________________________________________
MAILING ADDRESS
__________________________________________________________________
CITY
STATE
ZIP
_________
______________________________
AREA CODE
PHONE NUMBER
ASK: All respondents
PATH ID:
AL0028
Screen ID:
What type of phone number is this?
1
2
3
4
-8
-7
HOME
CELL
WORK
OTHER
DON’T KNOW
REFUSED
ASK: All respondents
PATH ID:
AL0029
Screen ID:
Can you please tell me [FIRST NAME IN AL0025]’s e-mail address? [VERIFY ALL SPELLING AND
PUNCTUATION.]
_____________________________@________________
E-MAIL ADDRESS
ASK: All respondents
PATH
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PATH
Adult Extended Interview
Version 6.2
APPENDIX A: LOGIC CHECKS AND CONFIRMATIONS
Question
Called From
Type of
check
Logic
AC1006
Range/soft
If AC1006< =5
AC1007
Range/soft
If AC1007< =5
AC1020
Range/soft
If AC1020< =5
AC1021
Range/soft
If AC1021 > 40
PATH
Adult Extended Interview
Message to display
The computer recorded that you first
smoked all or part of a cigarette at age
[AC1006]. Is that correct?
Yes
No, I need to change my answer
DK/R
The computer recorded that you started
smoking cigarettes fairly regularly at age
[AC1007]. Is that correct?
Yes
No, I need to change my answer
DK/R
The computer recorded that you started
smoking cigarettes every day at age
[AC1020]. Is that correct?
Yes
No, I need to change my answer
DK/R
The computer recorded that on average,
you now smoke [AC1021] cigarettes a day.
Is that correct?
Yes
No, I need to change my answer
DK/R
231
Response options and actions
Yes: Go to Box AC 1
No: Go back to AC1006
DK/R: Go to Box AC 1
Yes: Go to Box AC 1
No: Go back to AC1007
DK/R: Go to Box AC 1
Yes: Go to AC9020
No: Go back to AC1020
DK/R: Go to AC9020
Yes: Go to AC9004
No: Go back to AC1021
DK/R: Go to AC9004
PATH
Adult Extended Interview
Version 6.2
Question
Called From
AC1022
AC1024
AC9003
AM0001
PATH
Adult Extended Interview
Type of
check
Consistency
Range/soft
Range/soft
Confirmation
Logic
If AC1022 = 0 OR
AC1022 = 30
If AC1024 > 40
If AC9003 > 40
If response is nonmissing value:
Message to display
You said that you smoked cigarettes some
days. Is that correct?
Yes
No
DK/R
The computer recorded that on average,
you smoked [AC1024] cigarettes a day 12
months ago. Is that correct?
Yes
No, I need to change my answer
DK/R
The computer recorded that on average,
you smoked [AC9003] cigarettes a day while
you were smoking regularly. Is that correct?
Yes
No, I need to change my answer
DK/R
The computer recorded your date of birth as
{AM0001 RESPONSE}. Is that correct?
Note: Continue confirmation routine each
time the respondent re-answers the
question.
232
Response options and actions
Yes: If AC1022 = 0, some day smokers
go to AC1024, while current
experimental smokers go to AC1025.
If AC1022 = 30, some day smokers and
current experimental smokers go to
AC1023
No: Go to AC1003
Yes: Go to AC1025
No: Go back to AC1024
DK/R: Go to AC1025
Yes: Go to BOX AC2
No: Go back to AC9003
DK/R: Go to BOX AC2
Yes: Continue to AGE ELIGIBILITY
DETERMINATION
No: "Please answer this question
again" - loop back to AM0001
DK/R: Follow general DK/Ref probe
rules.
PATH
Adult Extended Interview
Version 6.2
Question
Called From
Type of
check
Logic
Message to display
If response is nonmissing value:
The computer recorded your age as
{AM0002 RESPONSE}. Is that correct?
Note: Continue confirmation routine each
time the respondent re-answers the
question.
AM0002
Confirmation
AN0115
If response is nonConfirmation
missing value:
AN0125
AN0130
AY0010
PATH
Adult Extended Interview
Confirmation
If response is nonmissing value:
Range/soft
IF AN0130num >18
and AN0130unit = 2
IF AN0130num >12
and AN0130unit = 3
IF AN0130num >2
and AN0130unit = 4
Confirmation
If response is nonmissing value:
The computer recorded that during the past
12 months you have tried to quit [ND FILL2]
completely {AN0115 #} times. Is that
correct?
The computer recorded that during the past
12 months you have stopped [ND FILL2]
forone day or longer because you were
trying to quit {AN0125 #} times. Is that
correct?
The computer recorded that the last time
you stopped [ND Fill3] in the past 12 months
because you were trying to quit, was for a
duration of [fill AN0130num AN0130unit(s)].
Is that correct?
Yes
No, I need to change my answer
DK/R
The computer recorded that you usually first
use a tobacco product {AY0010 # [AY0010
unit]} after waking. Is that correct?
233
Response options and actions
Yes:: Go to AGE ELIGIBILITY
DETERMINATION
No: "Please answer this question
again" - loop back to AM0002
DK/R: Follow general DK/Ref probe
rules.
Yes: Continue to next question
No: "Please answer this question
again" - loop back to AN0115
DK/R: Follow general DK/Ref probe
rules.
Yes: Continue to next question
No: "Please answer this question
again" - loop back to AN0125
DK/R: Follow general DK/Ref probe
rules.
Yes: Go to AN0135
No: Go back to AN0130
DK/R: Go to AN0135
Yes: Continue to next question
No: "Please answer this question
again" - loop back to AY0010
DK/R: Follow general DK/Ref probe
rules.
PATH
Adult Extended Interview
Version 6.2
PATH
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234
PATH
Adult Extended Interview
Version 6.2
APPENDIX B: USER GROUP DEFINITIONS
User group
Ever user [PROD]
Current user [PROD]
Everyday user [PROD]
Some day user [PROD]
30 day user [PROD]
Experimental current user [PROD]
Experimental former user [PROD]
PATH
Adult Extended Interview
Cigarettes
Has ever smoked a cigarette, even one or two puffs.
IF AC1002=1 THEN EVER USER = 1 (YES).
IF AC1002=2 OR DK/R THEN EVER USER = 2 (NO).
Has ever smoked a cigarette, has smoked 100 cigarettes (lifetime), and now smokes everyday or some
days.
IF AC1002=1 AND AC1005=5 AND AC1003 = 1 OR 2, THEN CURRENT USER = 1 (YES).
IF AC1002=2, DK/R OR AC1005=1, 2, 3, 4, DK/R OR AC1003 = 3,DK/R, THEN CURRENT USER =2 (NO).
Has ever smoked a cigarette, has smoked 100 cigarettes (lifetime), and now smokes everyday.
IF AC1002=1 AND AC1005=5 AND AC1003 = 1 THEN EVERYDAY USER = 1 (YES).
IF AC1002=2, DK/R OR AC1005=1, 2, 3, 4, DK/R OR AC1003 = 2, 3, DK/R THEN EVERYDAY USER =2 (NO).
Has ever smoked a cigarette, has smoked 100 cigarettes (lifetime) and now smokes some days.
IF AC1002= 1 AND AC1005=5 AND AC1003 = 2 THEN SOME DAY USER = 1 (YES).
IF AC1002=2, DK/R OR AC1005=1, 2, 3, 4, DK/R OR AC1003 = 1, 3, DK/R THEN SOME DAY USER =2 (NO).
Not used in any skip patterns, not defined.
Has ever smoked a cigarette, has NOT smoked 100 cigarettes (lifetime) and now smokes everyday or
some days.
IF AC1002=1 AND AC1005=1, 2, 3, 4 AND AC1003 = 1 or 2 THEN EXPERIMENTAL CURRENT USER = 1
(YES).
IF AC1002=2, DK/R OR AC1005=5, DK/R OR AC1003 = 3, DK/R THEN EXPERIMENTAL CURRENT USER = 2
(NO).
Has ever smoked a cigarette, has NOT smoked 100 cigarettes (lifetime) and now does not smoke at all.
Note: might currently use other products.
IF AC1002=1 AND AC1005=1, 2, 3, 4 AND AC1003 = 3 THEN EXPERIMENTAL FORMER USER = 1 (YES).
IF AC1002=2, DK/R OR AC1005=5, DK/R OR AC1003 = 1, 2, DK/R THEN EXPERIMENTAL FORMER USER =
2 (NO).
235
PATH
Adult Extended Interview
Version 6.2
User group
Former user [PROD]
Former user 12 Month [PROD]
Former user 12 Month Plus
[PROD]
PATH
Adult Extended Interview
Cigarettes
Has ever smoked a cigarette, has smoked 100 cigarettes (lifetime) and now does not smoke at all.
Note: might currently use other products.
IF AC1002=1 AND AC1005=5 AND AC1003=3 THEN FORMER USER = 1 (YES).
IF AC1002=2, DK/R OR AC1005=1, 2, 3, 4, DK/R OR AC1003=1, 2, DK/R THEN FORMER USER = 2 (NO).
Has ever smoked a cigarette, has smoked 100 cigarettes (lifetime), now does not smoke at all, and quit
smoking within the past 12 months. Note: might currently use other products.
IF AC1002=1 AND AC1005=5 AND AC1003=3 AND AC1009 <= 12 MONTHS AGO THEN FORMER USER 12
MONTH = 1 (YES).
IF AC1002=2, DK/R OR AC1005=1, 2, 3, 4, DK/R OR AC1003=1, 2, DK/R OR AC1009 > 12 MONTHS AGO,
DK/R THEN FORMER USER 12 MONTHS = 2 (NO).
Has ever smoked a cigarette, has smoked 100 cigarettes (lifetime), now does not smoke at all, and quit
smoking within longer than 12 months ago. Note: might currently use other products.
IF AC1002=1 AND AC1005=5 AND AC1003=3 AND AC1009 > 12 MONTHS AGO THEN FORMER USER 12
MONTH PLUS = 1 (YES).
IF AC1002= 2, DK/R OR AC1005=1, 2, 3, 4, DK/R OR AC1003=1, 2, DK/R OR AC1009 <= 12 MONTHS AGO,
DK/R THEN FORMER USER 12 MONTHS PLUS = 2 (NO).
236
PATH
Adult Extended Interview
Version 6.2
User group
Ever user [PROD]
Current user [PROD]
Everyday user
[PROD]
PATH
Adult Extended Interview
Traditional Cigars
Has ever used a traditional cigar, even
once or twice.
IF AG9003=1 THEN EVER USER = 1 (YES).
IF AG9003=2 OR DK/R THEN EVER USER =
2 (NO).
Has ever used traditional cigars, is a
regular user, and uses everyday or some
days.
IF AG1100 (TRAD CIGARS) = 1 AND
AG1003 (TRAD CIGARS) = 1 OR 2, THEN
CURRENT USER = 1 (YES).
IF AG1100 (TRAD CIGARS) = 2, DK/R OR
AG1003 (TRAD CIGARS) = 3, DK/R, THEN
CURRENT USER =2 (NO).
Has ever used traditional cigars, is a
regular user, and uses everyday.
IF AG1100 (TRAD CIGARS) = 1 AND
AG1003 (TRAD CIGARS) = 1 THEN
EVERYDAY USER = 1 (YES).
IF AG1100 (TRAD CIGARS), DK/R OR
AG1003 (TRAD CIGARS) = 2, 3, DK/R
THEN EVERYDAY USER =2 (NO).
Cigarillo
Has ever used a cigarillo or FC AND has
used a C/FC with a tip or without a filter,
even once or twice.
IF AG9004=1 (YES) AND [ AG9006=1 (YES)
OR AG9008 = 1(YES) ] THEN EVER USER =
1 (YES).
IF AG9004=2 (NO), DK/R OR [ AG9006=2,
DK/R AND AG9008=2, DK/R ] THEN EVER
USER = 2(NO).
Filtered Cigars
Has ever used a cigarillo or FC AND has
used a C/FC with a filter, even once or
twice.
IF AG9004=1 (YES) AND AG9007=1 (YES)
THEN EVER USER = 1 (YES).
IF AG9004= 2 (NO), DK/R OR AG9007 = 2
(NO), DK/R THEN EVER USER = 2(NO).
Has ever used cigarillos, is a regular user,
and uses everyday or some days.
IF AG1100 (CIGARILLOS) = 1 AND AG1003
(CIGARILLOS) = 1 OR 2, THEN CURRENT
USER = 1 (YES).
IF AG1100 (CIGARILLOS) = 2, DK/R OR
AG1003 (CIGARILLOS) = 3, DK/R, THEN
CURRENT USER =2 (NO).
Has ever used cigarillos, is a regular user,
and uses everyday.
IF AG1100 (CIGARILLOS) = 1 AND AG1003
(CIGARILLOS) = 1 THEN EVERYDAY USER
= 1 (YES).
IF AG1100 (CIGARILLOS), DK/R OR
AG1003 (CIGARILLOS) = 2, 3, DK/R THEN
EVERYDAY USER =2 (NO).
Has ever used filtered cigars, is a regular
user, and uses everyday or some days.
IF AG1100 (FILTERED CIGARS) = 1 AND
AG1003 (FILTERED CIGARS) = 1 OR 2,
THEN CURRENT USER = 1 (YES).
IF AG1100 (FILTERED CIGARS) = 2, DK/R
OR AG1003 (FILTERED CIGARS) = 3, DK/R,
THEN CURRENT USER =2 (NO).
Has ever used filtered cigars, is a regular
user, and uses everyday.
IF AG1100 (FILTERED CIGARS) = 1 AND
AG1003 (FILTERED CIGARS) = 1 THEN
EVERYDAY USER = 1 (YES).
IF AG1100 (FILTERED CIGARS), DK/R OR
AG1003 (FILTERED CIGARS) = 2, 3, DK/R
THEN EVERYDAY USER =2 (NO).
237
PATH
Adult Extended Interview
Version 6.2
User group
Some day user
[PROD]
30 day user [PROD]
Experimental current
user [PROD]
Experimental former
user [PROD]
PATH
Adult Extended Interview
Traditional Cigars
Has ever used traditional cigars, is a
regular user, and uses some days.
IF AG1100 (TRAD CIGARS)=1 AND
AG1003 (TRAD CIGARS) = 2 THEN SOME
DAY USER = 1 (YES).
IF AG1100(TRAD CIGARS)=2, DK/R OR
AG1003 (TRAD CIGARS) = 1, 3, DK/R
THEN SOME DAY USER =2 (NO).
Has ever used traditional cigars and has
used it within the past 30 days.
Not used in any skip patterns, not
defined.
Has ever used traditional cigars, has
never been a regular user, and now uses
traditional cigars every day or some days.
IF AG9003=1 AND AG1100 (TRAD
CIGARS) = 2 and AG1003 (TRAD CIGARS)
= 1 or 2 THEN EXPERIMENTAL CURRENT
USER = 1 (YES).
IF AG9003=2, 3, DK/R ORAG1100 (TRAD
CIGARS) = 2, DK/R OR AG1003 = 3, DK/R
THEN EXPERIMENTAL CURRENT USER = 2
(NO).
Has ever used traditional cigars, has
never been a regular user, and now uses
traditional cigars not at all. Note: might
currently use other traditional cigars.
Cigarillo
Has ever used cigarillos, is a regular user,
and uses some days.
IF AG1100 (CIGARILLOS)=1 AND AG1003
(CIGARILLOS) = 2 THEN SOME DAY USER
= 1 (YES).
IF AG1100(CIGARILLOS)=2, DK/R OR
AG1003 (CIGARILLOS) = 1, 3, DK/R THEN
SOME DAY USER =2 (NO).
Has ever used cigarillos and has used it
within the past 30 days.
Not used in any skip patterns, not
defined.
Has ever used cigarillos, has never been a
regular user, and now uses cigarillos
every day or some days.
IF AG9003=1 AND AG1100 (CIGARILLOS)
= 2 and AG1003 (CIGARILLOS) = 1 or 2
THEN EXPERIMENTAL CURRENT USER = 1
(YES).
IF AG9003=2, 3, DK/R ORAG1100
(CIGARILLOS) = 2, DK/R OR AG1003 = 3,
DK/R THEN EXPERIMENTAL CURRENT
USER = 2 (NO).
Has ever used cigarillos, has never been a
regular user, and now uses cigarillos not
at all. Note: might currently use other
cigarillos.
238
Filtered Cigars
Has ever used filtered cigars, is a regular
user, and uses some days.
IF AG1100 (FILTERED CIGARS)=1 AND
AG1003 (FILTERED CIGARS) = 2 THEN
SOME DAY USER = 1 (YES).
IF AG1100(FILTERED CIGARS)=2, DK/R OR
AG1003 (FILTERED CIGARS) = 1, 3, DK/R
THEN SOME DAY USER =2 (NO).
Has ever used filtered cigars and has
used it within the past 30 days.
Not used in any skip patterns, not
defined.
Has ever used filtered cigars, has never
been a regular user, and now uses
filtered cigars every day or some days.
IF AG9003=1 AND AG1100 (FILTERED
CIGARS) = 2 and AG1003 (FILTERED
CIGARS) = 1 or 2 THEN EXPERIMENTAL
CURRENT USER = 1 (YES).
IF AG9003=2, 3, DK/R ORAG1100
(FILTERED CIGARS) = 2, DK/R OR AG1003
= 3, DK/R THEN EXPERIMENTAL CURRENT
USER = 2 (NO).
Has ever used filtered cigars, has never
been a regular user, and now uses
filtered cigars not at all. Note: might
currently use other filtered cigars.
PATH
Adult Extended Interview
Version 6.2
User group
Former user [PROD]
Former user 12
Month [PROD]
PATH
Adult Extended Interview
Traditional Cigars
IF AG9003=1 AND AG1100 (TRAD
CIGARS)=2 AND AG1003 = 3 THEN
EXPERIMENTAL FORMER USER = 1 (YES).
IF AG9003=2, DK/R OR AG1100 (TRAD
CIGARS)=2 , DK/R OR AG1003 = 1, 2,
DK/R THEN EXPERIMENTAL FORMER
USER = 2 (NO).
Has ever used traditional cigars, has been
a regular user and now does not use
traditional cigars at all. Note: might
currently use other traditional cigars.
IF AG9003=1 AND AG1100 (TRAD
CIGARS) = 1 AND AG1003 (TRAD CIGAR) =
3 THEN FORMER USER = 1 (YES).
IF AG9003=2, DK/R OR AG1100 (TRAD
CIGARS)=2, DK/R OR AG1003 (TRAD
CIGAR)=1, 2, DK/R THEN FORMER USER =
2 (NO).
Has ever used traditional cigars, has been
a regular user, now does not use
traditional cigars at all and quit using the
traditional cigars within the past 12
months. Note: might currently use
other traditional cigars.
Cigarillo
IF AG9003=1 AND AG1100
(CIGARILLOS)=2 AND AG1003 = 3 THEN
EXPERIMENTAL FORMER USER = 1 (YES).
IF AG9003=2, DK/R OR AG1100
(CIGARILLOS)=2 , DK/R OR AG1003 = 1, 2,
DK/R THEN EXPERIMENTAL FORMER
USER = 2 (NO).
Has ever used cigarillos, has been a
regular user and now does not use
cigarillos at all. Note: might currently
use other cigarillos.
IF AG9003=1 AND AG1100 (CIGARILLOS)
= 1 AND AG1003 (TRAD CIGAR) = 3 THEN
FORMER USER = 1 (YES).
IF AG9003=2, DK/R OR AG1100
(CIGARILLOS)=2, DK/R OR AG1003 (TRAD
CIGAR)=1, 2, DK/R THEN FORMER USER =
2 (NO).
Filtered Cigars
IF AG9003=1 AND AG1100 (FILTERED
CIGARS)=2 AND AG1003 = 3 THEN
EXPERIMENTAL FORMER USER = 1 (YES).
IF AG9003=2, DK/R OR AG1100
(FILTERED CIGARS)=2 , DK/R OR AG1003
= 1, 2, DK/R THEN EXPERIMENTAL
FORMER USER = 2 (NO).
Has ever used filtered cigars, has been a
regular user and now does not use
filtered cigars at all. Note: might
currently use other filtered cigars.
IF AG9003=1 AND AG1100 (FILTERED
CIGARS) = 1 AND AG1003 (FILTERED
CIGAR) = 3 THEN FORMER USER = 1 (YES).
IF AG9003=2, DK/R OR AG1100
(FILTERED CIGARS)=2, DK/R OR AG1003
(FILTERED CIGAR)=1, 2, DK/R THEN
FORMER USER = 2 (NO).
Has ever used cigarillos, has been a
regular user, now does not use cigarillos
at all and quit using the cigarillos within
the past 12 months. Note: might
currently use other cigarillos.
Has ever used filtered cigars, has been a
regular user, now does not use filtered
cigars at all and quit using the filtered
cigars within the past 12 months. Note:
might currently use other filtered cigars.
239
PATH
Adult Extended Interview
Version 6.2
User group
Former user 12
Month Plus [PROD]
PATH
Adult Extended Interview
Traditional Cigars
IF AG9003=1 AND AG1100 (TRAD
CIGARS) = 1 AND AG1003 (TRAD CIGAR) =
3 AND AG1009 <= 12 MONTHS AGO
THEN FORMER USER 12 MONTH= 1 (YES).
IF AG9003=2, DK/R OR AG1100 (TRAD
CIGARS)=2, DK/R OR AG1003 (TRAD
CIGAR)=1, 2, DK/R OR AG1009 > 12
MONTHS AGO, DK/R THEN FORMER
USER 12 MONTH= 2 (NO).
Cigarillo
IF AG9003=1 AND AG1100 (CIGARILLOS)
= 1 AND AG1003 (TRAD CIGAR) = 3 AND
AG1009 <= 12 MONTHS AGO THEN
FORMER USER 12 MONTH= 1 (YES).
IF AG9003=2, DK/R OR AG1100
(CIGARILLOS)=2, DK/R OR AG1003 (TRAD
CIGAR)=1, 2, DK/R OR AG1009 > 12
MONTHS AGO, DK/R THEN FORMER
USER 12 MONTH= 2 (NO).
Has ever used traditional cigars, has been
a regular user, now does not use
traditional cigars at all, and quit using the
traditional cigars longer than 12 months
ago. Note: might currently use other
traditional cigars.
IF AG9003=1 AND AG1100 (TRAD
CIGARS) = 1 AND AG1003 (TRAD CIGAR) =
3 AND AG1009 > 12 MONTHS AGO THEN
FORMER USER 12 MONTHPLUS= 1 (YES).
IF AG9003=2, DK/R OR AG1100 (TRAD
CIGARS)=2, DK/R OR AG1003 (TRAD
CIGAR)=1, 2, DK/R OR AG1009 <= 12
MONTHS AGO, DK/R THEN FORMER
USER 12 MONTH PLUS= 2 (NO).
Filtered Cigars
IF AG9003=1 AND AG1100 (FILTERED
CIGARS) = 1 AND AG1003 (FILTERED
CIGAR) = 3 AND AG1009 <= 12 MONTHS
AGO THEN FORMER USER 12 MONTH= 1
(YES).
IF AG9003=2, DK/R OR AG1100
(FILTERED CIGARS)=2, DK/R OR AG1003
(FILTERED CIGAR)=1, 2, DK/R OR AG1009
> 12 MONTHS AGO, DK/R THEN FORMER
USER 12 MONTH= 2 (NO).
Has ever used cigarillos, has been a
regular user, now does not use cigarillos
at all, and quit using the cigarillos longer
than 12 months ago. Note: might
currently use other cigarillos.
IF AG9003=1 AND AG1100 (CIGARILLOS)
= 1 AND AG1003 (TRAD CIGAR) = 3 AND
AG1009 > 12 MONTHS AGO THEN
FORMER USER 12 MONTHPLUS= 1 (YES).
IF AG9003=2, DK/R OR AG1100
(CIGARILLOS)=2, DK/R OR AG1003 (TRAD
CIGAR)=1, 2, DK/R OR AG1009 <= 12
MONTHS AGO, DK/R THEN FORMER
USER 12 MONTH PLUS= 2 (NO).
Has ever used filtered cigars, has been a
regular user, now does not use filtered
cigars at all, and quit using the filtered
cigars longer than 12 months ago. Note:
might currently use other filtered cigars.
IF AG9003=1 AND AG1100 (FILTERED
CIGARS) = 1 AND AG1003 (FILTERED
CIGAR) = 3 AND AG1009 > 12 MONTHS
AGO THEN FORMER USER 12
MONTHPLUS= 1 (YES).
IF AG9003=2, DK/R OR AG1100
(FILTERED CIGARS)=2, DK/R OR AG1003
(FILTERED CIGAR)=1, 2, DK/R OR AG1009
<= 12 MONTHS AGO, DK/R THEN
FORMER USER 12 MONTH PLUS= 2 (NO).
240
PATH
Adult Extended Interview
Version 6.2
User group
Ever user [PROD]
Current user [PROD]
Everyday user [PROD]
Some day user [PROD]
30 day user [PROD]
PATH
Adult Extended Interview
Smokeless Tobacco (not snus)
Snus
Has ever used smokeless tobacco, even once or twice
IF AS1002=2 THEN EVER USER = 1 (YES)
IF AS1002=1 ONLY, OR DK/R THEN EVER USER = 2
(NO)
Has ever used snus, even once or twice
IF AS1002=2 THEN EVER USER = 1 (YES)
IF AS1002=1 ONLY, OR DK/R THEN EVER USER = 2
(NO)
Has ever used product, is a regular user, and uses
everyday or some days
IF AS1100 (SMOKELESS) = 1 (YES) AND AS1003
(SMOKELESS) = 1, 2 THEN CURRENT USER = 1 (YES).
IF AS1100 (SMOKELESS) = 2, DK/R OR AS1003
(SMOKELESS) = 3, DK/R, THEN CURRENT USER = 2
(NO)
Has ever used product, is a regular user, and uses
everyday or some days
IF AS1100 (SNUS) = 1 (YES) AND AS1003 (SNUS) = 1, 2
THEN CURRENT USER = 1 (YES).
IF AS1100 (SNUS) = 2, DK/R OR AS1003 (SNUS) = 3,
DK/R, THEN CURRENT USER = 2 (NO)
Has ever used product, is a regular user, and uses
everyday
IF AS1100 (SMOKELESS) = 1 (YES) AND AS1003
(SMOKELESS) = 1 THEN EVERYDAY USER = 1 (YES).
IF AS1100 (SMOKELESS) = 2, DK/R OR AS1003
(SMOKELESS) = 2,3, DK/R, THEN EVERYDAY USER = 2
(NO)
Has ever used product, is a regular user, and uses
everyday
IF AS1100 (SNUS) = 1 (YES) AND AS1003 (SNUS) = 1
THEN EVERYDAY USER = 1 (YES).
IF AS1100 (SNUS) = 2, DK/R OR AS1003 (SNUS) = 2,3,
DK/R, THEN EVERYDAY USER = 2 (NO)
Has ever used product, is a regular user, and uses
some days.
IF AS1100 (SMOKELESS) = 1 (YES) AND AS1003
(SMOKELESS) = 2 THEN SOME DAY USER = 1 (YES).
IF AS1100 (SMOKELESS) = 2, DK/R OR AS1003
(SMOKELESS) = 1,3, DK/R, THEN SOME DAY USER = 2
(NO)
Has ever used product and has used it within the past
30 days.
Has ever used product, is a regular user, and uses
some days.
IF AS1100 (SNUS) = 1 (YES) AND AS1003 (SNUS) = 2
THEN SOME DAY USER = 1 (YES).
IF AS1100 (SNUS) = 2, DK/R OR AS1003 (SNUS) = 1,3,
DK/R, THEN SOME DAY USER = 2 (NO)
Not used in any skip patterns, not defined.
Not used in any skip patterns, not defined.
241
Has ever used product and has used it within the past
30 days.
PATH
Adult Extended Interview
Version 6.2
User group
Experimental current user
[PROD]
Experimental former user
[PROD]
Former user [PROD]
PATH
Adult Extended Interview
Smokeless Tobacco (not snus)
Snus
Has ever used product, has never been a regular user,
and now uses product every day or some days.
IF AS1002=2 AND AS1100= 2 (NO) AND AS1003
(SMOKELESS) = 1, 2 THEN EXPERIMENTAL CURRENT
USER = 1 (YES)
IF AS1002=1 ONLY, DK/R OR AS1100=1 (YES) AND
AS1003 (SMOKELESS) = 3, DK/R THEN EXPERIMENTAL
CURRENT USER = 2 (NO)
Has ever used product, has never been a regular user,
and now uses product not at all. Note: might
currently use other products.
IF AS1002=2 AND AS1100= 2 (NO) AND AS1003
(SMOKELESS) = 3 THEN EXPERIMENTAL FORMER USER
= 1 (YES)
IF AS1002=1 ONLY, DK/R OR AS1100=1 (YES) AND
AS1003 (SMOKELESS) = 1,2, DK/R THEN
EXPERIMENTAL FORMER USER = 2 (NO)
Has ever used product, has never been a regular user,
and now uses product every day or some days.
IF AS1002=2 AND AS1100= 2 (NO) AND AS1003 (SNUS)
= 1, 2 THEN EXPERIMENTAL CURRENT USER = 1 (YES)
IF AS1002=1 ONLY, DK/R OR AS1100=1 (YES) AND
AS1003 (SNUS) = 3, DK/R THEN EXPERIMENTAL
CURRENT USER = 2 (NO)
Has ever used product, has been a regular user and
now does not use product at all. Note: might
currently use other products.
IF AS1002=2 AND AS1100=1(YES) AND
AS1003(SMOKELESS) = 3 THEN FORMER USER = 1
(YES).
IF AS1002=1 ONLY, DK/R AND AS1100=2(NO) OR
AS1003(SMOKELESS)=1,2,DK/R THEN FORMER USER =
2 (NO)
Has ever used product, has been a regular user and
now does not use product at all. Note: might
currently use other products.
IF AS1002=1 AND AS1100=1(YES) AND AS1003(SNUS)
= 3 THEN FORMER USER = 1 (YES).
IF AS1002=2 ONLY, DK/R AND AS1100=2(NO) OR
AS1003(SNUS)=1,2,DK/R THEN FORMER USER = 2
(NO)
242
Has ever used product, has never been a regular user,
and now uses product not at all. Note: might
currently use other products.
IF AS1002=2 AND AS1100= 2 (NO) AND AS1003 (SNUS)
= 3 THEN EXPERIMENTAL FORMER USER = 1 (YES)
IF AS1002=1 ONLY, DK/R OR AS1100=1 (YES) AND
AS1003 (SNUS) = 1,2, DK/R THEN EXPERIMENTAL
FORMER USER = 2 (NO)
PATH
Adult Extended Interview
Version 6.2
User group
Former user 12 Month
[PROD]
Former user 12 Month Plus
[PROD]
PATH
Adult Extended Interview
Smokeless Tobacco (not snus)
Snus
Has ever used product, has been a regular user, now
does not use product at all and quit using the product
within the past 12 months. Note: might currently use
other products.
IF AS1002=2 AND AS1100=1(YES) AND
AS1003(SMOKELESS) = 3 AND AS1009 <=12 MONTHS
AGO THEN FORMER USER 12 MONTH = 1 (YES).
IF AS1002=1 ONLY, DK/R AND AS1100=2(NO) OR
AS1003(SMOKELESS)=1,2,DK/R OR AC1009>12
MONTHS AGO, DK/R THEN FORMER USER 12 MONTH
= 2 (NO)
Has ever used product, has been a regular user, now
does not use product at all and quit using the product
within the past 12 months. Note: might currently use
other products.
IF AS1002=1 AND AS1100=1(YES) AND AS1003(SNUS)
= 3 AND AS1009 <=12 MONTHS AGO THEN FORMER
USER 12 MONTH = 1 (YES).
IF AS1002=2 ONLY, DK/R AND AS1100=2(NO) OR
AS1003(SNUS)=1,2,DK/R OR AC1009>12 MONTHS
AGO, DK/R THEN FORMER USER 12 MONTH = 2 (NO)
Has ever used product, has been a regular user, now
does not use product at all, and quit using the product
longer than 12 months ago. Note: might currently
use other products.
IF AS1002=2 AND AS1100=1(YES) AND
AS1003(SMOKELESS) = 3 AND AS1009 >12 MONTHS
AGO THEN FORMER USER 12 MONTH PLUS = 1 (YES).
IF AS1002=1 ONLY, DK/R AND AS1100=2(NO) OR
AS1003(SMOKELESS)=1,2,DK/R OR AC1009<=12
MONTHS AGO, DK/R THEN FORMER USER 12 MONTH
PLUS = 2 (NO)
Has ever used product, has been a regular user, now
does not use product at all, and quit using the product
longer than 12 months ago. Note: might currently
use other products.
IF AS1002=1 AND AS1100=1(YES) AND AS1003(SNUS)
= 3 AND AS1009 >12 MONTHS AGO THEN FORMER
USER 12 MONTH PLUS = 1 (YES).
IF AS1002=2 ONLY, DK/R AND AS1100=2(NO) OR
AS1003(SNUS)=1,2,DK/R OR AC1009<=12 MONTHS
AGO, DK/R THEN FORMER USER 12 MONTH PLUS = 2
(NO)
243
PATH
Adult Extended Interview
Version 6.2
User group
Ever user [PROD]
Current user [PROD]
Everyday user [PROD]
Some day user [PROD]
30 day user [PROD]
PATH
Adult Extended Interview
E-cigarettes, pipe, dissolvable
Has ever used product, even once or twice.
IF A*1002=1 THEN EVER USER = 1 (YES).
IF A*1002=2 OR DK/R THEN EVER USER = 2 (NO).
Has ever used product, is a regular user, and uses
everyday or some days.
IF A*1100=2 (NO), DK/ROR A*1003 = 3, DK/R, THEN
CURRENT USER =2 (NO).
Hookah
Has smoked a hookah, even one or two puffs.
IF AH1002=1 THEN EVER USER = 1 (YES).
IF AH1002=2 OR DK/R THEN EVER USER = 2 (NO).
Has ever smoked a hookah, is a regular hookah
smoker, and smokes a hookah every day, some
days, or monthly.
IF AH1100=1 AND (AH1003 = 1, 2 OR AH9003=3, 4,
5) THEN CURRENT USER = 1 (YES).
IF AH1100=2, DK/R OR AH1003 = 3, DK/R OR
AH9003 = 4, 5, DK/R THEN CURRENT USER =2 (NO).
Has ever used product, is a regular user, and uses
everyday.
IF A*1100=2 (NO), DK/ROR A*1003 = 2, 3, DK/R
THEN EVERYDAY USER =2 (NO).
Has ever smoked a hookah, is a regular hookah
smoker, and smokes a hookah every day.
IF AH1100=1 AND (AH1003 = 1 OR AH9003=3) THEN
CURRENT USER = 1 (YES).
IF AH1100=2, DK/R OR AH1003 = 2,3, DK/R OR
AH9003 = 1, 2, 4, 5, DK/R THEN CURRENT USER =2
(NO).
Has ever used product, is a regular user, and uses
some days.
IF A*1100=2 (NO), DK/ROR A*1003 = 1, 3, DK/R
THEN SOME DAY USER =2 (NO).
Has ever smoked a hookah, is a regular hookah
smoker, and smokes a hookah some days.
Not used in any skip patterns, not defined.
Has ever used product and has used it within the
past 30 days.
Has ever smoked a hookah and has smoked a
hookah within the past 30 days.
244
PATH
Adult Extended Interview
Version 6.2
User group
E-cigarettes, pipe, dissolvable
Not used in any skip patterns, not defined.
Experimental current user
[PROD]
Experimental former user
[PROD]
Former user [PROD]
PATH
Adult Extended Interview
Has ever used product, has never been a regular
user, and now uses product every day or some days.
IF A*1100=1 (YES), DK/R OR A*1003 = 3, DK/R THEN
EXPERIMENTAL CURRENT USER = 2 (NO).
Hookah
IF AH1002=1 AND (AH1009 <=30 DAYS OR AH9001 =
1) THEN 30 DAY USER = 1 (YES).
IF AH1002=2, DK/R OR (AH1009 > 30 DAYS, DK/R OR
AH9001=2, DK/R) THEN 30 DAY USER = 2 (NO).
Has ever smoked a hookah, has never been a
regular hookah smoker, and now smokes hookah
every day or somedays or weekly or monthly or in
the past 30 days,
IF AH1007=0 and (AH1003 = 1, 2 OR AH9003=1,2,3
OR AH1009 <= 30 days OR AH9001=1) THEN
EXPERIMENTAL CURRENT USER = 1 (YES).
IF AH1100=1, DK/R OR (AH1003 = 3, DK/R OR
AH9003=4, 5, DK/R OR AH1009 > 30 days, DK/R OR
AH9001=2,DK/R) THEN EXPERIMENTAL CURRENT
USER = 2 (NO).
Has ever used product, has never been a regular
user, and now uses product not at all. Note: might
currently use other products.
IF A*1100=1 (YES), DK/R OR A*1003 = 1, 2, DK/R
THEN EXPERIMENTAL FORMER USER = 2 (NO).
Has ever smoked a hookah, has never been a
regular hookah smoker, and now does not smoke
hookah at all.
Not used in any skip patterns, not defined.
Has ever used product, has been a regular user and
now does not use product at all. Note: might
currently use other products.
IF A*1100=2 (NO), DK/ROR A*1003=1, 2, DK/R THEN
FORMER USER = 2 (NO).
Has ever smoked hookah, has been a regular
hookah smoker, and does not now smoke hookah at
all. Note: might currently use other products.
IF AH1002= 1 AND AH1003=3 AND AH1100=1 THEN
FORMER USER = 1 (YES).
IF AH1002=2, DK/R OR AH1003=1, 2, DK/R OR
AH1100=2, DK/R THEN FORMER USER = 2 (NO).
245
PATH
Adult Extended Interview
Version 6.2
User group
E-cigarettes, pipe, dissolvable
Hookah
Former user 12 Month
[PROD]
Has ever used product, has been a regular user,
now does not use product at all and quit using the
product within the past 12 months. Note: might
currently use other products.
IF A*1100=1 (YES) AND A*1003=3 AND A*1009 <=
12 MONTHS AGO THEN FORMER USER 12 MONTH =
1 (YES).
IF A*1002=2, DK/R OR A*1005=1, 2, 3, 4, DK/R OR
A*1003=1, 2, DK/R OR AC1009 > 12 MONTHS AGO,
DK/R THEN FORMER USER 12 MONTHS = 2 (NO).
Has ever smoked hookah, has been a regular
hookah smoker, does not now smoke hookah at
alland quit smoking hookah within the past 12
months. Note: might currently use other products.
IF AH1002= 1 AND AH1003=3 AND AH1100=1 AND
(AH1009 <= 12 MONTHS AGO OR AH9010 = 1) THEN
FORMER USER 12 MONTH = 1 (YES).
IF AH1002=2, DK/R OR AH1003=1, 2, DK/R OR
AH1100=2, DK/R OR (AH1009 > 12 MONTHS AGO
OR AH9010 = 2, DK/R) THEN FORMER USER 12
MONTH = 2 (NO).
Former user 12 Month Plus
[PROD]
Has ever used product, has been a regular user,
now does not use product at all, and quit using the
product longer than 12 months ago. Note: might
currently use other products.
IF A*1100=1 (YES) AND A*1003=3 AND A*1009 > 12
MONTHS AGO THEN FORMER USER 12 MONTH = 1
(YES).
IF A*1002=2, DK/R OR A*1005=1, 2, 3, 4, DK/R OR
A*1003=1, 2, DK/R OR AC1009 <= 12 MONTHS AGO,
DK/R THEN FORMER USER 12 MONTHS = 2 (NO).
Has ever smoked hookah, has been a regular
hookah smoker, does not now smoke hookah at all
and quit smoking hookah longer than 12 months
ago. Note: might currently use other products.
IF AH1002= 1 AND AH1003=3 AND AH1100=1 AND
(AH1009 > 12 MONTHS AGO OR AH9010 = 2) THEN
FORMER USER 12 MONTH PLUS = 1 (YES).
IF AH1002=2, DK/R OR AH1003=1, 2, DK/R OR
AH1100=2, DK/R OR (AH1009 <= 12 MONTHS AGO
OR AH9010 = 1, DK/R) THEN FORMER USER 12
MONTH = 2 (NO).
PATH
Adult Extended Interview
246
PATH
Adult Extended Interview
Version 6.2
User group
Tobacco use
Has ever used any tobacco product.
Ever user [PROD]
Current user [PROD]
Everyday user [PROD]
IF EVER USER OF ANY PRODUCT (CIGARETTE, E-CIG, TRADITIONAL CIGAR, CIGARILLO, LFC,
PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS) THEN EVER USER TOBACCO = 1 (YES); ELSE
EVER USER TOBACCO = 2 (NO).
Has ever used any tobacco product, and is a current user of at least one tobacco product.
IF CURRENT USER OF ANY PRODUCT (CIGARETTE, E-CIG, TRADITIONAL CIGAR, CIGARILLO, LFC,
PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS) THEN CURRENT USER TOBACCO = 1 (YES);
ELSE CURRENT USER TOBACCO = 2 (NO).
Has ever used any tobacco product, and is an every day user of at least one tobacco product
OR an every day poly user.
IF EVERY DAY USER OF ANY PRODUCT (CIGARETTE, E-CIG, TRADITIONAL CIGAR, CIGARILLO,
LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS) OR IF AY0001=1 THEN EVERY DAY
TOBACCO USER = 1 (YES); ELSE EVERY DAY TOBACCO USER = 2 (NO).
Some day user [PROD]
Not used in any skip patterns, not defined.
30 day user [PROD]
Not used in any skip patterns, not defined.
Has ever used any tobacco product and is NOT a current user of any product, and is an
experimental user of at least one tobacco product.
Experimental current user [PROD]
PATH
Adult Extended Interview
IF NOT CURRENT USER OF ANY PRODUCT (FOR ALL CIGARETTE, E-CIG, TRADITIONAL CIGAR,
CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS CURRENT USER = 2, DK/R)
AND IF AN EXPERIMENTAL USER OF ANY PRODUCT (ANY CIGARETTE, E-CIG, TRADITIONAL
CIGAR, CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS EXPERIMENTAL
USER = 1) THEN EXPERIMENTAL TOBACCO USER = 1 (YES); ELSE EXPERIMENTAL TOBACCO
USER = 2 (NO).
247
PATH
Adult Extended Interview
Version 6.2
User group
Experimental former user [PROD]
Tobacco use
Not used in any skip patterns, not defined.
Has ever used a tobacco product, has been a regular user of a tobacco product, and does not
now use ANY tobacco product. Note: These users may not be totally abstinent. They may
include experimental users of one or more products. Questions that require total abstinence
need to also exclude experimental users in the spec.
Former user [PROD]
IF EVER USER OF ANY TOBACCO PRODUCT (FOR ANY CIGARETTE, E-CIG, TRADITIONAL CIGAR,
CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS EVER USE = 1) AND FORMER
USER OF ANY TOBACCO PRODUCTS (FOR ALL CIGARETTE, E-CIG, TRADITIONAL CIGAR,
CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS FORMER USER = YES) AND
NOT A CURRENT USER OF ANY PRODUCT (FOR ALL CIGARETTE, E-CIG, TRADITIONAL CIGAR,
CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS CURRENT USE = 2)
Has ever used a tobacco product, has been a regular user of a tobacco product, and does not
now use ANY tobacco product, and quit in the past 12 months. Note: These users may not be
totally abstinent. They may include experimental users of one or more products. Questions
that require total abstinence need to also exclude experimental users in the spec.
Former user 12 Month [PROD]
Former user 12 Month Plus [PROD]
PATH
Adult Extended Interview
IF EVER USER OF ANY TOBACCO PRODUCT (FOR ANY CIGARETTE, E-CIG, TRADITIONAL CIGAR,
CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS EVER USE = 1) AND FORMER
USER 12 MONTH OF ANY TOBACCO PRODUCTS (FOR ALL CIGARETTE, E-CIG, TRADITIONAL
CIGAR, CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS FORMER USER =
YES) AND NOT A CURRENT USER OF ANY PRODUCT (FOR ALL CIGARETTE, E-CIG, TRADITIONAL
CIGAR, CIGARILLO, LFC, PIPE, HOOKAH, DISSOLVABLE, SNUS, SMOKELESS CURRENT USE = 2)
Not used in any skip patterns, not defined.
248
| File Type | application/pdf |
| File Title | [Introduction will be developed as part of the materials |
| Author | Westat |
| File Modified | 2012-08-17 |
| File Created | 2012-08-16 |