Form 2g Youth Extended Interview/Field Test

Population Assessment of Tobacco and Health (PATH) Study (NIDA)

2g.Youth Extended Interview6.2 2012-08-16

PATH - Youth Extended Interview/Field Test

OMB: 0925-0664

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Population Assessment of Tobacco and Health (PATH) Study (NIDA)

Attachment 2g
PATH Study Data Collection Instruments:
Youth Extended Interview
July 23, 2012

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Section

Number of questions

Introductory Demographics

4

Cigarettes

44

E-Cigarette

46

Cigar, Cigarillo and Filtered Cigar

46

Pipe Tobacco

39

Hookah

48

Smokeless Tobacco

45

Dissolvable Tobacco

44

Bidis and Kreteks

42

First Tobacco Product

1

Reasons to Use Tobacco

22

Dependence

10

Cessation/Quitter

8

Modified Risk Tobacco Products

3

Secondhand Smoke

4

Packaging and Health Warnings

26

Marketing

7

Media Use

17

Accessibility

1

Psychosocial

10

Substance Use

27

Health Outcomes

1

Ad Exposure

3

Demographics

12

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Table of Contents
INTRODUCTORY DEMOGRAPHICS ................................................................................ 1
CIGARETTES SECTION .................................................................................................... 3
E-CIGARETTE SECTION ................................................................................................. 16
CIGAR, CIGARILLO, AND FILTERED CIGAR SECTION ................................................ 30
PIPE TOBACCO SECTION .............................................................................................. 45
HOOKAH SECTION ......................................................................................................... 56
SMOKELESS TOBACCO SECTION ................................................................................ 70
DISSOLVABLE TOBACCO SECTION ............................................................................. 86
BIDIS AND KRETEKS SECTION ..................................................................................... 99
FIRST TOBACCO PRODUCT SECTION ....................................................................... 112
REASONS TO USE TOBACCO SECTION .................................................................... 113
DEPENDENCE SECTION .............................................................................................. 121
CESSATION / QUITTER SECTION ............................................................................... 125
MODIFIED RISK TOBACCO PRODUCTS SECTION .................................................... 128
SECONDHAND SMOKE SECTION ............................................................................... 129
PACKAGING AND HEALTH WARNINGS SECTION ..................................................... 131
MARKETING SECTION.................................................................................................. 140
MEDIA USE SECTION ................................................................................................... 143
ACCESSIBILITY SECTION ............................................................................................ 148
PSYCHOSOCIAL SECTION........................................................................................... 149
SUBSTANCE USE SECTION......................................................................................... 153
HEALTH OUTCOMES SECTION ................................................................................... 162
AD EXPOSURE SECTION ............................................................................................. 163
DEMOGRAPHICS SECTION ......................................................................................... 165
APPENDIX A: USER GROUP DEFINITIONS ................................................................ 170

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OMB Control Number: 0925-XXXX

Expiration Date: XX/XX/XXXX

Public reporting burden for this collection of information is estimated to average 35 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 208927974, ATTN: PRA (0925-XXXX). Do not return the completed form to this address.

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INTRODUCTORY DEMOGRAPHICS
PATH ID:

YM0002

Screen ID:

How old are you?
1
12 years old
2
13 years old
3
14 years old
4
15 years old
5
16 years old
6
17 years old
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID: YM0003
Are you …

Screen ID:

1
Less than 12
2
12 to 14 years old,
3
15 to 17 years old, or
4
18 years old or older?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YM0002=DK,R)
PATH ID:

YM0005

Screen ID:

Are you Hispanic, [Latino I Latina], or of Spanish origin? Choose all that apply.
1
No, not of Hispanic, Latino or Latina, or Spanish origin
2
Yes, Mexican, Mexican American, Chicano or Chicana
3
Yes, Puerto Rican
4
Yes, Cuban
5
Yes, Another Hispanic, Latino or Latina, or Spanish origin
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PROGRAM: If male (HM0005=1), display “Latino”; if female (HM0005=2), display “Latina”

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PATH ID:

YM0006

Screen ID:

What is your race? Choose all that apply.
1
White
2
Black or African American
3
American Indian or Alaska Native
4
Asian Indian
5
Chinese
6
Filipino
7
Japanese
8
Korean
9
Vietnamese
10
Other Asian
11
Native Hawaiian
12
Guamanian or Chamorro
13
Samoan
14
Other Pacific Islander
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents

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CIGARETTES SECTION
PATH ID:

YC1002

Screen ID:

Have you ever tried cigarette smoking, even one or two puffs?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:

GO TO YC1110

YC1103

Screen ID:

Have you ever been curious about smoking a cigarette? Would you say…
1

Very curious

2

Somewhat curious

3

A little curious

4

Not at all curious

-8

DON’T KNOW

-7

REFUSED

ASK: Respondents who have not tried a cigarette (YC1002=2).
PATH ID:

YC9101

Screen ID:

Do you think you will smoke a cigarette in the next year?
1

Definitely yes

2

Probably yes

3

Probably not

GO TO YC1105

4

Definitely not

GO TO YC1105

-8

DON’T KNOW

GO TO YC1105

-7

REFUSED

GO TO YC1105

ASK: Respondents who have not tried a cigarette (YC1002=2).

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PATH ID:

YC1104

Screen ID:

Do you think that you will try a cigarette soon?
1

Definitely yes

2

Probably yes

3

Probably not

4

Definitely not

-8

DON’T KNOW

-7

REFUSED

ASK: Respondents who think they will smoke a cigarette in the next year (YC9101=1 or 2).
PATH ID:

YC1105

Screen ID:

If one of your best friends were to offer you a cigarette, would you smoke it? Would you say…
1

Definitely yes

2

Probably yes

3

Probably not

4

Definitely not

-8

DON’T KNOW

-7

REFUSED

ASK: Respondents who have not tried a cigarette (YC1002=2).
PATH ID:

BOX YC1

PROGRAM: Define the following variable (see Appendix A):
SUSCEPSMK
PATH ID:

YC1110

Screen ID:

Do you have a favorite brand of cigarettes?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).

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PATH ID:

YC1006

Screen ID:

How old were you when you first tried cigarette smoking, even one or two puffs? Please enter age in
years.
1

|__|__|

-8

DON’T KNOW

-7

REFUSED

ASK: Respondents who have tried a cigarette (YC1002=1).
PROGRAM: Allow 2 digits for age.
PATH ID:

YC9020

Screen ID:

Was your first cigarette flavored to taste like menthol or mint?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:

YC9021

Screen ID:

Was your first cigarette 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: Respondents whose first cigarette was not menthol (YC9020=2)
PATH ID:

YC9104

Screen ID:

How much did you experience pleasant sensations the first time you smoked a cigarette?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).

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PATH ID:

YC9105

Screen ID:

How much did you experience unpleasant sensations the first time you smoked a cigarette?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:

YC9106

Screen ID:

How much did you feel sick to your stomach the first time you smoked a cigarette?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:

YC9022

Screen ID:

Do you consider yourself a smoker?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:

YC1005

Screen ID:

How many cigarettes have you smoked in your entire life?
1
1 or more puffs but never a whole cigarette
2
1 cigarette
3
2 to 10 cigarettes (about ½ pack total)
4
11 to 20 cigarettes (about ½ pack to 1 pack)
5
21 to 50 cigarettes (more than 1 pack but less than 3 packs)
6
51 to 99 cigarettes (more than 2 ½ packs but less than 5 packs)
7
At least 100 or more cigarettes (5 packs or more)
ASK: Respondents who have tried a cigarette (YC1002=1).

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PATH ID:

YC1112

Screen ID:

When was the last time you smoked a cigarette, even one or two puffs?
1
Earlier today
2
Not today but sometime during the past 7 days
3
Not during the past 7 days but sometime during the past 30 days
4
Not during the past 30 days but sometime during the past 6 months
5
Not during the past 6 months but sometime during the past year
6
1 to 4 years ago
7
5 or more years ago
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:

YC1022

GO TO YC1124
GO TO YC1124
GO TO YC1124
GO TO YC1124
GO TO YC1124
GO TO YC1124

Screen ID:

During the past 30 days, on how many days did you smoke cigarettes? Please enter the number of
days (from 1 to 30 days).
1

I__I__I

-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1) and who have smoked in the past 30 days
(YC1112 = 1, 2 or 3)
PATH ID:

YC1023

Screen ID:

During the past 30 days, on the days you smoked, how many cigarettes did you smoke per day?
Please enter a number.
1
Less than 1 cigarette per day
2
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022 > 0).
PATH ID:

YC9108

Screen ID:

During the past 30 days, were any of the cigarettes you smoked flavored to taste like menthol or mint?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022> 0).

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PATH ID:

YC1118

Screen ID:

During the past 30 days, how did you usually get your own cigarettes?
1
2
3
4
5
6

I bought cigarettes myself
I gave someone else money to buy cigarettes for me
GO TO YC1030
I asked someone to give me a cigarette
GO TO YC1124
Someone offered me a cigarette
GO TO YC1124
I bought cigarettes from another person
GO TO YC1124
I took cigarettes from a store or another person
GO TO YC1124
GO TO YC1124
I got cigarettes some other way
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YC1124
-7 REFUSED
GO TO YC1124
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022 > 0).
PATH ID:

YC1097

Screen ID:

During the past 30 days, did you use a coupon when buying cigarettes?
1
Yes
2
No
GO TO YC1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought cigarettes themselves in the past 30 days (YC1118=1)
PATH ID:

YC1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy cigarettes? Please enter a
number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022 > 0) AND who used a
coupon in the last 30 days (YC1097=1)
PATH ID:

YC1123

Screen ID:

During the past 30 days, did anyone refuse to sell you cigarettes because of your age?
1
Yes
2
No
3
I did not try to buy cigarettes in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022> 0).

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PATH ID:

YC1030

Screen ID:

How do [you/they] usually buy your cigarettes? Is it…
1
In person
2
From the internet
GO TO YC1039
3
By telephone
GO TO YC1039
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who indicated that they bought cigarettes for themselves or that someone else
bought cigarettes for them in the last 30 days (YC1118 = 1 or 2).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”.
PATH ID:

YC1032

Screen ID:

Do [you/they] usually buy them...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the cigarettes they bought or that someone else bought for them
were purchased in person (YC1030= 1).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”
PATH ID:

YC1033

Screen ID:

Where do [you/they] usually buy your cigarettes?
1
A convenience store or gas station,
2
A supermarket, grocery store, or drug store,
3
A warehouse club, such as Sam’s or Costco,
4
A tobacco specialty store or tobacco outlet store,
5
A duty free shop or military commissary,
6
A bar, pub, restaurant or casino,
7
A friend or relative,
[DISPLAY ONLY IF YC1118 = 1]
8
A swap meet or flea market,
9
A store on an Indian reservation
10
Or from somewhere else
SPECIFY: ____________________________
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who indicated that the cigarettes they bought or that someone else bought for them
were purchased in person (YC1030= 1).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”.
If YC1118=1, display option 7=‘ A friend or relative,’ if YC118 NE 1, hide option 7.

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PATH ID:

YC1039

Screen ID:

Do [you I they] usually buy cigarettes by the carton, pack, or as single cigarettes?
1
Carton
2
Pack
3
Single Cigarette
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who indicated that they bought cigarettes for themselves or that someone else
bought cigarettes for them in the last 30 days (YC1118 = 1 or 2).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”
PATH ID:

YC1047

Screen ID:

Do you have a regular brand of cigarettes that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022> 0).
PATH ID:

YC1048

Screen ID:

What brand of cigarette [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 YC1070]
1
I did not see my brand
GO TO YC1049
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022> 0).
PROGRAM: If YC1047=1, display “do” and “usually”. If YC1047=2, DK or RF, display “did” and “last”

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PATH ID:

YC1070

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 YC1048]
1 Some other type not listed here.
GO TO YC1071
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022> 0) and selected a brand
image in YC1048.
PATH ID:

YC1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
GO TO YC1051
-8 DON’T KNOW
GO TO YC1051
-7 REFUSED
GO TO YC1051
ASK: Respondents who did not select an image for their brand (YC1048 = 1).
PATH ID:

YC1071

Screen ID:

You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1
__________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022> 0) who did not select
the type of product they use (YC1070=”some other type not listed here”) but who DID select a brand
(YC1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YC1049.
PATH ID:

YC1051

Screen ID:

About how long have you been smoking your regular brand of cigarettes?
I___I___I
DAYS
I___I___I
2
MONTHS
3
I___I___I
YEARS
-7
REFUSED
-8
DON’T KNOW
ASK: Respondents who have a regular brand (YC1047=1)
1

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Box YC3
Display questions YC9010, YC9012, YC9114, YC9115, YC9017, YC9115, YC9116, YC9117, on one
screen. Show the intro/transition text from YC9010 first, then show each item with a Y/N response. As
each item is answered, show the next one.
PATH ID:

YC9010

Screen ID:

In choosing your regular brand of cigarettes, was part of your decision based on any of the following?
It is less expensive.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have a regular brand (YC1047=1)
PATH ID:

YC9012

Screen ID:

The design of the pack.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have a regular brand (YC1047=1)
PATH ID:

YC9114

Screen ID:

The taste.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have a regular brand (YC1047=1)
PATH ID:

YC9017

Screen ID:

People who are important to you smoke this brand.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have a regular brand (YC1047=1)

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PATH ID:

YC9115

Screen ID:

Because it is a popular brand.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have a regular brand (YC1047=1)
PATH ID:

YC9116

Screen ID:

People in the media smoke this brand.
1
2
-8
-7

Yes
No
DON’T KNOW
REFUSED

ASK: Respondents who have a regular brand (YC1047=1)
PATH ID:

YC9117

Screen ID:

This brand is easy for me to get.
1
2
-8
-7

Yes
No
DON’T KNOW
REFUSED

ASK: Respondents who have a regular brand (YC1047=1)
PATH ID:

YC9019

Screen ID:

Do you think the brand of cigarettes you usually smoke might be less harmful, no different, or more
harmful, compared to other cigarette brands?
1 Less harmful
2 No different
3 More harmful
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the last 30 days (YC1022 > 0)
and who have a regular brand (YC1047=1).

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PATH ID:

YC1124

Screen ID:

How likely is someone to become addicted to cigarettes?
1 Very unlikely
2 Somewhat unlikely
3 Neither likely nor unlikely
4 Somewhat likely
5 Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:

YC1125

Screen ID:

How much do you think people harm themselves when they smoke cigarettes?
1 No harm
2 Little harm
3 Some harm
4 A lot of harm
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:

YC9118

Screen ID:

Are cigarettes flavored like menthol or mint harder to smoke, about the same, or easier to smoke than
regular cigarettes?
1

Harder to smoke

2

About the same

3

Easier to smoke

-8

DON’T KNOW

-7

REFUSED

ASK: All respondents.

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PATH ID:

YC1026

Screen ID:

How many of your friends do you think smoke cigarettes?
1 None
2 A few
3 Some
4 Most
5 All
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.

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E-CIGARETTE SECTION
The next questions are about electronic cigarettes, often called e-cigarettes. E-cigarettes look like
regular cigarettes, but are battery-powered and produce vapor instead of smoke. There are many
types of e-cigarettes. Some common brands include Smoking Everywhere, NJOY, Blu and Vapor King.
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:

YE1001

Screen ID:

Have you ever heard of an electronic cigarette or e-cigarette before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PATH ID:

GO TO BOX YG1

YE1002

Screen ID:

Have you ever used an e-cigarette, such as Smoking Everywhere, NJOY, Blu or Vapor King, even one
or two times?
1
Yes
GO TO YE1005
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of e-cigarettes (YE1001 = 1).

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PATH ID:

YE1103

Screen ID:

Have you ever been curious about using e-cigarettes?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of but never used e-cigarettes (YE1001 = 1 AND YE1002 = 2).
PATH ID:

YE1104

Screen ID:

Do you think that you will try an e-cigarette soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of but never used e-cigarettes (YE1001 = 1 AND YE1002 = 2).
PATH ID:

YE1105

Screen ID:

If one of your best friends were to offer you an e-cigarette, would you use it? Would you say…
1 Definitely yes
2 Probably yes
3 Probably not
4 Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of but never used e-cigarettes (YE1001 = 1 AND YE1002 = 2).
PATH ID:

BOX YE1

Screen ID:

PROGRAM: After answering question YE1105, respondents who have never used e-cigarettes
(YE1002=2), go to YE1124

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PATH ID:

YE1005

Screen ID:

How many cartridges or disposable e-cigarettes have you used in your entire life?
1
1 or more puffs but never a whole one
2
1
3
2-10
4
11-20
5
21-50
6
51 to 99
7
At least 100 or more
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:

YE1090

Screen ID:

Do you own an e-cigarette?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:

YE1191

Screen ID:

Do any of your parents or guardians own an e-cigarette?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of e-cigarettes (YE1001 = 1).
PATH ID:

YE1110

Screen ID:

Do you have a favorite brand of e-cigarette?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)

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Youth Extended Interview
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PATH ID:

YE1006

Screen ID:

How old were you when you first tried an e-cigarette, even one or two times? Please enter age in
years.
1 |__|__|
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:

YE1108

Screen ID:

Was your first e-cigarette cartridge or disposable e-cigarette flavored to taste like menthol, mint, 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: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:

YE1112

Screen ID:

When was the last time you used an e-cigarette, even one or two times?
1
Earlier today
2
Not today but sometime during the past 7 days
3
Not during the past 7 days but sometime during the past 30 days
4
Not during the past 30 days but sometime during the past 6 months
5
Not during the past 6 months but sometime during the past year
6
1 to 4 years ago
7
5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:

YE1022

GO TO YE1124
GO TO YE1124
GO TO YE1124
GO TO YE1124
GO TO YE1124
GO TO YE1124

Screen ID:

During the past 30 days, on how many days did you use e-cigarettes? Please enter the number of
days.
1
|__|__|
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used an e-cigarette in the past 30 days (YE1112 = 1, 2 or 3)
PROGRAM: Range check: 1-30 days

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Youth Extended Interview
Version 6.2
PATH ID:

YE9005

Screen ID:

Do you usually use an e-cigarette that uses cartridges or disposable e-cigarettes?
1
E-cigarette that uses cartridges
2
Disposable e-cigarettes
3
Both
-8
DON’T KNOW
-7
REFUSED
ASK: If respondent has used e-cigarettes in the past 30 days (YE1022 > 0)
PROGRAM: [ECIGFILL] SERIES
If YE9005=1, fill [ECIGFILL] with “e-cigarette cartridges”; if YE9005=2, fill [ECIGFILL] with “disposable
e-cigarettes”; if YE9005=3, fill [ECIGFILL] with “cartridges or disposable e-cigarettes”.
PATH ID:

YE1023

Screen ID:

During the past 30 days, on the days you used an e-cigarette, how many [ECIGFILL] did you usually
use each day? Please enter a number.
1
2
-8
-7

Less than 1 [cartridge I disposable e-cigarette I cartridge or disposable e-cigarette]
per day
|__|__|__|
DON’T KNOW
REFUSED

ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0)
PROGRAM: If YE9005=1, display “cartridge”, If YE9005=2, display “disposable e-cigarette”, If
YE9005=3, display “cartridge or disposable e-cigarette”.
PATH ID:

YE1130

Screen ID:

During the past 30 days, were any of the [ECIGFILL] that you used flavored to taste like menthol, mint,
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: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).

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Youth Extended Interview
Version 6.2
PATH ID:

YE1118

Screen ID:

During the past 30 days, how did you usually get your own [ECIGFILL] or e-juice?
1
2
3
4
5
6

I bought them myself
I gave someone else money to buy them for me
GO TO YE1030
I asked someone to give me one
GO TO YE1124
Someone offered it to me
GO TO YE1124
I bought them from another person
GO TO YE1124
I took them from a store or another person
GO TO YE1124
I got them some other way
GO TO YE1124
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YE1124
-7 REFUSED
GO TO YE1124
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1097

Screen ID:

During the past 30 days, did you use a coupon when buying e-cigarettes?
1
Yes
2
No
GO TO YE1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought e-cigarettes themselves in the past 30 days (YE1118=1)
PATH ID:

YE1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy e-cigarettes? Please enter a
number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used an e-cigarette in the last 30 days (YE1022 > 0) AND who used a
coupon in the last 30 days (YE1097 = 1)

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Youth Extended Interview
Version 6.2
PATH ID:

YE1123

Screen ID:

During the past 30 days, did anyone refuse to sell you [ECIGFILL] or e-juice because of your age?
1
Yes
2
No
3
I did not try to buy [ECIGFILL] or e-juice in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1030

Screen ID:

How do [you/they] usually buy your [ECIGFILL] or e-juice? Is it…
1
In person
2
From the internet
GO TO YE1047
3
By telephone
GO TO YE1047
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who indicated that they bought e-cigarettes for themselves or that someone else
bought e-cigarettes for them in the last 30 days (YE1118 = 1 or 2).
PROGRAM: If YE1118=1, display “you”; If YE1118=2, display “they”.
PATH ID:

YE1032

Screen ID:

Do [you/they] usually buy them...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the e-cigarettes they bought or that someone else bought for
them were purchased in person (YE1030= 1).
PROGRAM: If YE1118=1, display “you”; If YE1118=2, “they”.

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Youth Extended Interview
Version 6.2
PATH ID:

YE1033

Screen ID:

Where do [you/they] usually buy your [ECIGFILL] or e-juice?
1
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,
5
A tobacco specialty store or tobacco outlet store,
6
A duty free shop or military commissary,
7
A bar, pub, restaurant or casino,
8
A friend or relative,
[DISPLAY IF YE1118 = 1]
9
A swap meet or flea market,
10
Or from somewhere else
SPECIFY: ____________________________
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who indicated that the e-cigarettes they bought or that someone else bought for
them were purchased in person (YE1030 = 1).
PROGRAM: If YE1118=1, display “you”; If YE1118=2, “they”.
If YE1118=1, display option 7=‘ A friend or relative,’ if YE1118 NE 1, hide option 7.
PATH ID:

YE1047

Screen ID:

Do you have a regular brand of e-cigarettes that you usually use?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1, 2 or
3).
PATH ID:

YE1048

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 YE9106]
1 I did not see my brand
GO TO YE1049
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used an e-cigarette in the last 30 days (YE1022> 0).
PROGRAM: If YE1047=1, display “do” and “usually”. If YE1047=2, DK or RF, display “did” and “last”

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Youth Extended Interview
Version 6.2
PATH ID:

YE1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who did not select an image for brand (YE1048 = 1).
PATH ID:

YE9106

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 YE1048]
1 Some other model not listed here.
GO TO YE9107
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used an e-cigarette in the last 30 days (YE1022> 0) and selected a
brand image in YE1048.
PROGRAM: If YE1047=1, display “do” and “usually”. If YE1047=2, DK, RF, display “did” and “last”
PATH ID:

YE9107

Screen ID:

You said that your model was not pictured. What model is it?
1
__________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who did not select an image for their model (YE9106 = 1).
Box YE2
Display question YE1060, YE1061, YE1085, YE1062, YE1075, YE1063, YE1064, YE1065, YE1066,
YE1067, YE1068, YE1072 on one screen. Show the intro/transition text from YE1060 first, then show
each item with a Y/N response. As each item is answered, show the next one.

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Youth Extended Interview
Version 6.2
PATH ID:

YE1060

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
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1061

Screen ID:

People in the media or other public figures use e-cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1085

Screen ID:

I can use e-cigarettes in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1062

Screen ID:

They might be less harmful to me than cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).

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Youth Extended Interview
Version 6.2
PATH ID:

YE1075

Screen ID:

They might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1063

Screen ID:

[ECIGFILL] come in flavors I like.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1064

Screen ID:

Using e-cigarettes help people to quit smoking cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1065

Screen ID:

E-cigarettes don’t smell.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).

PATH
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Youth Extended Interview
Version 6.2
PATH ID:

YE1066

Screen ID:

Using an e-cigarette feels like smoking regular cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1067

Screen ID:

E-cigarettes don’t bother non-tobacco users.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022> 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1068

Screen ID:

People who are important to me use e-cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1072

Screen ID:

The advertising for e-cigarettes appeals to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).

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Youth Extended Interview
Version 6.2
PATH ID:

YE1099

Screen ID:

Is using e-cigarettes less harmful, about the same, or more harmful than smoking cigarettes? [SHOW
IMAGE OF E-CIGARETTES]
1
Less harmful
2
About the same
3
More harmful
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of e-cigarettes (YE1001 = 1).
PATH ID:

YE1086

Screen ID:

During the past 30 days, have you used an e-cigarette at times when you could not smoke regular
cigarettes?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1,2 or
3).
PATH ID:

YE1124

Screen ID:

How likely is someone to become addicted to e-cigarettes?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of e-cigarettes (YE1001 = 1).

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Youth Extended Interview
Version 6.2
PATH ID:

YE1125

Screen ID:

How much do you think people harm themselves when they use e-cigarettes?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of e-cigarettes (YE1001 = 1).
PATH ID:

YE1146

Screen ID:

Is using e-cigarettes flavored like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as
wine or cognac), or other sweets, harder to use, about the same, or easier to use than regular ecigarettes?
1
Harder to use
2
About the same
3
Easier to use
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of e-cigarettes (YE1001 = 1).
PATH ID:

YE1026

Screen ID:

How many of your friends do you think use e-cigarettes?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of e-cigarettes (YE1001 = 1).

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Youth Extended Interview
Version 6.2

CIGAR, CIGARILLO, AND FILTERED CIGAR SECTION
PATH ID:

BOX YG1

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
PATH ID:

YG9101

Screen ID:

Have you ever heard of traditional cigars before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PATH ID:

BOX YG2

Screen ID:

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:

YG9102

Screen ID:

Have you ever heard of cigarillos before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.

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Youth Extended Interview
Version 6.2
PATH ID:

YG9103

Screen ID:

Have you ever heard of filtered cigars before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PATH ID:

BOX YG5

Screen ID:

PROGRAM: If never heard of traditional cigars (YG9101 = 2, DK, R) AND medium-sized
cigars/cigarillos (YG9102 = 2, DK, R) AND filtered cigars (YG9103 = 2, DK, R), GO TO YP1001.
PATH ID:

YG1002

Screen ID:

Have you ever smoked a cigar, cigarillo, or filtered cigar, even one or two puffs?
1
Yes
GO TO YG9104
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of cigars, cigarillos, or filtered cigars (YG9101 = 1 OR YG9102 = 1
OR YG9103 = 1)
PROGRAM: DISPLAY GENERIC IMAGE OF CIGARS, CIGARILLOS AND FILTERED CIGARS
PATH ID:

YG1103

Screen ID:

Have you ever been curious about smoking a traditional cigar, cigarillo or filtered cigar?
1 Very curious
2 Somewhat curious
3 A little curious
4 Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of any cigar but have not tried one ((YG9101 = 1 OR YG9102 = 1
OR YG9103 = 1) AND YG1002 = 2).

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Youth Extended Interview
Version 6.2
PATH ID:

YG1104

Screen ID:

Do you think that you will try a traditional cigar, cigarillo or filtered cigar soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of any cigar but have not tried one ((YG9101 = 1 OR YG9102 = 1
OR YG9103 = 1) AND YG1002 = 2).
PATH ID:

YG1105

Screen ID:

If one of your best friends were to offer you a traditional cigar, cigarillo or filtered cigar, would you
smoke it?
1
Definitely yes
GO TO YG1124
2
Probably yes
GO TO YG1124
3
Probably not
GO TO YG1124
4
Definitely not
GO TO YG1124
-8
DON’T KNOW
GO TO YG1124
-7
REFUSED
GO TO YG1124
ASK: Respondents who have heard of any cigar but have not tried one ((YG9101 = 1 OR YG9102 = 1
OR YG9103 = 1) AND YG1002 = 2).
PATH ID:

YG9104

Screen ID:

Which type of cigar have you ever smoked? Choose all that apply.
1

Traditional cigars like Macanudo, Romeo y Julieta, Arturo Fuente, or others.
Cigarillos or filtered cigars like Black and Mild, Swisher Sweets, Dutch Masters, Phillies
2
Blunts, Prime Time, Winchester, or others.
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigar, cigarillo or filtered cigar (YG1002 =1).

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Youth Extended Interview
Version 6.2
PATH ID:

YG9006

Screen ID:

Have you ever smoked a cigarillo or filtered cigar that has a wooden or plastic tip?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: If respondent has ever smoked a cigarillo/FC (YG9104=2)
PROGRAM: DISPLAY GENERIC IMAGE OF CIGARILLOS WITH TIPS
PATH ID:

YG9007

Screen ID:

Have you ever smoked a cigarillo or filtered cigar that has a filter?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: If respondent has ever smoked a cigarillo/FC (YG9104=2)
PROGRAM: DISPLAY GENERIC IMAGE OF FILTERED CIGARS
PATH ID:

YG9008

Screen ID:

Have you ever smoked a cigarillo or filtered cigar that does not have a tip or filter?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: If respondent has ever smoked a cigarillo/FC (YG9104=2)
PROGRAM: DISPLAY GENERIC IMAGE OF CIGARILLOS WITHOUT TIP OR FILTER

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Youth Extended Interview
Version 6.2

PROGRAM: [CIGARFILL] SERIES
Create [CIGARFILL] and repeat series (YG1005 TO YG1026) for each product that the respondent has
indicated that he or she used in questions YG9104.
Create [CIGARFILL]. If YG9104=1, fill [CIGARFILL] with “cigar”; if YG9104=2 AND (YG9006=1 OR
YG9008=1), fill [CIGARFILL] with “cigarillo”; if YG9104=2 AND YG9007=1, fill [CIGARFILL] with “filtered
cigar”.
Repeat the rest of the section once for each type of cigar the respondent has used (traditional cigars,
cigarillos, filtered cigars). Display text below as follows:
For respondents who have used traditional cigars, but have not used cigarillos or filtered cigars: No
display.
For all other respondents, display the following text each time they repeat the rest of the section. Add
the last sentence only if they still have another CIGARFILL to answer questions about.
The next questions are about [CIGARFILL]. Please think only about your use of [CIGARFILL]s like
those shown below as you answer these questions. [SHOW GENERIC IMAGE FOR CIGARFILL].
[ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION]. There will be a separate section
later about other kinds of cigars.
PATH ID:

YG1005

Screen ID:

How many [CIGARFILL]s have you smoked in your entire life?
1 1 or more puffs but never a whole one
2 1
3 2 to 10
4 11 to 20
5 21 to 50
6 51 to 99
7 At least 100 or more
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1).
PATH ID:

YG1095

Screen ID:

How long is the [CIGARFILL] you usually smoke?
1 4 inches or less, (about the length of a cigarette)
2 Between 4-6 inches, (about the size of a smartphone)
3 Longer than 6 inches (about the length of a dollar bill)
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1).
PATH ID:

BOX YG4

Screen ID:

PROGRAM: If YG1002 = 2 GO TO YG1124

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Youth Extended Interview
Version 6.2
PATH ID:

YG1110

Screen ID:

Do you have a favorite brand of [CIGARFILL]?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002=1).

PATH ID:

YG1006

Screen ID:

How old were you when you first tried a [CIGARFILL], even one or two puffs? Please enter age in
years.
1
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1).
PATH ID:

YG1108

Screen ID:

Was your first [CIGARFILL] flavored to taste like menthol, mint, 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: Respondents who have smoked a [CIGARFILL] (YG1002 =1).
PATH ID:

YG1112

Screen ID:

When was the last time you smoked a [CIGARFILL], even one or two puffs?
1
Earlier today
2
Not today but sometime during the past 7 days
3
Not during the past 7 days but sometime during the past 30 days
4
Not during the past 30 days but sometime during the past 6 months
5
Not during the past 6 months but sometime during the past year
6
1 to 4 years ago
7
5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1).

PATH
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35

GO TO YG1124
GO TO YG1124
GO TO YG1124
GO TO YG1124
GO TO YG1124
GO TO YG1124

PATH
Youth Extended Interview
Version 6.2
PATH ID:

YG1022

Screen ID:

During the past 30 days, on how many days did you smoke a [CIGARFILL]? Please enter the number
of days.
1
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (YG1112=1, 2 or 3)
PROGRAM: Range check: 1-30 days
PATH ID:

YG1023

Screen ID:

During the past 30 days, on the days you smoked a [CIGARFILL], how many [CIGARFILL]s did you
smoke per day? Please enter a number.
1
Less than 1 [CIGARFILL] per day
2
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0).
PATH ID:

YG1130

Screen ID:

During the past 30 days, were any of the [CIGARFILL]s that you smoked flavored to taste like menthol,
mint, 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: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).

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PATH ID:

YG1118

Screen ID:

During the past 30 days, how did you usually get your own [CIGARFILL]s?
1
2
3
4
5
6

I bought them myself
I gave someone else money to buy them for me
GO TO YG1030
I asked someone to give me one
GO TO YG1124
Someone offered it to me
GO TO YG1124
I bought them from another person
GO TO YG1124
I took them from a store or another person
GO TO YG1124
I got them some other way
GO TO YG1124
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YG1124
-7 REFUSED
GO TO YG1124
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).
PATH ID:

YG1097

Screen ID:

During the past 30 days, did you use a coupon when buying [CIGARFILL]s?
1
Yes
2
No
GO TO YG1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought [CIGARFILL]s themselves in the past 30 days (YG1118=1)
PATH ID:

YG1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy [CIGARFILL]s? Please enter a
number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked [CIGARFILL]s in the last 30 days (YG1022 > 0) AND who used
a coupon in the last 30 days (YG1097 = 1)

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PATH ID:

YG1123

Screen ID:

During the past 30 days, did anyone refuse to sell you [CIGARFILL]s because of your age?
1
Yes
2
No
3
I did not try to buy [CIGARFILL]s in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).
PATH ID:

YG1030

Screen ID:

How do [you/they] usually buy your [CIGARFILL]s? Is it…
1 In person
2 From the internet
GO TO YG1047
3 By telephone
GO TO YG1047
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that they bought [CIGARFILL] for themselves or that someone else
bought [CIGARFILL] for them in the last 30 days (YG1118 = 1 or 2).
PROGRAM: If YG1118=1, display “you”; If YG1118=2, display “they”.
PATH ID:

YG1032

Screen ID:

Do [you/they] usually buy them...
1 In your own state
2 In another state
3 Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the [CIGARFILL]s they bought for themselves or that someone
else bought for them were purchased in person (YG1030 = 1).
PROGRAM: If YG1118=1, display “you”; If YG1118=2, display “they”

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PATH ID:

YG1033

Screen ID:

Where do [you/they] usually buy your [CIGARFILL]s?
1 A convenience store or gas station,
2 A supermarket, grocery store, or drug store,
3 A warehouse club, such as Sam’s or Costco,
4 A tobacco specialty store or tobacco outlet store,
5 A duty free shop or military commissary,
6 A bar, pub, restaurant or casino,
7 A friend or relative,
[DISPLAY IF YG1118 = 1]
8 A swap meet or flea market,
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the [CIGARFILL]s they bought for themselves or that someone
else bought for them were purchased in person (YG1030 = 1).
PROGRAM: If YG1118=1, display “you”; If YG1118=2, display “they”
If YG1118=1, display option 7=‘ A friend or relative,’ if YG118 NE 1, hide option 7.
PATH ID:

YG1047

Screen ID:

Do you have a regular brand of [CIGARFILL]s that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).
PATH ID:

YG1048

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 YG1070]
1 I did not see my brand.
GO TO YG1049
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).
PROGRAM: If YG1047=1, display “do” and “usually”. If YG1047=2, DK or RF, display “did” and “last”

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PATH ID:

YG1070

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 YG1048]
1
-8
-7

Some other type not listed here.
GO TO YG1071
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3) and selected a brand image in YG1048.
PATH ID:

YG1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
GO TO YG1060
-8 DON’T KNOW
GO TO YG1060
-7 REFUSED
GO TO YG1060
ASK: Respondents who did not select an image for their brand (YG1048=1).
PATH ID:

YG1071

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: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3) who did not select the type of product they use (YG1070=”some other type not listed here”) but
who DID select a brand (YG1048<>1, -8, -7). Do not ask of respondents who wrote a brand into
YG1049.
Box YG6
Display question YG1060, YG1061, YG1085, YG1062, YG1063, YG1064, YG1066, YG1068,
YG1072on one screen. Show the intro/transition text from YG1060 first, then show each item with a
Y/N response. As each item is answered, show the next one.

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PATH ID:

YG1060

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
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022> 0 OR YG1112 =
1,2 or 3).
PATH ID:

YG1061

Screen ID:

People in the media or other public figures smoke [CIGARFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 =
1,2 or 3).
PATH ID:

YG1085

Screen ID:

I can smoke [CIGARFILL]s in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 =
1,2 or 3).
PATH ID:

YG1062

Screen ID:

They might be less harmful than cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 =
1,2 or 3).

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PATH ID:

YG1063

Screen ID:

[CIGARFILL]s come in flavors I like.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 =
1,2 or 3).
PATH ID:

YG1064

Screen ID:

Smoking [CIGARFILL]s help people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).
PATH ID:

YG1066

Screen ID:

Smoking a [CIGARFILL] feels like smoking a cigarette.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).
PATH ID:

YG1068

Screen ID:

People who are important to me smoke [CIGARFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).

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PATH ID:

YG1072

Screen ID:

The advertising for [CIGARFILL]s appeals to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the last 30 days (YG1022 > 0 OR YG1112 = 1,
2 or 3).
PATH ID:
YG1099
Screen ID:
Is smoking [CIGARFILL]s less harmful, about the same, or more harmful to a person’s health than
cigarettes? [SHOW IMAGE OF CIGARFILL]
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who have heard of traditional cigars ([CIGARFILL]s
PATH ID:

YG1124

Screen ID:

How likely is someone to become addicted to [CIGARFILL]s?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of [CIGARFILL]s
PATH ID:

YG1125

Screen ID:

How much do you think people harm themselves when they smoke [CIGARFILL]s?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of [CIGARFILL]s

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PATH ID:
YG1146
Screen ID:
Are [CIGARFILL]s flavored like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as
wine or cognac), or other sweets, harder to smoke, about the same, or easier to smoke than regular
[CIGARFILL]s?
1
Harder to smoke
2
About the same
3
Easier to smoke
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of [CIGARFILL]s
PATH ID:

YG1026

Screen ID:

How many of your friends do you think smoke [CIGARFILL]s?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of [CIGARFILL]s

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PIPE TOBACCO SECTION
The next set of questions are about smoking tobacco in a pipe. 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:

YP1001

Screen ID:

Have you ever heard of a pipe before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PATH ID:

GO TO YH1001

YP1002

Screen ID:

Have you ever smoked a pipe filled with tobacco, even one or two puffs?
1
Yes
GO TO YP1005
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of pipe tobacco (YP1001 = 1).
PATH ID:

YP1103

Screen ID:

Have you ever been curious about smoking a pipe filled with tobacco?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents that have heard of pipe tobacco but have not smoked it (YP1001 = 1 AND YP1002
= 2).

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PATH ID:

YP1104

Screen ID:

Do you think you will try smoking a pipe filled with tobacco soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents that have heard of pipe tobacco but have not smoked it (YP1001 = 1 AND YP1002
= 2).
PATH ID:

YP1105

Screen ID:

If one of your best friends were to offer you a pipe filled with tobacco, would you smoke it? Would you
say…
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents that have heard of pipe tobacco but have not smoked it (YP1001 = 1 AND YP1002
= 2).
PATH ID:

YP1005

Screen ID:

How many bowls filled with pipe tobacco have you smoked in your entire life?
1
1 or more puffs but never a whole one
2
1
3
2 to 10
4
11 to 20
5
21 to 50
6
51 to 99
7
At least 100 or more
ASK: Respondents who have smoked a pipe (YP1002 = 1).
BOX YP1

Screen ID:

PROGRAM: After answering question YP1105, respondents who have never smoked pipe tobacco go
to YP1124

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PATH ID:

YP1110

Screen ID:

Do you have a favorite brand of pipe tobacco?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe (YP1002 = 1).
PATH ID:

YP1006

Screen ID:

How old were you when you first tried pipe tobacco, even one or two puffs? Please enter age in years.
1

|__|__|

-8

DON’T KNOW

-7

REFUSED

ASK: Respondents who have smoked a pipe (YP1002 = 1).
PROGRAM: Allow 2 digits for age.
PATH ID:

YP1108

Screen ID:

Was your first pipe tobacco flavored to taste like menthol, mint, 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: Respondents who have smoked a pipe (YP1002 = 1).
PATH ID:

YP1112

Screen ID:

When was the last time you smoked a pipe, even one or two puffs?
1 Earlier today
2 Not today but sometime during the past 7 days
3 Not during the past 7 days but sometime during the past 30 days
4 Not during the past 30 days but sometime during the past 6 months
5 Not during the past 6 months but sometime during the past year
6 1 to 4 years ago
7 5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe (YP1002 = 1).

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GO TO YP1124
GO TO YP1124
GO TO YP1124
GO TO YP1124
GO TO YP1124
GO TO YP1124

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PATH ID:

YP1022

Screen ID:

During the past 30 days, on how many days did you smoke a pipe? Please enter the number of days.
1

I__I__I

-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (YP1112=1, 2 or 3)
PROGRAM: Range check: 1-30 days
PATH ID:

YP1023

Screen ID:

During the past 30 days, on the days you smoked a pipe, how many bowls filled with tobacco did you
smoke per day? Please enter a number
1
Less than 1 bowl per day
2
|__|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0).
PATH ID:

YP1130

Screen ID:

During the past 30 days, was any of the pipe tobacco you smoked flavored to taste like menthol, mint,
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: Respondents who have smoked a pipe in the last 30 days (YP1022> 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1118

Screen ID:

During the past 30 days, how did you usually get your own pipe tobacco?
1
2
3
4
5
6

I bought it myself
I gave someone else money to buy it for me
GO TO YP1030
I asked someone to give me some
GO TO YP1124
Someone offered it to me
GO TO YP1124
I bought it from another person
GO TO YP1124
I took it from a store or another person
GO TO YP1124
I got it some other way
GO TO YP1124
7
SPECIFY __________________________
-8
DON’T KNOW
GO TO YP1124
-7
REFUSED
GO TO YP1124
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).

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PATH ID:

YP1097

Screen ID:

During the past 30 days, did you use a coupon when buying pipe tobacco?
1
Yes
2
No
GO TO YP1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought pipe tobacco themselves in the past 30 days (YP1118=1)

PATH ID:

YP1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy pipe tobacco? Please enter a
number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0) AND who used a
coupon in the last 30 days (YP1097 = 1)
PATH ID:

YP1123

Screen ID:

During the past 30 days, did anyone refuse to sell you pipe tobacco because of your age?
1
Yes
2
No
3
I did not try to buy pipe tobacco in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1030

Screen ID:

How do [you/they] usually buy your pipe tobacco? Is it…
1
In person
2
From the internet
GO TO YP1047
3
By telephone
GO TO YP1047
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who indicated that they bought pipe tobacco for themselves or that someone else
bought pipe tobacco for them in the last 30 days (YP1118 = 1 or 2).
PROGRAM: If YP1118=1, display “you”; If YP1118=2, display “they”.

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PATH ID:

YP1032

Screen ID:

Do [you/they] usually buy it...
1
In your own state
2
In another state
3
Outside the US
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who indicated that the pipe tobacco that they bought for themselves or that
someone else bought for them was purchases in person (YP1030 = 1).
PROGRAM: If YP1118=1, display “you”; If YP1118=2, display “they”
PATH ID:

YP1033

Screen ID:

Where do [you/they] usually buy your pipe tobacco?
1 A convenience store or gas station,
2 A supermarket, grocery store, or drug store,
3 A warehouse club, such as Sam’s or Costco,
4 A tobacco specialty store or tobacco outlet store,
5 A duty free shop or military commissary,
6 A bar, pub, restaurant or casino,
7 A friend or relative,
[DISPLAY IF YP1118 = 1]
8 A swap meet or flea market,
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the pipe tobacco that they bought for themselves or that
someone else bought for them was purchased in person (YP1030 = 1).
PROGRAM: If YP1118=1, display “you”; If YP1118=2, display “they”
If YP1118=1, display option 7=‘ A friend or relative,’ if YP118 NE 1, hide option 7.
PATH ID:

YP1047

Screen ID:

Do you have a regular brand of pipe tobacco that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).

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PATH ID:

YP1048

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 YP1070]
1 I did not see my brand.
GO TO YP1049
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PROGRAM: If YP1047=1, display “do” and “usually”. If YP1047=2, DK or RF, display “did” and “last”
PATH ID:

YP1070

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 YP1048]
1
-8
-7

Some other type not listed here.
GO TO YP1071
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022> 0) and selected a brand
image in YP1048.
PATH ID:

YP1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
GO TO YP1060
-8 DON’T KNOW
GO TO YP1060
-7 REFUSED
GO TO YP1060
ASK: Respondents who did not select an image for their brand (YP1048 = 1).
PATH ID:

YP1071

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: Respondents who have smoked a pipe in the last 30 days (YP1022> 0) who did not select the
type of product they use (YP1070=”some other type not listed here”) but who DID select a brand
(YP1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YP1049.

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Box YP2
Display question YP1060, YP1061, YP1085, YP1062, YP1063, YP1064, YP1066, YP1068, YP1072 on
one screen. Show the intro/transition text from YP1060 first, then show each item with a Y/N response.
As each item is answered, show the next one.
PATH ID:

YP1060

Screen ID:

The next questions are about the reasons people smoke a pipe. Please select which reasons apply to
you.
I smoke a pipe filled with tobacco because…
It is affordable.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022> 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1061

Screen ID:

People in the media or other public figures smoke pipes.
1
2

Yes
No

-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1085

Screen ID:

I can smoke a pipe in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022> 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1062

Screen ID:

It might be less harmful than smoking cigarettes.
1
2

Yes
No

-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022> 0 or YP1112 = 1, 2 or 3).

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PATH ID:

YP1063

Screen ID:

Pipe tobacco comes in flavors I like.
1
2

Yes
No

-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1064

Screen ID:

Smoking a pipe helps people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1066

Screen ID:

Smoking a pipe feels like smoking a cigarette.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1068

Screen ID:

People who are important to me smoke pipes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).

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PATH ID:

YP1072

Screen ID:

The advertising for pipes appeal to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PATH ID:

YP1099

Screen ID:

Is smoking a pipe less harmful, about the same, or more harmful to a person’s health than smoking
cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of pipe tobacco (YP1001 = 1).
PATH ID:

YP1124

Screen ID:

How likely is someone to become addicted to pipe tobacco?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely or unlikely
4
Somewhat likely
5
Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of pipe tobacco (YP1001 = 1).
PATH ID:

YP1125

Screen ID:

How much do you think people harm themselves when they smoke a pipe?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of pipe tobacco (YP1001 = 1).

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PATH ID:

YP1146

Screen ID:

Is pipe tobacco flavored like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine
or cognac), or other sweets, harder to smoke, about the same, or easier to smoke than regular pipe
tobacco?
1
Harder to smoke
2
About the same
3
Easier to smoke
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of pipe tobacco (YP1001 = 1).
PATH ID:

YP1026

Screen ID:

How many of your friends do you think smoke a pipe?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of pipe tobacco (YP1001 = 1).

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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:

YH1001

Screen ID:

Have you ever heard of a hookah before this study?
1
2
-8
-7
ASK: All respondents.
PATH ID:

Yes
No
DON’T KNOW
REFUSED

GO TO YS1001

YH1002

Screen ID:

Have you ever smoked tobacco in a hookah, even one or two puffs?
1
Yes
GO TO YH1005
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).

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PATH ID:

YH1103

Screen ID:

Have you ever been curious about smoking tobacco in a hookah? Would you say…
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah but not smoked a hookah (YH1001 = 1 AND YH1002
= 2).
PATH ID:

YH1104

Screen ID:

Do you think you will try smoking tobacco in a hookah soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah but not smoked a hookah (YH1001 = 1 AND YH1002
= 2).
PATH ID:

YH1105

Screen ID:

If one of your best friends were to offer you a hookah, would you smoke it? Would you say…
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah but not smoked a hookah (YH1001 = 1 AND YH1002
= 2).
PATH ID:

BOX YH1

Screen ID:

PROGRAM: After answering question YH1105, respondents who have never smoked hookah go to
YH1124

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PATH ID:

YH1005

Screen ID:

How many times have you smoked tobacco in a hookah in your entire life?
1
1 or more puffs but never a whole hookah session
2
1 hookah session
3
2-10 hookah sessions
4
11-20 hookah sessions
5
21-50 hookah sessions
6
51 to 99 hookah sessions
7
At least 100 or more hookah sessions
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah (YH1002 = 1).
PATH ID:

YH1112

Screen ID:

When was the last time you smoked tobacco in a hookah, even one or two puffs?
1 Earlier today
2 Not today but sometime during the past 7 days
3 Not during the past 7 days but sometime during the past 30 days
4 Not during the past 30 days but sometime during the past 6 months
5 Not during the past 6 months but sometime during the past year
6 1 to 4 years ago
7 5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah (YH1002 = 1).
PATH ID:

YH9003

GO TO YH1090
GO TO YH1090

Screen ID:

Which of the following choices best describes your hookah smoking? Usually I smoke a hookah…
1
Everyday
GO TO YH9006
2
Weekly
GO TO YH9005
3
Monthly
GO TO YH9004
4
Every couple of months
GO TO YH1090
6
About once a year
GO TO YH1090
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah at least once in the past 12 months (YH1112 = 1, 2, 3,
4, 5, DK, or RF).

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PATH ID:

YH9004

Screen ID:

On average, about how many times do you smoke tobacco in a hookah in a month? Please enter a
number.
1
I___I___I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who smoke a hookah monthly (YH9003 = 3).
PATH ID:

YH9005

Screen ID:

On average, about how many times do you smoke tobacco in a hookah in a week? Please enter a
number.
1
I___I___I
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who smoke a hookah weekly (YH9003 = 2).
PATH ID:

YH9006

Screen ID:

On average, about how many times do you smoke tobacco in a hookah each day? Please enter a
number.
1
I___I___I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who smoke a hookah daily (YH9003 = 1).
PATH ID:

YH1090

Screen ID:

Do you own a hookah?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah (YH1002 = 1).
PATH ID:

YH1191

Screen ID:

Do any of your parents or guardians own a hookah?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).

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PATH ID:

YH1110

Screen ID:

Do you have a favorite brand of shisha tobacco smoked in a hookah?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah (YH1002 = 1).
PATH ID:

YH1006

Screen ID:

How old were you when you first tried a hookah, even one or two puffs? Please enter age in years.
1
|__|__|
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah (YH1002 = 1).
PATH ID:

YH1108

Screen ID:

Was your first shisha tobacco smoked in a hookah, flavored to taste like menthol, mint, 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: Respondents who have smoked a hookah (YH1002 = 1).
PATH ID:

YH9012

Screen ID:

Do you usually share the same hookah with others?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).

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PATH ID:

YH9011

Screen ID:

Where do you usually smoke a hookah?
1
At home
2
In a bar or cafe
3
At a friend’s house
4
Somewhere else (SPECIFY_________________)
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1130

Screen ID:

During the past 30 days, was any of the shisha tobacco you smoked flavored to taste like menthol,
mint, 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: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).

PATH ID:

YH1118

Screen ID:

During the past 30 days, how did you usually get your own shisha tobacco?
1
I bought it myself
2
I gave someone else money to buy it for me
GO TO YH1030
3
I asked someone to give me some
GO TO YH1124
4
Someone offered it to me
GO TO YH1124
5
I bought it from another person
GO TO YH1124
6
I took it from a store or another person
GO TO YH1124
7
I got it some other way SPECIFY _________
GO TO YH1124
-8
DON’T KNOW
GO TO YH1124
-7
REFUSED
GO TO YH1124
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).

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PATH ID:

YH1097

Screen ID:

During the past 30 days, did you use a coupon when buying shisha tobacco?
1
Yes
2
No
GO TO YH1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought shisha tobacco themselves in the past 30 days (YH1118=1)

PATH ID:

YH1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy shisha tobacco? Please enter a
number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4) AND who used
a coupon in the last 30 days (YH1097 = 1)
PATH ID:

YH1123

Screen ID:

During the past 30 days, did anyone refuse to sell you shisha tobacco because of your age?
1
Yes
2
No
3
I did not try to buy shisha tobacco in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1030

Screen ID:

How do [you/they] usually buy your shisha tobacco? Is it…
1 In person
2 From the internet
GO TO YH1047
3 By telephone
GO TO YH1047
DON’T
KNOW
-8
-7 REFUSED
ASK: Respondents who indicated that they bought shisha tobacco for themselves or that someone
else bought shisha tobacco for them in the last 30 days (YH1118 = 1 or 2).
PROGRAM: If YH1118=1, display “you”; If YH1118=2, display “they”.

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PATH ID:

YH1032

Screen ID:

Do [you/they] usually buy it...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the shisha tobacco they bought for themselves or that someone
else bought for them was purchased in-person (YH1030= 1).
PROGRAM: If YH1118=1, display “you”; If YH1118=2, display “they”
PATH ID:

YH1033

Screen ID:

Where do [you/they] usually buy your shisha tobacco?
1
From a hookah bar or cafe
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,
5
A tobacco specialty store or tobacco outlet store,
6
A duty free shop or military commissary,
7
A bar, pub, restaurant or casino,
8
A friend or relative,
[DISPLAY IF YH1118 = 1]
9
A swap meet or flea market,
10 Or from somewhere else
SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the shisha tobacco they bought for themselves or that someone
else bought for them was purchased in-person (YH1030 = 1).
PROGRAM: If YH1118=1, display “you”; If YH1118=2, display “they”
If YH1118=1, display option 7=‘ A friend or relative,’ if YH118 NE 1, hide option 7.
PATH ID:

YH1047

Screen ID:

Do you have a regular brand of shisha tobacco that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).

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PATH ID:

YH1048

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 YH1070]
1 I did not see my brand
GO TO YH1049
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PROGRAM: If YH1047=1, display “do” and “usually”. If YH1047=2, DK or RF, display “did” and “last”
PATH ID:

YH1070

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 YH1048]
1
-8
-7

Some other type not listed here.
GO TO YH1071
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4) and selected a
brand image in YH1048.
PATH ID:

YH1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
GO TO YH9108
-8 DON’T KNOW
GO TO YH9108
-7 REFUSED
GO TO YH9108
ASK: Respondents who did not select an image for their brand (YH1048 = 1)
PATH ID:

YH1071

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: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4) who did not
select the type of product they use (YH1070=”some other type not listed here”) but who DID select a
brand (YH1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YH1049.

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PATH ID:

YH9108

Screen ID:

Does this brand of shisha contain tobacco?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
Box YH2
Display question YH1060, YH1061, YH1085, YH1062, YH1063, YH1064, YH1066, YH1068, YH1069,
YH1072 on one screen. Show the intro/transition text from YH1060 first, then show each item with a
Y/N response. As each item is answered, show the next one.
PATH ID:

YH1060

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
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1061

Screen ID:

People in the media or other public figures smoke hookahs.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1085

Screen ID:

I can smoke a hookah in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).

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PATH ID:

YH1062

Screen ID:

It might be less harmful than smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1063

Screen ID:

Shisha tobacco comes in flavors I like.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1064

Screen ID:

Smoking a hookah helps people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1068

Screen ID:

People who are important to me smoke hookahs.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).

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PATH ID:

YH1069

Screen ID:

I like socializing while smoking a hookah.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1072

Screen ID:

The advertising for hookahs appeal to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1073

Screen ID:

People like me smoke hookahs. It is part of my culture.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9003=2, 3 or 4).
PATH ID:

YH1099

Screen ID:

Is smoking a hookah less harmful, about the same, or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).

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PATH ID:

YH1124

Screen ID:

How likely is someone to become addicted to shisha tobacco?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).
PATH ID:

YH1125

Screen ID:

How much do you think people harm themselves when they smoke a hookah?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).
PATH ID:

YH1146

Screen ID:

Is shisha tobacco flavored like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as
wine or cognac), or other sweets, harder to smoke, about the same, or easier to smoke than regular
shisha tobacco?
1
Harder to smoke
2
About the same
3
Easier to smoke
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).

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PATH ID:

YH9110

Screen ID:

Is shisha that does not contain tobacco less harmful, about the same, or more harmful than shisha that
does contain tobacco?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).
PATH ID:

YH1026

Screen ID:

How many of your friends do you think smoke a hookah?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of a hookah (YH1001 = 1).

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SMOKELESS TOBACCO SECTION
The next questions ask about smokeless tobacco which you put in your mouth. Frequently you chew,
suck or spit while using smokeless tobacco, although there is no need to do so for some types. Snus,
for instance, is a type of smokeless tobacco that comes in a small pouch that you put under your lip.
There are many kinds of smokeless tobacco, such as snus pouches, loose snus, moist snuff, dip, spit,
and chewing tobacco. Common brands include Redman, Levi Garrett, Beechnut, Skoal, Nordic Ice
and Copenhagen.
SHOW GENERIC IMAGE OF SMOKELESS TOBACCO
PATH ID:

YS1001

Screen ID:

Have you ever heard of smokeless tobacco, such as snus pouches, loose snus, moist snuff, dip, spit or
chewing tobacco, before this study?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.

GO TO BOX AD1

BOX – DISPLAY INSTRUCTIONS
For YS1002, display a “Yes” and “No” column with options for each response category.
PATH ID:

YS1002

Screen ID:

Have you ever used any of the following smokeless tobacco products, even one or two times? Choose
all that apply.
1
Snus pouches
2
Loose snus, moist snuff, dip, spit, or chewing tobacco
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco (YS1001 = 1).

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PATH ID:

YS1103

Screen ID:

Have you ever been curious about using smokeless tobacco? Would you say…
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco but have not ever used it ((YS1001 = 1 AND
YS1002(1,2) = 2)).
PATH ID:

YS1104

Screen ID:

Do you think you will try smokeless tobacco soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco but have not ever used it ((YS1001 = 1 AND
YS1002(1,2) = 2)).
PATH ID:

YS1105

Screen ID:

If one of your best friends were to offer you smokeless tobacco, would you use it? Would you say…
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco but have not ever used it ((YS1001 = 1 AND
YS1002(1,2) = 2)).

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PATH ID:

BOX YS1

Screen ID:

PROGRAM: After answering question YS1105, respondents who have never used smokeless tobacco
go to YS1124
BOX YS4
DEFINE VARIABLE [OTHPOUCH] to capture names of types of smokeless tobacco pouches other
than snus pouches.
OTHPOUCH=”Skoal Bandits”
PATH ID:

YU1003

Screen ID:

You mentioned that you have used snus pouches. There are many brands of snus pouches. Did you
use the brand called “[OTHPOUCH]”?
1

Yes, I used only [OTHPOUCH]

2

Yes, I used both [OTHPOUCH] and other brands of snus pouches

3

No, I did not use [OTHPOUCH]

-8

DON’T KNOW

-7

REFUSED

ASK: Respondents that have ever used snus pouches ((YS1002(1)=1 IN SNUS POUCHES))
BOX YS5
DEFINE: CREATE AN ARRAY SMKLSSTYPE WITH 2 ELEMENTS - ONE FOR EACH SMOKELESS
TOBACCO TYPE (SMOKELESS TOBACCO; SNUS) .
If respondent has ever used smokeless tobacco and has not used snus ((YS1002(1)=2 AND
YS1002(2)=1)) then SMKLSSTYPE[1]=1;
If respondent has ever used snus (YS1002(1)=1) AND the snus was Skoal Bandits (YU1003=1 or 2),
then SMKLSSTYPE[1]=1;
If respondent has ever used snus (YS1002(1)=1) AND the snus was NOT exclusively Skoal Bandits
(YU1003=2 or 3), then SMKLSSTYPE[2]=2.
Then do the following:
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2] <> 2, complete the rest of this section one time, filling
[SMKLSSFILL] with “smokeless tobacco”
If SMKLSSTYPE[1] <> 1 and SMKLSSTYPE[2]=2, complete the rest of this section one time, filling
[SMKLSSFILL] with “snus”
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2]=2, complete the rest of this section TWICE. The first
time, fill [SMKLSSFILL] with “snus”. The second time, fill [SMKLSSFILL] with “smokeless tobacco.”

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BOX YS6
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2]=null (respondents who use smokeless BUT not snus
pouches), GO TO YS1005.
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. 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]

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PATH ID:

YS1005

Screen ID:

How many [containers of smokeless tobacco I snus pouches] have you used in your entire life?
1
Less than 1
2
1
3
2-10
4
11-20
5
21-50
6
51 to 99
7
At least 100 or more
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PROGRAM: If SMKLSSTYPE[1]=1, display “containers of smokeless tobacco”; if SMKLSSTYPE[2]=2,
display “snus pouches”.
PATH ID:

YS1110

Screen ID:

Do you have a favorite brand of [SMKLSSFILL]?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PATH ID:

YS1006

Screen ID:

How old were you when you first tried [SMKLSSFILL], even one or two times? Please enter age in
years.
1
|__|__|
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).

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PATH ID:

YS1108

Screen ID:

Was your first [smokeless tobacco I snus pouch] flavored to taste like menthol, mint, 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: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PROGRAM: If SMKLSSFILL[1]=1, display ‘smokeless tobacco’; if SMKLSSFILL[2]=2 display ‘snus
pouch’
PATH ID:

YS1112

Screen ID:

When was the last time you used [SMKLSSFILL], even one or two times?
1 Earlier today
2 Not today but sometime during the past 7 days
3 Not during the past 7 days but sometime during the past 30 days
4 Not during the past 30 days but sometime during the past 6 months
5 Not during the past 6 months but sometime during the past year
6 1 to 4 years ago
7 5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PATH ID:

YS1022

GO TO YS1124
GO TO YS1124
GO TO YS1124
GO TO YS1124
GO TO YS1124
GO TO YS1124

Screen ID:

During the past 30 days, on how many days did you use [SMKLSSFILL]? Please enter the number of
days.
1
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (YS1112 = 1, 2 or 3)
PROGRAM: Range check: 1-30 days

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PATH ID:

YS1023

Screen ID:

During the past 30 days, on the days you used [SMKLSSFILL], [how many times did you usually use
smokeless tobacco each day I how many snus pouches did you usually use each day]? Please enter a
number.
1
|__|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0).
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:

YS1130

Screen ID:

During the past 30 days, [was | were] any of the [smokeless tobacco I snus pouches] you used flavored
to taste like menthol, mint, 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: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or
3).
PROGRAM: If SMKLSSTYPE[1]=1, display “was” and “smokeless tobacco”; if SMKLSSTYPE[2]=2,
display “were” and “snus pouches”.
PATH ID:

YS1118

Screen ID:

During the past 30 days, how did you usually get your own [SMKLSSFILL]?
1
2
3
4
5
6

I bought it myself
I gave someone else money to buy it for me
GO TO YS1030
I asked someone to give me some
GO TO YS1124
Someone offered it to me
GO TO YS1124
I bought it from another person
GO TO YS1124
I took it from a store or another person
GO TO YS1124
I got it some other way
GO TO YS1124
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YS1124
-7 REFUSED
GO TO YS1124
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or
3).

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PATH ID:

YS1097

Screen ID:

During the past 30 days, did you use a coupon when buying [SMKLSSFILL]?
1
Yes
2
No
GO TO YS1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought smoking tobacco themselves in the past 30 days (YS1118=1)
PATH ID:

YS1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy [SMKLSSFILL]? Please enter a
number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0) AND who used a
coupon in the last 30 days (YS1097 = 1)
PATH ID:

YS1123

Screen ID:

During the past 30 days, did anyone refuse to sell you [SMKLSSFILL] because of your age?
1
Yes
2
No
3
I did not try to buy [SMKLSSFILL] in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1,2 or
3).
PATH ID:

YS1030

Screen ID:

How do [you/they] usually buy your [SMKLSSFILL]? Is it…
1
In person
2
From the internet
GO TO YS1047
3
By telephone
GO TO YS1047
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that they bought [SMKLSSFILL] for themselves or that someone
else bought [SMKLSSFILL] for them in the last 30 days (YS1118 = 1 or 2).
PROGRAM: If YS1118=1, display “you”; If YS1118=2, display “they”.

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PATH ID:

YS1032

Screen ID:

Do [you/they] usually buy it...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the [SMKLSSFILL] they bought for themselves or that someone
else bought for them was purchased in person (YS1030 = 1).
PROGRAM: If YS1118=1, display “you”; If YS1118=2, display “they”
PATH ID:

YS1033

Screen ID:

Where do [you/they] usually buy your [SMKLSSFILL]?
1 A convenience store or gas station,
2 A supermarket, grocery store, or drug store,
3 A warehouse club, such as Sam’s or Costco,
4 A tobacco specialty store or tobacco outlet store,
5 A duty free shop or military commissary,
6 A bar, pub, restaurant or casino,
7 A friend or relative,
[DISPLAY IF YS1118 = 1]
8 A swap meet or flea market,
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the [SMKLSSFILL] they bought for themselves or that someone
else bought for them was purchased in person (YS1030 = 1).
PROGRAM: If YS1118=1, display “you”; If YS1118=2, display “they”
If YS1118=1, display option 7=‘ A friend or relative,’ if YS1118 NE 1, hide option 7.
PATH ID:

YS1047

Screen ID:

Do you have a regular brand of [SMKLSSFILL] that you usually use?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or
3).

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PATH ID:

YS1048

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 YS1070]
1 I did not see my brand
GO TO YS1049
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or
3).
PROGRAM: If 1047=1, display “do” and “usually”. If 1047=2, DK or RF, display “did” and “last”
PATH ID:

YS1070

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 YS1048]
1
-8
-7

Some other type not listed here.
GO TO YS1071
DON’T KNOW
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or
3) and selected a brand image in YS1048.
PATH ID:

YS1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
GO TO YS1060
-8 DON’T KNOW
GO TO YS1060
-7 REFUSED
GO TO YS1060
ASK: Respondents who did not select an image for their brand (YS1048= 1).
PATH ID:

YS1071

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: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or
3) who did not select the type of product they use (YS1070=”some other type not listed here”) but who
DID select a brand (YS1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YS1049.

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Box YS2
Display question YS1060, YS1061, YS1085, YS1062, YS1075, YS1063, YS1064, YS1065, YS1067,
YS1068, YU1069, YU1070, YS1072 on one screen. Show the intro/transition text from YS1060 first,
then show each item with a Y/N response. As each item is answered, show the next one.
PATH ID:

YS1060

Screen ID:

The next questions are about the reasons people [SMKLSSFILL]. Please select which reasons apply
to you.
I use [SMKLSSFILL] because…
It is affordable.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1,2 or
3).
PATH ID:

YS1061

Screen ID:

People in the media or other public figures use [SMKLSSFILL].
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).
PATH ID:

YS1085

Screen ID:

I can use [SMKLSSFILL] in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).

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PATH ID:

YS1062

Screen ID:

It might be less harmful to me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).
PATH ID:

YS1075

Screen ID:

[It I They] might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).
PROGRAM: IF SMKLSSFILL[1]=1, DISPLAY “It”; IF ROGRAM: IF don'this comment is on hold for
right now.eless tobaccoking about the products. The clarification is not needed heSMKLSSFILL[2]=2,
DISPLAY “They”
PATH ID:

YS1063

Screen ID:

[Smokeless tobacco comes I Snus pouches come] in flavors I like.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).
PROGRAM: If SMKLSSFILL[1]=1, display “Smokeless tobacco comes”; if SMKLSSFILL[2]=2, display
“Snus pouches come”.
PATH ID:

YS1064

Screen ID:

Using [SMKLSSFILL] helps people to quit smoking cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).

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PATH ID:

YS1065

Screen ID:

[Smokeless tobacco doesn’t I Snus pouches don’t] smell.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1,2 or
3).
PROGRAM: IF SMKLSSFILL[1]=1, DISPLAY “Smokeless tobacco doesn’t”; IF ROGRAM: IF don'this
comment is on hold for right now.eless tobaccoking about the products. The clarification is not needed
heSMKLSSFILL[2]=2, DISPLAY “Snus pouches don’t”
PATH ID:

YS1067

Screen ID:

[Smokeless tobacco doesn’t I Snus pouches don’t] bother non-tobacco users.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).
PROGRAM: IF SMKLSSFILL[1]=1, DISPLAY “Smokeless tobacco doesn’t”; IF ROGRAM: IF don'this
comment is on hold for right now.eless tobaccoking about the products. The clarification is not needed
heSMKLSSFILL[2]=2, DISPLAY “Snus pouches don’t”
PATH ID:

YS1068

Screen ID:

People who are important to me use [SMKLSSFILL].
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).

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PATH ID:

YU1069

Screen ID:

No one can tell when I am using a snus pouch.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used snus in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or 3).
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:

YU1070

Screen ID:

The sensations are stronger or more pleasurable than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used snus (SMKLSSFILL[2]=2 in the last 30 days (YS1022 > 0 or
YS1112 = 1, 2 or 3) AND who have also smoked cigarettes in the past 30 days
PATH ID:

YS1072

Screen ID:

The advertising for [SMKLSSFILL] appeals to me.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2
or 3).
PATH ID:

YS1099

Screen ID:

Is using smokeless tobacco less harmful, about the same, or more harmful than cigarettes?
1 Less harmful
2 About the same
3 More harmful
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco (YS1001 = 1).

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PATH ID:

YS1086

Screen ID:

During the past 30 days, have you used [SMKLSSFILL] at times when you could not smoke cigarettes?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the last 30 days (YS1022 > 0 or YS1112 = 1, 2 or
3).
PATH ID:

YS1124

Screen ID:

How likely is someone to become addicted to smokeless tobacco?
1 Very unlikely
2 Somewhat unlikely
3 Neither likely nor unlikely
4 Somewhat likely
5 Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco (YS1001 = 1).
PATH ID:

YS1125

Screen ID:

How much do you think people harm themselves when they use smokeless tobacco?
1 No harm
2 Little harm
3 Some harm
4 A lot of harm
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco (YS1001 = 1).

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PATH ID:

YS1146

Screen ID:

Is using smokeless tobacco flavored like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol
(such as wine or cognac), or other sweets, harder to use, about the same, or easier to use than regular
smokeless tobacco?
1 Harder to use
2 About the same
3 Easier to use
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco (YS1001 = 1).
PATH ID:

YS1026

Screen ID:

How many of your friends do you think use smokeless tobacco?
1 None
2 A few
3 Some
4 Most
5 All
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of smokeless tobacco (YS1001 = 1).

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DISSOLVABLE TOBACCO SECTION
BOX AD1
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:

YD1001

Screen ID:

Have you ever heard of a dissolvable tobacco before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:

GO TO YB9101

YD1002

Screen ID:

Have you ever used dissolvable tobacco products, such as Ariva, Stonewall, or Camel Orbs, Sticks, or
Strips, even one or two times?
1 Yes
GO TO YD1005
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of dissolvable tobacco (YD1001 = 1).
PATH ID:

YD1103

Screen ID:

Have you ever been curious about using a dissolvable tobacco product?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of but never used a dissolvable tobacco product. (YD1001 = 1
AND YD1002 = 2).

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PATH ID:

YD1104

Screen ID:

Do you think you will try a dissolvable tobacco product soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of but never used a dissolvable tobacco product. (YD1001 = 1
AND YD1002 = 2).
PATH ID:

YD1105

Screen ID:

If one of your best friends were to offer you a dissolvable tobacco product, would you use it? Would
you say…
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of but never used a dissolvable tobacco product. (YD1001 = 1
AND YD1002 = 2).
PATH ID:

BOX YD1

Screen ID:

PROGRAM: After answering question YD1105, respondents who have never used dissolvable tobacco
go to YD1124
PATH ID:

YD1005

Screen ID:

How many dissolvable tobacco pieces have you used in your entire life?
1 Less than 1
2 1
3 2 to 10
4 11 to 20
5 21 to 50
6 51 to 99
7 At least 100 or more
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).

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PATH ID:

YD1110

Screen ID:

Do you have a favorite brand of dissolvable tobacco product?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).
PATH ID:

YD1006

Screen ID:

How old were you when you first tried a dissolvable tobacco product, even one or two times? Please
enter age in years.
1 |__|__|
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).
PATH ID:

YD1108

Screen ID:

Was your first dissolvable tobacco product flavored to taste like menthol, mint, 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: Respondents who have used a dissolvable tobacco product (YD1002 = 1).
PATH ID:

YD1112

Screen ID:

When was the last time you used dissolvable tobacco, even one or two times?
1
Earlier today
2
Not today but sometime during the past 7 days
3
Not during the past 7 days but sometime during the past 30 days
4
Not during the past 30 days but sometime during the past 6 months
5
Not during the past 6 months but sometime during the past year
6
1 to 4 years ago
7
5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).

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GO TO YD1124
GO TO YD1124
GO TO YD1124
GO TO YD1124
GO TO YD1124
GO TO YD1124

PATH
Youth Extended Interview
Version 6.2
PATH ID:

YD1022

Screen ID:

During the past 30 days, on how many days did you use a dissolvable tobacco product? Please enter
the number of days.
1 I__I__I
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days (YD1112 = 1, 2
or 3)
PROGRAM: Range check: 1-30 days
PATH ID:

YD1023

Screen ID:

During the past 30 days, on the days you used dissolvable tobacco, how many pieces did you use per
day? Please enter a number.
1
Less than 1 piece per day
2
I__I__I__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022> 0).
PATH ID:

YD1130

Screen ID:

During the past 30 days, were any of the dissolvable tobacco products you used flavored to taste like
menthol, mint, 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: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1,2 or 3).

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PATH ID:

YD1118

Screen ID:

During the past 30 days, how did you usually get your own dissolvable tobacco?
1
2
3
4
5
6

I bought it myself
I gave someone else money to buy it for me
GO TO YD1030
I asked someone to give me some
GO TO YD1124
Someone offered it to me
GO TO YD1124
I bought it from another person
GO TO YD1124
I took it from a store or another person
GO TO YD1124
I got it some other way
GO TO YD1124
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YD1124
-7 REFUSED
GO TO YD1124
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1097

Screen ID:

During the past 30 days, did you use a coupon when buying dissolvable tobacco?
1
Yes
2
No
GO TO YD1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought dissolvable tobacco themselves in the past 30 days (YD1118=1)
PATH ID:

YD1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy dissolvable tobacco? Please enter
a number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used dissolvable tobacco in the last 30 days (YD1022 > 0) AND who
used a coupon in the last 30 days (YD1097 = 1)

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PATH ID:

YD1123

Screen ID:

During the past 30 days, did anyone refuse to sell you dissolvable tobacco because of your age?
1 Yes
2 No
3 I did not try to buy dissolvable tobacco in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1,2 or 3).
PATH ID:

YD1030

Screen ID:

How do [you/they] usually buy your dissolvable tobacco? Is it…
1 In person
2 From the internet
GO TO YD1047
3 By telephone
GO TO YD1047
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that they bought dissolvable tobacco for themselves or that someone
else bought dissolvable tobacco for them in the last 30 days (YD1118 = 1 or 2).
PROGRAM: If YD1118=1, display “you”; If YD1118=2, display “they”.
PATH ID:

YD1032

Screen ID:

Do [you/they] usually buy it...
1 In your own state
2 In another state
3 Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the dissolvable tobacco they bought for themselves or that
someone else bought for them was purchased in person (YD1030 = 1).
PROGRAM: If YD1118=1, display “you”; If YD1118=2, display “they”

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PATH ID:

YD1033

Screen ID:

Where do [you/they] usually buy your dissolvable tobacco?
1 A convenience store or gas station,
2 A supermarket, grocery store, or drug store,
3 A warehouse club, such as Sam’s or Costco,
4 A tobacco specialty store or tobacco outlet store,
5 A duty free shop or military commissary,
6 A bar, pub, restaurant or casino,
7 A friend or relative,
[DISPLAY IF YD1118 = 1]
8 A swap meet or flea market,
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the dissolvable tobacco they bought for themselves or that
someone else bought for them was purchased in person (YD1030 = 1).
PROGRAM: If YD1118=1, display “you”; If YD1118=2, display “they”
If YD1118=1, display option 7=‘ A friend or relative,’ if YD1118 NE 1, hide option 7.
PATH ID:

YD1047

Screen ID:

Do you have a regular brand of dissolvable tobacco that you usually use?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022> 0 or
YD1112 = 1,2 or 3).
PATH ID:

YD1048

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 YD1070]
1
I did not see my brand
GO TO YD1049
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022> 0 or
YD1112 = 1,2 or 3).
PROGRAM: If YD1047=1, display “do” and “usually”. If YD1047=2, DK or RF, display “did” and “last”

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PATH ID:

YD1070

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 YD1048]
1
-8
-7

Some other type not listed here.
GO TO YD1071
DON’T KNOW
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022> 0 or
YD1112 = 1,2 or 3) and selected a brand image in YD1048.
PATH ID:

YD1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
GO TO YD1060
-8 DON’T KNOW
GO TO YD1060
-7 REFUSED
GO TO YD1060
ASK: Respondents who did not select an image for their brand (YD1048 = 1).
PATH ID:

YD1071

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: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022> 0 or
YD1112 = 1,2 or 3) who did not select the type of product they use (YD1070=”some other type not
listed here”) but who DID select a brand (YD1048<>1, -8, -7). Do not ask of respondents who wrote a
brand into YD1049.
Box YD2
Display question YD1060, YD1061, YD1085, YD1062, YD1075, YD1063, YD1064, YD1065, YD1067,
YD1068, YD1069, YD1072, YD1074 on one screen. Show the intro/transition text from YD1060 first,
then show each item with a Y/N response. As each item is answered, show the next one.

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PATH ID:

YD1060

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…
It is affordable.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1061

Screen ID:

People in the media or other public figures use dissolvable tobacco.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1085

Screen ID:

I can use dissolvable tobacco in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1062

Screen ID:

It might be less harmful to me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).

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PATH ID:

YD1075

Screen ID:

It might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1063

Screen ID:

Dissolvable tobacco comes in flavors I like.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1064

Screen ID:

Using dissolvable tobacco helps people to quit smoking cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1065

Screen ID:

Dissolvable tobacco doesn’t smell.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022> 0 or
YD1112 = 1, 2 or 3).

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PATH ID:

YD1067

Screen ID:

Dissolvable tobacco doesn’t bother non-tobacco users.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1068

Screen ID:

People who are important to me use dissolvable tobacco.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1069

Screen ID:

No one can tell when I am using dissolvable tobacco.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (YD1022 > 0 or YD1112 =
1,2 or 3).
PATH ID:
YD1072
The advertising for dissolvable tobacco appeals to me.

Screen ID:

1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (YD1022 > 0 or YD1112 =
1,2 or 3).

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PATH ID:

YD1074

Screen ID:

It reminds me of candy.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (YD1022 > 0 or YD1112 =
1,2 or 3).
PATH ID:

YD1099

Screen ID:

Is using dissolvable tobacco less harmful, about the same, or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
Don’t know
-7
refused
ASK: Respondents who have heard of dissolvable tobacco (YD1001 = 1).
PATH ID:

YD1086

Screen ID:

During the past 30 days, have you used dissolvable tobacco products when you could not smoke?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022> 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YD1124

Screen ID:

How likely is someone to become addicted to dissolvable tobacco?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of dissolvable tobacco (YD1001 = 1).

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Version 6.2
PATH ID:

YD1125

Screen ID:

How much do you think people harm themselves when they use dissolvable tobacco?
1 No harm
2 Little harm
3 Some harm
4 A lot of harm
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of dissolvable tobacco (YD1001 = 1).
PATH ID:
YD1146
Screen ID:
Is using dissolvable tobacco flavored like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol
(such as wine or cognac), or other sweets, harder to use, about the same, or easier to use than regular
dissolvable tobacco?
1
Harder to use
2
About the same
3
Easier to use
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of dissolvable tobacco (YD1001 = 1).
PATH ID:

YD1026

Screen ID:

How many of your friends do you think use dissolvable tobacco products?
1
None
2
A few
3
Some
4
Most
5
All
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of dissolvable tobacco (YD1001 = 1).

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PATH
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Version 6.2

BIDIS AND KRETEKS SECTION
The next questions are about smoking bidis or kreteks. Bidis are small brown cigarettes wrapped in a
leaf. Kreteks are clove cigarettes. In the following section, we are ONLY asking about smoking bidis
or kreteks.
PATH ID:

YB9101

Screen ID:

Which of the following tobacco products have you ever heard of before this study? (CHOOSE ALL
THAT APPLY)
1
Bidis
2
Kreteks
8
Never heard of either of these products
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
BOX YB1
PROGRAM: If respondent has never heard of either bidis or kreteks (YB9101=8), skip to next section.
PATH ID:

YB9102

Screen ID:

Which of the following tobacco products have you ever tried, even one or two times? (CHOOSE ALL
THAT APPLY)
1
Bidis
GO TO BOX YB2
2
Kreteks
GO TO BOX YB2
8
Never tried either of these products
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of at least 1 of the other products (YB9101 = 1 OR 2).
PATH ID:

YB1103

Screen ID:

Have you ever been curious about smoking a bidi or a kretek?
1
Very curious
2
Somewhat curious
3
A little curious
GO TO YB1104
4
Not at all curious
GO TO YB1104
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of any of these products but have not smoked any of them
(YB9101 = 1 or 2 AND YB9102 ne 8).

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PATH ID:

YB9103

Screen ID:

Which product are you curious about smoking? Choose all that apply.
1
Bidi
2
Kretek
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who respond ‘definitely yes’ or ‘probably yes’ for YB1103 (YB1103 = 1 or 2).
PATH ID:

YB1104

Screen ID:

Do you think you will try bidis or kreteks soon?
1
Definitely yes
2
Probably yes
3
Probably not
GO TO YB1105
4
Definitely not
GO TO YB1105
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of any of these products but have not smoked any of them
(YB9101 = 1 or 2 AND YB9102 ne 8).
PATH ID:

YB9104

Screen ID:

Which one? Choose all that apply.
1
Bidi
2
Kretek
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who respond ‘definitely yes’ or ‘probably yes’ for YB1104 (YB1104 = 1 or 2).
PATH ID:

YB1105

Screen ID:

If one of your best friends were to offer you a bidi or kretek, would you smoke it? Would you say…
1
Definitely yes
2
Probably yes
3
Probably not
GO TO BOX YB4
4
Definitely not
GO TO BOX YB4
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of at least 1 of the other products (YB9101 = 1 OR 2).

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PATH ID:

YB9105

Screen ID:

Which one? Choose all that apply.
1
Bidi
2
Kretek
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who respond ‘definitely yes’ or ‘probably yes’ for YB1105 (YB1105 = 1 or 2).
PATH ID:

BOX YB2

Screen ID:

PROGRAM: After answering question YB9105, respondents who have never smoked bidis or kreteks
go to BOX YB4. [BKFILL] Series If respondent provides more than one response in YB9102, repeat
series (questions YB1005-YB1146) for each product selected. If YB9102=1, fill [BKFILL] with “bidi”; if
YB9102=2, fill [BKFILL] with “kretek”. Repeat each series as applicable.
PATH ID:

YB1005

Screen ID:

How many [BKFILL]s have you smoked in your entire life?
1
1 or more puffs but never a whole one
2
1
3
2-10
4
11 to 20
5
21 to 50
6
51 to 99
7
At least 100 or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever smoked [BKFILL] (YB9102 ne 8).
PATH ID:

YB1110

Screen ID:

Do you have a favorite brand of [BKFILL]?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever smoked [BKFILL] (YB9102 ne 8).

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PATH ID:

YB1006

Screen ID:

How old were you when you first tried a [BKFILL], even one or two puffs? Please enter age in years.
1

|__|__|

-8

DON’T KNOW

-7

REFUSED

ASK: Respondents who have ever smoked [BKFILL] (YB9102 ne 8).
PROGRAM: Allow 2 digits for age.
PATH ID:

YB1108

Screen ID:

Was your first [BKFILL] flavored to taste like menthol, mint, 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: Respondents who have ever smoked [BKFILL] (YB9102 ne 8).
PATH ID:

YB1112

Screen ID:

When was the last time you smoked a [BKFILL], even one or two puffs?
1 Earlier today
2 Not today but sometime during the past 7 days
3 Not during the past 7 days but sometime during the past 30 days
4 Not during the past 30 days but sometime during the past 6 months
5 Not during the past 6 months but sometime during the past year
6 1 to 4 years ago
7 5 or more years
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have ever smoked [BKFILL] (YB9102 ne 8).
PATH ID:

YB1022

GO TO YB1124
GO TO YB1124
GO TO YB1124
GO TO YB1124
GO TO YB1124
GO TO YB1124

Screen ID:

During the past 30 days, on how many days did you smoke a [BKFILL]? Please enter the number of
days.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever smoked [BKFILL] in the past 30 days (YB1112 = 1, 2 or 3)
PROGRAM: Range check 1-30 days

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PATH ID:

YB1023

Screen ID:

During the past 30 days, on the days you smoked a [BKFILL], how many [BKFILL]s did you smoke per
day? Please enter a number.
1
Less than 1 [BKFILL] per day
2
I__I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0).
PATH ID:

YB1130

Screen ID:

During the past 30 days, were any of the [BKFILL]s you smoked flavored to taste like menthol, mint,
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: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1118

Screen ID:

During the past 30 days, how did you usually get your own [BKFILL]s?
1
2
3
4
5
6

I bought them myself
I gave someone else money to buy them for me
GO TO YB1030
I asked someone to give me one
GO TO YB1124
Someone offered them to me
GO TO YB1124
I bought them from another person
GO TO YB1124
I took them from a store or another person
GO TO YB1124
I got them some other way
GO TO YB1124
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YB1124
-7 REFUSED
GO TO YB1124
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).

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PATH ID:

YB1097

Screen ID:

During the past 30 days, did you use a coupon when buying [BKFILL]s?
1
Yes
2
No
GO TO YB1030
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who bought bidis or kreteks themselves in the past 30 days (YB1118=1)
PATH ID:

YB1098

Screen ID:

How many times in the past 30 days have you used a coupon to buy [BKFILL]s? Please enter a
number.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked bidis or kreteks in the last 30 days (YB1022 > 0) AND who used
a coupon in the last 30 days (YB1097 = 1)
PATH ID:

YB1123

Screen ID:

During the past 30 days, did anyone refuse to sell you [BKFILL]s because of your age?
1
Yes
2
No
3
I did not try to buy [BKFILL]s in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1030

Screen ID:

How do [you/they] usually buy your [BKFILL]s? Is it…
1
In person
2
From the internet
GO TO YB1047
3
By telephone
GO TO YB1047
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that they bought [BKFILL] for themselves or that someone else
bought [BKFILL] for them in the last 30 days (YB1118 = 1 or 2).
PROGRAM: If YB1118=1, display “you”; If YB1118=2, display “they”

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PATH ID:

YB1032

Screen ID:

Do [you/they] usually buy them...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the [BKFILL]s they bought for themselves or that someone else
bought for them was purchased in person (YB0030 = 1).
PROGRAM: If YB1118=1, display “you”; If YB1118=2, display “they”
PATH ID:

YB1033

Screen ID:

Where do [you/they] usually buy your [BKFILL]s?
1 A convenience store or gas station,
2 A supermarket, grocery store, or drug store,
3 A warehouse club, such as Sam’s or Costco,
4 A tobacco specialty store or tobacco outlet store,
5 A duty free shop or military commissary,
6 A bar, pub, restaurant or casino,
7 A friend or relative,
[DISPLAY IF YB1118 = 1]
8 A swap meet or flea market,
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the [BKFILL] they bought for themselves or that someone else
bought for them was purchased in person (YB1030 = 1).
PROGRAM: If YB1118=1, display “you”; If YB1118=2, display “they”
If YB1118=1, display option 7=‘ A friend or relative,’ if YB1118 NE 1, hide option 7.
PATH ID:

YB1047

Screen ID:

Do you have a regular brand of [BKFILL]s that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).

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PATH ID:

YB1048

Screen ID:

What brand of [BKFILL] [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 YB1070]
1 I did not see my brand
GO TO YB1049
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PROGRAM: If YB1047=1, display “do” and “usually”. If YB1047=2, DK or RF, display “did” and “last”
PATH ID:

YB1070

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 YB1048]
1
-8
-7

Some other type not listed here.
GO TO YB1071
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3) and selected a brand image in YB1048.
PATH ID:

YB1049

Screen ID:

You said that your brand was not pictured. What brand is it?
1
__________________________
GO TO YB1060
-8 DON’T KNOW
GO TO YB1060
-7 REFUSED
GO TO YB1060
ASK: Respondents who did not select an image for their brand (YB1048 = 1).
PATH ID:

YB1071

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: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3) who did not select the type of product they use (YB1070=”some other type not listed here”) but who
DID select a brand (YB1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YB1049.

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Box YB3
Display question YB1060, YB1061, YB1085, YB1062, YB1063, YB1064, YB1066, YB1068, YB1072 on
one screen. Show the intro/transition text from YB1060 first, then show each item with a Y/N response.
As each item is answered, show the next one.
PATH ID:

YB1060

Screen ID:

The next questions are about the reasons people smoke [BKFILL]s. Please select which reasons
apply to you.
I smoke [BKFILL]s because…
They are affordable.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1061

Screen ID:

People in the media or other public figures smoke [BKFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1085

Screen ID:

I can smoke [BKFILL]s in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).

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PATH ID:

YB1062

Screen ID:

They might be less harmful than cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1063

Screen ID:

[BKFILL]s come in flavors I like.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1064

Screen ID:

Smoking [BKFILL]s help people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1066

Screen ID:

Smoking a [BKFILL] feels like smoking a cigarette.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).

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PATH ID:

YB1068

Screen ID:

People who are important to me smoke [BKFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
PATH ID:

YB1072

Screen ID:

The advertising for [BKFILL]s appeals to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the last 30 days (YB1022 > 0 or YB1112 = 1,2 or
3).
BOX YB4
PROGRAM: [BKHEARD] Series. If respondent provides more than one response in YB9101, repeat
series (questions YB1124-YB1146) for each product selected. If YB9101=1, fill [BKHEARD] with “bidi”;
if YB9102=2, fill [BKHEARD] with “kretek”. Repeat each series as applicable.
PATH ID:

YB1099

Screen ID:

Is smoking a [BKHEARD] less harmful, about the same, or more harmful to a person’s health than
smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of at least 1 of the other products (YB9101 = 1 OR 2).

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PATH ID:

YB1124

Screen ID:

How likely is someone to become addicted to [BKHEARD]s?
1
Very likely
2
Somewhat likely
3
Neither likely or unlikely
4
Somewhat likely
5
Very likely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of at least 1 of the other products (YB9101 = 1 OR 2).
PATH ID:

YB1125

Screen ID:

How much do you think people harm themselves when they smoke a [BKHEARD]?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of at least 1 of the other products (YB9101 = 1 OR 2).
PATH ID:

YB1146

Screen ID:

Are [BKHEARD]s flavored like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as
wine or cognac), or other sweets, harder to smoke, about the same, or easier to smoke than regular
[BKHEARD]s?
1
Harder to smoke
2
About the same
3
Easier to smoke
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of at least 1 of the other products (YB9101 = 1 OR 2).

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PATH ID:

YB1026

Screen ID:

How many of your friends do you think smoke bidis or kreteks?
1
None
2
A few
3
Some
4
Most
5
All
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of at least 1 of the other products (YB9101 = 1 OR 2).

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Version 6.2

FIRST TOBACCO PRODUCT SECTION
PATH ID:

YY0601

Screen ID:

What was the first type of tobacco you tried?
1
Cigarettes
2
Smokeless tobacco
3
Snus pouches
4
Dissolvable tobacco
5
Traditional cigars, cigarillos, or filtered cigars
6
Hookah
7
E-cigarettes
8
Bidis
9
Kreteks
10
Pipe tobacco
14
Other
SPECIFY:___________________
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who use 2 or more products and the youngest age at first tried was equal for 2 or
more of the products
PROGRAM: Make this a dynamic list with fills based on the products in positively answered questions.
Always include the unspecified other.

PATH
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Version 6.2

REASONS TO USE TOBACCO SECTION
The next few statements describe how tobacco use makes some people feel. Please tell me whether
you strongly agree, agree, disagree or strongly disagree with the following statements.
PATH ID:

YX0037

Screen ID:

I think using tobacco would help when I’m feeling stressed. Do you…
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:

Strongly agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED

YX0040

Screen ID:

I think using tobacco would be relaxing. Do you…
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:

Strongly agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED

YX0041

Screen ID:

I think using tobacco would energize me. Do you…
1
2
3
4
-8
-7
ASK: All respondents

PATH
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Strongly agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED

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PATH ID:

YX0042

Screen ID:

I would feel more comfortable socializing if I am using tobacco. Do you…
1
2
3
4
-8
-7
ASK: All respondents.
PATH ID:

Strongly agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED

YX0043

Screen ID:

Using tobacco makes young people look cool or fit in. Do you…
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:

Strongly agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED

YX0044

Screen ID:

Young people who use tobacco have more friends. Do you…
1
2
3
4
-8
-7
ASK: All respondents.

PATH
Youth Extended Interview

Strongly agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED

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Version 6.2
PATH ID:

YR0141

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
ASK: All respondents
PATH ID:

Never
Rarely
Sometimes
Often
DON’T KNOW
REFUSED

YR0142

Screen ID:

In the past year, how often have you thought about the chemicals contained in tobacco products?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:

Never
Rarely
Sometimes
Often
DON’T KNOW
REFUSED

YC1170

Screen ID:

How much do you think people harm themselves when they smoke cigarettes some days but not every
day?
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents

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Version 6.2
PATH ID:

YC1175

Screen ID:

How much do you think people harm themselves when they smoke cigarettes every day?
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:

YC1180

Screen ID:

How long do you think someone has to smoke cigarettes before it harms their health?
1
2
3
4
5
6
-8
-7

It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED

ASK: All respondents
PATH ID:

YE1180

Screen ID:

How long do you think someone has to use e-cigarettes before it harms their health?
1
2
3
4
5
6
-8
-7

It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED

ASK: All respondents

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Version 6.2
PATH ID:

YD1180

Screen ID:

How long do you think someone has to use dissolvable tobacco before it harms their health?
1
2
3
4
5
6
-8
-7

It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED

ASK: All respondents
PATH ID:

YX0620

Screen ID:

How long do you think someone has to use other kinds of smoked tobacco, like cigars, cigarillos,
filtered cigars, pipes, hookah, bidis, or kreteks before it harms their health?
1
2
3
4
5
6
-8
-7

It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED

ASK: All respondents
PATH ID:

YS1175

Screen ID:

How much do you think people harm themselves when they use smokeless tobacco, such as chewing
tobacco, snuff, dip, or snus, every day?
1
2
3
4
-8
-7
ASK: All respondents

PATH
Youth Extended Interview

No harm
A little harm
Some harm
A lot of harm
DON’T KNOW
REFUSED

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Version 6.2
PATH ID:

YS1170

Screen ID:

How much do you think people harm themselves when they use smokeless tobacco, such as chewing
tobacco, snuff, dip, or snus, some days but not every day?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:

No harm
Little harm
Some harm
A lot of harm
DON’T KNOW
REFUSED

YX0625

Screen ID:

How long do you think someone has to use smokeless tobacco such as chewing tobacco, snuff, dip, or
snus or e-cigarettes before it harms their health?
1
2
3
4
5
6
-8
-7

It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED

ASK: All respondents
PATH ID:

YX0630

Screen ID:

How much do you agree or disagree with this statement:
I have considered switching completely from smoking cigarettes to cigars, filtered cigars, or cigarillos.
Would you say you…
1
Strongly agree
2
Agree
3
Neither agree or disagree
4
Disagree
5
Strongly disagree
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days, who have also heard of cigars,
filtered cigars or cigarillos

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PATH ID:

YX0635

Screen ID:

How much do you agree or disagree with this statement:
I have considered switching completely from smoking cigarettes to e-cigarettes. Would you say you…
1
Strongly agree
2
Agree
3
Neither agree or disagree
4
Disagree
5
Strongly disagree
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days, who have also heard of ecigarettes
PATH ID:

YX0640

Screen ID:

How much do you agree or disagree with this statement:
I have considered switching completely from smoking cigarettes to dissolvable tobacco. Would you say
you…
1
Strongly agree
2
Agree
3
Neither agree or disagree
4
Disagree
5
Strongly disagree
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days, who have also heard of
dissolvable tobacco
BOX

AY1

Screen ID

PROGRAM:
CREATE AN ARRAY USEPROD WITH 11 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(1-10): Past 30 day users of: (1) e-cigarettes; (2) Traditional cigars; (3) Cigarillos; (4)
Filtered cigars; (5) Pipes; (6) Hookahs; (7) Snus; (8) Dissolvable tobacco; (9) Bidis; (10) Kreteks; (11)
Smokeless tobacco.
CREATE AN ARRAY HNUPROD WITH 11 ELEMENTS – ONE FOR EACH TOBACCO TYPE
(EXCLUDING CIGARETTES) – THAT IDENTIFIES WHETHER THE RESPONDENT HAS HEARD OF
BUT NEVER USED THE SPECIFIC TOBACCO TYPE.
HNUPROD(1-11): Heard of but have never used: (1) e-cigarettes; (2) Traditional cigars; (3) Cigarillos;
(4) Filtered cigars; (5) Pipes; (6) Hookahs; (7) Snus; (8) Dissolvable tobacco; (9) Bidis; (10) Kreteks;
(11) Smokeless tobacco.

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Version 6.2
PATH ID:

YX0300

Screen ID:

How much do you agree or disagree with this statement: I have considered switching completely from
using [USEPROD(1-11)] to smoking cigarettes.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON’T KNOW
-7
REFUSED
ASK: Past 30 days users of [USEPROD(1-11)] who have ever tried smoking cigarettes
NOTE: This question will ask about switching from each product the respondent has used to cigarettes.
PATH ID:

YX0307

Screen ID:

How much do you agree or disagree with this statement: I have considered switching completely from
using [USEPROD(1-11)] to using [HNUPROD(1-11)].
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON’T KNOW
-7
REFUSED
ASK: Past 30 day users of [USEPROD(1-11)] who have heard of but have never used [HNUPROD(111)] for all combinations where the tobacco type in [USEPROD(1-11)] is not the same as the tobacco
type in [HNUPROD(1-11)].
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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Version 6.2

DEPENDENCE SECTION
PATH ID:

YN0703

Screen ID:

How soon after you wake up do you want to use a tobacco product?
1
Within 5 minutes
2
From 6 to 30 minutes
3
From more than 30 minutes to 1 hour
4
After more than 1 hour but less than 24 hours
5
I rarely want to use tobacco
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco products in the past year.
PATH ID:

YN0704

Screen ID:

Do you ever have strong cravings to use a tobacco product?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a tobacco product in the past year.
PATH ID:

YN0705

Screen ID:

Have you ever felt like you really needed a tobacco product?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a tobacco product in the past year.

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PATH ID:

YN0025

Screen ID:

Following are some statements about tobacco use. Please rate your level of agreement for each using
the following scale: 1= not true of me at all, and 5=extremely true of me.
I frequently crave tobacco.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a tobacco product in the past year.
PATH ID:

YN0045

Screen ID:

My tobacco use is out of control.
1
Not true of me at all
2
3
4
5
Extremely true of me
1
DON’T KNOW
2
REFUSED
ASK: Respondents who have used any tobacco product in the past year.
PATH ID:

YN0055

Screen ID:

I find myself reaching for tobacco without thinking about it.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year.

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PATH ID:

YN0060

Screen ID:

I usually want to use tobacco right after I wake up.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year.
PATH ID:

YN0070

Screen ID:

Using tobacco really helps me feel better if I’ve been feeling down.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year.
PATH ID:

YN0075

Screen ID:

Using tobacco helps me think better.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year.

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PATH ID:

YN0080

Screen ID:

I would feel alone without my tobacco.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year.

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Version 6.2

CESSATION / QUITTER SECTION
PATH ID:

YC1210

Screen ID:

Do you want to completely stop smoking cigarettes?
1
Yes
2
No
3
Not sure
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette at least one day in the past 30 days
PATH ID:

YC1215

Screen ID:

Have you tried to completely stop smoking cigarettes within the past 12 months?
1
Yes
2
No
3
Not sure
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette at least one day in the past 30 days
PATH ID:

YC1220

Screen ID:

During the past 12 months, how many times have you stopped smoking for one day or longer because
you were trying to quit smoking cigarettes for good? Please enter the number of times.
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette at least one day in the past 30 days

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PATH ID:

YC1225

Screen ID:

When you last tried to quit for good, how long did you stay off cigarettes? Please choose the first
answer that fits.
1
Less than one day
2
1 to 7 days
3
More than 7 days but less than 30 days
4
More than 30 days but less than 6 months
5
More than 6 months but less than 1 year
6
1 year or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette at least one day in the past 30 days who have tried to
quit smoking in the past year (YC1215 = 1).
PATH ID:

YC1230

Screen ID:

If you decided to quit cigarettes for good, how likely is it that you would succeed?
1
Very likely
2
Somewhat likely
3
Somewhat unlikely
4
Very unlikely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette at least one day in the past 30 days
PATH ID:

YN0126

Screen ID:

Have you tried to completely stop use of all tobacco products within the past 12 months?
1
Yes
2
No
3
Not sure
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a tobacco product at least one day in the past 30 days

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PATH ID:

YN0120

Screen ID:

During the past 12 months, have you stopped using all tobacco products for one day or longer because
you were trying to quit all tobacco products for good?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco product in the past 30 days except cigarette only
PATH ID:

YN0127

Screen ID:

Are you seriously thinking about quitting the use of [cigarettes I all tobacco products I cigarettes and
tobacco products]?
1
2
3
4
5
-8
-7

Yes, within the next 30 days
Yes, within the next 6 months
Yes, within the year
Yes, but not within the year
No, I am not thinking about quitting the use of all tobacco products
DON’T KNOW
REFUSED

ASK: Respondents who have used any tobacco product in the past 30 days including cigarette
smokers (only and not-only)
If cigarette smoker only, display “cigarettes”; if non-cigarette tobacco user, display “ all tobacco
products”; if cigarette and other tobacco user, display “cigarettes and tobacco products”

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MODIFIED RISK TOBACCO PRODUCTS SECTION
PATH ID:

YX0667

Screen ID:

To what extent do you agree with the following statement?
Some tobacco products are safer than others.
1
2
3
4
5
-8
-7
ASK: All respondents
PATH ID:

Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
DON’T KNOW
REFUSED

YX0669

Screen ID:

In the past year, have you seen any tobacco products that claim to be safer than other tobacco
products?
1
2
-8
-7
ASK: All respondents
PATH ID:

Yes
No
DON’T KNOW
REFUSED

YX0670

Screen ID:

How likely is it that you will use one of these products in the next 30 days?
1
Very likely
2
Somewhat likely
3
Somewhat unlikely
4
Very unlikely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen any tobacco products that claim to be safer than other tobacco
products in the past year (YX0669 = 1).

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SECONDHAND SMOKE SECTION
BOX – DISPLAY INSTRUCTIONS
For YX0671, display a “Yes” and “No” column with options for each response category.
PATH ID:

YX0671

Screen ID:

Does anyone who lives with you now…? (Choose all that apply)
1
2
3
4
-8
-7
ASK: All respondents.
PATH ID:

Smoke cigarettes
Use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus
Smoke cigars, cigarillos, or filtered cigars
Use any other form of tobacco
DON’T KNOW
REFUSED

YR1045

Screen ID:

Which statement best describes the rules about smoking a tobacco product (such as cigarettes, cigars,
pipes) in your home?
1
2
3
-8
-7
ASK: All respondents.
PATH ID:

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

YX0068

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 school, or outdoors? Please enter the number
of hours.
1
I__I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents.

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PATH ID:

YR1050

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 Using these products is not allowed anywhere or at any time inside my home
2 Using these products is allowed in some places or at some times inside my home
3 Using these products is allowed anywhere and at any time inside my home
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.

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PACKAGING AND HEALTH WARNINGS SECTION
PATH ID:

YR0005

Screen ID:

In the past 30 days, how often, if at all, have you noticed the health warnings on cigarette packages?
Would you say…
1
2
3
4
5
-8
-7
ASK: All respondents.
PATH ID:

Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED

GO TO NEXT SECTION

YR0202

Screen ID:

In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
cigarette packages? Would you say…
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1001=1 AND
YR0005>1).
PATH ID:

YR0010

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? Would you say…
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1001=1 AND
YR0005>1).

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PATH ID:

YR0015

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 health warnings, or any other means?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1001=1 AND
YR0005>1).
PATH ID:

YR0025

Screen ID:

How believable do you consider the health warnings on cigarette packs to be? Are they…
1
Not at all believable
2
A little believable
3
Somewhat believable
4
Very believable
5
Extremely believable
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1001=1 AND
YR0005>1).
PATH ID:

YR0030

Screen ID:

How do the health warnings on cigarette packs make you feel about smoking? Do they make you feel...
1
Very concerned
2
Somewhat concerned
3
Neither concerned nor unconcerned
4
Somewhat unconcerned
5
Very unconcerned
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1001=1 AND
YR0005>1).

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PATH ID:

YR0035

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
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1001=1 AND
YR0005>1).
PATH ID:

YR0203

Screen ID:

To what extent, if at all, do the health warnings on cigarette packs make you never want to smoke
again?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1001=1 AND
YR0005>1).
PATH ID:

YR0204

Screen ID:

To what extent, if at all, do the health warnings on cigarette packs discourage you from starting to
smoke cigarettes?
1
2
3
4
-8
-7

Not at all
A little
Somewhat
A lot
DON’T KNOW
REFUSED

ASK: Respondents that have never tried smoking who have seen the health warnings (YC1001 = 2
AND YR0005>1).

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PATH ID:

YR0055

Screen ID:

To what extent, if at all, have the health warnings on cigarette packs made you LESS likely to start
smoking?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents that have never tried smoking who have seen the health warnings (YC1001 = 2
AND YR0005>1).
PATH ID:

YR0060

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
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of smokeless tobacco (YS1001=1)
PATH ID:

YR0205

Screen ID:

In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
smokeless tobacco packages?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month (YS1002=1 AND YR0060 >1)

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PATH ID:

YR0065

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
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month (YS1002=1 AND YR0060
>1).
PATH ID:

YR0070

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 health warnings, or any other means?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month (YS1002=1 AND YR0060
>1).
PATH ID:

YR0075

Screen ID:

How believable do you consider the health warnings on packages of smokeless tobacco products to
be?
1
Not at all believable
2
A little believable
3
Somewhat believable
4
Very believable
5
Extremely believable
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month (YS1002=1 AND YR0060
>1).

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PATH ID:

YR0080

Screen ID:

How do the health warnings on packages of smokeless tobacco products make you feel about using it?
1
Very concerned
2
Somewhat concerned
3
Neither concerned nor unconcerned
4
Somewhat unconcerned
5
Very unconcerned
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month (YS1002=1 AND YR0060
>1).
PATH ID:

YR0085

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
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month (YS1002=1 AND YR0060
>1).
PATH ID:

YR0218

Screen ID:

To what extent, if at all, do the health warnings on packages of smokeless tobacco products make you
never want to use smokeless tobacco again?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month (YS1002=1 AND YR0060
>1).

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PATH ID:

YR0219

Screen ID:

To what extent, if at all, do the health warnings on smokeless tobacco packages discourage you from
starting to use smokeless tobacco?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have never tried smokeless tobacco who have seen the health warnings
(YS1002 = 2 AND YR0060 > 1)."
PATH ID:

YR0220

Screen ID:

To what extent, if at all, have the health warnings on smokeless tobacco packages made you LESS
likely to start using smokeless tobacco?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have never tried smokeless tobacco who have seen the health warnings
(YS1002 = 2 AND YR0060 > 1).
PATH ID:

YR0110

Screen ID:

In the past 30 days, how often, if at all, have you noticed the health warnings on packages of ecigarettes?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (YE1022 > 0 or YE1112 = 1, 2 or
3).

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PATH ID:

YR0225

Screen ID:

In the past 30 days, how often, if at all, have you noticed the health warnings on packages of cigars,
cigarillos, or filtered cigars?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigar, filtered cigar, or cigarillo in the last 30 days (YG1022 > 0
or YG1112 = 1, 2 or 3).
PATH ID:

YR0130

Screen ID:

In the past 30 days, how often, if at all, have you noticed the health warnings on packages of pipe
tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the last 30 days (YP1022 > 0 or YP1112 = 1, 2 or 3).
PATH ID:

YR0135

Screen ID:

In the past 30 days, how often, if at all, have you noticed the health warnings on packages of shisha
tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a hookah in the last 30 days (YH9001 = 1).

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PATH ID:

YR0140

Screen ID:

In the past 30 days, how often, if at all, have you noticed the health warnings on packages of
dissolvable tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the last 30 days (YD1022 > 0 or
YD1112 = 1, 2 or 3).
PATH ID:

YR0230

Screen ID:

In the past 30 days, how often, if at all, have you noticed the health warnings on packages of bidis or
kreteks?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a bidi or kretek in the last 30 days (YB1022 > 0 or YB 1112 = 1,
2 or 3).

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MARKETING SECTION
PATH ID:

YX0475

Screen ID:

DISPLAY RANDOMLY SELECTED SWEEPSTAKES/GIVEAWAY AD HERE
THE PICTURE SHOWS AN AD FOR A TOBACCO SPONSORED SWEEPSTAKES
In the past 6 months, have you seen a tobacco sweepstakes ad?
1
2
-8
-7
ASK: All respondents.
PATH ID:

Yes
No
DON’T KNOW
REFUSED

YX0476

Screen ID:

In the past 6 months, have you participated in a tobacco sponsored sweepstakes?
1
2
-8
-7
ASK: All respondents
PATH ID:

Yes
No
DON’T KNOW
REFUSED

YX0477

Screen ID:

In the past 6 months, have you obtained a discount coupon for any tobacco product?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PROGRAM: DISPLAY RANDOMLY SELECTED PROMOTIONAL DISCOUNT AD/COUPON
THE PICTURE SHOWS A PROMOTIONAL DISCOUNT COUPON FOR (BRAND) (PRODUCT).

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PATH ID:

YX0478

Screen ID:

Where have you received discount coupons from? Choose all that apply.
1
The mail
2
E-mail
3
The Internet
4
Social Networks (such as Facebook and Twitter)
5
A text message
6
On a cigarette pack or other tobacco product
7
From a friend or other person
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have received a discount coupon (YX0477 = 1).
PATH ID:

YX0479

Screen ID:

In the past 6 months, have you used a discount coupon to purchase a tobacco product?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have obtained a discount coupon (YX0477 = 1).
PATH ID:

YX0480

Screen ID:

In the past 6 months, did a tobacco company send you information other than coupons through…
Choose all that apply.
1
2
3
4
5
-8
-7
ASK: All respondents

PATH
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I did not receive any information from a tobacco company
The mail
E-mail
A text message
Some other way: SPECIFY __________________________
DON’T KNOW
REFUSED

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PATH ID:

YX0481

Screen ID:

In the past 6 months, have you obtained a free sample of a tobacco product?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents

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MEDIA USE SECTION
PATH ID:

YX0494

Screen ID:

The next questions are about how much, if at all, you use cell phones, the internet and TV.
About how long do you spend watching TV on a typical day?
1
None
2
Less than 1 hour
3
1 to 2 hours
4
3 to 4 hours
5
More than 4 hours
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:

YX0486

Screen ID:

Overall, how often do you use the internet?
1
Several times a day
2
About once a day
3
3-5 days a week
4
1-2 days a week
5
Every few weeks
6
Less often
7
Don’t have regular internet access
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:

YX0062

Screen ID:

Do you have a Facebook, Google Plus, MySpace, Twitter, or other social networking account?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All Respondents who have used the internet at least once a week (YX0486<5)

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PATH ID:

YX0063

Screen ID:

How often do you visit your Facebook, Google Plus, MySpace, Twitter, or other social networking
account?
1
Several times a day
2
Daily
3
Weekly
4
Monthly or less
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have a Facebook or other social networking account (YX0062 = 1).
PATH ID:

YX0490

Screen ID:

Has anyone discussed tobacco products on your Facebook, Google Plus, MySpace, Twitter, or other
social networking account?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have a Facebook or other social networking account (YX0062 = 1).
PATH ID:

YX0487

Screen ID:

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
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All Respondents who have used the internet at least once a week (YX0486<5)
PATH ID:

YX0482

Screen ID:

In the past 6 months, have you been to a tobacco product web site?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents

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PATH ID:

YX0483

Screen ID:

This is the website for (BRAND).
In the past 6 months, have you been to this website?
1
Yes
2
No
GO TO YX0486
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who have been to a tobacco product Web site In the past 6 months (YX0482 =
1).
PROGRAM: For questions YX0483 to YX0485, loop through all the following brands: Marlboro,
Newport, Camel, American Spirit, and then Kool, Salem, and Winston are all bundled together on one
page. DISPLAY HOMEPAGE IMAGE FROM TOBACCO BRAND WEBSITE
PATH ID:

BOX YX10

Screen ID:

PROGRAM: Loop through items YX0484, YX0485, YX0491, YX0493, YX0492 for each brand’s website
that the respondent reported visiting (YX0483 = 1)
PATH ID:

YX0484

Screen ID:

Did you register at the [BRAND] website?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Among respondents who have ever visited this website (YX0483 = 1).
PATH ID:

YX0485

Screen ID:

How much do you like this website?
1
I strongly like this website
2
I like this website
3
I don’t like or dislike this website
4
I dislike this website
5
I strongly dislike this website
-8
DON’T KNOW
-7
REFUSED
ASK: Among respondents who have visited that brand’s website (YX0483 = 1).

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PATH ID:

YX0491

Screen ID:

Have you friended, liked or become a fan of [BRAND] on Facebook, Twitter or other sites?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who have a social networking account (YX0062 = 1).
PROGRAM: Fill in [BRAND] from YX0483
PATH ID:

YX0493

Screen ID:

Have you sent a link or information about [BRAND] to others on Facebook, Twitter or other sites?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who have a social networking account (YX0062 = 1).
PROGRAM: Fill in [BRAND] from YX0483
PATH ID:

YX0492

Screen ID:

Have you played an online game related to [BRAND]?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PROGRAM: Fill in [BRAND] from YX0483
PATH ID:

YX0498

Screen ID:

DISPLAY MOVIE TITLE (DRAWN FROM A POOL OF RECENTLY RELEASED MOVIES). SHOW 5
MOVIE TITLES.
How many times have you seen this movie?
1
Never
2
Once
3
Twice
4
3 or more times
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents

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PATH ID:

YX0495

Screen ID:

Do you regularly use a smart phone?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:

YX0496

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
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who regularly use a smart phone (YX0495 = 1).
PATH ID:

YX0497

Screen ID:

Did this code take you to a tobacco company Web site?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who have scanned a QR code (YX0496 = 1).

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ACCESSIBILITY SECTION
PATH ID:

YX0499

Screen ID:

How easy do you think it is for people your age to buy tobacco products in a store?
1
Easy
2
Somewhat easy
3
Not easy at all
4
Extremely difficult
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents.

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PSYCHOSOCIAL SECTION
PATH ID:

YX0500

Screen ID:

During the past 12 months, have your parents or guardians talked with you, even once, about not using
any type of tobacco product?
1
2
-8
-7
ASK All respondents.

Yes
No
DON’T KNOW
REFUSED

Box YX1. Display question YX0161, YX0162, YX0163, YX0164 on one screen. Show the
intro/transition text from YX0161 first, then show each item with responses. As each item is answered,
show the next one.
PATH ID:

YX0161

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
ASK: All respondents.
PATH ID:

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

YX0162

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
ASK: All respondents.

PATH
Youth Extended Interview

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

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Version 6.2
PATH ID:

YX0163

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
ASK: All respondents.
PATH ID:

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

YX0164

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
ASK: All respondents.

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

Box YX2
Display question YX0165, YX0166, YX0167, YX0168, YX0169 on one screen. Show the
intro/transition text from YX0165 first, then show each item and responses. As each item is answered,
show the next one.
PATH ID:

YX0165

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
ASK: All respondents.

PATH
Youth Extended Interview

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

150

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PATH ID:

YX0166

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
ASK: All respondents.
PATH ID:

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

YX0167

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
ASK: All respondents.
PATH ID:

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

YX0168

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
ASK: All respondents.

PATH
Youth Extended Interview

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

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PATH ID:

YX0169

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
ASK: All respondents.

PATH
Youth Extended Interview

Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED

152

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Version 6.2

SUBSTANCE USE SECTION
PATH ID:

YX0084

Screen ID:

The next questions ask about your use of alcohol and other drugs.
Have you ever used alcohol?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:

GO TO YX0085

YX0073

Screen ID:

How long has it been since you last used alcohol? Is it …
1
Within the past 30 days
2
More than 30 days, but within the past year
3
More than a year ago
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who have ever used this product (YX0084=1).
PATH ID:

YX0074

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.
1
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who have ever used this product (YX0084=1).
PATH ID:

YX0075

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. Please enter the number of days.
1
-8
-7

|__|__|
DON’T KNOW
REFUSED

[RANGE: 0 - 30]

ASK: All respondents who have ever used this product (YX0084=1)
PROGRAM: *DATEFILL is the date 30 days prior to the date of the interview.

PATH
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PATH ID:

YX0076

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. Please enter the number of drinks.
1
-8
-7

|__|__|
DON’T KNOW
REFUSED

[RANGE: 1 - 90]

ASK: If drank alcohol one or more days YX0075>0
PATH ID:

YX0077

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 (YX0084=1).
PROGRAM: If cigarette-only user fill with “smoke cigarettes”
If non-cigarette tobacco user fill with “use tobacco products”
If cigarette and tobacco user, fill with “smoke cigarettes or use other tobacco products”
PATH ID:

YX0085

Screen ID:

Have you ever used marijuana, hash, THC, or grass?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:

GO TO YX0089

YX0078

Screen ID:

How long has it been since you last used marijuana, hash, THC, or grass?
1
Within the past 30 days
2
More than 30 days, but within the past year
3
More than a year ago
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who have ever used this product (YX0085=1)

PATH
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Version 6.2
PATH ID:

YX0079

Screen ID:

About how old were you when you first started using marijuana, hash, THC, or grass? Please enter
age in years.
1
|__|__|
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who have ever used this product (YX0085=1).
PATH ID:

YX0080

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
2
-8
-7

Yes
No
DON’T KNOW
REFUSED

ASK: Ever tobacco users who have also ever used marijuana (YX0085=1).
PROGRAM: If cigarette-only user fill with “smoke cigarettes”
If non-cigarette tobacco user fill with “use tobacco products”
If cigarette and tobacco user, fill with “smoke cigarettes or use other tobacco products.”
PATH ID:

YG9105

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
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who have ever used this product (YX0085=1).
BOX – DISPLAY INSTRUCTIONS
For YX0089, display a “Yes” and “No” column with options for each response category.

PATH
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Version 6.2
PATH ID:

YX0089

Screen ID:

Have you ever used any of the following substances? Choose all that apply.
1

Cocaine or crack
Stimulants like methamphetamine, speed, or Ritalin® and Adderall® not prescribed for
2
you or that you took only for the experience or feeling they caused
Any other drugs like heroin, inhalants, solvents, hallucinogens or painkillers, sedatives,
3
and tranquilizers not prescribed for you or that you took only for the experience or feeling
they caused
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
BOX – FILL INSTRUCTIONS
CREATE [SUBSTANCEFILL]
Display: If YX0089[1]=1, display ‘cocaine or crack’
If YX0089[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 YX0089[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 YX0081- YX0083 for each group of substances respondent reports ever using in YX0089.
If no substances were selected in YX0089[1]=2 AND YX0089[2]=2 AND YX0089[3]=2, GO TO YX0161
PATH ID:

YX0081

Screen ID:

How long has it been since you last used [SUBSTANCEFILL]?
1
Within the past 30 days
2
More than 30 days, but within the past year
3
More than a year ago
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents that have ever used [SUBSTANCEFILL] in YX0089
PATH ID:

YX0082

Screen ID:

About how old were you when you first started using [SUBSTANCEFILL]? Please enter age in years.
1
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents that have ever used [SUBSTANCEFILL] in YX0089

PATH
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Version 6.2
PATH ID:

YX0083

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: Ever tobacco users who have also ever used [SUBSTANCEFILL] in YX0089
PROGRAM: If cigarette-only user fill with “smoke cigarettes”
If non-cigarette tobacco user fill with “use tobacco products”
If cigarette and tobacco user, fill with “smoke cigarettes or use other tobacco products.”
PATH ID:

YX0170

Screen ID:

When was the last time that . . .
You used alcohol or other drugs weekly or more often?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YX0089=1 for at least 1 substance)
PATH ID:

YX0171

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 feeling the
effects of alcohol or other drugs?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YX0089=1 for at least 1 substance)

PATH
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PATH ID:

YX0172

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
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YX0089=1 for at least 1 substance)
PATH ID:

YX0173

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
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YX0089=1 for at least 1 substance)
PATH ID:

YX0174

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 that you used any alcohol or other drugs to stop being sick or avoid
withdrawal problems?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YX0089=1 for at least 1 substance)

PATH
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Version 6.2
BOX – DISPLAY INSTRUCTIONS
For YX0175, display a “Yes” and “No” column with options for each response category.
PATH ID:

YX0175

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: All respondents who used alcohol or other drugs weekly or more often (YX0170=1,2,3)
PROGRAM: LIST ONLY THOSE SUBSTANCES A RESPONDENT PREVIOUSLY INDICATED
HE/SHE USED
BOX – DISPLAY INSTRUCTIONS
For YX0176, display a “Yes” and “No” column with options for each response category.
PATH ID:

YX0176

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: All respondents who indicated alcohol or drugs caused problems for them (YX0172=1,2,3 OR
YX0173=1,2,3 OR YX0174=1,2,3).
PROGRAM: LIST ONLY THOSE SUBSTANCES A RESPONDENT PREVIOUSLY INDICATED
HE/SHE USED
Box YX5. Display question YX0250, YX0251, on one screen. Show the intro/transition text from
YX0250 first, then show each item and responses. As each item is answered, show the next.

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Version 6.2
PATH ID:

YX0250

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
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:

YX0251

Screen ID:

When was the last time that you did the following things two or more times…
Gave answers before the other person finished asking the question?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
BOX YX11

Screen ID:

Display question YX0510, YX0515, YX0520 on one screen. Show the intro/transition text from YX0510
first, then show each item with a response. As each item is answered, show the next one.

PATH
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PATH ID:

YX0510

Screen ID:

Please tell me if you strongly disagree, disagree, neither disagree nor agree, agree, or strongly agree
with each of the following statements:
I like to do frightening things.
1
Strongly disagree
2
Disagree
3
Neither disagree nor agree
4
Agree
5
Strongly agree
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PATH ID:

YX0515

Screen ID:

I like new and exciting experiences, even if I have to break the rules.
1
Strongly disagree
2
Disagree
3
Neither disagree nor agree
4
Agree
5
Strongly agree
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PATH ID:

YX0520

Screen ID:

I prefer friends who are exciting and unpredictable.
1
2
3
4
5
-8
-7

Strongly disagree
Disagree
Neither disagree nor agree
Agree
Strongly agree
DON’T KNOW
REFUSED

ASK: All respondents.

PATH
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Version 6.2

HEALTH OUTCOMES SECTION
PATH ID:
YX0525
The next question asks about your health.

Screen ID:

Do you have shortness of breath or is it hard to exercise compared to your peers?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.

PATH
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Version 6.2

AD EXPOSURE SECTION
DISPLAY TRANSITION TEXT: The following questions ask about tobacco advertising that you may
have seen.
PATH ID:

YX0181

Screen ID:

DISPLAY 6 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?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
PATH ID:

GO TO NEXT AD; IF LAST AD, GO TO YM0004
GO TO NEXT AD; IF LAST AD, GO TO YM0004
GO TO NEXT AD; IF LAST AD, GO TO YM0004

YX0183

Screen ID:

Did this ad grab your attention?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen that advertisement (YX0181 = 1).
PATH ID:

YX0182

Screen ID:

Did you talk to your friends or family members about this ad?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen the ad (YX0181 = 1).
PGROGRAMMING NOTE: Go to next ad; if last ad, go to YM0004

PATH
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Version 6.2
NOTE: IF E-CIGARETTE, CIGARS, CIGARILLOS, FILTERED CIGARS, SHISHA
TOBACCO/HOOKAH, PIPE TOBACCO, SNUS, DISSOLVABLE TOBACCO, SMOKELESS
TOBACCO, BIDI/KRETEK ADVERTISEMENTS ARE CHOSEN TO BE SHOWN TO PARTICIPANTS
TO ASSESS THEIR AWARENESS, THESE WOULD BE SHOWN HERE. THE DECISION ON WHAT
ADS FOR WHICH PRODUCTS TO BE SHOWN WILL BE MADE JUST PRIOR TO LAUNCH OF
FIELD OPERATIONS QUESTIONS ASKED ARE THE SAME AS THOSE FOR CIGARETTE ADS IN
ITEM YX0181

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DEMOGRAPHICS SECTION
PATH ID:

YM0004

Screen ID:

What is your sex?
1
Male
2
Female
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents.
PATH ID:

YX0136

Screen ID:

Are you currently pregnant?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Female respondents (YM0004=2)
PATH ID:

GO TO YM0005

YX0137

Screen ID:

How many weeks or months pregnant? (enter # of months or weeks)
1
___Months
2
___Weeks
-8
DON’T KNOW
-7
REFUSED
ASK: Female respondents who are currently pregnant (YM0004=2 AND YX0136=1)
PATH ID:

YM0019

Screen ID:

Have you been going to school at any time during the last 12 months?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents

PATH
Youth Extended Interview

GO TO YM0020
GO TO YM0020
GO TO YM0020

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Version 6.2
PATH ID:

YM0018

Screen ID:

What grade are you in? If you are on a holiday or summer break, please select the grade or year you
will enter when you return to school.
th

1
4 grade or below
th
2
5
th
3
6
th
4
7
th
5
8
th
6
9
th
7
10
th
8
11
th
9
12 grade
10
College, vocational or technical school
11
Not enrolled
12
I am home-schooled
13
My school is ungraded
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who did go to school in last 12 months (YM0019=1)
PATH ID:

YM0020

Screen ID:

What grade or year in school did you last complete?
th

1
4 grade or below
th
2
5
th
3
6
th
4
7
th
5
8
th
6
9
th
7
10
th
8
11
th
9
12 grade
10
College, vocational or technical school
11
I am home-schooled
12
My school is ungraded
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who did not go to school in last 12 months (YM0019=2 or DK or RF)

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PATH ID:

YM0021

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
Only to females, never to males
2
Mostly to females, and at least once to a male
3
About equally often to females and to males
4
Mostly to males, and at least once to a female
5
Only to males, never to females
6
I have never felt sexually attracted to anyone at all
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents.
NOTE: For female participants, answer categories one to five were presented in reverse order
PROGRAM:
RESPONDENTS AGE<14 GO TO YM0008
RESPONDENTS AGE 14 AND OVER GO TO YM0022
PATH ID:

YM0022

Screen ID:

Do you think of yourself as:
GO TO YM0008

1

[Gay | Lesbian or gay]

2

[Straight, that is not gay | Straight, that is, not Lesbian or gay]

GO TO YM0008

3

Bisexual

GO TO YM0008

4

Something else

GO TO YM0023

-8

DON’T KNOW

GO TO YM0024

-7

REFUSED

GO TO YM0008

ASK: All respondents
PROGRAM: For male respondents, display the first option in the response categories. For female
respondents, display the second option.

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PATH ID:

YM0023

Screen ID:

By something else, do you mean that…
1

You are not straight, but identify with another label such as
queer, trisexual, omnisexual or pan-sexual

GO TO YM0008

2

You are transgender, transsexual, or gender variant

GO TO YM0008

3

You have not figured out your sexuality or are in the process
of figuring it out

GO TO YM0008

4

You do not think of yourself as having a sexuality

GO TO YM0008

5

You do not use labels to identify yourself

GO TO YM0008

6

You made a mistake and did not mean to pick this answer

GO TO YM0022

7

You mean something else

GO TO YM0025

-8
-7

DON’T KNOW
REFUSED

GO TO YM0024
GO TO YM0008

ASK: All respondents who selected “something else” (YM0022 = 4).
PATH ID:

YM0024

Screen ID:

You did not enter an answer for the question. That is because:
1

You don’t understand the words

GO TO YM0008

2

You understand the words, but you have not figured out your
sexuality or are in the process of figuring it out

GO TO YM0008

7

You mean something else

GO TO YM0008

-8
-7

DON’T KNOW
REFUSED

GO TO YM0008
GO TO YM0008

ASK: All respondents who selected “something else” in YM0023 or “don’t know” in YM00022 (YM0023
= 7 OR YM00022 = -8).
PATH ID:

YM0025

Screen ID:

What do you mean by something else? Please type in your answer:
1
-8
-7

[OPEN TEXT FIELD]
DON’T KNOW
REFUSED

ASK: All respondents who selected “something else” in YM0024 (YM0024 = 7).

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PATH ID:

YM0008

Screen ID:

During an average week, how much money do you receive in total? Please include money from a job,
your family, an allowance, or any other sources.
1
None
2
Less than $1
3
$1 to $5
4
$6 to $10
5
$11 to $20
6
$21 to $50
7
$51 to $100
8
$101 to $150
9
$151 or more
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents

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APPENDIX A: USER GROUP DEFINITIONS
User group

SUSCEPSMK

Tobacco use
A susceptible never smoker -- a respondent who thinks they
might try a cigarette soon, and who does not definitely
reject trying a cigarette in the next year or trying a cigarette
offered by a friend.
IF (YC1104=1 OR 2 OR 3) AND [(YC1105=1 OR 2 OR 3) OR
(YC9101=1 OR 2 OR 3)], THEN SUSCEPSMK=1(yes)
IF YC1104=DK OR RF AND [YC1105=DK OR RF AND
YC9101=DK OR RF], THEN SUSCEPSMK=missing
Else, SUSCEPSMK=2(no)

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AuthorWestat
File Modified2012-08-17
File Created2012-08-16

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