Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging

OMB Control # 0910-0810

Exp. 11-30-2018

ATTACHMENT D:

SURVEY

Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging

Fact Questions

You are going to see approximately 10 facts about tobacco. We will show you one fact at a time. After each fact is shown, we’d like to know what you think about each of them. Some of these facts may be used in advertisements to keep young people from smoking and using other tobacco products.

Fact #1: Addiction keeps people smoking even when they want to quit.

A1. This fact about smoking is:

[RANDOMIZE ORDER, HIDE RESPONSE VALUES]

	-3	-2	-1	0	1	2	3
Not telling me anything new	1	2	3	4	5	6	7	Telling me something new
Not attention grabbing	1	2	3	4	5	6	7	Attention grabbing
Not worth remembering	1	2	3	4	5	6	7	Worth remembering
Boring	1	2	3	4	5	6	7	Interesting
Stupid	1	2	3	4	5	6	7	Not Stupid
Not important	1	2	3	4	5	6	7	Important
Not informative	1	2	3	4	5	6	7	Informative
Not convincing	1	2	3	4	5	6	7	Convincing
Not believable	1	2	3	4	5	6	7	Believable

A2. How much do you trust this fact?

₁ Very much

₂ Somewhat

₃ A little

₄ Not at all

₉ Prefer not to answer

A3. How likely are you to share this fact with somebody you know?

₁ Very likely

₂ Somewhat likely

₃ Somewhat unlikely

₄ Very unlikely

₉ Prefer not to answer

A4. Did this fact give a strong or weak reason to stay away from smoking?

₁ Very strong

₂ Somewhat strong

₃ Somewhat weak

₄ Very weak

₉ Prefer not to answer

[Repeat questions A1 – A4 for the remaining 9 or so facts]

Next we are going to ask you to review all the facts you have seen and tell us which facts are the best and which ones are the worst.

A5. Please review the facts you have seen and rank the 2 you think give the BEST reason not to smoke or use other tobacco products where 1=best; 2=second best

	Fact 1: Addiction keeps people smoking even when they want to quit.
	Fact 2:…
	…
	…
	…
	…
	…
	…
	…
	…

A5a. You selected “Fact X………” as the best fact. Why do you think this is the best fact?

______________________________________________________________________________________________________________________

A5b. You selected “Fact Y………” as the second best fact. Why do you think this is the second best fact?

______________________________________________________________________________________________________________________

A6. Please review the facts you have seen and rank the 2 you think give the WORST reason not to smoke where 1=worst fact; 2=second worst

	Fact 1: Addiction keeps people smoking even when they want to quit.
	Fact 2:…
	…
	…
	…
	…
	…
	…
	…
	…

A6a. You selected “Fact X………” as the worst fact. Why do you think this is the worst fact?

______________________________________________________________________________________________________________________

A6b. You selected “Fact Y………” as the second worst fact. Why do you think this is the second worst fact?

______________________________________________________________________________________________________________________

Risk Perceptions and Attitudinal Beliefs

Next, we are going to ask you some general questions about smoking.

B1. How much do you agree or disagree with the following statements? [RANDOMIZE PRESENTATION]

B1_1. If I smoke cigarettes I will……

		1 Definitely Yes	2 Probably Yes	3 Probably Not	4 Definitely Not	9 Prefer Not to Answer
B1_1a.	Be controlled by smoking (Addiction)	1	2	3	4	9
B1_1b.	Become addicted (Addiction)	1	2	3	4	9
B1_1c.	Develop a smoking-related disease (Health Effects)	1	2	3	4	9
B1_1d.	Damage my body (Health Effects)	1	2	3	4	9
B1_1e.	Inhale dangerous chemicals (HPHCs)	1	2	3	4	9
B1_1f.	Shorten my life (Mortality)	1	2	3	4	9
B1_1g.	Be less attractive to others (Social Norms)	1	2	3	4	9

B1_2. If I use e-cigarettes I will…

		1 Definitely Yes	2 Probably Yes	3 Probably Not	4 Definitely Not	9 Prefer Not to Answer
B1_2a.	Inhale dangerous chemicals	1	2	3	4	9

B2. How much do you agree or disagree with the following statements? [RANDOMIZE PRESENTATION]

		1 Strongly Agree	2 Agree	3 Neither Agree nor Disagree	4 Disagree	5 Strongly Disagree	9 Prefer Not to Answer
B2_1.	Smoking can cause immediate damage to my body. (Health Effects)	1	2	3	4	5	9
B2_2.	E-cigarettes are less harmful than smoking regular cigarettes. (E-Cigarettes)	1	2	3	4	5	9
B2_3.	Using any kind of tobacco can pose some health risks. (Product Content/Design)	1	2	3	4	5	9

Social Norms

B3. Out of every 10 students in your grade at school, how many do you think smoke?

__________ MIN 0 MAX 10

₉₉ Prefer not to answer

B4. How many of your four closest friends…

		0 None	1 One	2 Two	3 Three	4 Four or More	9 Prefer Not to Answer
B4_1.	Smoke cigarettes?	0	1	2	3	4	9
B4_2.	Use electronic cigarettes, also called “e-cigarettes”, “e-cigs”, “vapor pens”, or “e-hookahs” (For example, blu, NJOY, Mistic, 21st Century Smoke)?	0	1	2	3	4	9

Sensation seeking

Please tell us if you strongly agree, agree, disagree, or strongly disagree with the following statements.

B5. Would you say you…

		1 Strongly Agree	2 Agree	3 Neither Agree or Disagree	4 Disagree	5 Strongly Disagree	9 Prefer Not to Answer
B5_1	Like to explore strange places.	1	2	3	4	5	9
B5_2	Like to do frightening things.	1	2	3	4	5	9
B5_3	Like new and exciting experiences, even if I have to break the rules.	1	2	3	4	5	9
B5_4	Prefer friends who are exciting and unpredictable.	1	2	3	4	5	9

Other Tobacco Use

B6. Now we would like to ask you some questions about your use of other tobacco products. Have you used the following tobacco products in the past 30 days?

		1 Yes	2 No	9 Prefer Not to Answer
B6_1	Smokeless tobacco, such as chewing tobacco, snuff, snus or dip (For example, Copenhagen, Skoal, Grizzly, Kodiak, or Red Seal)?	1	2	9
B6_2	Cigars, cigarillos, or little cigars,(For example, Swisher Sweets, White Owl, Cheyenne, Dutch Masters, Garcia Y Vega or Middleton’s)?	1	2	9
B6_3	Tobacco out of a water pipe (also called “hookah”)?	1	2	9
B6_4	Electronic cigarettes, also called “e- cigarettes”, “e-cigs”, “vapor pens”, or “e-hookahs”(For example, blu, NJOY, Mistic, 21st Century Smoke)?	1	2	9

E-Cigarette Intentions

B7. Thinking about the future…

		1 Definitely Yes	2 Probably Yes	3 Probably Not	4 Definitely Not	9 Prefer Not to Answer
B7_1	Do you think that you will try an e-cigarette soon?	1	2	3	4	9
B7_2	Do you think you will try an e-cigarette at any time in the next year?	1	2	3	4	9
B7_3	If one of your best friends were to offer you an e-cigarette, would you use it?	1	2	3	4	9

Self-reported skills

Next, we would like to ask you some general questions about your skills.

B8. I am good at math (strongly agree/strongly disagree)

₁ Strongly disagree

₂ Disagree

₃ Neither agree nor disagree (neutral)

₄ Agree

₅ Strongly agree

₉ Prefer not to answer

B9. How confident are you that you understood the tobacco facts you have seen?

₁ Very confident

₂ Somewhat confident

₃ A little confident

₄ Not at all confident

₉ Prefer not to answer

Demographics and Environment

C1. Are you male or female?

₁ Female

₂ Male

₉ Prefer not to answer

C2. Are you Hispanic, Latino/a, or of Spanish origin?

₁ Yes

₂ No

₉ Prefer not to answer

C3. What race or races do you consider yourself to be? Please select 1 or more of these categories.

₁ American Indian or Alaska Native

₂ Asian

₃ Black or African American

₄ Native Hawaiian or Other Pacific Islander

₅ White

₅ Other

₉ Prefer not to answer

C4. Other than you, has anyone who lives with you used any of the following during the past 30 days…? (You can CHOOSE ONE ANSWER or MORE THAN ONE ANSWER)

₁ cigarettes

₂ smokeless tobacco, such as chewing tobacco, snuff, snus or dip, such as Copenhagen, Skoal, Grizzly, Kodiak, and Red Seal

₃ cigars, cigarillos, or little cigars, such as Swisher Sweets, Black & Mild, White Owl, Cheyenne, Dutch Masters, Garcia Y Vega or Middleton’s

₄ tobacco out of a water pipe (also called “hookah”)

₅ electronic cigarettes, also called “e-cigarettes”, “e-cigs”, “vapor pens”, or “e-hookahs” such as blu, NJOY, Mistic, 21st Century Smoke

₆ any other form of tobacco (please specify)

₇ No, no one who lives with me has used any form of tobacco during the past 30 days

₉ Prefer not to answer

C5. How far do you think you will go in school?

₁ I don’t plan to go to school anymore

₂ 9^th grade

₃ 10^th grade

₄ 11^th grade

₅ 12^th grade or GED

₆ Some college or technical school but no degree

₇ Technical school degree

₈ College degree

₉ Graduate school, medical school, or law school

₉₉ Prefer not to answer

C6. How many close friends do you have? (Close friends include people whom you feel at ease with, can talk to about private matters, and can call on for help.)

__________ MIN 0 MAX 98

₉₉ Prefer not to answer

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