The Real Cost Smokeless: Wave 2 In-depth Interviews Designed to Prevent Rural Youth Tobacco Use

OMB# 0910-0796

Exp. 06/30/2018

The Real Cost Smokeless: Wave 2 In-depth Interviews Designed to Prevent Rural Youth Tobacco Use,

Interview Activity – Page 2

Internal note: FMG will send worksheet through graphic design team once content is final.

ID#______________

List some of your favorite things or things in your life that mean something to you personally. It can be anything—some ideas below. Share at least 5 things and write a quick sentence about why you chose each.

Your favorite…

• Poster/ picture/ drawing/ painting/ meme

• Food

• Place in my town

• Website or app

• Item of clothing, shoes, bag or piece of gear

• Vehicle, bike, etc.

• Brand

• Trophy, badge, award

• Hobby or activity

• Spot in your house

• TV show, movie or video game

• Device of some kind (e.g., phone, tablet, gaming console, etc.)

• Etc.

Item and description	Why this means something to me personally
1.
2.
3.
4.
5.
6.
7.
8.

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