Survey - English

National Adult Tobacco Survey

H-3. NATS 2013-2014 Questionnaire-8-29-2013-English

National Adult Tobacco Survey - Landline

OMB: 0920-0828

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Form Approved

OMB No. 0920-0828

Exp. Date 7/31/2015





National Adult Tobacco Survey Questionnaire, 2013-2014





Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC Reports Clearance Officer, 1600 Clifton Road, MS-74, Atlanta, GA 30333, ATTN: PRA (0920-0828).









Surveillance Team/ Epidemiology Branch/ Office on Smoking and Health/ National Center for Chronic Disease Prevention and Health Promotion/ Centers for Disease Control and Prevention


Office of Science/ Center for Tobacco Products/ Food and Drug Administration

Table of Contents



Introduction

This document contains the questions on the 2013-2014 National Adult Tobacco Survey (NATS) conducted by the CDC’s Office on Smoking and Health (OSH), in partnership with the Food and Drug Administration’s Center for Tobacco Products (FDA-CTP).

In 1999, the CDC’s Office on Smoking and Health (OSH) created the National Tobacco Control Program (NTCP) to encourage coordinated, national efforts to reduce tobacco use and tobacco-related diseases and deaths. In 2009, Congress’ the Family Smoking Prevention and Tobacco Control Act (FSPTCA) gave the Food and Drug Administration (FDA) the authority to regulate tobacco products. These regulatory changes are expected to influence tobacco product use patterns and to reduce tobacco-related morbidity and mortality. Tracking patterns of tobacco use over time is a shared interest for both the Centers for Disease Control and Prevention’s Office on Smoking and Health (OSH) and the FDA’s Center for Tobacco Products (CTP). The National Adult Tobacco Survey is intended to provide surveillance and evaluation data critical for evaluating the impact of the CDC’s National Tobacco Control Program (NTCP) and the FDA’s regulatory efforts. So, this survey includes measures on key outcome indicators critical to evaluating and monitoring CDC’s NTCP and questions on new and emerging tobacco products, as well as measures relevant to the impact of FDA’s regulatory activities which ensure that its efforts are protecting the public’s health.

The purpose of this introduction is to provide the reader with information that will help in understanding and navigating the questionnaire.

The NATS is a stratified, random-digit dialed, telephone survey of non-institutionalized adults 18 years of age and older. It is designed to yield data that are representative and comparable at the national level.

The sections of the NATS questionnaire capture information used to monitor the impact of FDA activities. These sections are:

  1. Cigarette use patterns – Cigarettes are by far the largest contributor to tobacco-related disease and death in the U.S., and the questions in this section assess current and past usage patterns. Many of these questions are consistent with those asked in the previous version of NATS.

  2. Susceptibility (cigarettes) – These questions are asked among young adults to gauge non-smokers’ susceptibility to cigarette smoking initiation. These are a subset of questions used to assess susceptibility among youth in NYTS, based on research by John Pierce.

  3. Other tobacco products – As cigarettes have become increasing regulated and with the potential for future marketing of modified risk tobacco products, FDA needs to monitor awareness, use, susceptibility, and risk perceptions of non-cigarette tobacco products.

  4. Addiction (all tobacco) – The most significant driver of continued use and relapse, addiction will be important to monitor, specifically as tobacco product changes are implemented.

  5. Cessation – Standard measures of intention to quit, quit attempts, and quitting success, both for cigarettes and all tobacco products.

  6. Marketing/Public Education – The Tobacco Control Act gives FDA the authority to regulate the marketing of tobacco products and to educate the public about the harms of tobacco products. These questions measure exposure to different types of marketing and promotion and responses to health warnings on packages and advertisements.

  7. Purchasing behavior (cigarettes) – Monitoring smokers’ purchasing patterns and use of price promotions will enable FDA to assess the impact of regulatory actions regarding the marketing and distribution of tobacco products, as well as identify emerging marketing practices.

  8. Demographics – Important covariates to identify differential impacts of regulatory actions among subpopulations.

  9. Knowledge/Attitudes/Perceptions – These questions measure short-term outcomes of efforts to inform the public of the health risks associated with tobacco products, which predict intentions and behaviors.

  10. Secondhand smoke – A few questions were kept from the previous version of NATS to measure social norm changes and perceptions about the harmful effects of SHS to non-smokers, one of the warning statements on the cigarette graphic health warnings.

Main Body of Questionnaire

Note: The landline and cell phone screeners are in Appendices A and B after the main body of the questions.

Introductory Questions

genhealth

Rationale: Provides an easy opening to the survey and can prove a useful covariate in analysis.

/ASK ALL/

1. Would you say that in general your health is…?

1. Excellent

2. Very good

3. Good

4. Fair

or

5. Poor


7. DON’T KNOW/NOT SURE

9. REFUSED


age

Rationale: Key covariate.

/ASK ALL/

/RANGE: 7,9,18-130/

2. What is your age?

_ _ _ . Age in years


7. DON’T KNOW/NOT SURE

9. REFUSED




Cigarette Smoking

smok100

Rationale: To utilize a standard measure to determine whether the respondent ever smoked cigarettes.

/ASK ALL/

HELP: 100 CIGARETTES=5 PACKS

3. Have you smoked at least 100 cigarettes in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


smoknow

Rationale: To monitor current cigarette usage.

/Asked of respondents who are age 18-29 or have smoked at least 100 cigarettes in their entire life/

/ASK IF Q2 AGE EQ (18-29) OR Q3 SMOK100 EQ 1/

4. Do you now smoke cigarettes every day, some days, or not at all?

1. Every day

2. Some days

3. Not at all


7. DON’T KNOW

9. REFUSED


smoktype

Rationale: To determine the proportion of smokers that purchase loose tobacco.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

5. When you smoke cigarettes, do you usually smoke manufactured cigarettes, roll-your-own, or both?

1. premade cigarettes

2. roll-your-own

3. both


7. DON’T KNOW

9. REFUSED


SMOKmenthREG

Rationale: To obtain information about the use of menthol cigarettes

/Asked of respondents who have smoked at least 100 cigarettes in their entire life/

/ASK IF Q3 SMOK100 EQ 1/

6. Have you ever smoked menthol cigarettes for 6 months or more?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


SMOKmenthNOW

Rationale: To obtain information about the use of menthol cigarettes

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

7. Currently, when you smoke cigarettes, how often do you smoke menthol cigarettes…?

1. All of the time

2. Most of the time

3. Some of the time

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


smokperday

Rationale: To assess current patterns of cigarette usage.

/Asked of respondents who now smoke cigarettes every day/

/ASK IF Q4 SMOKNOW EQ 1 or Q8_VER=2/

/RANGE: 1-180,666,888,777,999, VERIFY IF (888,666,1-3,41-180)/

INTERVIEWER: IF RESPONDENT STATES A RANGE OR IS UNSURE, READ:

You said you smoke about x to y cigarettes a day. Your answer doesn’t have to be exact, but I do need to report one number. What is your best guess of the average number of cigarettes you smoke in one day?

8. On average, about how many cigarettes do you now smoke each day?

HELP: 1 PACK=20 CIGARETTES.

_ _ _. Number of cigarettes


666. Less than one cigarette a day

888. NONE


777. DON’T KNOW/NOT SURE

999. REFUSED


//ASK IF Q8=1-3, 41-180, 666, 888//

Q8_VER

I just want to verify, you said that on average you smoke //insert response if 1-3, or 41-180//; If Q8=666 enter “less than one cigarette a day” or if Q8=888 enter “no cigarettes each day”//, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


smokdays30

Rationale: To assess usage patterns of cigarettes.

/Asked of respondents who now smoke cigarettes some days/

/ASK IF Q4 SMOKNOW EQ 2 or Q9_VER=2/

/RANGE: 1-30,88,77,99. VERIFY IF88/

interviewer: if respondent states a range OR is unsure, read:

[You said you smoked cigarettes on [STATE RANGE:] “x to y” days.] Your answer doesn’t have to be exact, but I do need to report one number. What is your best guess of the number of days you smoked cigarettes in the past 30 days?

9. On how many of the PAST 30 DAYS did you smoke cigarettes?

_ _. Number of Days


88. NONE


77. DON’T KNOW/NOT SURE

99. REFUSED


//ASK IF Q9=88//

Q9_VER

I just want to verify that you said you did not smoke any cigarettes in the past 30 days, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


CIGBRAND

Rationale: To obtain information on the brand preference among cigarette consumers and to obtain price-related promotions information by brand.

/ Asked of respondents who now smoke every day or some days/

/ ASK IF SMOKNOW eq 1 or 2 /

10. During the past 30 days, that is, since [DATE FILL], what brand of cigarettes did you buy most often?

01. BASIC (BRANDED DISCOUNT)

02. CAMEL

03. DORAL (BRANDED DISCOUNT)

04. KOOL

05. MARLBORO GOLD

06. MARLBORO MENTHOL

07. MARLBORO RED

08. MARLBORO (OTHER)

09. NEWPORT BOX

10. NEWPORT MENTHOL BLUE

11. NEWPORT MENTHOL GOLD

12. NEWPORT (OTHER)

13. PALL MALL

14. SALEM

15. VIRGINIA SLIMS

16. WINSTON

96. OTHER (SPECIFY)

66. DID NOT BUY ONE BRAND MOST OFTEN DURING THE PAST 30 DAYS

77. DON’T KNOW/NOT SURE

99. REFUSED



CIGBRAND_OTH

/ASK IF Q10 CIGBRAND EQ 96/

10_oth. ENTER OTHER/SPECIFY

smoksomeday

Rationale: To assess usage patterns of cigarettes.

/Asked of respondents who now smoke cigarettes some days and have smoked at least one day in the past 30 days/

/ASK IF Q9 SMOKDAYS30 EQ 1-30 or if Q11_VER=2/

/RANGE: 1-180,666,888,777,999. VERIFY IF (888,666,21-180)/

interviewer: if respondent states a range OR is unsure, read:

[You said you smoke about [STATE RANGE:] x to y cigarettes a day on days when you smoke cigarettes.] Your answer doesn’t have to be exact, but I do need to report one number. What is your best guess of the average number of cigarettes you smoked in one day on days when you smoked cigarettes in the past 30 days?

11. [FILL IF Q9 SMOKDAYS30 EQ 1 “On the day that you smoked, how many cigarettes did you smoke?”/FILL IF Q9 SMOKDAYS30 EQ 2-30 “On the average, on those days, how many cigarettes did you usually smoke each day?”]

HELP: 1 pack=20 cigarettes.

_ _ _. Number of cigarettes


666. Less than one cigarette a day

888. NONE


777. DON’T KNOW/NOT SURE

999. REFUSED


//ASK IF Q11=21-180, 666, 888//

Q11_VER

I just want to verify that you said you smoked //insert response if Q11=21-180 and “cigarettes”; or if Q11=666 insert “less than one cigarette a day’’ or if Q11=888 insert “no cigarettes”// in the past 30 days, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


smokLAST1, smokLAST2, SMOKLAST3

Rationale: To assess the duration of time former smokers have been smoke-free.

/Asked of respondents who [have smoked at least 100 cigarettes in their entire life and (now smoke cigarettes not at all or don’t know if they now smoke cigarettes every day, some days, or not at all or refused to say if they now smoke cigarettes every day, some days, or not at all)] or [now smoke cigarettes some days and (smoked no cigarettes in the past 30 days or don’t know if they smoked cigarettes in the past 30 days or refused to say if they smoked cigarettes in the past 30 days)] or now smoke cigarettes not at all/

/ASK IF (Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ (3,7,9)) OR (Q4 SMOKNOW EQ 2 AND Q9 SMOKDAYS30 EQ (88,77,99)) or Q12d_VER=2; or Q12w_VER=2; or Q12m_VER=2; or Q12y_VER=2/

12_UNIT. How long has it been since you completely stopped smoking cigarettes?

  1. DAY(S)

  2. WEEK(S)

  3. MONTH(S)

  4. YEAR(S)

  1. DATE

  1. TODAY

7. DON’T KNOW/NOT SURE

9. REFUSED


/IF Q12=1/

12d.       ENTER NUMBER OF DAYS [RANGE: 1-500. VERIFY IF (366-500)] _ _ _

/IF Q12=2/

12w.      ENTER NUMBER OF WEEKS [RANGE: 1-150. VERIFY IF (53-150)] _ _ _

/IF Q12=3/

12m.      ENTER NUMBER OF MONTHS [RANGE: 1-60. VERIFY IF (19-60)] _ _

/IF Q12=4/

12y.        ENTER NUMBER OF YEARS [RANGE: 1-90. VERIFY IF (51-90)] _ _

/IF Q12=6/

12d1. ENTER MONTH [RANGE: 1-12]

/IF Q12=6/

12d2. ENTER DAY [RANGE 1-31]

/IF Q12=6/

12d3. ENTER YEAR [RANGE 1923-2014]



//ASK if Q12d=366-500//

Q12d_VER

I just want to verify that you said you stopped smoking //insert response if Q12d=366-500//days ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q12w=53-150//

Q12w_VER

I just want to verify that you said you stopped smoking //insert response if Q12w=53-150//weeks ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q12m=19-60//

Q12m_VER

I just want to verify that you said you stopped smoking //insert response if Q12d=19-60//months ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q12y=51-90//

Q12y_VER

I just want to verify that you said you stopped smoking //insert response if Q12y=51-90//years ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED



smokever

Rationale: To identify non-smoking respondents with a past history of experimenting with cigarettes.

/Asked of respondents who {are age 18-29 and [(have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke cigarettes not at all or don’t know if they now smoke cigarettes every day, some days, or not at all or refused to say if they now smoke cigarettes every day, some days, or not at all)] or [(are age 30-139 or don’t know how old they are or refused to say how old they are) and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life)]/

/ASK IF (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (3,7,9)) OR (Q2 AGE EQ (7,9,30-130) AND Q3 SMOK100 EQ (2,7,9))/

13. Have you ever tried cigarette smoking, even one or two puffs?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED



smokFIRSTage

Rationale: To assess past usage patterns of cigarettes.

/Asked of respondents who (have smoked at least 100 cigarettes in their entire life or [(are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke every day or some days)] or have ever smoked cigarettes, even if just one or two puffs/

/ASK IF Q3 SMOK100 EQ 1 OR (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (1,2)) OR Q13 SMOKEVER EQ 1 or Q14_VER=2/

/RANGE: 1-130,777,999. VERIFY IF (1-8,30-130). VERIFY IF > ANSWER FROM Q2 AGE./

14. How old were you the first time you smoked part or all of a cigarette?

_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED



//ASK if Q14=1-8, 30-130 or if Q14 response > Q2 AGE//

Q14_VER

I just want to verify that you said you were //insert response if Q14=1-8, 30-130 or if Q14 response > Q2 AGE// years old the first time you smoked part or all of a cigarette, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED



smokDLYPAST

Rationale: To identify former or current daily smokers among all respondents who have ever smoked.

/Asked of respondents who (have smoked at least 100 cigarettes in their entire life or [(are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke every day or some days)] or have ever smoked cigarettes, even if just one or two puffs/

/ASK IF Q3 SMOK100 EQ 1 OR (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (1,2)) OR Q13 SMOKEVER EQ 1/

15. Have you ever smoked cigarettes every day for at least 6 months?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED



smokdLYage

Rationale: To obtain information on smoking history

/Asked of respondents who now smoke cigarettes every day or have smoked cigarettes every day for at least 6 months/

/ASK IF Q4 SMOKNOW EQ 1 OR Q15 SMOKDLYPAST EQ 1; or Q16_VER=2/

/RANGE: 1-130,777,999. VERIFY IF (1-11,31-130). VERIFY IF > ANSWER FROM Q2 AGE. VERIFY IF > ANSWER FROM Q14 SMOKFIRSTAGE. /

16. How old were you when you first started smoking cigarettes every day?

_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED



//ASK if Q16=1-11, 31-130 or Q16 response > Q2 AGE response; or if Q16 response > Q14 SMOKFIRST AGE//

Q16_VER

I just want to verify that you said you were //insert response if Q16=1-11, 31-130; insert response if Q16 response > Q2 AGE response or insert response if Q16 response > Q14 SMOKFIRSTAGE// years old when you first started smoking cigarettes every day, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED



smokDLYlast1, SMOKDLYLAST2, smokdlylast3

Rationale: To obtain information on smoking history

/Asked of respondents who now smoke some days and have smoked cigarettes every day for at least 6 months/

/ASK IF Q4 SMOKNOW EQ 2 AND Q15 SMOKDLYPAST EQ 1 or Q17d_VER=2; or Q17w_VER=2; or Q17m_VER=2; or Q17y_VER=2/

17. About how long has it been since you last smoked cigarettes on a daily basis?

  1. DAY(S)

  2. WEEK(S)

  3. MONTH(S)

  4. YEAR(S)

6. DATE

8. TODAY

7. DON’T KNOW/NOT SURE

9. REFUSED


/IF Q17=1/

17d.       ENTER NUMBER OF DAYS [RANGE: 1-500. VERIFY IF (366-500)] _ _ _

/IF Q17=2/

17w.      ENTER NUMBER OF WEEKS [RANGE: 1-150. VERIFY IF (53-150)] _ _ _

/IF Q17=3/

17m.      ENTER NUMBER OF MONTHS [RANGE: 1-60. VERIFY IF (19-60)] _ _

/IF Q17=4/

17y.        ENTER NUMBER OF YEARS [RANGE: 1-90. VERIFY IF (51-90)] _ _

/IF Q17=6/

17d1. ENTER MONTH [RANGE: 1-12]

/IF Q17=6/

17d2. ENTER DAY [RANGE 1-31]

/IF Q17=6/

17d3. ENTER YEAR [RANGE 1923-2014]






//ASK if Q17d=366-500//

Q17d_VER

I just want to verify that you said you stopped smoking on a daily basis //insert response if Q17d=366-500//days ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q17w=53-150//

Q17w_VER

I just want to verify that you said you stopped smoking on a daily basis //insert response if Q17w=53-150//weeks ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q17m=19-60//

Q17m_VER

I just want to verify that you said you stopped smoking on a daily basis //insert response if Q17d=19-60//months ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q17y=51-90//

Q17y_VER

I just want to verify that you said you stopped smoking on a daily basis //insert response if Q17y=51-90// years ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED




smokyrago

Rationale: To obtain information on smoking history

/Asked of respondents who (have smoked at least 100 cigarettes in their entire life or [(are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke every day or some days)] or have ever smoked cigarettes, even if just one or two puffs/

/ASK IF Q3 SMOK100 EQ 1 OR (Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (1,2)) OR Q13 SMOKEVER EQ 1/

18. Around this time 12 months ago, were you smoking cigarettes every day, some days, or not at all?

1. Every day

2. Some days

3. Not at all


7. Don't know/Not sure

9. REFUSEd



Susceptibility—Cigarettes

suscept1

Rationale: To gauge young adult never-smokers’ susceptibility to taking up cigarette smoking.

/Asked of respondents who are age 18-29 and (who have never tried cigarette smoking or don’t know if they have ever tried cigarette smoking or refused to say if they have ever tried cigarette smoking)/

/ASK IF Q2 AGE EQ (18-29) AND Q13 SMOKEVER EQ (2,7,9)/

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

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


suscept2

Rationale: To gauge young adult never-smokers’ susceptibility to taking up cigarette smoking.

/Asked of respondents who are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke not at all or don’t know if they now smoke every day, some days or not at all or refused to say if they now smoke every day, some days or not at all)/

/ASK IF Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (3,7,9)/

20. Do you think you will smoke a cigarette soon? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


suscept3

Rationale: To gauge young adult never-smokers’ susceptibility to taking up cigarette smoking.

/Asked of respondents who are age 18-29 and (have not smoked at least 100 cigarettes in their entire life or don’t know if they have smoked at least 100 cigarettes in their entire life or refused to say if they have smoked at least 100 cigarettes in their entire life) and (now smoke not at all or don’t know if they now smoke every day, some days or not at all or refused to say if they now smoke every day, some days or not at all)/

/ASK IF Q2 AGE EQ (18-29) AND Q3 SMOK100 EQ (2,7,9) AND Q4 SMOKNOW EQ (3,7,9)/

21. Do you think you will smoke a cigarette in the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED




Other Tobacco Products

cigarPAST

Rationale: To monitor use of non-cigarette combustible tobacco products.

/ASK ALL/

22. The next questions ask about tobacco products that you might smoke other than cigarettes, specifically cigars, cigarillos and little filtered cigars. “Cigarillos” are medium cigars that sometimes are sold with plastic or wooden tips. Some common brands are Black and Mild’s, Swisher Sweets, Dutch Masters and Phillies Blunts. Cigarillos are usually sold individually or in packs of 5 or 8. In contrast, little filtered cigars look like cigarettes and are usually brown in color. Like cigarettes, little filtered cigars have a spongy filter and are sold in packs of 20. Some common brands are Prime Time and Winchester little filtered cigars.

Have you smoked cigars, cigarillos, or little filtered cigars at least 50 times in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


cigarnow

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who [are age 18-29 and (have not smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life or don’t know if they have smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life)] or have smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life/

/ASK IF (Q2 AGE EQ (18-29) AND Q22 CIGARPAST EQ (2,7)) OR Q22 CIGARPAST EQ 1/

23. Do you now smoke cigars, cigarillos, or little filtered cigars every day, some days, rarely, or not at all?

1. Every day

2. some days

3. rarely

4. not at all


7. DON’T KNOW/NOT SURE

9. REFUSED


cigarTYPE

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely/

/ASK IF (Q23 CIGARNOW EQ (1,2,3)/

24. Is the size of the cigars, cigarillos, or little filtered cigars that you usually smoke…?

1. Around the length of a cigarette

2. Around the length of a dollar bill

3. Somewhere in between the length of a cigarette and a dollar bill

4. I do not have a usual size of cigar that I smoke


7. Don’t know/not sure

9. Refused


CIGARFILT

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely and (who smoke cigars, cigarillos, or little filtered cigars that are around the length of a cigarette , around the length of a dollar bill, somewhere in between the length of a cigarette and a dollar bill, or don’t know or are not sure of the length of the cigars, cigarillos, or little filtered cigars that they usually smoke)/

/ASK IF (Q23 CIGARNOW EQ (1,2,3) AND Q24 CIGARTYPE EQ (1,2,3,7)/

25. Do you usually smoke a cigar, cigarillo or little filtered cigar that has….

1. A spongy filter

2. A plastic tip

3. A wooden tip

4. No filter or tip


7. Don’t know/not sure

9. Refused


CIGARBRAND

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely and (who smoke cigars, cigarillos, or little filtered cigars that are around the length of a cigarette , around the length of a dollar bill, somewhere in between the length of a cigarette and a dollar bill, or don’t know or are not sure of the length of the cigars, cigarillos, or little filtered cigars that they usually smoke) and (who usually smoke a cigar, cigarillo or little filtered cigar that has a spongy filter, a plastic tip, a wooden tip, no filter or tip,or don’t know or are not sure of the type of filter or type of the cigars, cigarillos, or little filtered cigars that they usually smoke/

/ASK IF (Q23 CIGARNOW EQ (1,2,3) AND Q24 CIGARTYPE EQ (1,2,3,7) AND Q25 CIGARFILT EQ (1,2,3,4,7)/

26. What is the name brand of the cigar, cigarillo, or little filtered cigar that you usually smoke?

  1. AL CAPONE

  2. ARTURO FUENTE

  3. BACKWOODS

  4. BLACK AND MILD

  5. CHEYENNE

  6. COHIBA

  7. DJARUM

  8. DUTCH MASTERS

  9. MACANUDO

  10. MONTECHRISTO

  11. PHILLIES

  12. PRIME TIME

  13. ROMEO Y JULIETA

  14. SMOKER'S CHOICE

  15. SWISHER SWEETS

16. WHITE OWL

96. OTHER (SPECIFY)

66. Do NOT HAVE A USUAL BRaND

77. DON’T KNOW/NOT SURE

99. REFUSED



CIGARBRAND_OTH

/ASK IF Q26 CIGARBRAND EQ 96/

26_oth. ENTER OTHER/SPECIFY

cigarFLAV

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who now smoke cigars, cigarillos, or little filtered cigars every day, some days, or rarely/

/ASK IF (Q23 CIGARNOW EQ (1,2,3)/

27. In the past 30 days, were any of the cigars, cigarillos, or little filtered cigars that you smoked flavored to taste like menthol or mint, clove, spice, candy, fruit, chocolate or other sweets?

1. YES

2. NO

6. RESPONDENT DID NOT SMOKE ANY CIGARS IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


cigarFLAV2

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who now smoked flavored cigars, cigarillos, or little filtered cigars/

/ASK IF (Q27 CIGARFLAV EQ 1/

28. Was the cigar, cigarillo, or little filtered cigar [SELECT ALL THAT APPLY]:

1. Menthol or mint flavored

2. Clove, spice or herb flavored

3. Fruit flavored

4. Alcohol flavored

5. Candy, chocolate, or other sweet flavored

6. Other (specify)


7. DON’T KNOW/NOT SURE

9. REFUSED



28_OTH

//ASK IF Q28 EQ 6//

28_oth. ENTER OTHER/SPECIFY


CIGARsuscept

Rationale: To monitor susceptibility to initiating cigar smoking among young adults.

Asked of respondents who are age 18-29 and (have not smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life or don’t know if they have smoked cigars, cigarillos, or little filtered cigars at least 50 times in their entire life) and (now smoke cigars, cigarillos, or little filtered cigars not at all or don’t know if they now smoke cigars, cigarillos, or little filtered cigars every day, some days, rarely, or not at all)

/ASK IF Q2 AGE EQ (18-29) AND Q22 CIGARPAST EQ (2,7) AND Q23 CIGARNOW EQ (4,7)/

29. Do you think you will smoke a cigar, cigarillo or little filtered cigar within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


PIPEREGPAST

Rationale: To monitor use of non-cigarette combustible tobacco products.

/ASK ALL/

30. Moving away from cigars, the next questions that I am going to ask concern smoking tobacco in pipes. The first set of questions asks about smoking tobacco in a regular pipe. The second set of questions asks about smoking tobacco in a hookah, which is a type of water pipe.

Have you smoked a regular pipe filled with tobacco at least 50 times in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


PIPEREGnow

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who [are age 18-29 and (have not smoked tobacco in a regular pipe at least 50 times in their entire life or don’t know if they have smoked tobacco in a regular pipe at least 50 times in their entire life)] or have smoked tobacco in a regular pipe at least 50 times in their entire life/

/ASK IF (Q2 AGE EQ (18-29) AND Q30 PIPEREGPAST EQ (2,7)) OR Q30 PIPEREGPAST EQ 1/

31. Do you now smoke a regular pipe filled with tobacco every day, some days, rarely, or not at all?

1. Every day

2. some days

3. rarely

4. not at all


7. DON’T KNOW/NOT SURE

9. REFUSED


PIPEREGsuscept

Rationale: To monitor susceptibility to initiating regular pipe use among young adults.

Asked of respondents who are age 18-29 and (have not smoked tobacco in a regular pipe at least 50 times in their entire life or don’t know if they have ever smoked tobacco in a regular pipe at least 50 times in their life) and (now smoke tobacco in a regular pipe not at all or don’t know if they now smoke tobacco in a regular pipe)

/ASK IF Q2 AGE EQ (18-29) AND Q30 PIPEREGPAST EQ (2,7) AND Q31 PIPEREGNOW EQ (4,7)/

32. Do you think you will smoke a regular pipe filled with tobacco within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


pipewtREVER

Rationale: To monitor use of non-cigarette combustible tobacco products.

/ASK ALL/

33. The next question asks you about smoking tobacco in a hookah. A hookah is a type of water pipe. Have you ever smoked tobacco in a hookah in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


pipewtrTIMES

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who have ever smoked tobacco in a water pipe/

/ASK IF Q33 PIPEWTREVER EQ 1/

34. How many times in total do you think you have smoked tobacco in a hookah during your lifetime? Would you say…

1. 1-5

2. 6-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


pipewtrnow

Rationale: To monitor use of non-cigarette combustible tobacco products.

/Asked of respondents who have ever smoked tobacco in a water pipe/

/ASK IF Q33 PIPEWTREVER EQ 1/

35. Do you now smoke tobacco in a hookah every day, some days, rarely or not at all?

1. Every day

2. some days

3. rarely

4. not at all


7. DON’T KNOW/NOT SURE

9. REFUSED


PIPEWTRsuscept

Rationale: To monitor susceptibility to initiating hookah use among young adults.

Asked of respondents who are age 18-29 and (have never smoked tobacco in a water pipein their entire life or don’t know if they have ever smoked tobacco in a water pipe in their entire life or now smoke tobacco in a water pipe not at all or don’t know if they now smoke tobacco in a water pipe)

/ASK IF Q2 AGE EQ (18-29) AND (Q33 PIPEWTREVER EQ (2,7) OR Q35 PIPEWTRNOW EQ (4,7))/

36. Do you think you will smoke tobacco in a hookah within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


PIPEFLAV

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who (now smoke tobacco in a regular pipe every day, some days, or rarely) or (now smoke tobacco in a hookah every day, some days, or rarely)/

/ASK IF Q31 PIPREGNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3)/

37. Was any of the tobacco that you smoked [FILL IF Q31 PIPREGNOW EQ (1,2,3) AND Q35 PIPEWTRNOW EQ (4,7,9): “in a regular pipe”/ELSE FILL IF Q31 PIPREGNOW EQ (4,7,9) AND Q35 PIPEWTRNOW EQ (1,2,3): “in a hookah”/ELSE FILL IF Q31 PIPREGNOW EQ (1,2,3) AND Q35 PIPEWTRNOW EQ (1,2,3): “either in a regular pipe or a hookah”] in the past 30 days flavored to taste like menthol or mint, clove, spice, candy, fruit, chocolate, or other sweets?

1. YES

2. NO

6. RESPONDENT DID NOT SMOKE ANY TOBACCO IN A PIPE IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


PIPEFLAV2

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who smoked flavored tobacco in a pipe/

/ASK IF Q37 PIPEFLAV EQ 1/

38. Was the tobacco [FILL IF Q31 PIPREGNOW EQ (1,2,3) AND Q35 PIPEWTRNOW EQ (4,7,9): “in a regular pipe”/ELSE FILL IF Q31 PIPREGNOW EQ (4,7,9) AND Q35 PIPEWTRNOW EQ (1,2,3): “in a hookah”/ELSE FILL IF Q31 PIPREGNOW EQ (1,2,3) AND Q35 PIPEWTRNOW EQ (1,2,3): “either in a regular pipe or a hookah”] [SELECT ALL THAT APPLY]:

1. Menthol or mint flavored

2. Clove, spice or herb flavored

3. Fruit flavored

4. Alcohol flavored

5. Candy, chocolate, or other sweet flavored

6. Other (specify)


7. DON’T KNOW/NOT SURE

9. REFUSED


38_OTH

//ASK IF Q38 EQ 6//

38_oth. ENTER OTHER/SPECIFY

ECIGHEARD

Rationale: To monitor awareness of non-cigarette tobacco products.

/ASK ALL/

39. Moving away from cigars, the next set of questions that I am going to ask concern electronic cigarettes. Electronic cigarettes, or e-cigarettes as they are often called, are battery-operated devices that simulate smoking a cigarette, but do not involve the burning of tobacco. The heated vapor produced by an e-cigarette often contains nicotine.

Before today, had you ever heard of electronic cigarettes or e-cigarettes?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


ECIGEVER

Rationale: To monitor use of non-cigarette tobacco products.

/Asked of respondents who have ever heard of electronic cigarettes or e-cigarettes/

/ASK IF Q39 ECIGHEARD EQ 1/

40. Have you ever used an electronic cigarette, even just one time in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


ECIGTIMES

Rationale: To monitor use of non-cigarette tobacco products.

/Asked of respondents who have ever used an electronic cigarette/

/ASK IF Q40 ECIGEVER EQ 1/

41. How many times in total do you think you have used an electronic-cigarette during your lifetime?

1. 1-10

2. 11-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


ECIGNOW

Rationale: To monitor use of non-cigarette tobacco products.

/Asked of respondents who have ever used an electronic cigarette/

/ASK IF Q40 ECIGEVER EQ 1/

42. Do you now use electronic cigarettes everyday, some days, rarely, or not at all?

1. Every day

2. some days

3. rarely

4. not at all


7. DON’T KNOW/NOT SURE

9. REFUSED


ECIGflav

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who now use electronic cigarettes every day, some days, or rarely/

/ASK IF Q42 ECIGNOW EQ (1,2,3)/

43. Were any of the electronic cigarettes that you used in the past 30 days flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, or other sweets?

1. YES

2. NO

6. RESPONDENT DID NOT USE ANY SMOKED TOBACCO PRODUCT OTHER THAN CIGARETTES IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


EcigFLAV2

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who smoked flavored electronic cigarettes/

/ASK IF Q43 ECIGFLAV EQ 1/

44. Were the electronic cigarettes [SELECT ALL THAT APPLY]:

1. Menthol or mint flavored

2. Clove, spice or herb flavored

3. Fruit flavored

4. Alcohol flavored

5. Candy, chocolate, or other sweet flavored

6. Other (specify)


7. DON’T KNOW/NOT SURE

9. REFUSED


44_OTH

//ASK IF Q44 EQ 6//

44_oth. ENTER OTHER/SPECIFY

ECIGSUSCEPT

Rationale: To monitor susceptibility to non-cigarette tobacco products.

/Asked of respondents who have never tried an electronic cigarette or don’t know if they have ever tried an electronic cigarette or now use electronic cigarettes not at all or don’t know if they now use electronic cigarettes every day, some days, rarely, or not at all/

/ASK IF Q40 ECIGEVER EQ (2,7) OR Q42 ECIGNOW EQ (4,7)/

45. Do you think you will use an electronic cigarette or e-cigarette in the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


smkothage

Rationale: To monitor youth use and susceptibility to non-cigarette tobacco products.

/Asked of respondents who (have smoked a cigar, cigarillo, or a little filtered cigar at least 50 times in their entire life) or (have ever smoked tobacco in a water pipe)or (have smoked tobacco in a regular pipe at least 50 times in their entire life) or (have ever used an electronic cigarette in their entire life)/

/ASK IF Q22 CIGARPAST EQ 1 OR Q33 PIPEWTREVER EQ 1 OR Q30 PIPEREGPAST EQ 1 OR Q40 ECIGEVER EQ 1 or Q46_VER=2/

/RANGE: 1-130,777,999. VERIFY IF (1-11,31-130). VERIFY IF > ANSWER FROM Q2 AGE. /

46. How old were you when you first smoked [FILL if Q22 CIGARPAST EQ 1: “a cigar, cigarillo, or little filtered cigar”/FILL IF Q30 PIPEREGPAST EQ 1 OR Q33 PIPEWTREVER EQ 1: “a regular pipe or a hookah”/FILL IF Q40 ECIGEVER EQ 1: “an electronic cigarette”]—even if only one or two puffs? Please do not include cigarettes in your answer.

_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED


//ASK if Q46=1-11, 31-130, or if Q46 response > Q2 AGE response//

Q46_VER

I just want to verify that you said you were //insert response if Q46=1-11, 31-130; insert response if Q46 response > Q2 AGE// years old when you first smoked a //[FILL if Q22 CIGARPAST EQ 1: “cigar, cigarillo, or little filtered cigar”/FILL IF Q30 PIPEREGPAST EQ 1 OR Q33 PIPEWTREVER EQ 1: “a regular pipe or a hookah”/FILL IF Q40 ECIGEVER EQ 1: “an electronic cigarette”]—even if only one or two puffs, is that correct?


  1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED

CSDPAST

Rationale: To monitor use of smokeless tobacco products.

/ASK ALL/

interviewer: pronounce “levi” as lee-vie

47. Now we will ask you about smokeless tobacco products, specifically chewing tobacco, snuff, or dip. Some examples of these product brands are Skoal, Copenhagen, Grizzly, Levi Garrett, Red Man, or Day’s Work.

Have you used chewing tobacco, snuff or dip at least 20 times in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


csdnow

Rationale: To monitor use of smokeless tobacco products.

/Asked of respondents who [are age 18-29 and (have not used chewing tobacco, snuff or dip at least 20 times in their entire life or don’t know if they have used chewing tobacco, snuff or dip at least 20 times in their entire life)] or or have used chewing tobacco, snuff or dip at least 20 times in their entire life/

/ASK IF (Q2 AGE EQ (18-29) AND Q47 CSDPAST EQ (2,7)) OR Q47 CSDPAST EQ 1/

48. Do you now use chewing tobacco, snuff, or dip every day, some days, rarely, or not at all?

1. Every day

2. some days

3. rarely

4. not at all


7. DON’T KNOW/NOT SURE

9. REFUSED


CSDsuscept

Rationale: To monitor susceptibility to initiate use of chewing tobacco, snuff or dip among young adults.

/Asked of respondents who are age 18-29 and [(have not used chewing tobacco, snuff or dip at least 20 times in their entire life) or (don’t know if they have used chewing tobacco, snuff or dip at least 20 times in their entire life) ]and [(now use chewing tobacco, snuff, or dip not at all) or (don’t know if they now use chewing tobacco, snuff, or dip)].

/ASK IF Q2 AGE EQ (18-29) AND Q47 CSDPAST EQ (2,7) AND Q48 CSDNOW EQ (4,7)/

49. Do you think you will chew tobacco, or use snuff or dip within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


snusheard

Rationale: To monitor awareness of novel smokeless tobacco products.

/ASK ALL/

iNTERVIEWER: Pronounce “snus” to rhyme with goose.


50. Have you ever heard of snus, such as Camel Snus or Marlboro Snus? Snus is a moist, smokeless tobacco usually sold in individual or pre-packaged small pouches that are placed under the lip against the gum.

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


snusever

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever heard of snus/

/ASK IF Q50 SNUSHEARD EQ 1/

iNTERVIEWER: Pronounce “snus” to rhyme with goose. If respondent asks what snus is, read: “Snus” is moist, smokeless tobacco, usually sold in individual or pre-packaged small pouches that are placed under the lip against the gum.”


51. Have you ever tried snus, even just one time in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


SNUSTIMES

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried snus/

/ASK IF Q51 SNUSEVER EQ 1/

INTERVIEWER: PRONOUNCE “SNUS” TO RHYME WITH GOOSE

52. How many times in total do you think you have used snus during your lifetime?

1. 1-10

2. 11-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


snusnow

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried snus/

/ASK IF Q51 SNUSEVER EQ 1/

53. Do you now use snus every day, some days, rarely, or not at all?

1. Every day

2. some days

3. rarely

4. not at all


7. DON’T KNOW/NOT SURE

9. REFUSED


SNUSsuscept

Rationale: To monitor susceptibility to initiate use of snus among all respondents who have never tried snus or don’t know if they have tried snus or .

/Asked of respondents who have not tried snus even just one time in their entire life or don’t know if they have tried snus even just one time in their life or currently use snus not at all or don’t know if they currently use snus every day, some days, rarely, or not at all

/ASK IF Q51 SNUSEVER EQ (2,7) OR Q53 SNUSNOW EQ (4,7)/

54. Do you think you will use snus within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


dissheard

Rationale: To monitor awareness of novel smokeless tobacco products.

/ASK ALL/

55. Have you ever heard of a dissolvable tobacco product? Some examples of these product names are Ariva, Stonewall, Camel orbs, Camel sticks, or Camel strips. These products contain finely ground tobacco that are placed in the mouth or on the tongue and readily dissolve.

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


dissEVER

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever heard of dissolvable tobacco products/

/ASK IF Q55 DISSHEARD EQ 1/

56. Have you ever tried a dissolvable tobacco product, even just one time in your entire life?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


dissTIMES

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried a dissolvable tobacco product/

/ASK IF Q56 DISSEVER EQ 1/

57. How many times in total do you think you have used a dissolvable tobacco product during your lifetime?

1. 1-10

2. 11-20

3. 21-50

4. Over 50 times


7. DON’T KNOW/NOT SURE

9. REFUSED


dissnow

Rationale: To monitor use of novel smokeless tobacco products.

/Asked of respondents who have ever tried any dissolvable tobacco product/

/ASK IF Q56 DISSEVER EQ 1/

58. Do you now use dissolvable tobacco products every day, some days, rarely, or not at all?

1. EVERY DAY

2. SOME DAYS

3. RARELY

4. NOT AT ALL


7. DON’T KNOW/NOT SURE

9. REFUSED


DISsSuscept

Rationale: To monitor susceptibility to initiate use of dissolvable tobacco products among all respondents who have never previously tried these products.

/Asked of respondents who have not tried dissolvable tobacco even just one time in their entire life or don’t know if they have tried dissolvable tobacco even one time in their entire life or now use a dissolvable tobacco not at all or don’t know if they now use a dissolvable tobacco product/

/ASK IF Q56 DISSEVER EQ (2,7) OR Q58 DISSNOW EQ (4,7)/

59. Do you think you will use a dissolvable tobacco product within the next year? Would you say…

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not


7. DON’T KNOW/NOT SURE

9. REFUSED


smklsflav

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who now use chewing tobacco, snuff, dip, snus, or dissolvable tobacco every day, some days, or rarely/

/ASK IF Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

CATI PROGRAMMER: SMKLSLIST = [a list of all smokeless tobacco products the respondent currently uses]

60. In the past 30 days, was any of the [FILL SMKLSLIST] that you used flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, or other sweets?

1. YES

2. NO


6. RESPONDENT DID NOT USE ANY SMOKEless TOBACCO PRODUCTS IN THE PAST 30 DAYS


7. DON’T KNOW/NOT SURE

9. REFUSED


SMKLSFLAV2

Rationale: To monitor use of flavored tobacco products.

/Asked of respondents who used flavored smokeless tobacco/

/ASK IF (Q60 SMKLSFLAV EQ 1/

61. Was the [FILL SMKLSLIST] [SELECT ALL THAT APPLY]:

1. Menthol or mint flavored

2. Clove, spice or herb flavored

3. Fruit flavored

4. Alcohol flavored

5. Candy, chocolate, or other sweet flavored

6. Other (specify)


7. DON’T KNOW/NOT SURE

9. REFUSED



61_OTH

//ASK IF Q61 EQ 6//

61_oth. ENTER OTHER/SPECIFY

smklsage

Rationale: To monitor susceptibility to use smokeless tobacco products.

/Asked of respondents who have ever used chewing tobacco, snuff or dip every day or have ever tried snus or a dissolvable tobacco product/

/ASK IF Q47 CSDPAST EQ 1 OR Q51 SNUSEVER EQ 1 OR Q56 DISSEVER EQ 1 or Q62_VER=2/

/RANGE: 1-130,777,999. VERIFY IF (1-11,31-130). VERIFY IF > ANSWER FROM Q2 AGE./

62. How old were you when you first tried

/IF Q47 CSDPAST EQ 1, INSERT/ chewing tobacco, snuff, or dip

/IF Q51 SNUSEVER EQ 1, INSERT/ snus

/IF Q56 DISSEVER EQ 1, INSERT/dissolvable tobacco products?


_ _ _. age in years


777. DON’T KNOW/NOT SURE

999. REFUSED


//ASK if Q62=1-11, 31-130, or if Q62 response > Q2 AGE response//

Q62_VER

I just want to verify that you said you were //insert response if Q62=1-11, 31-130; insert response if Q46 response > Q2 AGE// years old when you first tried //[FILL SMKLSLIST]//, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


tobacyrago

Rationale: To estimate the proportion of respondents using any tobacco product in the past year

/Asked of respondents who [(have never smoked cigarettes) or (have ever smoked cigarettes and were not smoking 12 months ago)] and have ever used at least one other tobacco product/

[/ASK IF (Q13 SMOKEVER EQ 2 OR Q18 SMOKYRAGO EQ 3) AND (Q22 CIGARPAST EQ 1 OR Q33 PIPEWTREVER EQ 1 OR Q30 PIPEREGPAST EQ 1 OR Q40 ECIGEVER EQ 1 OR Q47 CSDPAST EQ 1 OR Q51 SNUSEVER EQ 1 OR Q56 DISSEVER EQ 1)] OR [Q2 AGE EQ (18-29) AND (Q23 CIGARNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3))]/

63. Around this time 12 months ago, were you using any kind of tobacco product?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


quitcom

Rationale: To monitor cessation of combustible tobacco products.

/Asked of respondents who have ever used cigarettes and another product but do not currently use the product/

/IF [(Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ 3) OR Q13 SMOKEVER EQ 1] AND [(Q22 CIGARPAST EQ 1 AND Q23 CIGARNOW EQ 4) OR (Q30 PIPEREGPAST EQ 1 AND Q31 PIPEREGNOW EQ 4) OR (Q33 PIPEWTREVER EQ 1 AND Q35 PIPEWTRNOW EQ 4) OR (Q47 CSDPAST EQ 1 AND Q48 CSDNOW EQ 4) OR (Q51 SNUSEVER EQ 1 AND Q53 SNUSNOW EQ 4) OR (Q56 DISSEVER EQ 1 AND Q58 DISSNOW EQ 4) OR (Q40 ECIGEVER EQ 1 AND Q42 ECIGNOW EQ 4)]/

64. Previously you told me that you have smoked cigarettes and have used

/IF Q22 CIGARPAST EQ 1 AND Q23 CIGARNOW EQ 4, INSERT/ cigars

/IF Q30 PIPEREGPAST EQ 1 AND Q31 PIPEREGNOW EQ 4, INSERT/ pipes

/IF Q33 PIPEWTREVER EQ 1 AND Q35 PIPEWTRNOW EQ 4, INSERT/ hookahs

/IF Q47 CSDPAST EQ 1 AND Q48 CSDNOW EQ 4, INSERT/ chewing tobacco, snuff, or dip

/IF Q51 SNUSEVER AND Q53 SNUSNOW EQ 4, INSERT/ snus

/IF Q56 DISSEVER AND Q58 DISSNOW EQ 4, INSERT/ dissolvables

/IF Q40 ECIGEVER EQ 1 AND Q42 ECIGNOW EQ 4, INSERT/ e-cigarettes

Have you completely quit using

/IF 1 ADDITIONAL PRODUCT, INSERT/ both of these products?

/IF >1 ADDITIONAL PRODUCT, INSERT/ all of these products?

1. YES

2. NO

7. DON’T KNOW/NOT SURE

9. REFUSED


QuitCOM1

Rationale: To monitor cessation of combustible tobacco products.

/Asked of respondents who have completely quit using combustible tobacco products/

/ASK IF Q64 QUITCOM =1 or Q65d_VER=2; or Q65w_VER=2; or Q65m_VER=2; or Q65y_VER=2; or Q65a_VER=2//

65. About how long has it been since you quit using

/IF 1 ADDITIONAL PRODUCT/ both of these products?

/IF >1 ADDITIONAL PRODUCT/ all of these products?

  1. DAY(S)

  2. WEEK(S)

  3. MONTH(S)

  4. YEAR(S)

  5. AGE

6. DATE

8. TODAY

7. DON’T KNOW/NOT SURE

9. REFUSED


/IF Q65=1/

65d.       ENTER NUMBER OF DAYS [RANGE: 1-500. VERIFY IF (366-500)] _ _ _

/IF Q65=2/

65w.      ENTER NUMBER OF WEEKS [RANGE: 1-150. VERIFY IF (53-150)] _ _ _

/IF Q65=3/

65m.      ENTER NUMBER OF MONTHS [RANGE: 1-60. VERIFY IF (19-60)] _ _

/IF Q65=4/

65y.        ENTER NUMBER OF YEARS [RANGE: 1-90. VERIFY IF (51-90)] _ _

/if q65=5/

65a. ENTER AGE [RANGE: 1-130. VERIFY IF (1-10)]

/IF Q65=6/

65d1. ENTER MONTH [RANGE: 1-12]

/IF Q65=6/

65d2. ENTER DAY [RANGE 1-31]

/IF Q65=6/

65d3. ENTER YEAR [RANGE 1923-2014]

//ASK if Q65d=366-500//

Q65d_VER

I just want to verify that you said you quit using cigarettes, cigars pipes and/or hookah //insert response if Q65d=366-500//days ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q65w=53-150//

Q65w_VER

I just want to verify that you said you quit using cigarettes, cigars pipes and/or hookah //insert response if Q65w=53-150//weeks ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q65m=19-60//

Q65m_VER

I just want to verify that you said you quit using cigarettes, cigars pipes and/or hookah //insert response if Q65d=366-500//months ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK if Q65y=51-90//

Q65y_VER

I just want to verify that you said you quit using cigarettes, cigars pipes and/or hookah //insert response if Q65y=366-500//years ago, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


//ASK IF Q65a=1-10//

Q65a_VER

I just want to verify that you said you quit using

/IF 1 ADDITIONAL PRODUCT/ both of these products?

/IF >1 ADDITIONAL PRODUCT/ all of these products?


1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


Addiction

DECISIONBOXPRE68

/ASK ALL/

EVERYDAYPRODUCTCOUNT= 0 +1 for every product the respondents use everyday [where SMOKNOW=1 / CIGARNOW=1 / PIPEWTRNOW= 1/ PIPEREGNOW= 1 / ECIGNOW= 1 / CSDNOW= 1 / SNUSNOW= 1/ DISSNOW= 1] Range= 0-8

SOMEDAYPRODUCTCOUNT= 0 +1 for every product the respondent uses somedays/rarely [where SMOKNOW=2 / CIGARNOW=2,3 / PIPEWTRNOW= 2,3/ PIPEREGNOW= 2,3 / ECIGNOW= 2,3 / CSDNOW= 2,3 / SNUSNOW= 2,3/ DISSNOW= 2,3] Range= 0-8

TOBACLIST= [a list of all tobacco products the respondent currently uses]

SOMEDAYUSE

/Asked of respondents who do not use any tobacco product every day and who use two or more tobacco products some days or rarely/

/ASK IF EVERYDAYPRODUCTCOUNT EQ 0 AND SOMEDAYPRODUCTCOUNT EQ (2-8)

68. Previously you mentioned that you used [INSERT TOBACLIST] on some days or rarely.

Thinking about these products, are there some days when you do not use [FILL IF SOMEDAYPRODUCTCOUNT EQ 2: “either product?”/ELSE FILL IF SOMEDAYPRODUCTCOUNT EQ (3-8): “any of these products?”]

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


smokwake1, SMOKWAKE2

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use a tobacco product every day/

/ASK IF EVERYDAYPRODUCTCOUNT EQ (1-8) OR Q68 SOMEDAYUSE EQ 2/

69. Thinking about [FILL TOBACLIST], on average, how soon after you wake up do you usually first use [FILL IF EVERYDAYPRODUCTCOUNT EQ (2-8): “one of these products?”/ELSE FILL IF SOMEDAYUSE EQ 1: “this product?”

  1. Minutes

  2. hours

7. don’t know/not sure

9. refused


/IF Q69=1/

69m.      ENTER NUMBER OF minutes [RANGE: 0-120. verify if (61-120)]

/IF Q69=2/

69h.      ENTER NUMBER OF hours [RANGE: 1-24. verify if (3-24)]

awaken

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

70. Do you sometimes wake up at night in order to have a cigarette or other tobacco product?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobaccrave

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

71. During the past 30 days, have you had a strong craving to use tobacco products of any kind?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobacneed

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

72. During the past 30 days, did you ever feel like you really needed to use a tobacco product?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobacwant

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

73. During the past 30 days, was there a time when you wanted to use a tobacco product so much that you found it difficult to think of anything else?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


tobacirrit

Rationale: To monitor levels of addiction to nicotine.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

74. How true is this statement for you? After not using tobacco for a while, I feel restless and irritable. Would you say…

1. Not at all true?

2. Sometimes true?

3. Often true?

4. Always true?


7. DON’T KNOW/NOT SURE

9. REFUSED




Cessation

quitATTEMPT

Rationale: To monitor frequency of attempts to quit smoking.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

75. During the past 12 months, have you stopped smoking for 24 hours or more because you were trying to quit?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


ECIGswitch

Rationale: To monitor replacement of cigarettes with other tobacco products.

/Asked of respondents who have quit smoking cigarettes in the past 12 months and have ever used e-cigarettes/

/ASK IF Q12D SMOKLAST LESS THAN OR EQUAL TO 365; IF Q12W LESS THAN OR EQUAL TO 52; IF Q12M LESS THAN OR EQUAL TO 12; IF Q12y=1; or Q12D1 and Q12D3 GREATER THAN TODAY’S DATE MINUS 1 YEAR AND Q40 ECIGEVER EQ 1/

76. At any time during the past 12 months, did you completely switch from smoking traditional cigarettes to using electronic or e-cigarettes?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


smKlsswitch

Rationale: To monitor replacement of cigarettes with other tobacco products.

Asked of respondents who have quit smoking cigarettes in the past 12 months

/ASK IF Q12D SMOKLAST LESS THAN OR EQUAL TO 365; IF Q12W LESS THAN OR EQUAL TO 52; IF Q12M LESS THAN OR EQUAL TO 12; IF Q12y=1; or Q12D1 and Q12D3 GREATER THAN TODAY’S DATE MINUS 1 YEAR

77. At any point during the past 12 months, did you completely switch from smoking cigarettes to using a smokeless tobacco product, such as chewing tobacco, dip, snuff, or snus?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


quitcigs

Rationale: To monitor the proportion of smokers contemplating quitting smoking.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

78. Are you thinking about quitting cigarettes for good?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


quitcigsOON

Rationale: To monitor the proportion of smokers contemplating quitting smoking.

/Asked of respondents who are thinking about quitting smoking for good/

/ASK IF Q78 QUITCIGS EQ 1/

79. How soon are you likely to quit smoking? Would you say…

1. within the next 30 days

2. within the next 6 months

3. within the year

4. longer than a year


7. DON’T KNOW/NOT SURE

9. REFUSED


quitalltobac

Rationale: To monitor the proportion of tobacco users contemplating quitting all tobacco use.

/Asked of respondents [who are thinking about quitting cigarettes for good and now use at least one other tobacco product every day, some days, or rarely] or non-cigarette smokers who use any other tobacco product every day, some days, or rarely/

/ASK IF [Q78 QUITCIGS EQ 1 AND (Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3))] OR [Q4 SMOKNOW EQ (3,7,9) AND (Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3))]/

80. Are you thinking about quitting the use of all tobacco products for good?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


quitalltobacSOON

Rationale: To monitor the proportion of tobacco users contemplating quitting tobacco use.

/Asked of respondents who are thinking about quitting all tobacco products/

/ASK IF Q80 QUITALLTOBAC EQ 1/

81. How soon are you likely to quit using all tobacco products? Would you say…

1. within the next 30 days

2. within the next 6 months

3. within the year

4. longer than a year

7. DON’T KNOW/NOT SURE

9. REFUSED


quitpastyr

Rationale: To estimate the number of tobacco users that made at least one attempt to quit all forms of tobacco use within the past year

/Asked of respondents who now smoke cigarettes every day or some days or use any other tobacco product every day, some days, or rarely /

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

82. During the past 12 months, did you stop using all kinds of tobacco products for more than one day because you were trying to quit using tobacco?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED




Demographics

PRE83

/ASK ALL/

Now I would like to ask you some questions about yourself and your family. Please remember that your answers will be treated in a secure manner and that no one will be able to identify you from any published reports.

1-CONTINUE

marital2

Rationale: Key covariate

/ASK ALL/

Interviewer: if respondent answers “single,” please verify that s/he was never married. if respondent is unsure between “living with a partner” and any other response category, code as “living with a partner.”

83. Are you now…?

01. Married

02. Living with a partner

03. Divorced

04. Widowed

05. Separated

06. Single, that is, never married and not now living with a partner

96. Other (specify)


77. DON’T KNOW/NOT SURE

99. REFUSED


MARITAL2_OTH

/ASK IF Q83 MARITAL2 EQ 96/

83_oth. ENTER OTHER/SPECIFY


hispanic

Rationale: Key covariate

/ASK ALL/

84. Are you Hispanic or Latino, or of Spanish origin?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


hispMULTI1, HISPMULTI_OTH

Rationale: Key covariate

/ASK IF Q84 HISPANIC EQ 1/

/LENGTH OF HISPMULTI_OTH=40/

INTERVIEWER: CODE “CUBAN-AMERICAN” AS “CUBAN”, CODE “PUERTO RICAN-AMERICAN” AS “PUERTO RICAN”. IF A RESPONDENT MENTIONS A COUNTRY IN CENTRAL OR SOUTH AMERICA, CODE “ANOTHER HISPANIC, LATINO, OR SPANISH ORIGIN” RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

85. Which one or more of the following describes your Hispanic origin or ancestry?

  1. Mexican, Mexican American, Chicano

  2. Puerto Rican

  3. Cuban


DO NOT READ:

6. SOME OTHER HISPANIC, LATINO, OR SPANISH ORIGIN, SPECIFY

7. DON’T KNOW/NOT SURE

9. REFUSED

/ASK IF Q85=6/

Q85_OTH

//ENTER RESPONSE//

racemulti, RACEMULTI_OTH

Rationale: Key covariate

/ASK ALL/

INTERVIEWER: IF respondent volunteers information prior to your having read the response list or in the middle of you reading the response list, ok to code without reading full list. IF this happens, please probe with “in addition to “XXX” are there any other racial categories that describe you.” to see if more than one category is appropriate. RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

86. I’m going to read a list of racial categories. Which one or more of the following do you consider yourself to be?

  1. White

  2. Black or African American

  3. Asian

  4. Native Hawaiian or Other Pacific Islander

  5. American Indian or Alaska Native


DO NOT READ:

6. SOME OTHER RACIAL CATEGORY, SPECIFY

7. DON’T KNOW/NOT SURE

9. REFUSED



/ASK IF Q86=6/

Q86_OTH

//ENTER RESPONSE//

asianmulti, ASIANMULTI_OTH

Rationale: Key covariate

/ASK IF Q86 RACEMULTI3 EQ 6/

/LENGTH OF ASIANMULTI_OTH=40/

interviewer: RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

87. Which one or more of the following describes your Asian ancestry?

  1. Asian Indian

  2. Chinese

  3. Filipino

  4. Japanese

  5. Korean

  6. Vietnamese


DO NOT READ:

96. SOME OTHER asian CATEGORY, SPECIFY

77. DON’T KNOW/NOT SURE

99. REFUSED



/ASK IF Q87=96/

Q87_OTH

//ENTER RESPONSE//

NHOPImulti, NHOPIMULTI_OTH

Rationale: Key covariate

/ASK IF Q86 RACEMULTI4 EQ 4/

/LENGTH OF NHOPIMULTI_OTH=40/

interviewer: RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

88. Which one or more of the following describes your Native Hawaiian or other Pacific Islander ancestry?

  1. Native Hawaiian

  2. Guamanian or Chamorro

  3. Samoan


DO NOT READ:

6. SOME OTHER PACIFIC ISLANDER CATEGORY

7. DON’T KNOW/NOT SURE

9. REFUSED



/ASK IF Q88=6/

Q88_OTH

//ENTER RESPONSE//

educa2

Rationale: Key covariate

/ASK ALL/

89. What is the highest level of school you have completed or the highest degree you have received?

INTERVIEWER: Read only if necessary.

01. 5TH GRADE OR LESS

02. 6TH GRADE

03. 7TH GRADE

04. 8TH GRADE

05. 9TH GRADE

06. 10TH GRADE

07. 11TH GRADE

08. 12TH GRADE, NO DIPLOMA

09. GED OR EQUIVALENT

10. HIGH SCHOOL DIPLOMA

11. SOME COLLEGE, NO DEGREE

12. CERTIFICATE, DIPLOMA, OR ASSOCIATE DEGREE: OCCUPATIONAL, TECHNICAL, OR VOCATIONAL PROGRAM

13. ASSOCIATE DEGREE: ACADEMIC PROGRAM

14. BACHELOR’S DEGREE

15. MASTER’S DEGREE

16. PROFESSIONAL SCHOOL DEGREE (EXAMPLES: MD, DDS, DVM, LLB, JD)

17. DOCTORAL DEGREE (EXAMPLES: PHD, EDD)


77. DON’T KNOW/NOT SURE

99. REFUSED


genderB

Rationale: Key covariate

/ASK ALL/

90. What sex were you at birth?

1. MALE

2. FEMALE

9. REFUSED


gender

Rationale: Key covariate

/ASK ALL/

91. Do you currently consider yourself to be:

1. MALE

2. FEMALE

9. REFUSED

TELNOSGT1

Rationale: Needed for weighting.

/ASK IF SAMPLE FILE TYPE EQ LANDLINE/

92. Now I’m going to ask you about how many different telephone numbers your household has. Do not include numbers that are only used by a computer or fax machine. Also, do not include cell phone telephone numbers. Do you have more than one landline telephone number in your household?

INTERVIEWER, READ ONLY IF NECESSARY: By landline telephone, we mean a “regular” telephone in your home that is connected to outside telephone lines through a cable or cord and is used for making or receiving calls. Please include landline phones used for both business and personal use.

NOTE: TELEPHONE SERVICE OVER THE INTERNET COUNTS AS LANDLINE SERVICE.

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


telnosres

Rationale: Needed for weighting.

/ASK IF Q92 TELNOSGT1 EQ 1/

/RANGE: 1-6,7, 8,9/

93. How many of these are residential numbers?

INTERVIEWER: enter 6 if number of residential telephone numbers is 6 or more.

_. Number of residential telephone numbers


8. NONE


7. DON’T KNOW/NOT SURE

9. REFUSED


cellpers

Rationale: for data weighting on the combined cell and landline data

/ASK IF SAMPLE FILE TYPE EQ LANDLINE/

94. Do you have a cell phone for personal use? Please include cell phones used for both business and personal use.

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


cellpctsh

Rationale: For data weighting purpose

/Asked of respondents who have a cell phone for personal use or share a cell phone for personal use (at least one-third of the time) with other adults/

/ASK IF Q94 CELLPERS EQ 1/

/RANGE: 0-100,777,999/

INTERVIEWER, READ ONLY IF NECESSARY: By landline telephone, we mean a “regular” telephone in your home that is connected to outside telephone lines through a cable or cord and is used for making or receiving calls. Please include landline phones used for both business and personal use.

NOTE: TELEPHONE SERVICE OVER THE INTERNET COUNTS AS LANDLINE SERVICE.

95. Thinking about all of the phone calls that you have received over the past 30 days on your landline and cell phone, what percent, between 0 and 100, are received on your cell phone?

_ _ _. percent of incoming phone calls received on cell phone


777. DON’T KNOW/NOT SURE

999. REFUSED


statefips

Rationale: Key covariate

/ASK ALL/

/RANGE: 1-56,77,99/

96. What state do you live in?

_ _. state fips code


77. DON’T KNOW/NOT SURE

99. REFUSED



State FIPS Codes for Q96 STATEFIPS:

01 Alabama

02 Alaska

04 Arizona

05 Arkansas

06 California

08 Colorado

09 Connecticut

10 Delaware

11 District of Columbia

12 Florida

13 Georgia

15 Hawaii

16 Idaho

17 Illinois

18 Indiana

19 Iowa

20 Kansas

21 Kentucky

22 Louisiana

23 Maine

24 Maryland

25 Massachusetts

26 Michigan

27 Minnesota

28 Mississippi

29 Missouri

30 Montana

31 Nebraska



32 Nevada

33 New Hampshire

34 New Jersey

35 New Mexico

36 New York

37 North Carolina

38 North Dakota

39 Ohio

40 Oklahoma

41 Oregon

42 Pennsylvania

44 Rhode Island

45 South Carolina

46 South Dakota

47 Tennessee

48 Texas

49 Utah

50 Vermont

51 Virginia

53 Washington

54 West Virginia

55 Wisconsin

56 Wyoming

77 DON’T KNOW

99 REFUSED


zipcode

Rationale: Key covariate

/ASK ALL/

97. What is your ZIP Code? [RANGE=00000-99999]

_____. zip code


99997. DON’T KNOW/NOT SURE

99999. REFUSED


Employ2

/ASK ALL/

98. Are you currently working for pay or are you self-employed, either part-time or full-time?

1. YES

2. NO


7. DON’T KNOW

9. REFUSED


HOUSingTYPE

Rationale: This question allows for the evaluation of Key Outcome Indicators 2.7.3 and 2.7.5. With the increasing number of restrictions on smoking in public areas, the home has become a larger source of secondhand smoke exposure for many individuals, particularly children. Individuals who live in multiunit housing are particularly susceptible to SHS incursions from nearby units and shared areas.

/ASK ALL/

99. In what type of living space do you currently reside?

INTERVIEWER: READ ONLY IF NECESSARY

1. A one-family house detached from any other house

2. A one-family house attached to one or more houses

3. A building with 2 apartments or living units

4. A building with 3 to 9 apartments or living units

5. A building with 10 to 49 apartments or living units

6. A building with 50 or more apartments or living units

7. A mobile home, boat, RV, or van

8. Some other type of living space

77. Don’t know

99. REFUSED










Marketing/Public Education

promo1-promo4

Rationale: To measure exposure to different types of prohibited tobacco marketing and promotion.

/Asked of respondents who are age 18-29 or who now smoke cigarettes every day or some days or use any other tobacco product every day, some days, or rarely/

/ASK IF Q2 AGE EQ (18-29) OR Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

100.

(1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

PROMO1

100A.

Have you noticed promotions for free samples of cigarettes, in the past 30 days?

( _ )

PROMO2

100B.

Have you noticed promotions for free samples of smokeless tobacco products in stores and venues where children are allowed, in the past 30 days?

( _ )

PROMO3

100C.

(Have you noticed promotions for) events being sponsored by a cigarette or smokeless tobacco brand name or logo,( in the past 30 days)?

( _ )

PROMO4

100D.

(Have you noticed promotions for) cigarettes sold singly in stores, otherwise known as “loosies,” (in the past 30 days)?

( _ )



RECVpromo1-2

Rationale: To measure exposure to direct mail and email tobacco marketing and promotion.

/Asked of all respondents /

101. (1. YES, 2. NO, 7. DON’T KNOW/NOT SURE, 9. REFUSED)

/ASK ALL/


RECVPROMO1a

101A.

Have you ever intentionally submitted your mailing address or personal email to sign up for offers or promotions from a company that manufactures e-cigarettes?

( _ )

/ASK ALL/

RECVPROMO1b

101B.

In the past 6 months, have you received any mail addressed to you from a company that manufactures e-cigarettes?

( _ )

/ASK IF RECVPROMO1B Q101B EQ 1/


RECVPROMO1c

101C.

Did the mail contain coupons or other promotions (such as a rebate offer) for the purchase of e-cigarettes?

( _ )

/ASK ALL/


RECVPROMO1d

101D.

In the past 6 months, have you received any email from a company that manufactures e-cigarettes?

( _ )



/ASK ALL/


RECVPROMO2a

101E.

Have you ever intentionally submitted your mailing address or personal email to sign up for offers or promotions from a tobacco company that manufactures cigarettes and other tobacco products (not including e-cigarettes)?

( _ )

/ASK ALL/


RECVPROMO2b

101F.

In the past 6 months, have you received any mail addressed to you from a tobacco company that manufactures cigarettes and other tobacco products (not including e-cigarettes)?

( _ )

/ASK IF RECVPROMO2bBQ101F EQ 1/


RECVPROMO2c

101G.

Did the mail contain coupons or other promotions (such as a rebate offer) for tobacco products, excluding e-cigarettes?

( _ )

/ASK ALL/


RECVPROMO2d

101H.

In the past 6 months, have you received any email from a tobacco company that manufactures cigarettes and other tobacco products (not including e-cigarettes)?


( _ )




WARNLOOKCIG

Rationale: To monitor awareness of graphic health warnings

/ASK ALL/

102. How often, if at all, have you seen a health warning on cigarette packs in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED



WARNSTOPCIG

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on cigarette packs in the past 30 days/

/ASK IF Q102 WARNLOOKCIG EQ (1,2,3,4)/

103. In the past 30 days, has a health warning on a cigarette pack stopped you from having a cigarette when you were about to smoke one? Would you say…

1. Many times

2. A few times

3. Once

4. Never

5. I did not have an urge to smoke a cigarette in the past 30 days.


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNAVDCIG

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on cigarette packs in the past 30 days/

/ASK IF Q102 WARNLOOKCIG EQ (1,2,3,4)/

104. In the past 30 days, have you done anything to avoid seeing health warnings on cigarette packs?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNRISKCIG

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on cigarette packs in the past 30 days/

/ASK IF Q102 WARNLOOKCIG EQ (1,2,3,4)/

105. How often, if at all, have you thought about the health risks of smoking cigarettes in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNLOOKSMKLS

Rationale: To monitor awareness of health warnings

/ASK ALL/

106. How often, if at all, have you seen health warnings on smokeless tobacco packages in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNSTOPSMKLS

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on smokeless tobacco packages in the past 30 days/

/ASK IF Q106 WARNLOOKSMKLS EQ (1,2,3,4)/

107. In the past 30 days, have the health warnings on smokeless tobacco packages stopped you from using smokeless tobacco when you were about to? Would you say…

1. Many times

2. A few times

3. Once

4. Never

5. I did not have an urge to use smokeless tobacco in the past 30 days.


7. DON’T KNOW/NOT SURE

9. REFUSED


WARNRISKSMKLS

Rationale: To monitor response to graphic health warnings

/Asked of respondents who have very often, often, sometimes, or rarely seen health warnings on smokeless tobacco packages in the past 30 days/

/ASK IF Q106 WARNLOOKSMKLS EQ (1,2,3,4)/

108. How often, if at all, have you thought about the health risks of using smokeless tobacco in the past 30 days? Would you say…

1. Very often

2. Often

3. Sometimes

4. Rarely

5. Never


7. DON’T KNOW/NOT SURE

9. REFUSED


warnNOTICE

Rationale: to measure exposure to health warnings on advertisements.

/Asked of respondents who are age 18-29 or who now use any tobacco product/

/ASK IF Q2 AGE EQ (18-29) OR Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

109. In the past 30 days, have you noticed any health warnings on tobacco advertisements in stores where tobacco products are sold?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED



CHEMSEEN

Rationale: To monitor awareness and risk perceptions of constituents in tobacco products.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)

110. How often have you seen a list of the chemicals contained in tobacco products in the past twelve months? Would you say…?

1. Never

2. Rarely

3. Sometimes

4. Often


7. DON’T KNOW/NOT SURE

9. REFUSED





Purchasing

bghtpast30d

Rationale: To understand smokers’ purchasing patterns.

/Asked of respondents who now smoke cigarettes every day or some days/

/ASK IF Q4 SMOKNOW EQ (1,2)/

111. Have you bought any cigarettes for yourself in the past 30 days, that is, since [DATE FILL]?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


buyquant2

Rationale: To obtain information on the cost of cigarettes.

Rationale: Screener for Q113 COSTPACK2 AND Q114 COSTCARTON2.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

112. The last time you bought cigarettes for yourself, did you buy them by the pack, by the carton, or as singles or loose cigarettes?

1. By the pack

2. By the carton

3. as singles OR loose cigarettes

4. OTHER (SPECIFY)


7. DON’T KNOW/NOT SURE

9. REFUSED


BUYQUANT2_OTH

/ASK IF Q112 BUYQUANT2 EQ 4/

112_oth. ENTER OTHER/SPECIFY


costpack2

Rationale: To obtain information on the cost of cigarettes.

/Asked of respondents who last bought cigarettes for themselves by the pack/

/ASK IF Q112 BUYQUANT2 EQ 1 or Q96_VER=2/

/RANGE: $.01-$20.00,7777,9999. VERIFY IF (01-2.99,8.50-20.00)/

Interviewer: If respondent asks about discounts or coupons, READ:

Please report the cost after discounts or coupons.

113. What price did you pay for the last pack of cigarettes you bought?

_ _ _ _. Amount paid for last pack of cigarettes (in cents, 2 implied decimals)


7777. DON’T KNOW/NOT SURE

9999. REFUSED


//ASK IF Q113 =1.00-2.99, 9.50-20.00//

Q113_VER

I just want to verify, you said that you paid //insert response from Q113 if 01-2.99, 8.50-20.00// for the last pack of cigarettes that you bought, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


costcarton2

Rationale: To obtain information on the cost of cigarettes.

/Asked of respondents who last bought cigarettes for themselves by the carton/

/ASK IF Q112 BUYQUANT2 EQ 2 or Q97_VER=2/

/RANGE: $10.00-$90.00,7777,9999. VERIFY IF (10.00-18.50,69.00-90.00)</

Interviewer: If respondent asks about discounts or coupons, READ: Please report the cost after discounts or coupons.

114. What price did you pay for the last carton of cigarettes you bought?

_ _ _ _. Amount paid for last carton of cigarettes
(in cents, 2 implied decimals)


7777. DON’T KNOW/NOT SURE

9999. REFUSED


//ASK IF Q114=10.00-18.50,69.00-90.00//

Q114_VER

I just want to verify, you said that you paid //insert response from Q114 if 10.00-18.50,69.00-90.00// for the last carton of cigarettes that you bought, is that correct?

1. YES, CORRECT AS IS

2. NO, NEED TO RE-ENTER RESPONSE

9. REFUSED


BUYWHERE

Rationale: To obtain information on the purchasing habits of cigarette consumers.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

115. The last time you bought cigarettes for yourself, did you buy them...

INTERVIEWER: PLEASE READ

1. At a convenience store or gas station

2. At a supermarket

3. At a liquor store

4. At a drug store

5. At a tobacco discount store

6. At another discount store, such as Wal-Mart or Costco

7. On an Indian reservation

8. From a vending machine

9. On the internet

10. From another person

11. other (specify)


77. DON’T KNOW/NOT SURE

99. REFUSED



buywhere_oth

/ASK IF Q115 BUYWHERE EQ 11/

115_oth. ENTER OTHER/SPECIFY


specoffers

Rationale: To obtain information about industry marketing strategies.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

116. In the past 30 days, did you use coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions when you bought cigarettes?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


BUYST

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

117. Did you buy your LAST [FILL IF Q112 BUYQUANT2 EQ 1 “pack”/FILL IF Q112 BUYQUANT2 EQ 2 “carton”/FILL IF Q112 BUYQUANT2 EQ 3 “cigarette”/FILL IF Q112 BUYQUANT2 EQ 4 “fill other specify response from BUYQUANT2_OTH”] in your state of residence or somewhere else?

1. IN RESPONDENT’S STATE OF RESIDENCE

2. IN SOME OTHER STATE (INCLUDING DC)

3. IN SOME OTHER COUNTRY


7. DON’T KNOW/NOT SURE

9. REFUSED


buyst2

/Asked of respondents who bought their last cigarettes in a different state or country/

/ASK IF Q117 BGHTPAST30D EQ 2 OR 3/

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

118. In what other [FILL IF Q117 BUYST EQ 2 “state”/ FILL IF Q117 BUYST EQ 3 “country” did you buy your last [FILL IF Q112 BUYQUANT2 EQ 1 “pack”/FILL IF Q112 BUYQUANT2 EQ 2 “carton”/FILL IF Q112 BUYQUANT2 EQ 3 “cigarette”/FILL IF Q112 BUYQUANT2 EQ 4 “fill other specify response”]?

  1. ENTER STATE CODE (SEE LIST IN APPENDIX C)

  2. ENTER COUNTRY CODE (SEE LIST IN APPENDIX C)

77 DON’T KNOW

99 refused


buyres

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

INTERVIEWER IF NECESSARY: A federal Indian reservation is an area of land reserved for a tribe or tribes under treaty or other agreement, and where the federal government holds title to the land in trust on behalf of the tribe.

119. How often do you purchase cigarettes from an Indian reservation?

1. ALL THE TIME

2. SOMETIMES

3. RARELY

4. NEVER


7. DON’T KNOW/NOT SURE

9. REFUSED


buyst3

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

INTERVIEWER IF NECESSARY: “state of residence is the state where you reside most of the time”.

120. How often do you purchase cigarettes from a state other than your state of residence?

1. ALL THE TIME

2. SOMETIMES

3. RARELY

4. NEVER


7. DON’T KNOW/NOT SURE

9. REFUSED










Knowledge/Attitudes/Perceptions

smkaddict

Rationale: To monitor risk perceptions of cigarette smoking.

/ASK ALL/

121. Overall, would you say that cigarette smoking is—…?

1. Not at all addictive

2. Moderately addictive

3. Very addictive


7. DON’T KNOW/NOT SURE

9. REFUSED


CGRADDICT

Rationale: To monitor risk perceptions of cigar smoking.

/ASK ALL/

122. Overall, would you say that cigar smoking is—…?

1. Not at all addictive

2. Moderately addictive

3. Very addictive


7. DON’T KNOW/NOT SURE

9. REFUSED


SMKLSADDICT

Rationale: To monitor risk perceptions of smokeless tobacco use.

/ASK ALL/

123. Overall, would you say that smokeless tobacco use is—…?

1. Not at all addictive

2. Moderately addictive

3. Very addictive


7. DON’T KNOW/NOT SURE

9. REFUSED


harmCIG

Rationale: To monitor risk perceptions of cigarette smoking.

/ASK ALL/

124. How harmful do you think cigarette smoking is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmCIGAR

Rationale: To monitor risk perceptions of cigar smoking.

/ASK ALL/

125. How harmful do you think cigar smoking is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmSMKLS

Rationale: To monitor risk perceptions of smokeless tobacco use.

/ASK ALL/

126. How harmful do you think using smokeless tobacco is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmECIG

Rationale: Both dissolvable tobacco and e-cigarettes are new tobacco products, but e-cigarettes are gaining market share and gaining in popularity, while dissolvable tobacco products have experienced only limited uptake and sales are being discontinued in some test markets.

/ASK ALL/

127. How harmful do you think using electronic cigarettes are to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmLONG

Rationale: To monitor risk perceptions of cigarette smoking.

/ASK ALL/

128. How long do you think someone has to smoke before it harms their health? Would you say…

1. Less than a year

2. 1 year

3. 5 years

4. 10 years

5. 20 years or more


7. DON’T KNOW/NOT SURE

9. REFUSED


CIGHALF

Rationale: To monitor risk perceptions of cigarette or cigar smoking.

/Asked of respondents who now smoke every day or some days or who now smoke cigars every day some days, or rarely/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3)/

129. How much do you think your risk of developing a tobacco-related disease would decrease if you cut the amount that you smoke in half? Would you say…

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


harmsome

Rationale: To monitor risk perceptions of cigarette smoking among young adults or current smokers.

/Asked of respondents who are age 18-29 or now smoke cigarettes every day or some days/

/ASK IF Q2 AGE EQ (18-29) OR Q4 SMOKENOW EQ (1,2)/

130. How much do you think people harm themselves when they smoke cigarettes some days but not every day? Would you say…

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


SMKLSHALF

Rationale: To monitor risk perceptions of smokeless tobacco products.

/Asked of respondents who now use chewing tobacco, snuff, dip, snus, or dissolvable tobacco every day, some days, or rarely/

/ASK IF Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

131. How much do you think your risk of developing a smoking-related disease would decrease if you cut your smokeless tobacco use by half? Would you say…

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


chemTHINK

Rationale: To monitor awareness and risk perceptions of constituents in tobacco products.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

132. How often have you thought about the chemicals contained in tobacco products in the past twelve months? Would you say…?

1. Never

2. Rarely

3. Sometimes

4. Often


7. DON’T KNOW/NOT SURE

9. REFUSED


smokstart

Rationale: to monitor risk perceptions of tobacco products.

/Asked of respondents who now use any tobacco product/

/ASK IF Q4 SMOKNOW EQ (1,2) OR Q23 CIGARNOW EQ (1,2,3) OR Q35 PIPEWTRNOW EQ (1,2,3) OR Q31 PIPEREGNOW EQ (1,2,3) OR Q42 ECIGNOW EQ (1,2,3) OR Q48 CSDNOW EQ (1,2,3) OR Q53 SNUSNOW EQ (1,2,3) OR Q58 DISSNOW EQ (1,2,3)/

133. If you had to do it over again, would you have started using tobacco? Would you say…

1. Definitely not

2. Probably not

3. Probably yes

4. Definitely yes


7. DON’T KNOW/NOT SURE

9. REFUSED




Secondhand Smoke

homerules2

Rationale: To monitor perceptions about the harmful effects of secondhand smoke, which is one of the warning statements appearing on the graphic health warnings.

/ASK ALL/

134. Not counting decks, porches, or garages, inside your home, is smoking …?

1. Always allowed

2. Allowed only at some times or in some places

3. Never allowed


7. DON’T KNOW/NOT SURE

9. REFUSED


Shsvehpol

Rationale: To monitor perceptions about the harmful effects of secondhand smoke, which is one of the warning statements appearing on the graphic health warnings.

/ASK ALL/

135. Not counting motorcycles, in the vehicles that you or family members who live with you own or lease, is smoking

1. Always allowed

2. Sometimes allowed in at least one vehicle

3. Never allowed in any vehicle


8. RESPONDENT’S FAMILY DOES NOT OWN OR LEASE A VEHICLE

7. DON’T KNOW/NOT SURE

9. REFUSED


SMOKHOME7D2

Rationale (CDC): This question allows for the evaluation of Key Outcome Indicators 2.7.3, 2.7.5. With the increasing number of restrictions on smoking in public areas, private areas such as homes and vehicles are becoming larger sources of exposure. The home is the primary source of secondhand smoke exposure for children.

/ASK ALL/

/RANGE: 01-07/

136. Not counting decks, porches, or garages, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did someone other than you smoke tobacco inside your home while you were at home?

0_. NUMBER OF DAYS

88. NONE

77. DON’T KNOW/NOT SURE

99. REFUSED


shsvehexp

Rationale (CDC): This question allows for the evaluation of Key Outcome Indicators 2.7.3, 2.7.5. With the increasing number of restrictions on smoking in public areas, private areas such as homes and vehicles are becoming larger sources of exposure.

/ASK ALL/

/RANGE: 01-07/

137. During the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you ride in a vehicle where someone other than you was smoking tobacco?

0_. NUMBER OF DAYS

88. NONE

77. DON’T KNOW/NOT SURE

99. REFUSED


SHSEXPWORK

Rationale (CDC): This question allows for the evaluation of Key Outcome Indicators 2.7.1, 2.7.5. Worksites represents an important source of secondhand exposure for adults, particularly in states and localities that have not enacted comprehensive smoke-free policies prohibiting smoking in indoor areas of worksites, restaurants, and bars.

/Asked of respondents who are employed or self-employed/

/ASK IF Q98 EMPLOY2 EQ 1/

/RANGE: 01-07/

138. Now I’m going to ask you about smoke you might have breathed at work because someone else was smoking, either indoors or outdoors. During the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you breathe the smoke at your workplace from someone other than you who was smoking tobacco?

0_. NUMBER OF DAYS

88. NONE

77. DON’T KNOW/NOT SURE

99. REFUSED


SHSWORKPOL

Rationale: This question allows for the evaluation of Key Outcome Indicator 2.4.3. It combines two questions from the 2009-2010 NATS questionnaire that assessed worksites policies in outdoor and indoor areas separately. Worksites are an important source of secondhand exposure for individuals residing in states and localities without comprehensive smoke-free policies prohibiting smoking in indoor areas of worksites, restaurants, and bars.

/Asked of respondents who are employed or self-employed/

/ASK IF Q98 EMPLOY2 EQ 1/

139. At your workplace, is smoking…..?

1. Allowed in both indoor and outdoor areas

2. Allowed in outdoor areas, but never allowed in any indoor areas

3. Allowed in indoor areas, but never allowed in any outdoor areas

4. Never allowed in any indoor or outdoor area


77. DON’T KNOW

99. REFUSED


SHSMUHEXP

Rationale: This question allows for the evaluation of Key Outcome Indicators 2.7.3 and 2.7.5. With the increasing number of restrictions on smoking in public areas, the home has become an important source of secondhand smoke exposure for many individuals, particularly children. Individuals who live in multiunit housing are particularly susceptible to SHS incursions from nearby units and shared areas.

/Asked of respondents who live in multi-unit housing and do not allow smoking inside their home/

/ASK IF Q99 HOUSINGTYPE EQ (2-6) AND Q134 HOMERULES2 EQ (3)/

140. How often does tobacco smoke enter your living space from somewhere else in or around the building?

1. Every day

2. A few times a week

3. A few times a month

4. Once a month or less

5. Never


7. Don’t know

9. REFUSED




Closing Questions

income2

Rationale: Key covariate

/ASK ALL/

Note: 2006 median U.S. household income eq $48,201

141. Now I would like to ask about the combined income of everybody who lives with you. Combined income includes income from all sources for all persons in this household, including income from jobs, Social Security, retirement income, public assistance, and all other sources. Is your annual household income from all sources…?

04. Less than $50,000 If "no," ask 05; if "yes," ask 03
($40,000 to less than $50,000)

03. Less than $40,000 If "no," code 04; if "yes," ask 02
($30,000 to less than $40,000)

02. Less than $30,000 If "no," code 03; if "yes," ask 01
($20,000 to less than $30,000)

01. Less than $20,000 If "no," code 02

05. Less than $70,000 If "no," ask 06
($50,000 to less than $70,000)

06. Less than $100,000 If "no," ask 07
($70,000 to less than $100,000)

07. Less than $150,000 If "no," code 08
($100,000 to less than $150,000)

08. $150,000 or more


77. DON’T KNOW/NOT SURE

99. REFUSED


sexualorient1

Rationale: Key covariate

/ASK ALL/

INTERVIEWER: AS THE QUESTION IS READ, READ ALOUD THE NUMBERS OF THE RESPONSES. THIS ALLOWS THE RESPONDENT TO REPLY WITH A NUMBER IF, FOR WHATEVER REASON, THEY ARE UNCOMFORTABLE SAYING THE WORDS.

142A. Do you think of yourself as…?

CATI PROGRAMMER: IF Q91 GENDER EQ 1, SHOW RESPONSES AS:


1. Gay

2. Straight, that is, not gay

3. Bisexual

4. Something else


6. respondent Does not understand responses

7. DON’T KNOW/NOT SURE

9. REFUSED


CATI PROGRAMMER: IF Q91 GENDER EQ (2,7,9) SHOW RESPONSES AS:


1. Lesbian or gay

2. Straight, that is, not lesbian or gay

3. Bisexual

4. Something else


6. respondent Does not understand responses

7. DON’T KNOW/NOT SURE

9. REFUSED


SEXUALORIENT2

/ASK IF Q142A SEXUALORIENT1 EQ 4/

142B. By something else, do you mean that …

1. You are not straight, but identify with another label such as queer, trisexual, omnisexual or pansexual.

2. You are transgender, transsexual or gender variant.

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

4. You do not think of yourself as having sexuality.

5. You do not use labels to identify yourself.

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

7. You mean something else.

9. REFUSED



SEXUALORIENT3

/ASK IF Q142A SEXUALORIENT1 EQ 7/

142C. You gave “Don’t know” as an answer. Is that because …

1. You don’t understand the words.

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

3. You mean something else.

9. REFUSED



SEXUALORIENT_OTH

/LENGTH OF SEXUALORIENT_OTH=40/

/ASK IF Q142C EQ 3/

142D. Please tell me what you mean by “something else”?


CLOSE

/ASK ALL/

That’s my last question. Everyone’s answers will be combined to give us information about tobacco in the U.S. The information you have provided will be used to help improve the health of people all across the US. Thank you very much for your time and cooperation.

1-CONTINUE

LANGUAGE

INTERVIEWER: IN WHAT LANGUAGE WAS THE INTERVIEW CONDUCTED? IF MORE THAN ONE, INDICATE THE PREDOMINANT LANGUAGE USED.

1. ENGLISH

2. SPANISH



Appendix A. Landline Screener

answering machine Message text:

[TO BE LEFT ON 1ST, 4TH, AND 9TH ATTEMPT RESULTING IN AN ANSWERING MACHINE]:

Hello, my name is _______. I am calling on behalf of the Centers for Disease Control and Prevention to gather information on health and tobacco. We will call again in the next few days to conduct the interview. If you have any questions, please call us at /// at your convenience. Thanks."

Privacy Manager Message text:

[TO BE LEFT ON 1ST, 4TH, AND 9TH ATTEMPT RESULTING IN A PRIVACY MANAGER]:

(NAME) Calling on behalf of the Centers for Disease Control and Prevention”

LINTRO1

/IF SAMPTYPE=1 (LANDLINE)/

INTERVIEWER: PLEASE READ SLOWLY AND DISTINCTLY

L1. Hello, my name is [NAME FILL]. I'm calling for the CDC, the Centers for Disease Control and Prevention. The CDC is a federal agency charged with protecting and improving the public's health. We're gathering information on health and tobacco from selected people across the United States. Your phone number has been chosen randomly from a list of all telephone numbers in the US.

Are you a member of this household and at least 18 years old?

1. YES CONTINUE

2. Continue in Spanish

3. Terminate


LPHONEUSE

/ASK IF L1 LINTRO1 EQ 1/

L2. Is this phone number used for…

1. Home use

2. Home and business use, or

3. Business use only


/ASK IF L2 LPHONEUSE EQ 3/

X1 I’m sorry, we’re not interviewing people on their business phone. Thank you.

  1. continue


/IF LPHONEUSE EQ 0 ASSIGN DISPO ??/

Additional Information:

TRAINING: Don’t Know/Not sure and Refused are not allowed. If the person answering the phone doesn’t know the answers to the questions, attempt to get someone else to the phone and re-read the introductory text. If no one is available, schedule a callback. If the person answering the phone refuses to answer these questions or breaks off a call, code the Screener as a Refusal or other appropriate disposition. This is true throughout the Screener.

Home use includes a phone which serves a house, apartment, or condominium. If the phone serves a residence such as barracks, dorm, or nursing home, code as business use only.

lnoadult

/ASK IF L2 LPHONEUSE EQ (1,2)/

[RANGE: 0-18]

L3. The CDC uses the data collected by this study to develop more effective public health programs. Your household’s participation is voluntary and important to the success of this study.

First, I need to randomly select one adult who lives in your household to be interviewed. How many members of your household, including yourself, are 18 years of age or older?

[IF NEEDED: Do not include students living away at school. Include adults who think of this household as their primary place of residence. Include adults who usually stay in the household but are temporarily away on business, vacation, or in a hospital.]

_ _. Number of adults


/ASK IF LNOADULT = 0/

X2 I’m sorry we are only interviewing adult residents who are 18 years of age or older. Thank you.”

  1. continue


/IF LNOADULT=0 ASSIGN DISPO 27/

/ASK IF LNOADULT = 1/

ONEADULT Are you the adult?

21 Yes and the respondent is Male

22 Yes and the respondent is Female

03 No


If "yes,"

Then you are the person I need to speak with.

/ASK IF ONEADULT=03/

ASKGENDR Is the adult a man or a woman?

21 Male

22 Female


/ASK IF ONEADULT=03/

GETADULT May I speak with [fill in (him/her) from previous question]?

1 Yes, Adult coming to the phone.

2 No, not here (interview will terminate) [INTERVIEWER SET APPOINTMENT FOR BEST TIME TO REACH ADULT]


/ASK IF LNOADULT >1//

MEN How many of these adults are men

__ Number of men [RANGE 0-18]


/ASK IF LNOADULT>1/

WOMEN … and how many are women?

__ Number of women [RANGE 0-18]


/ASK IF SAMPTYPE=1 (LANDLINE)/

RANDOMLY SELECT ADULT; Assign selected value:

01 Oldest Female

02 2nd Oldest Female

03 3rd Oldest Female

04 4th Oldest Female

05 5th Oldest Female

06 6th Oldest Female

07 7th Oldest Female

08 8th Oldest Female

09 9th Oldest Female

11 Oldest Male

12 2nd Oldest Male

13 3rd Oldest Male

14 4th Oldest Male

15 5th Oldest Male

16 6th Oldest Male

17 7th Oldest Male

18 8th Oldest Male

19 9th Oldest Male

20 No respondent selected

21 One person HH - Male

22 One person HH – Female


/ASK IF LNOADULT > 1/

ASFKOR The person in your household that I need to speak with is the [INSERT SELECTED]

INTERVIEWER: IF SPEAKING WITH SAME GENDER, ASK: Are you the person?

INTERVIEWER: IF SPEAKING WITH OPPOSITE GENDER, ASK: May I speak with him or her?

1 Yes – Selected is on the line

2 Yes – Adult coming to the phone

3 No, not here [INTERVIEWER: SET APPOINTMENT TIME]

4 Go back to Adults question. Warning: A new respondent may be selected. (You need Supervisor's permission to use this option.)


TO THE CORRECT RESPONDENT:

/IF ASKFOR=2 OR GETADULT = 1/

NEWADULT

Hello, I'm calling for the CDC, the Centers for Disease Control and Prevention. The CDC is a federal agency charged with protecting and improving the public's health. We're gathering information on health and tobacco from selected people across the United States. Your phone number has been chosen randomly from a list of all telephone numbers in the US.

  1. Continue


/ASK IF SAMPTYPE=1 (LANDLINE)/

YOURTHE1

You don’t have to answer any question you don’t want to, and you can end the interview at any time. I won't ask for your last name, address, or other personal information that can identify you. Any information you give me will be maintained in a secure manner.

If you have any questions about this survey, I will provide a telephone number for you to call to get more information.

This call may be monitored or recorded for quality assurance.

INTERVIEWER IF NEEDED: The interview takes about 15 to 25 minutes to complete, depending on your situation.

INTERVIEWER IF NEEDED: There are no known risks to you for taking part in this interview. There are no direct benefits to you for taking part in this interview, but your answers are important and will help the CDC better understand health issues and plan health programs. Your answers will be maintained in a secure manner. Any information that might identify you, such as your telephone number, will never be linked to your answers and will not appear in any written reports or publications.

001 Person Interested, continue.

002 Go back to Adults question. WARNING: A NEW RESPONDENT WILL BE SELECTED AND YOU NEED A SUPERVISOR’S PASSWORD TO CONTINUE




Appendix B. Cell Phone Screener

answering machine Message text:

[TO BE LEFT ON 1ST, 4TH, AND 9TH ATTEMPT RESULTING IN AN ANSWERING MACHINE]:

Hello, my name is _______. I am calling on behalf of the Centers for Disease Control and Prevention to gather information on health and tobacco. We will call again in the next few days to conduct the interview. If you have any questions, please call us at /// at your convenience. Thanks."

TRAINING: Don’t Know/Not sure and Refused are not allowed. If the person answering the phone refuses to answer these questions or breaks off a call, or if the phone is not a cell phone, code the Screener as a Refusal or other appropriate disposition. This is true throughout the Screener.

CPintro

/ASK IF SAMPTYPE=2 (CELL)/

INTERVIEWER: PLEASE READ SLOWLY AND DISTINCTLY

C1. Hello, my name is [NAME FILL]. I'm calling for the CDC, the Centers for Disease Control and Prevention. The CDC is a federal agency charged with protecting and improving the public's health. Please let me know if you are currently driving a car or doing any activity that requires your full attention, so I can call you back at a later time.

[END CALL IMMEDIATELY IF R IS DRIVING OR DOING AN ACTIVITY AND SET APPOINTMENT.]

We're gathering information on health and tobacco from selected cell phone users across the United States. Your phone number has been chosen randomly from a list of all cell phone numbers in the US. It will take about 2 minutes to see if you qualify for the study.

Are you at least 18 years old?

1. YES CONTINUE

2. CONTINUE IN SPANISH

3. TERMINATE


CPpHONEUSE

/ASK IF C1 CPINTRO EQ 1/

C2. Is this phone number used for…

1. Personal use

2. Personal and business use, or

3. Business use only THANK AND END CALL



/ASK IF C2 CPPHONEUSE EQ 3/

X1 I’m sorry, we’re not interviewing people on their business phone. Thank you.

  1. continue


/IF CPPHONEUSE EQ 3 ASSIGN DISPO ??/

CPlandline

/ASK IF C2 CPPHONEUSE EQ (1,2)

C3. In your home, is a cell phone the only way you can be reached by telephone?

1. YES

2. NO


ASK IF C3 CPLANDLINE EQ 2/ or /ASK IF C4 CPPRIVRES EQ 2/

X3 I’m sorry, we are only interviewing people who can be reached only by cell phone.

  1. continue


/IF CPLANDLINE EQ 2 ASSIGN DISPO ??/

/IF CPPRIVRES EQ 2 ASSIGN DISPO ??/

CPprivres

/ASK IF C3 CPLANDLINE EQ 1/

C4. Do you live in a house, an apartment, a condominium, or other type of private residence?

interviewer: if respondent is unsure about WHAT a “private residence” IS, read:

Examples of places where people live that are not private residences are barracks, dormitories, and nursing homes. Is the place where you live more like a house, an apartment or condominium, or more like a barracks, a dormitory, or a nursing home?

1. YES

2. NO THANK AND END CALL




CPconfidential

/ASK IF C4 CPprivres=1/

C5. You are eligible to be interviewed.

You have been selected to participate in this interview.

You don’t have to answer any question you don’t want to, and you can end the interview at any time. I won't ask for your last name, address, or other personal information that can identify you.

The interview takes about 15 to 25 minutes to complete, depending on your situation.

If you have any questions about this survey, I will provide a telephone number for you to call to get more information.

This call may be monitored or recorded for quality assurance.

INTERVIEWER IF NEEDED: There are no known risks to you for taking part in this interview. There are no direct benefits to you for taking part in this interview, but your answers are important and will help the CDC better understand health issues and plan health programs. Your answers will be maintained in a secure manner. Any information that might identify you, such as your telephone number, will never be linked to your answers and will not appear in any written reports or publications.

Is respondent continuing with the interview?

1. YES








Appendix C. List of States and Countries for Q118 BUYST2

//IF Q118 BUYST2 EQ 1//

118ST.


01 Alabama

02 Alaska

04 Arizona

05 Arkansas

06 California

08 Colorado

09 Connecticut

10 Delaware

11 District of Columbia

12 Florida

13 Georgia

15 Hawaii

16 Idaho

17 Illinois

18 Indiana

19 Iowa

20 Kansas

21 Kentucky

22 Louisiana

23 Maine

24 Maryland

25 Massachusetts

26 Michigan

27 Minnesota

28 Mississippi

29 Missouri

30 Montana

31 Nebraska

32 Nevada

33 New Hampshire

34 New Jersey

35 New Mexico

36 New York

37 North Carolina

38 North Dakota

39 Ohio

40 Oklahoma

41 Oregon

42 Pennsylvania

44 Rhode Island

45 South Carolina

46 South Dakota

47 Tennessee

48 Texas

49 Utah

50 Vermont

51 Virginia

53 Washington

54 West Virginia

55 Wisconsin

56 Wyoming

57 Other (Specify)

77 DON’T KNOW

99 REFUSED


//ASK IF Q101ST=57

Q101ST_OTH

ENTER OTHER RESPONSE __________________



//IF Q118 BUYST2 EQ 2//

118CO.


01  Afghanistan

02  Albania

03  Algeria

04  Andorra

05  Angola

06  Antigua and Barbuda

07  Argentina

08  Armenia

09  Australia

10  Austria

11  Azerbaijan

12  Bahamas

13  Bahrain

14  Bangladesh

15  Barbados

16  Belarus

17  Belgium

18  Belize

19  Benin

20  Bhutan

21  Bolivia

22  Bosnia and Herzegovina

23  Botswana

24  Brazil

25  Brunei

26  Bulgaria

27  Burkina Faso

28  Burundi

29  Cambodia

30  Cameroon

31  Canada

32  Cape Verde

33  Central African Republic

34  Chad

35  Chile

36  China

37  Colombia

38  Comoros

39  Congo, Democratic Republic of the

40  Congo, Republic of the

41  Costa Rica

42  Côte d'Ivoire

43  Croatia

44  Cuba

45  Cyprus

46  Czech Republic

47  Denmark

48  Djibouti

49  Dominica

50  Dominican Republic

51  Ecuador

52  Egypt

53  El Salvador

54  Equatorial Guinea

55  Eritrea

56  Estonia

57  Ethiopia

58  Federated States of Micronesia

59  Fiji

60  Finland

61  France

62  Gabon

63  Gambia

64  Georgia

65  Germany

66  Ghana

67  Greece

68  Grenada

69  Guatemala

70  Guinea

71  Guinea-Bissau

72  Guyana

73  Haiti

74  Honduras

75  Hungary

76  Iceland

77  India

78  Indonesia

79  Iran

80  Iraq

81  Ireland

82  Israel

83  Italy

84  Jamaica

85  Japan

86  Jordan

87  Kazakhstan

88  Kenya

89  Kiribati

90  Kuwait

91  Kyrgyzstan

92  Laos

93  Latvia

94  Lebanon

95  Lesotho

96  Liberia

97  Libya

98  Liechtenstein

99  Lithuania

100  Luxembourg

101  Macedonia

102  Madagascar

103  Malawi

104  Malaysia

105  Maldives

106  Mali

107  Malta

108  Marshall Islands

109  Mauritania

110  Mauritius

111  Mexico

112  Moldova

113  Monaco

114  Mongolia

115  Montenegro

116  Morocco

117  Mozambique

118  Myanmar

119  Namibia

120  Nauru

121 Nepal

122  Netherlands

123  New Zealand

124  Nicaragua

125  Niger

126  Nigeria

127  North Korea

128  Norway

129  Oman

130  Pakistan

131  Palau

132  Panama

133  Papua New Guinea

134  Paraguay

135  Peru

136  Philippines

137  Poland

138  Portugal

139  Qatar

140  Romania

141  Russia

142  Rwanda

143  Saint Kitts and Nevis

144  Saint Lucia

145  Saint Vincent and the Grenadines

146  Samoa

147  San Marino

148  São Tomé and Príncipe

149  Saudi Arabia

150  Senegal

151  Serbia

152  Seychelles

153  Sierra Leone

154  Singapore

155  Slovakia

156  Slovenia

157  Solomon Islands

158  Somalia

159  South Africa

160  South Korea

161  South Sudan

162  Spain

163  Sri Lanka

164  Sudan

165  Suriname

166  Swaziland

167  Sweden

168 Switzerland

169  Syria

170  Taiwan

171  Tajikistan

172  Tanzania

173  Thailand

174  Timor-Leste

175  Togo

176  Tonga

177  Trinidad and Tobago

178  Tunisia

179  Turkey

180  Turkmenistan

181  Tuvalu

182  Uganda

183  Ukraine

184  United Arab Emirates

185  United Kingdom

186  United States

187  Uruguay

188  Uzbekistan

189  Vanuatu

190  Vatican City

191  Venezuela

192  Vietnam

193  Yemen

194  Zambia

195  Zimbabwe

196 Other


777 REFUSED

999 DON’T KNOW


//ASK IF Q118CO=196

Q118CO_OTH

ENTER OTHER RESPONSE __________________




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNational Adult Tobacco Survey Questionnaire, 2012-2013
Authormariolis_p
File Modified0000-00-00
File Created2021-01-28

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