| 
			The
			first five questions ask some background information about you. 
 
				 How
				old are you? 
				 
				9
				years old 
				10
				years old 
				11
				years old 
				12
				years old 
				13
				years old 
				14
				years old 
				15
				years old 
				16
				years old 
				17
				years old 
				18
				years old 
				19
				years old or older 
				 
 | 
	
		| 
			
 
 
				 What
				is your sex? 
				 
				MaleFemale
				
				 
 | 
	
		| 
			
 
 
				What
				grade are you in? 
				 
				6th7th8th9th10th11th12thUngraded
				or other grade 
				 
 | 
	
		| 
			
 
 
				 Are
				you Hispanic, Latino, Latina, or of Spanish origin? (Select
				one or more) 
				No,
				not of Hispanic, Latino, Latina, or Spanish originYes,
				Mexican, Mexican American, Chicano, or ChicanaYes,
				Puerto RicanYes,
				CubanYes,
				Another Hispanic, Latino, Latina, or Spanish origin | 
	
		| 
			
 
 
				 What
				race or races do you consider yourself to be? (Select
				one or more) 
				American
				Indian or Alaska NativeAsianBlack
				or African AmericanNative
				Hawaiian or Other Pacific IslanderWhite 
 | 
	
		| 
			The
			next six sections of questions ask about your use of particular
			kinds of tobacco products, such as cigarettes, cigars, smokeless
			tobacco, electronic cigarettes, hookah, pipe, snus, dissolvable
			tobacco, and bidis. 
 The
			first 12 questions are about smoking conventional cigarettes (ones
			that have to be lit and burned). 
 
 
				Have
				you ever been curious about smoking a cigarette? 
				 
				
					Definitely
					yes 
					Probably
					yesProbably
					notDefinitely
					not 
 | 
	
		| 
			
 
				 Have
				you ever
				tried
				cigarette smoking, even one or two puffs? 
				 
				Yes
				
				No
				
				 
 | 
	
		| 
			
 
 
				Do
				you think that you will try a cigarette soon? 
				 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
 | 
	
		| 
			
 
 
				Do
				you think you will smoke a cigarette in the next year? 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
				 
 | 
	
		| 
			
 
 
				If
				one of your best friends were to offer you a cigarette, would you
				smoke it?  
				 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
 | 
	
		| 
			
 
 
				How
				old were you when you first
				tried
				cigarette smoking, even one or two puffs? 
				I
				have never smoked cigarettes, not even one or two puffs8
				years old or younger 
				9
				 years old10
				years old11
				years old12
				years old13
				years old14
				years old15
				years old16
				years old17
				years old18
				years old 
				19
				years old or older 
 | 
	
		| 
			
 
 
				 About
				how many cigarettes have you smoked in your entire
				life? 
				I
				have never smoked cigarettes, not even one or two puffs1
				or more puffs but never a whole cigarette1
				cigarette2
				to 5 cigarettes6
				to 15 cigarettes (about 1/2 a pack total)16
				to 25 cigarettes (about 1 pack total)26
				to 99 cigarettes (more than 1 pack, but less than 5 packs)100
				or more cigarettes (5 or more packs) 
 | 
	
		| 
			
 
 
				During
				the past
				30 days,
				on how many days did you smoke cigarettes?  
				 
				0
				days1
				or 2 days 
				3
				to 5 days 
				6
				to 9 days 
				10
				to 19 days 
				20
				to 29 days 
				All
				30 days 
 | 
	
		| 
			
 
			
 
				
				During
				the past 30 days, on
				the days you smoked,
				about how many cigarettes did you smoke per day? 
				 
				I
				did not smoke cigarettes during the past 30 daysLess
				than 1 cigarette per day1
				cigarette per day2
				to 5 cigarettes per day6
				to 10 cigarettes per day11
				to 20 cigarettes per dayMore
				than 20 cigarettes per day 
 | 
	
		| 
			
 
 
				 When
				was the last time you smoked a cigarette, even one or two puffs?
				(Please
				choose the first answer that fits) 
				I
				have never smoked cigarettes, not even one or two puffsEarlier
				today 
				Not
				today but sometime during the past 7 daysNot
				during the past 7 days but sometime during the past 30 daysNot
				during the past 30 days but sometime during the past 6 monthsNot
				during the past 6 months but sometime during the past year1
				to 4 years ago5
				or more years ago 
 | 
	
		| 
			
 
 
				During
				the past 30 days, what brand of cigarettes did you usually smoke?
				(Choose
				only one answer) 
				I
				did not smoke cigarettes during the past 30 daysI
				did not smoke a usual brandAmerican
				SpiritCamelGPC,
				Basic, or DoralKoolLucky
				StrikeMarlboroNewportParliamentVirginia
				SlimsSome
				other brand not listed here 
				 Not
				sure 
 
 | 
	
		| 
			
 
 
				Menthol
				cigarettes are cigarettes that taste like mint.  During the past
				30 days, were the cigarettes that you usually smoked menthol? 
				I
				did not smoke cigarettes during the past 30 daysYesNoNot
				sure 
 | 
	
		| 
			The
			next four questions are about the use of cigars, cigarillos or
			little cigrars such as Black and Mild, Swisher Sweets, Dutch
			Masters, White Owl, or Phillies Blunts. 
 
				
				 Have
				you ever
				tried
				smoking cigars, cigarillos, or little cigars, such as Black and
				Milds, Swisher Sweets, Dutch Masters, White Owl, or Phillies
				Blunts, even one or two puffs?  
				 
				Yes
				
				No
				
				 
 | 
	
		| 
			
 
			
 
				
				How
				old were you when you
				first tried
				smoking a cigar, cigarillo, or little cigar, even one or two
				puffs?  
				 
				I
				have never smoked cigars, cigarillos, or little cigars, not even
				one or two puffs8
				years old or younger 
				9
				years old 
				10
				years old11
				years old12
				years old13
				years old14
				years old15
				years old16
				years old17
				years old18
				years old19
				years old or older 
 | 
	
		| 
			
 
 
				 During
				the past
				30 days,
				on how many days did you smoke cigars, cigarillos, or little
				cigars?  
				 
				0
				days1
				or 2 days 
				3
				to 5 days 
				6
				to 9 days 
				10
				to 19 days 
				20
				to 29 days 
				All
				30 days 
				 
 | 
	
		| 
			
 
 
				During
				the past 30 days, on
				the days that you smoked,
				about how many cigars, cigarillos, or little cigars did you smoke
				per day?  
				 
				I
				did not smoke cigars, cigarillos, or little cigars during the
				past 30 daysLess
				than 1 cigar, cigarillo or little cigar per day1
				per day2
				to 5 per day6
				to 10 per day11
				to 20 per dayMore
				than 20 per day 
 | 
	
		| 
			The
			next three questions are about the use of chewing tobacco, snuff,
			or dip. Do
			not think
			about snus or dissolvable tobacco products when you answer these
			questions. 
			 
			
 
				 Have
				you ever
				used chewing
				tobacco, snuff, or dip, such as Redman, Levi Garrett, Beechnut,
				Skoal, Skoal Bandits, or Copenhagen, even just a small amount? 
				 
				Yes
				
				No
				
				 
 | 
	
		| 
			
 
 
				 How
				old were you when you used
				chewing
				tobacco, snuff, or dip for the first time?  
				 
				I
				have never used chewing tobacco, snuff, or dip8
				years old or younger 
				9
				years old 
				10
				years old11
				years old12
				years old13
				years old14
				years old15
				years old16
				years old17
				years old18
				years old19
				years old or older 
 | 
	
		| 
			
 
 
				 During
				the past
				30 days,
				on how many days did you use chewing tobacco, snuff, or dip? 
				 
				0
				days 
				1
				or 2 days 
				3
				to 5 days 
				6
				to 9 days 
				10
				to 19 days 
				20
				to 29 days 
				All
				30 days 
				 
 | 
	
		| 
			The
			next 13 questions are about electronic cigarettes or e-cigarettes.
			E-cigarettes are battery powered devices that usually contain a
			nicotine-based liquid that is vaporized and inhaled. You may know
			them as vape-pens, hookah-pens, e-hookahs, e-cigars, e-pipes,
			personal vaporizers or mods. Some brand examples include NJOY,
			Blu, Vuse, MarkTen, Logic, Vapin Plus, eGo, Halo.
			
			 
				Have
				you ever been curious about using an e-cigarette? 
				 
				
					Definitely
					yes 
					Probably
					yesProbably
					notDefinitely
					not 
 | 
	
		| 
			 
			 
 
				 Have
				you ever
				used
				an e-cigarette, even once or twice?  
				 
				Yes
				
				No
				
				 
 | 
	
		| 
			
 
 
				Do
				you think that you will try an e-cigarette soon? 
				 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
 | 
	
		| 
			
 
 
				Do
				you think you will use an
				e-cigarette in
				the next year? 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
				 
			
 | 
	
		| 
			
 
 
				If
				one of your best friends were to offer you an e-cigarette, would
				you use it?  
				 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
			
 | 
	
		| 
			
 
 
				How
				old were you when you first
				tried using
				an e-cigarette, even once or twice?  
				 
				
					I
					have never used e-cigarettes8
					years old or younger 
					9
					years old 
					10
					years old11
					years old12
					years old13
					years old14
					years old15
					years old16
					years old17
					years old18
					years old19
					years old or older 
 | 
	
		| 
			
 
 
				During
				the past
				30 days,
				on how many days did you use e-cigarettes? 
				0
				days1
				or 2 days3
				to 5 days6
				to 9 days10
				to 19 days20
				to 29 daysAll
				30 days 
 
 | 
	
		| 
			
 
 
				In
				total, on how many days have you used e-cigarettes in your entire
				life? 
				
					0
					days1
					day2
					to 10 days11
					to 20 days21
					to 50 days51
					to 100 daysOver
					100 days 
 | 
	
		| 
			
 
 
				What
				brands of e-cigarettes have you ever
				tried? (Select
				one or more) 
				I
				have never tried e-cigarettesBluNJOYMarkTenLogicVUSEVapin
				PluseGoHaloSome
				other brand not listed hereI
				do not know the brand name 
 | 
	
		| 
			
 
 
				Thinking
				about all types of e-cigarettes, have you used the disposable
				kind or rechargeable/refillable/tank kind? 
				I
				have never tried an e-cigaretteOnly
				the disposable kindOnly
				the rechargeable/refillable/tank kindBoth
				the disposable kind and rechargeable/refillable/tank kind 
				 
 | 
	
		| 
			
 
 
				During
				the past 30 days, where did you get or buy the e-cigarettes that
				you have used?  (Select
				one or more)
				 
				 
				I
				have never tried an e-cigarette in the past 30 daysA
				gas station or convenience storeA
				grocery storeA
				drugstoreA
				mall or shopping center kiosk/standOn
				the InternetA
				vape shop or other store that only sells e-cigarettesSome
				other place not listed hereFrom
				a family memberFrom
				a friendFrom
				some other person that is not a family member or a friend 
 | 
	
		| 
			
 
 
				What
				are the reasons you have used e-cigarettes? (Select
				one or more) 
				I
				have never tried an e-cigaretteFriend
				or family member used themTo
				try to quit using other tobacco products, such as cigarettesThey
				cost less than other tobacco products, such as cigarettesThey
				are easier to get than other tobacco products, such as cigarettesFamous
				people on TV or in movies use themThey
				are less harmful than other forms of tobacco, such as cigarettesThey
				are available in flavors, such as mint, candy, fruit, or
				chocolateThey
				can be used in areas where other tobacco products, such as
				cigarettes, are not allowedI
				used them for some other reason 
 | 
	
		| 
			
 
 
				Have
				you ever used an e-cigarette device with a substance besides
				nicotine? (Select
				one or more) 
				Yes,
				I have used an e-cigarette
				device
				with Marijuana, THC or hash oil, or THC waxYes,
				I have used an e-cigarette
				device
				with another substance that is not marijuana, THC or hash oil, or
				THC waxNo,
				I have only used an e-cigarette
				device
				with nicotineNo,
				I have never used an e-cigarette
				deviceDon’t
				Know / Not Sure 
 
 | 
	
		| 
			The
			next eight questions are about smoking tobacco in a hookah, which
			is a type of waterpipe. Shisha (or hookah tobacco) is smoked in a
			hookah. 
			
			 
 
				Have
				you ever been curious about smoking tobacco in a hookah or
				waterpipe? 
				 
				Definitely
				yes 
				Probably
				yesProbably
				notDefinitely
				not 
 | 
	
		| 
			
 
 
				
				Have
				you ever
				tried
				smoking tobacco in a hookah or waterpipe, even one or two puffs? 
				
				 
				Yes
				 
				No
				
				 
 | 
	
		| 
			
 
 
				Do
				you think that you will try smoking tobacco in a hookah or
				waterpipe soon? 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
				 
			
 | 
	
		| 
			
 
 
				Do
				you think you will smoke tobacco in a hookah or waterpipe in the
				next year? 
				 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
 | 
	
		| 
			
 
 
				 If
				one of your best friends were to offer you a hookah or waterpipe
				with tobacco, would you try it?  
				 
				Definitely
				yes 
				Probably
				yes 
				Probably
				not 
				Definitely
				not 
			
 | 
	
		| 
			
 
 
				How
				old were you when you first
				tried
				smoking tobacco in a hookah or waterpipe, even one or two puffs? 
				
				 
				I
				have never smoked tobacco from a hookah or waterpipe8
				years old or younger 
				9
				years old 
				10
				years old11
				years old12
				years old13
				years old14
				years old15
				years old16
				years old17
				years old18
				years old19
				years old or older 
 | 
	
		| 
			
 
 
				During
				the past 30 days, on how many days did you smoke tobacco in a
				hookah or waterpipe?  
				 
				0
				days1
				or 2 days 
				3
				to 5 days 
				6
				to 9 days 
				10
				to 19 days 
				20
				to 29 days 
				All
				30 days 
				 
 | 
	
		| 
			
 
 
				During
				the past
				30 days,
				where did you smoke tobacco in a hookah or waterpipe?
				 (Select
				one or more)
				 
				 
				I
				did not smoke tobacco in a hookah or waterpipe during the past 30
				daysAt
				my houseAt
				a friend’s houseAt
				a family member’s house, other than my houseAt
				a hookah barAt
				a café or restaurantSome
				other place not listed here 
 | 
	
		| 
			               The
			next two questions are about the use of other tobacco products,
			not described in the previous sections.  
			 
				Which
				of the following tobacco products have you ever
				tried,
				even just one time?  (Select
				one or more)
				
				 
				Roll-your-own
				cigarettesFlavored
				cigars, cigarillos, and little cigars (such as mint, clove,
				alcohol (wine, cognac), candy, fruit, chocolate, or other
				flavors)
				
				Pipe
				filled with tobacco (not waterpipe)Snus,
				such as Camel, Marlboro, or General SnusDissolvable
				tobacco products such as Ariva, Stonewall, Camel orbs, Camel
				sticks, Marlboro sticks or Camel stripsBidis
				(small brown cigarettes wrapped in a leaf)I
				have never tried any of the products listed above 
				 
 | 
	
		| 
			 
			 
				In
				the past 30 days,
				which of the following products have you used on at
				least one day? 
				(Select one or
				more)  
				 
				Roll-your-own
				cigarettes 
				Pipe
				filled with tobacco (not waterpipe)Snus,
				such as Camel, Marlboro, or General SnusDissolvable
				tobacco products such as Ariva, Stonewall, Camel orbs, Camel
				sticks, Marlboro sticks or Camel stripsBidis
				(small brown cigarettes wrapped in a leaf)I
				have not used any of the products listed above in the past 30
				days 
 
 | 
	
		| 
			Now
			thinking about your responses to questions from the last six
			sections about past 30 day use of cigarettes, cigars, smokeless
			tobacco, electronic cigarettes, hookah, pipe, snus, dissolvable
			tobacco, and bidis. 
 
				During
				the past 30 days, on how many days did you use any tobacco
				product(s)? 
				 
				0
				days1
				to 2 days3
				to 5 days6
				to 9 days10
				to 19 days20
				to 29 daysAll
				30 days 
 | 
	
		| 
			The
			next two questions ask about flavors in tobacco products. 
				Which
				of the following tobacco products that you used in the past 30
				days were flavored to taste like menthol (mint), alcohol (wine,
				cognac), candy, fruit, chocolate or any other flavors? (Select
				one or more) 
				Cigars,
				cigarillos, or little cigarsChewing
				tobacco, snuff, or dipE-cigarettesTobacco
				in a hookah or waterpipePipe
				filled with tobacco (not waterpipe)SnusDissolvable
				tobacco productsBidisI
				did not use any of the flavored tobacco products listed above in
				the  past 30 days  
				 
 | 
	
		| 
			
 
 
				What
				flavors of tobacco products have you used in the past 30 days?
				(Select
				one or more)
				
				 
				Menthol
				or mintClove
				or spiceFruitChocolateAlcoholic
				drink (such as wine, cognac, margarita or other cocktails)Candy,
				desserts or other sweetsSome
				other flavor not listed hereI
				did not use flavored tobacco products in the past 30 days 
 | 
	
		| 
			The
			next four questions are about getting tobacco products. 
				 During
				the past
				30 days,
				how did you get your own tobacco products?  (Select
				one or more)
				
				 
				I
				did not get any tobacco products during the past 30 daysI
				bought them myselfI
				had someone else buy them for meI
				asked someone to give me someSomeone
				offered them to meI
				bought them from another personI
				took them from a store or another personI
				got them some other way 
				 
 | 
	
		| 
			
 
 
				 During
				the past
				30 days,
				where did you buy
				your own tobacco products?  (Select
				one or more)
				
				 
				
					I
					did not buy tobacco products during the past 30 daysA
					gas station or convenience storeA
					grocery storeA
					drugstoreA
					vending machineOn
					the InternetThrough
					the mailSome
					other place not listed here 
					        
			 
 | 
	
		| 
			
 
			
 
				
				During
				the past
				30 days,
				did anyone refuse
				to sell you any tobacco products because of your age? 
				 
				I
				did not try to buy any tobacco products during the past 30 daysYesNo 
 | 
	
		| 
			
 
 
				How
				easy do you think it is for kids your age to buy tobacco products
				in a store? 
				
					EasySomewhat
					easyNot
					easy at all 
 | 
	
		| 
			The
			next two questions are about issues related to urges or needs to
			use tobacco products. 
				 During
				the past 30 days, have you had a strong craving or felt like you
				really needed to use a tobacco product of any kind? 
				YesNo 
 | 
	
		| 
			
 
 
				 How
				soon after you wake up do you want to use a tobacco product? 
				I
				do not want to use tobaccoWithin
				5 minutesFrom
				6 to 30 minutesFrom
				more than 30 minutes to 1 hourAfter
				more than 1 hour but less than 24 hoursI
				rarely want to use tobacco | 
	
		| 
			The
			next four questions are about quitting tobacco products. 
				 Are
				you seriously thinking about quitting the use of all
				tobacco products?
				(Please
				choose the first answer that fits) 
				I
				do not use tobacco productsYes,
				during the next 30 daysYes,
				during the next 6 monthsYes,
				during the next 12 monthsYes,
				but not during the next 12 monthsNo,
				I am not thinking about quitting the use of all tobacco products 
			
 | 
	
		| 
			
 
 
				
				During
				the past 12 months, how many times have you stopped using all
				tobacco products
				for one
				day or longer
				because you were trying to quit all tobacco products for
				good? 
				I
				did not use tobacco products during the past 12 monthsI
				did not try to quit all tobacco products during the past 12
				months1
				time2
				times3
				to 5 times6
				to 9 times10
				or more times 
			
 | 
	
		| 
			
 
				Are
				you seriously thinking about quitting cigarettes?
				(Please
				choose the first answer that fits) 
				I
				do not smoke cigarettesYes,
				during the next 30 daysYes,
				during the next 6 monthsYes,
				during the next 12 monthsYes,
				but not during the next 12 monthsNo,
				I am not thinking about quitting cigarettes 
				 | 
	
		| 
			
 
 
				
				During
				the past
				12 months,
				how many times have you stopped smoking cigarettes
				for one
				day or longer
				because you were trying to quit smoking cigarettes for
				good? 
				I
				did not smoke cigarettes during the past 12 monthsI
				did not try to quit during the past 12 months1
				time2
				times3
				to 5 times6
				to 9 times10
				or more times 
 | 
	
		| 
			The
			next twelve questions ask about your thoughts on tobacco products. 
 
				 How
				much do you think people harm themselves when they smoke
				cigarettes
				some days but not every day? 
				No
				harmLittle
				harmSome
				harmA
				lot of harm 
 | 
	
		| 
			
 
				How
				much do you think people harm themselves when they use
				chewing tobacco, snuff, dip, or snus,
				some days but not every day?  
				 
				
					No
					harmLittle
					harmSome
					harmA
					lot of harm 
					 
 | 
	
		| 
			
 
				Do
				you believe that chewing
				tobacco, snuff, dip or snus
				is (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than
				cigarettes? 
				Less
				addictiveEqually
				addictiveMore
				addictiveI
				have never heard of chewing tobacco, snuff, dip or snusI
				don’t know enough about these products 
 | 
	
		| 
			
 
				How
				much do you think people harm themselves when they use
				e-cigarettes
				some days but not every day? 
				No
				harmLittle
				harmSome
				harmA
				lot of harm 
 | 
	
		| 
			
 
				Do
				you believe that e-cigarettes
				are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than
				cigarettes? 
				Less
				addictiveEqually
				addictiveMore
				addictiveI
				have never heard of e-cigarettesI
				don’t know enough about these products 
 | 
	
		| 
			
 
				How
				much do you think people harm themselves when they smoke
				tobacco in a hookah or waterpipe
				some days but not every day? 
				No
				harmLittle
				harmSome
				harmA
				lot of harm 
 | 
	
		| 
			
 
				Do
				you believe that smoking
				tobacco in a hookah or waterpipe
				is (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than
				cigarettes? 
				Less
				addictiveEqually
				addictiveMore
				addictiveI
				have never heard of smoking tobacco in a hookah or waterpipeI
				don’t know enough about these products 
 | 
	
		| 
			
 
 
				 How
				strongly do you agree with the statement ‘All tobacco
				products are dangerous’? 
				Strongly
				agreeAgreeDisagreeStrongly
				disagree 
 | 
	
		| 
			
 
 
				Not
				including the vapor from e-cigarettes, do you think that
				breathing smoke from other people’s cigarettes or other
				tobacco products causes… 
				No
				harmLittle
				harmSome
				harmA
				lot of harm 
 | 
	
		| 
			
 
 
				Out
				of every 10 students in your grade at school, how many do you
				think smoke cigarettes? 
				012345678910 
 | 
	
		| 
			
 
				Out
				of every 10 students in your grade at school, how many do you
				think use e-cigarettes? 
					012345678910 
 | 
	
		| 
			
 
				Out
				of every 10 students in your grade at school, how many do you
				think smoke tobacco in a hookah or waterpipe? 
				012345678910 
 | 
	
		| 
			              The
			next four questions ask about issues related to e-cigarette
			advertisement. 
 
 
				When
				you are using the Internet, how often do you see ads or
				promotions for e-cigarettes? 
					I
					do not use the InternetNeverRarelySometimesMost
					of the timeAlways
					
					 
 | 
	
		| 
			
 
 
				When
				you read newspapers or magazines, how often do you see ads or
				promotions for e-cigarettes? 
					I
					do not read newspapers or magazinesNeverRarelySometimesMost
					of the timeAlways
					
					 
 | 
	
		| 
			
 
 
				When
				you go to a convenience store, supermarket, or gas station, how
				often do you see ads or promotions for e-cigarettes? 
					I
					never go to a convenience store, supermarket, or gas stationNeverRarelySometimesMost
					of the timeAlways
					
					 
 | 
	
		| 
			
 
 
				When
				you watch TV, how often do you see ads or promotions for
				e-cigarettes? 
					I
					do not watch TVNeverRarelySometimesMost
					of the timeAlways 
 | 
	
		| 
			      The
			next three questions ask about you being around other people’s
			tobacco smoke. Do not include exposure to vapor from e-cigarettes. 
 
				During
				the past 7 days, on how many days did someone smoke tobacco
				products in your home while you were there? 
					0
					days1
					day2
					days3
					days4
					days5
					days6
					days7
					days 
 | 
	
		| 
			
 
				During
				the past 7 days, on how many days did you ride in a vehicle when
				someone was smoking a tobacco product? 
					0
					days1
					day2
					days3
					days4
					days5
					days6
					days7
					days 
					 
 | 
	
		| 
			
 
				During
				the past 30 days, on how many days did you breathe the smoke from
				someone who was smoking tobacco products in an indoor or outdoor
				public place? Examples of indoor public places are school
				buildings, stores, restaurants, and sports arenas. Examples of
				outdoor public places are school grounds, parking lots, stadiums
				and parks. 
					0
					days1
					or 2 days3
					to 5 days6
					to 9 days10
					to 19 days20
					to 29 daysAll
					30 days 
 | 
	
		| 
			      The
			next question asks about being around other people’s
			e-cigarette vapor. Do not include exposure to smoke from tobacco
			products. 
 
				During
				the past 30 days, on how many days did you breathe the vapor from
				someone who was using an e-cigarette in an indoor or outdoor
				public place? Examples of indoor public places are school
				buildings, stores, restaurants, and sports arenas. Examples of
				outdoor public places are school grounds, parking lots, stadiums
				and parks. 
					0
					days1
					or 2 days3
					to 5 days6
					to 9 days10
					to 19 days20
					to 29 daysAll
					30 days 
					 
 | 
	
		| 
			The
			next question asks about your experiences at home.  
			 
				Does
				anyone who lives with you now…? (Select
				one or more) 
				Smoke
				cigarettesSmoke
				cigars, cigarillos, or little cigarsUse
				chewing tobacco, snuff, or dipUse
				e-cigarettesSmoke
				tobacco in a hookah or waterpipeSmoke
				pipes filled with tobacco (not waterpipes)Use
				snusUse
				dissolvable tobacco products 
				Smoke
				bidis (small brown cigarettes wrapped in a leaf)No
				one who lives with me now uses any form of tobacco           
				                                    
			                          
			 |