Form 0920-0621 National Youth Tobacco Survey (2020 version)

National Youth Tobacco Surveys (NYTS) 2021-2023

0621 NYTS Att H1_ 2021 NYTS Questionnaire FINAL

National Youth Tobacco Survey (NYTS) 2020 Questionnaire

OMB: 0920-0621

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0621 can be found here:

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National Youth Tobacco Survey (NYTS)

2021 Questionnaire

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This survey is about tobacco. We would like to know about you and things you do that may affect your health. Your answers will be used for programs for young people like yourself.

The answers you give will be kept private.

NO one will know what you answered. Answer the questions based on what you really do and know.

Completing the survey is voluntary. Whether or not you answer the questions will not affect your grade in this class. Try to answer all the questions. If you do not want to answer a question, just leave it blank. There are no wrong answers.

The questions that ask about your background will only be used to describe the types of students completing this survey. The information will not be used to find out your name. No names will ever be reported.

Please read every question. Try to answer all the questions. Select the squares next to the response you choose. When you are finished, follow the instructions of the person giving you the survey.

Public reporting burden for this collection of information is estimated to average 45 minutes per survey, including 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, NE, MS D-74, Atlanta, GA 30329, ATTN: PRA (0920-0621).

Thank You Very Much For Your Help.

Q_NUM

Question Text and Skip Instructions

INSTRUCT_1

Instruction Universe: all students

The first five questions ask some background information about you.

Question Universe: all students

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

Question Universe: all students

What is your sex?

Male
Female

Question Universe: all students

What grade are you in?

6th
7th
8th
9th
10th
11th
12th
Ungraded or other grade

Question Universe: all students

Are you Hispanic, Latino, Latina, or of Spanish origin? (Select one or more)

No, not of Hispanic, Latino, Latina, or Spanish origin  [EXCLUSIVE]
Yes, Mexican, Mexican American, Chicano, or Chicana
Yes, Puerto Rican
Yes, Cuban
Yes, Another Hispanic, Latino, Latina, or Spanish origin

Question Universe: all students

What race or races do you consider yourself to be? (Select one or more)

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

INSTRUCT_2

Instruction Universe: all students

The next several sections of questions ask about your use of particular kinds of tobacco products, such as e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, roll-your own-cigarettes, pipes, snus, dissolvable tobacco, bidis, heated tobacco products, and nicotine pouches.

At the beginning of each section, you will see a brief description and an image showing examples of each kind of tobacco product.

INSTRUCT_3

Instruction Universe: all students

The next several questions are about electronic cigarettes or e-cigarettes, such as JUUL, SMOK, Suorin, Vuse, blu, Puff Bar, or STIG. You also may know them as vapes, mods, e-cigs, e-hookahs, or vape-pens.

For the rest of this survey, these products and devices will be called e-cigarettes.

E-cigarettes are battery powered devices that usually contain a nicotine-based liquid that is vaporized and inhaled.

Question Universe: all students

Have you ever used an e-cigarette, even once or twice?

Yes  [CONTINUE TO Q7]
No  [SKIP TO Q29]

[IF Q6 EQ (NA) [Not Answered]  SOFT VALIDATION]

[IF Q6 EQ (NA)  SKIP TO Q9]

Question Universe: ever e-cigarette users [known]

How old were you when you first used an e-cigarette, even once or twice?

8 years old or younger
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

Question Universe: ever e-cigarette users [known]

In total, on how many days have you used e-cigarettes in your entire life?

1 day
2 to 10 days
11 to 20 days
21 to 50 days
51 to 100 days
Over 100 days

Question Universe: ever e-cigarette users [or unknown]

During the past 30 days, on how many days did you use e-cigarettes?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q9 EQ (NA)  SOFT VALIDATION

[IF Q6 EQ (NA) AND Q9 EQ (NA)  SKIP TO INSTRUCT_4]

[IF Q6 EQ (NA) AND Q9 EQ (0)  SKIP TO INSTRUCT_4]

[IF Q6 EQ (1) AND Q9 EQ (NA)  CONTINUE TO Q10: show all options]

[IF Q6 EQ (NA) AND Q9 EQ (1-30)  CONTINUE TO Q10: show options A-C only]

[IF Q6 EQ (1) AND Q9 EQ (0)  CONTINUE TO Q10: show options D-G only]

[IF Q6 EQ (1) AND Q9 EQ (1-30)  CONTINUE TO Q10: show options A-C only]

Question Universe: ever/current e-cigarette users [known]

When was the last time you used an e-cigarette, even one or two times? (Please choose the first answer that fits)

Earlier today
Not today, but sometime during the past 7 days
Not during the past 7 days, but sometime during the past 30 days
Not during the past 30 days, but sometime during the past 6 months
Not during the past 6 months, but sometime during the past year
1 to 4 years ago
5 or more years ago

[ALL RESPONSES  CONTINUE TO Q11]

Question Universe: ever/current e-cigarette users [known]

Why did you first use an e-cigarette? (Select one or more)

A friend used them
A family member used them
To try to quit using other tobacco products, such as cigarettes
They cost less than other tobacco products, such as cigarettes
They were easier to get than other tobacco products, such as cigarettes
I’ve seen people on TV, online, or in movies use them
They are less harmful than other forms of tobacco, such as cigarettes
They were available in flavors, such as menthol, mint, candy, fruit, or chocolate
I could use them unnoticed at home or at school
I could use them to do tricks
I was curious about them
I was feeling anxious, stressed, or depressed
To get a high or buzz from nicotine
I used them for some other reason (specify: _____________________)

[IF Q11 EQ (NA) AND Q9 EQ (1-30) CONTINUE TO Q12]

[IF Q11 EQ (NA) AND Q9 EQ (0 or NA)  SKIP TO Q24]

[IF Q9 EQ (0 or NA)  SKIP TO Q24]

[ELSE IF Q9 EQ (1-30)  CONTINUE TO Q12]

Question Universe: current e-cigarette users [known]

Why do you currently use e-cigarettes? (Select one or more)

A friend uses them
A family member uses them
To try to quit using other tobacco products, such as cigarettes
They cost less than other tobacco products, such as cigarettes
They are easier to get than other tobacco products, such as cigarettes
I’ve seen people on TV, online, or in movies use them
They are less harmful than other forms of tobacco, such as cigarettes
They are available in flavors, such as menthol, mint, candy, fruit, or chocolate
I can use them unnoticed at home or at school
I can use them to do tricks
I am curious about them
Because I feel anxious, stressed, or depressed
To get a high or buzz from nicotine
I use them for some other reason (specify: _____________________)

Question Universe: past 30-day e-cigarette user [known]

Which of the following best describes the type of e-cigarette you have used in the past 30 days?

If you have used more than one type, please think about the one you use most often.

A disposable e-cigarette (for example, Puff Bar or STIG)
An e-cigarette that uses pre-filled or refillable pods or cartridges (for example, JUUL, SMOK, or Suorin)
An e-cigarette with a tank that you refill with liquids (including mod systems that can be customized by the user)
I don’t know the type

Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, what e-cigarette brands did you use? (Select one or more)

blu
Eonsmoke
JUUL
Leap
Logic
Mojo
NJOY
Posh
Puff Bar
SMOK (including NOVO)
STIG
Suorin
Vuse
Some other brand(s) not listed here (specify): ______________________________
Not sure / I don’t know the brand

[IF >1 OPTION SELECTED  CONTINUE TO Q15]

[IF 1 OPTION SELECTED  SKIP TO Q16]

[IF Q14 EQ (NA)  SKIP TO Q16]

Question Universe: past 30-day e-cigarette user reporting >1 brand [known]

During the past 30 days, what brand of e-cigarettes did you usually use? (Choose only one answer)

I did not use a usual brand
blu
Eonsmoke
JUUL
Leap
Logic
Mojo
NJOY
Posh
Puff Bar
SMOK (including NOVO)
STIG
Suorin
Vuse
Some other brand not listed here (specify): ____________________________
Not sure / I don’t know the brand

[ALL RESPONSES  CONTINUE TO Q16]

Question Universe: past 30-day e-cigarette users [known]

Did any of the e-cigarettes that you used in the past 30 days contain nicotine?

A. Yes

B. No

C. Don’t know

Question Universe: past 30-day e-cigarette users [known]

Nicotine salts, or “nic salts”, is a type of nicotine that is found in some e-liquids, pods, and cartridges. Did any of the e-cigarettes that you used in the past 30 days contain nicotine salts?

Yes
No
Don’t know

18a

Question Universe: past 30-day e-cigarette user [known]

Were any of the e-cigarettes that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18a EQ (1)  CONTINUE TO Q19a]

[IF Q18a EQ (NA)  SKIP TO Q20a]

[ELSE  SKIP TO Q20a]

19a

Question Universe: past 30-day users of flavored e-cigarettes

What flavors were the e-cigarettes that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20a]

20a

Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, how did you get your e-cigarette devices, pods, cartridges, or e-liquid refills? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: ___________________________________)

[ALL RESPONSES  CONTINUE TO Q21a]

21a

Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, where did you buy your e-cigarette devices, pods, cartridges, or e-liquid refills? (Select one or more)

I did not buy e-cigarettes during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product website or store website like eBay or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify):_______________________________

[IF [((Q20a_B EQ (1)) OR (Q20a_C EQ (1)) OR (Q20a_D EQ (1)) OR (Q20a_E EQ (1)) OR (Q20a_F EQ (1)) OR Q21a_B EQ (1))]  CONTINUE TO Q22]

[ELSE IF Q20a EQ (NA)  SKIP TO Q24]

[ELSE  SKIP TO Q24]

Question Universe: past 30-day e-cigarette user (who got a product from someone else)

Earlier you answered that you got or bought your e-cigarette devices, pods, cartridges, or e-liquid refills from another person, such as a friend or family member during the past 30 days. How old was this person?

Younger than 18 years old
18 years old
19 years old
20 years old
21 years old or older
I don’t know

Question Universe: past 30-day e-cigarette user (who got a product from someone else)

During the past 30 days, which of the following e-cigarette product(s) did you get or buy from another person? (Select one or more)

A new e-cigarette device (including disposable devices)
A pod, cartridge, or e-liquid refill
A hit or a drag from another person’s e-cigarette device
Something else (specify:___________________________________________)

Question Universe: ever e-cigarette user [known]

Have you ever purchased an e-cigarette device (including disposable devices), pod, cartridge, single hit, or e-liquid refill while at school or on school property?

[IF Q24 EQ (NA) AND Q9 EQ (0 or NA) SKIP TO INSTRUCT_4]

[IF Q24 IN (1,2) AND Q9 EQ (0 or NA)  SKIP TO INSTRUCT_4]

[ELSE IF Q9 EQ (1-30)  CONTINUE TO Q25]

Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, how often did you use someone else’s e-cigarette device?

Never
Rarely
Sometimes
Most of the Time
Always

Question Universe: past 30-day users of e-cigarettes [known]

Are you seriously thinking about quitting e-cigarettes? (Please choose the first answer that fits)

Yes, during the next 30 days
Yes, during the next 6 months
Yes, during the next 12 months
Yes, but not during the next 12 months
No, I am not thinking about quitting e-cigarettes

Question Universe: past 30-day users of e-cigarettes [known]

During the past 12 months, how many times have you stopped using e-cigarettes for one day or longer because you were trying to quit using e-cigarettes for good?

I did not try to quit during the past 12 months  [SKIP TO INSTRUCT_4]
1 time
2 times
3 to 5 times
6 to 9 times
10 or more times

[IF Q27 EQ (2,3,4,5,6)  CONTINUE TO Q28]

[IF Q27 EQ (NA)  SKIP TO INSTRUCT_4]

Question Universe: e-cigarette users who reported ≥1 quit attempt in past 12 months [known]

When you tried to quit using e-cigarettes, did you use any of the following? (Select one or more)

I did not use any resources  [EXCLUSIVE]
Help or advice from a parent or caregiver
Help or advice from a friend or peer
Help or advice from a teacher or coach
Help, advice, or counseling from a doctor or health care provider
Treatment from a hospital, medical center, or some other facility
Help or advice you found on the Internet
A mobile app or texting program
A telephone helpline or Quitline
Something else (specify): ______________________________________

[ALL RESPONSES  SKIP TO INSTRUCT_4]

IF Q28 EQ (NA)  SKIP TO INSTRUCT_4]

Question Universe: never e-cigarette users [known]

Have you ever been curious about using an e-cigarette?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never e-cigarette users [known]

Do you think that you will try an e-cigarette soon?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never e-cigarette users [known]

Do you think you will use an e-cigarette in the next year?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never e-cigarette users [known]

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

[ALL RESPONSES CONTINUE TO INSTRUCT_4]

INSTRUCT_4

Instruction Universe: all students

The next questions ask about other substances that could be vaped.

Question Universe: all students

Have you ever vaped any of the following substances (even once)?

	Yes	No	Don’t Know
A. Marijuana (also called pot, weed, or cannabis), including THC, THC concentrates, hash oil, or waxes	A	B	C
B. CBD or CBD oils	A	B	C
C. Synthetic marijuana or cannabinoids, such as K2 or Spice	A	B	C
D. Another substance Specify):________________	A	B	C

[IF Q33A EQ (2) AND Q33B EQ (2) AND Q33C EQ (2) AND Q33D EQ (2)  SKIP TO INSTRUCT_5]

[ELSE IF Q33A EQ (1,3) OR Q33B EQ (1,3) OR Q33C EQ (1,3) OR Q33D EQ (1,3)  CONTINUE TO Q34]

[ELSE IF Q33A EQ (NA) AND Q33B EQ (NA) AND Q33C EQ (NA) AND Q33D EQ (NA)  CONTINUE TO Q34]

Question Universe: all students

Have you vaped any of the following substances during the past 30 days?

	Yes	No	Don’t Know
[SHOW IF Q33A EQ (1, 3)]: A. Marijuana (also called pot, weed, or cannabis), including THC, THC concentrates, hash oil, or waxes	A	B	C
[SHOW IF Q33B EQ (1, 3)]: B. CBD or CBD oils	A	B	C
[SHOW IF Q33C EQ (1, 3)]: C. Synthetic marijuana or cannabinoids, such as K2 or Spice	A	B	C
[SHOW IF Q33D EQ (1, 3)]: D. Another substance (Specify):_________________	A	B	C

[ALL RESPONSES CONTINUE TO INSTRUCT_5]

INSTRUCT_5

Instruction Universe: all students

The next several questions are about smoking cigarettes (ones that have to be lit and burned).

Question Universe: all students

Have you ever smoked a cigarette, even one or two puffs?

Yes  [CONTINUE TO Q36]
No  [SKIP TO Q47]

[IF Q35 EQ (NA)  SOFT VALIDATION]

[IF Q35 EQ (NA)  SKIP TO Q38]

Question Universe: ever cigarette smokers [known]

How old were you when you first smoked a cigarette, even one or two puffs?

8 years old or younger
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

Question Universe: ever cigarette smokers [known]

About how many cigarettes have you smoked in your entire life?

1 or more puffs but never a whole cigarette
1 cigarette
2 to 5 cigarettes
6 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)

Question Universe: ever cigarette smokers [or unknown]

During the past 30 days, on how many days did you smoke cigarettes?

Specify: |__|__| (Range: 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q38 EQ (NA) –SOFT VALIDATION

[IF Q35 EQ (NA) AND Q38 EQ (NA)  SKIP TO INSTRUCT_6]

[IF Q35 EQ (NA) AND Q38 EQ (0)  SKIP TO INSTRUCT_6]

[IF Q35 EQ (NA) AND Q38 EQ (1-30)  CONTINUE TO Q39: show options A-C only]

[IF Q35 EQ (1) AND Q38 EQ (NA)  CONTINUE TO Q39: show all options]

[ELSE, IF Q35 EQ (1) AND Q38 EQ (0)  CONTINUE TO Q39: show options D-G only]

[ELSE, IF Q35 EQ (1) AND Q38 EQ (1-30)  CONTINUE TO Q39: show options A-C only]

Question Universe: ever/current cigarette smokers [known]

When was the last time you smoked a cigarette, even one or two puffs? (Please choose the first answer that fits)

Earlier today
Not today but sometime during the past 7 days
Not during the past 7 days but sometime during the past 30 days
Not during the past 30 days but sometime during the past 6 months
Not during the past 6 months but sometime during the past year
1 to 4 years ago
5 or more years ago

[IF Q38 EQ (NA)  GO TO INSTRUCT_6]

[IF Q38 EQ (0)  GO TO INSTRUCT_6]

[ELSE IF Q38 EQ (1-30)  CONTINUE TO Q40]

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, on the days you smoked, about how many cigarettes did you smoke per day? A pack usually has 20 cigarettes in it.

Less than 1 cigarette per day
1 cigarette per day
2 to 5 cigarettes per day
6 to 10 cigarettes per day
11 to 20 cigarettes per day
More than 20 cigarettes per day

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, what brands of cigarettes did you smoke? (Select one or more)

American Spirit
Camel
GPC, Basic, or Doral
Kool
Marlboro
Maverick
Newport
L&M
Pall Mall
Parliament
Winston
Some other brand not listed here (Please specify: _____________________)
Not sure / I don’t know the brand

[IF >1 OPTION SELECTED  CONTINUE TO Q42]

[IF 1 OPTION SELECTED  SKIP TO Q43]

[IF Q41 EQ (NA)  SKIP TO Q43]

Question Universe: past 30-day cigarette smokers reporting more than 1 brand [known]

During the past 30 days, what brand of cigarettes did you usually smoke? (Choose only one answer)

I did not smoke a usual brand
American Spirit
Camel
GPC, Basic, or Doral
Kool
Marlboro
Maverick
Newport
L&M
Pall Mall
Parliament
Winston
Some other brand not listed here (Please specify: _____________________)
Not sure / I don’t know the brand

Question Universe: past 30-day cigarette smokers [known]

Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes that you usually smoked menthol?

Yes
No
Not sure

20b

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, how did you get your cigarettes? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: __________________________________)

[ALL RESPONSES CONTINUE TO Q21b]

21b

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, where did you buy your cigarettes? (Select one or more)

I did not buy cigarettes during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): _______________________________

[IF [((Q20b_B EQ (1)) OR (Q20b_C EQ (1)) OR (Q20b_D EQ (1)) OR (Q20b_E EQ (1)) OR (Q20b_F EQ (1)) OR Q21b_B EQ (1))]  CONTINUE TO Q44]

[ELSE IF Q20b EQ (NA)  SKIP TO Q45]

[ELSE  SKIP TO Q45]

Question Universe: past 30-day cigarette user (who got a product from someone else)

Earlier you mentioned that you got or bought your cigarettes from another person, such as a friend or family member during the past 30 days. How old was this person?

Younger than 18 years old
18 years old
19 years old
20 years old
21 years old or older
I don’t know

Question Universe: past 30-day users of cigarettes [known]

Are you seriously thinking about quitting cigarettes? (Please choose the first answer that fits)

Yes, during the next 30 days
Yes, during the next 6 months
Yes, during the next 12 months
Yes, but not during the next 12 months
No, I am not thinking about quitting cigarettes

Question Universe: past 30-day users of cigarettes [known]

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 try to quit during the past 12 months
1 time
2 times
3 to 5 times
6 to 9 times
10 or more times

[ALL RESPONSES  SKIP TO INSTRUCT_6]

[IF Q46 EQ (NA)  SKIP TO INSTRUCT_6]

Question Universe: never cigarette smokers [known]

Have you ever been curious about smoking a cigarette?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never cigarette smokers [known]

Do you think that you will try a cigarette soon?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never cigarette smokers [known]

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

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never cigarette smokers [known]

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

Definitely yes
Probably yes
Probably not
Definitely not

INSTRUCT_6

Instruction Universe: all students

The next several questions are about the use of cigars, cigarillos, or little cigars such as Swisher Sweets, Black and Mild, Garcia y Vega, Cheyenne, White Owl, or Dutch Masters.

Question Universe: all students

Have you ever smoked a cigar, cigarillo, or little cigar, even one or two puffs?

Yes  [CONTINUE TO Q52]
No  [SKIP TO Q57]

[IF Q51 EQ (NA)  SOFT VALIDATION]

[IF Q51 EQ (NA)  SKIP TO Q53]

Question Universe: ever cigar smokers [known]

How old were you when you first smoked a cigar, cigarillo, or little cigar, even one or two puffs?

8 years old or younger
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

Question Universe: ever cigar smokers [or unknown]

During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q53 EQ (NA) – SOFT VALIDATION

[IF Q51 EQ (1) AND Q53 EQ (0)  SKIP TO INSTRUCT_7]

[IF Q51 EQ (NA) AND Q53 EQ (NA)  SKIP TO INSTRUCT_7]

[IF Q51 EQ (NA) AND Q53 EQ (0)  SKIP TO INSTRUCT_7]

[IF Q51 EQ (NA) AND Q53 EQ (1-30)  CONTINUE TO Q54]

[IF Q51 EQ (1) AND Q53 EQ (1-30)  CONTINUE TO Q54]

[IF Q51 EQ (1) AND Q53 EQ (NA)  SKIP TO INSTRUCT_7]

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, on the days that you smoked, about how many cigars, cigarillos, or little cigars did you smoke per day?

Less than 1 cigar, cigarillo, or little cigar per day
1 per day
2 to 5 per day
6 to 10 per day
11 to 20 per day
More than 20 per day

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, which of the following types of cigars have you smoked? (Select one or more)

Regular cigars
Cigarillos
Little Cigars
Don’t Know  [EXCLUSIVE]

18b

Question Universe: past 30-day cigar user [known]

Were any of the cigars, cigarillos, or little cigars that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18b EQ (1)  CONTINUE TO Q19b]

[IF Q18b EQ (NA)  SKIP TO Q20c]

[ELSE  SKIP TO Q20c]

19b

Question Universe: past 30-day users of flavored cigars

What flavors were the cigars, cigarillos, or little cigars that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES CONTINUE TO Q20c]

20c

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, how did you get your cigars, cigarillos, or little cigars? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21c]

21c

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, where did you buy your cigars, cigarillos, or little cigars? (Select one or more)

I did not buy cigars, cigarillos, or little cigars during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): ________________________________

[IF [((Q20c_B EQ (1)) OR (Q20c_C EQ (1)) OR (Q20c_D EQ (1)) OR (Q20c_E EQ (1)) OR (Q20c_F EQ (1)) OR Q21c_B EQ (1))]  CONTINUE TO Q56]

[ELSE IF Q20c EQ (NA)  SKIP TO INSTRUCT_7]

[ELSE  SKIP TO INSTRUCT_7]

Question Universe: past 30-day cigar user (who got a product from someone else)

Earlier you mentioned that you got or bought your cigars, cigarillos, or little cigars from another person, such as a friend or family member during the past 30 days. How old was this person?

Younger than 18 years old
18 years old
19 years old
20 years old
21 years old or older
I don’t know

[ALL RESPONSES  SKIP TO INSTRUCT_7]

[IF Q56 EQ (NA)  SKIP TO INSTRUCT_7]

Question Universe: never cigar smokers [known]

Have you ever been curious about smoking a cigar, cigarillo, or little cigar?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never cigar smokers [known]

Do you think you will try a cigar, cigarillo, or little cigar soon?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never cigar smokers [known]

Do you think you will smoke a cigar, cigarillo, or little cigar in the next year?

Definitely yes
Probably yes
Probably not
Definitely not

Question Universe: never cigar smokers [known]

If one of your best friends were to offer you a cigar, cigarillo, or little cigar, would you smoke it?

Definitely yes
Probably yes
Probably not
Definitely not

INSTRUCT_7

Instruction Universe: all students

The next question asks about marijuana use in cigars, cigarillos, or little cigars. Sometimes people take the tobacco out of a cigar, cigarillo, or little cigar and replace it with marijuana (also called pot, weed, or cannabis). This is sometimes called a blunt.

Question Universe: all students

Have you ever smoked part or all of a cigar, cigarillo, or little cigar with marijuana in it?

INSTRUCT_8

Instruction Universe: all students

The next several questions are about the use of chewing tobacco, snuff, or dip, such as Copenhagen, Grizzly, Skoal, or Longhorn.

Do not think about snus or dissolvable tobacco products when you answer these questions.

Question Universe: all students

Have you ever used chewing tobacco, snuff, or dip, even just a small amount?

Yes  [CONTINUE TO Q63]
No  [SKIP TO Q66]

[IF Q62 EQ (NA) – SOFT VALIDATION]

[IF Q62 EQ (NA)  SKIP TO Q64]

Question Universe: ever smokeless tobacco users [known]

How old were you when you first used chewing tobacco, snuff, or dip, even just a small amount?

8 years old or younger
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

Question Universe: ever smokeless tobacco users [or unknown]

During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q64 EQ (NA)  SOFT VALIDATION]

[IF Q64 EQ (0, NA)  SKIP TO INSTRUCT_9]

[ELSE IF Q64 EQ (1-30) CONTINUE TO Q18c]

18c

Question Universe: past 30-day smokeless tobacco user [known]

Was any of the chewing tobacco, snuff, or dip that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18c EQ (1)  CONTINUE TO Q19c]

[IF Q18c EQ (NA)  SKIP TO Q20d]

[ELSE  SKIP TO Q20d]

19c

Question Universe: past 30-day users of flavored smokeless tobacco

What flavors was the chewing tobacco, snuff, or dip that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE Q20d]

20d

Question Universe: past 30-day smokeless tobacco user [known]

During the past 30 days, how did you get your chewing tobacco, snuff, or dip? (Select one or more)

I bought it myself
I had someone else buy it for me
I asked someone to give me some
Someone offered it to me
I got it from a friend
I got it from a family member
I took it from a store or another person
I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21d]

21d

Question Universe: past 30-day smokeless tobacco user [known]

During the past 30 days, where did you buy your chewing tobacco, snuff, or dip? (Select one or more)

I did not buy chewing tobacco, snuff, or dip during the past 30 days  [EXCLUSIVE RESPONSE]
I bought it from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify):________________________________

[IF [((Q20d_B EQ (1)) OR (Q20d_C EQ (1)) OR (Q20d_D EQ (1)) OR (Q20d_E EQ (1)) OR (Q20d_F EQ (1)) OR Q21d_B EQ (1))]  CONTINUE TO Q65]

[ELSE IF Q20d EQ (NA)  SKIP TO INSTRUCT_9]

[ELSE  SKIP TO INSTRUCT_9]

Question Universe: past 30-day smokeless tobacco user (who got a product from someone else)

Earlier you mentioned that you got or bought your chewing tobacco, snuff, or dip from another person, such as a friend or family member. How old was this person?

Younger than 18 years old
18 years old
19 years old
20 years old
21 years old or older
I don’t know

[ALL RESPONSES  SKIP TO INSTRUCT_9]

[IF Q65 EQ (NA)  SKIP TO INSTRUCT_9]

Question Universe: never smokeless tobacco product users [known]

Have you ever been curious about using chewing tobacco, snuff, or dip?

Definitely yes
Probably yes
Probably not
Definitely not

INSTRUCT_9

Instruction Universe: all students

The next several questions are about smoking tobacco in a hookah, which is a type of waterpipe. Shisha (or hookah tobacco) is smoked in a hookah.

Question Universe: all students

Have you ever smoked tobacco in a hookah or waterpipe, even one or two puffs?

Yes  [CONTINUE TO Q68]
No  [SKIP TO Q72]

[IF Q67 EQ (NA) – SOFT VALIDATION]

[IF Q67 EQ (NA)  SKIP TO Q69]

Question Universe: ever hookah users [known]

How old were you when you first smoked tobacco in a hookah or waterpipe, even one or two puffs?

8 years old or younger
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

Question Universe: ever hookah users [or unknown]

During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q69 EQ (NA)  SOFT VALIDATION]

[IF Q67 EQ (1) AND Q69 EQ (0)  SKIP TO INSTRUCT_10]

[IF Q67 EQ (NA) AND Q69 EQ (NA)  SKIP TO INSTRUCT_10]

[IF Q67 EQ (1) AND Q69 EQ (NA)  SKIP TO INSTRUCT_10]

[IF Q67 EQ (NA) AND Q69 EQ (0)  SKIP TO INSTRUCT_10]

[IF Q67 EQ (NA) AND Q69 EQ (1-30)  CONTINUE TO Q70]

[IF Q67 EQ (1) AND Q69 EQ (1-30)  CONTINUE TO Q70]

Question Universe: past 30-day hookah users [known]

During the past 30 days, where did you smoke tobacco in a hookah or waterpipe? (Select one or more)

At my house
At a friend’s house
At a family member’s house, other than my house
At a hookah bar
At a café or restaurant
Some other place not listed here

18d

Question Universe: past 30-day hookah user [known]

Was any of the tobacco in a hookah or waterpipe that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18d EQ (1)  CONTINUE TO Q19d]

[IF Q18d EQ (NA)  SKIP TO Q20e]

[ELSE  SKIP TO Q20e]

19d

Question Universe: past 30-day users of flavored hookah tobacco

What flavors was the tobacco in a hookah or waterpipe that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20e]

20e

Question Universe: past 30-day hookah user [known]

During the past 30 days, how did you get your hookah tobacco? (Select one or more)

I bought it myself
I had someone else buy it for me
I asked someone to give me some
Someone offered it to me
I got it from a friend
I got it from a family member
I took it from a store or another person
I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21e]

21e

Question Universe: past 30-day hookah user [known]

During the past 30 days, where did you buy your hookah tobacco? (Select one or more)

I did not buy hookah tobacco during the past 30 days  [EXCLUSIVE RESPONSE]
I bought it from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): ________________________________

[IF [((Q20e_B EQ (1)) OR (Q20e_C EQ (1)) OR (Q20e_D EQ (1)) OR (Q20e_E EQ (1)) OR (Q20e_F EQ (1)) OR Q21e_B EQ (1))]  CONTINUE TO Q71]

[ELSE IF Q20e EQ (NA)  SKIP TO INSTRUCT_10]

[ELSE  SKIP TO INSTRUCT_10]

Question Universe: past 30-day hookah user (who got a product from someone else)

Earlier you mentioned that you got or bought your hookah tobacco from another person, such as a friend or family member. How old was this person?

Younger than 18 years old
18 years old
19 years old
20 years old
21 years old or older
I don’t know

[ALL RESPONSES  SKIP TO INSTRUCT_10]

[IF Q71 EQ (NA)  SKIP TO INSTRUCT_10]

Question Universe: never hookah users [known]

Have you ever been curious about smoking tobacco in a hookah or waterpipe?

Definitely yes
Probably yes
Probably not
Definitely not

INSTRUCT_10

Instruction Universe: all students

The next several sections are about the use of other tobacco products, not described in the previous sections.

INSTRUCT_11

Instruction Universe: all students

The next few questions are about roll-your-own cigarettes.

Do not think about manufactured cigarettes when answering these questions.

Question Universe: all students

Have you ever smoked roll-your-own cigarettes, even just one time?

Yes [CONTINUE TO Q74]
No  [SKIP TO INSTRUCT_12]

[IF Q73 EQ (NA) SOFT VALIDATION]

[IF Q73 EQ (NA)  CONTINUE TO Q74]

Question Universe: ever users of roll-your-own tobacco products [or unknown]

During the past 30 days, on how many days did you smoke roll-your-own cigarettes?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q74 EQ (NA)  SOFT VALIDATION]

[IF Q74 EQ (1-30)  CONTINUE TO Q18i]

[ELSE IF Q74 EQ (NA)  SKIP TO INSTRUCT_12]

[ELSE IF Q74 EQ (0)  SKIP TO INSTRUCT_12]

18i

Question Universe: past 30-day roll-your-own user [known]

Were any of the roll-your-own cigarettes that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18i EQ (1)  CONTINUE TO Q19i]

[IF Q18i EQ (NA)  SKIP TO Q20j]

[ELSE  SKIP TO Q20j]

19i

Question Universe: past 30-day users of flavored roll-your-own cigarettes

What flavors were the roll-your-own cigarettes that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20j]

20j

Question Universe: past 30-day roll-your-own user [known]

During the past 30 days, how did you get your roll-your-own cigarettes? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: __________________________________)

[ALL RESPONSES CONTINUE TO Q21j]

21j

Question Universe: past 30-day roll-your-own user [known]

During the past 30 days, where did you buy your roll-your-own cigarettes? (Select one or more)

I did not buy roll-your-own cigarettes during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): ________________________________

INSTRUCT_12

Instruction Universe: all students

The next few questions are about smoking tobacco in a pipe.

Do not think about smoking tobacco in a hookah (waterpipe) when answering these questions.

Question Universe: all students

Have you ever smoked pipes filled with tobacco (not hookah or waterpipe), even just one time?

Yes  [CONTINUE TO Q76]
No  [SKIP TO INSTRUCT_13]

[IF Q75 EQ (NA)  SOFT VALIDATION]

[IF Q75 EQ (NA)  CONTINUE TO Q76]

Question Universe: ever users of pipes [or unknown]

During the past 30 days, on how many days did you smoke pipes filled with tobacco?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q76 EQ (NA) – SOFT VALIDATION]

[IF Q76 EQ (1-30)  CONTINUE TO Q18e]

[ELSE IF Q76 EQ (NA)  SKIP TO INSTRUCT_13]

[ELSE IF Q76 EQ (0)  SKIP TO INSTRUCT_13]

18e

Question Universe: past 30-day pipe tobacco user [known]

Were any of the pipes filled with tobacco that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18e EQ (1)  CONTINUE TO Q19e]

[IF Q18e EQ (NA)  SKIP TO Q20f]

[ELSE  SKIP TO Q20f]

19e

Question Universe: past 30-day users of flavored pipe tobacco

What flavors were the pipes filled with tobacco that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20f]

20f

Question Universe: past 30-day pipe tobacco user [known]

During the past 30 days, how did you get your pipe tobacco? (Select one or more)

I bought it myself
I had someone else buy it for me
I asked someone to give me some
Someone offered it to me
I got it from a friend
I got it from a family member
I took it from a store or another person
I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21f]

21f

Question Universe: past 30-day pipe tobacco user [known]

During the past 30 days, where did you buy your pipe tobacco? (Select one or more)

I did not buy pipe tobacco during the past 30 days  [EXCLUSIVE RESPONSE]
I bought it from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): _________________________________

INSTRUCT_13

Instruction Universe: all students

The next few questions are about snus, such as Camel Snus, Marlboro Snus, or General Snus. Snus is a type of smokeless tobacco that comes in a small pouch that you put under your lip.

Do not think about other forms of smokeless tobacco, such as chewing tobacco, snuff, dip, or dissolvable tobacco products when answering these questions.

Question Universe: all students

Have you ever used snus, even just one time?

Yes  [CONTINUE TO Q78]
No  [SKIP TO INSTRUCT_14]

[IF Q77 EQ (NA)  SOFT VALIDATION]

[IF Q77 EQ (NA)  CONTINUE TO Q78]

Question Universe: ever users of snus [or unknown]

During the past 30 days, on how many days did you use snus?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q78 EQ (NA)  SOFT VALIDATION]

[IF Q78 EQ (1-30)  CONTINUE TO Q18f]

[ELSE IF Q78 EQ (NA)  SKIP TO INSTRUCT_14]

[ELSE IF Q78 EQ (0)  SKIP TO INSTRUCT_14]

18f

Question Universe: past 30-day snus user [known]

Was any of the snus that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18f EQ (1)  CONTINUE TO Q19f]

[IF Q18f EQ (NA)  SKIP TO Q20g]

[ELSE  SKIP TO Q20g]

19f

Question Universe: past 30-day users of flavored snus

What flavors was the snus that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20g]

20g

Question Universe: past 30-day snus user [known]

During the past 30 days, how did you get your snus? (Select one or more)

I bought it myself
I had someone else buy it for me
I asked someone to give me some
Someone offered it to me
I got it from a friend
I got it from a family member
I took it from a store or another person
I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21g]

21g

Question Universe: past 30-day snus user [known]

During the past 30 days, where did you buy your snus? (Select one or more)

I did not buy snus during the past 30 days  [EXCLUSIVE RESPONSE]
I bought it from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): ______________________________

INSTRUCT_14

Instruction Universe: all students

The next few questions are about dissolvable tobacco products, such as Ariva, Stonewall, Camel Orbs, Camel Sticks, Camel Strips, or Marlboro Orbs. Dissolvable tobacco products are made of finely ground flavored tobacco that dissolves in your mouth. They may come in a variety of shapes.

Do not think about other forms of smokeless tobacco, such as chewing tobacco, snuff, dip, or snus when answering these questions.

Question Universe: all students

Have you ever used dissolvable tobacco products, even just one time?

Yes  [CONTINUE TO Q80]
No  [SKIP TO INSTRUCT_15]

[IF Q79 EQ (NA)  SOFT VALIDATION]

[IF Q79 EQ (NA)  CONTINUE TO Q80]

Question Universe: ever users of dissolvable tobacco products [or unknown]

During the past 30 days, on how many days did you use dissolvable tobacco products?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q80 EQ (NA)  SOFT VALIDATION]

[IF Q80 EQ (1-30)  CONTINUE TO Q18g]

[ELSE IF Q80 EQ (NA)  SKIP TO INSTRUCT_15]

[ELSE IF Q80 EQ (0)  SKIP TO INSTRUCT_15]

18g

Question Universe: past 30-day dissolvable tobacco user [known]

Were any of the dissolvable tobacco products that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18g EQ (1)  CONTINUE TO Q19g]

IF Q18g EQ (NA)  SKIP TO Q20h]

[ELSE  SKIP TO Q20h]

19g

Question Universe: past 30-day users of flavored dissolvable tobacco products

What flavors were the dissolvable tobacco products that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20h]

20h

Question Universe: past 30-day dissolvable tobacco user [known]

During the past 30 days, how did you get your dissolvable tobacco products? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21h]

21h

Question Universe: past 30-day dissolvable tobacco user [known]

During the past 30 days, where did you buy your dissolvable tobacco products? (Select one or more)

I did not buy dissolvable tobacco products during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a website or a secondary source, like eBay or Facebook marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): _________________________________

INSTRUCT_15

Instruction Universe: all students

The next few questions are about bidis. Bidis are small brown cigarettes wrapped in a leaf that are typically tied on one or both ends with a string.

Question Universe: all students

Have you ever smoked bidis, even just one time?

Yes  [CONTINUE TO Q82]
No  [SKIP TO INSTRUCT_16]

[IF Q81 EQ (NA)  SOFT VALIDATION]

[IF Q81 EQ (NA)  CONTINUE TO 82]

Question Universe: ever users of bidis [or unknown]

During the past 30 days, on how many days did you smoke bidis?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q82 EQ (NA)  SOFT VALIDATION]

[IF Q82 EQ (1-30)  CONTINUE TO Q18h]
[ELSE IF Q82 EQ (NA)  SKIP TO INSTRUCT_16]

[ELSE IF Q82 EQ (0)  SKIP TO INSTRUCT_16]

18h

Question Universe: past 30-day bidis user [known]

Were any of the bidis that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate or any other flavor?

Yes
No
Don’t Know

[IF Q18h EQ (1)  CONTINUE TO Q19h]

[IF Q18h EQ (NA)  SKIP TO Q20i]

[ELSE  SKIP TO Q20i]

19h

Question Universe: past 30-day users of flavored bidis

What flavors were the bidis that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO 20i]

20i

Question Universe: past 30-day bidis user [known]

During the past 30 days, how did you get your bidis? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21i]

21i

Question Universe: past 30-day bidis user [known]

During the past 30 days, where did you buy your bidis? (Select one or more)

I did not buy bidis during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): ________________________________

[ALL RESPONSES  CONTINUE TO INSTRUCT_16]

INSTRUCT_16

Instruction Universe: all students

The next section is about “heated tobacco products” such as iQOS, glo, and Eclipse. You may know them as heated cigarettes or “heat-not-burn” tobacco products. Heated tobacco products heat tobacco sticks (“heatsticks”) or capsules to produce a vapor. They are different from e-cigarettes, which heat a liquid to produce a vapor.

DO NOT THINK ABOUT E-CIGARETTES WHEN ANSWERING THESE QUESTIONS.

Question Universe: all students

Before today, have you heard of “heated tobacco products”?

Yes
No
Don’t know/Not Sure

[ALL RESPONSES CONTINUE TO Q84]

Question Universe: all students

Have you ever used a “heated tobacco product,” even just one time?

Yes  [CONTINUE TO Q85]
No  [SKIP TO INSTRUCT_17]
Don’t Know/Not Sure  [CONTINUE TO Q85]

[IF Q84 EQ (NA)  SOFT VALIDATION]

[IF Q84 EQ (NA)  CONTINUE TO Q85]

Question Universe: ever heated tobacco product user [or unknown/don’t know]

During the past 30 days, on how many days did you use a “heated tobacco product”?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q85 EQ (NA)  SOFT VALIDATION]

[IF Q85 EQ (1-30)  CONTINUE TO Q18j]

[ELSE IF Q85 EQ (0)  SKIP TO INSTRUCT_17]

[ELSE IF Q85 EQ (NA)  SKIP TO INSTRUCT_17]

18j

Question Universe: past 30-day heated tobacco product user [known]

Were any of the heated tobacco products that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18j EQ (1)  CONTINUE TO Q19j]

[IF Q18j EQ (NA)  SKIP TO Q20k]

[ELSE  SKIP TO Q20k]

19j

Question Universe: past 30-day users of flavored heated tobacco products

What flavors were the heated tobacco products that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20k]

20k

Question Universe: past 30-day heated tobacco product user [known]

During the past 30 days, how did you get your heated tobacco products? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21k]

21k

Question Universe: past 30-day heated tobacco product user [known]

During the past 30 days, where did you buy your heated tobacco products? (Select one or more)

I did not buy heated tobacco products during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): _________________________________

INSTRUCT_17

Instruction Universe: all students

The next section is about “nicotine pouches” such as Zyn, on!, or Velo. These small, flavored pouches contain nicotine that comes from tobacco. Users place them in their mouth. Nicotine pouches are different from other smokeless tobacco products such as snus, dip, or chewing tobacco, because they do not contain any tobacco leaf.

Do not think about other forms of smokeless tobacco, such as chewing tobacco, snuff, dip, snus, or dissolvable tobacco when answering these questions.

Question Universe: all students

Before today, have you heard of “nicotine pouches”?

Yes
No
Don’t know/Not Sure

[ALL RESPONSES CONTINUE TO Q87]

Question Universe: all students

Have you ever used a “nicotine pouch,” even just one time?

Yes  [CONTINUE TO Q88]
No  [SKIP TO INSTRUCT_18]
Don’t Know/Not Sure  [CONTINUE TO Q88]

[IF Q87 EQ (NA)  SOFT VALIDATION]

[IF Q87 EQ (NA)  CONTINUE TO Q88]

Question Universe: ever heated tobacco product user [or unknown/don’t know]

During the past 30 days, on how many days did you use a “nicotine pouch”?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q88 EQ (NA)  SOFT VALIDATION]

[IF Q88 EQ (1-30)  CONTINUE TO Q18k]

[ELSE IF Q88 EQ (0)  SKIP TO INSTRUCT_18]

[ELSE IF Q88 EQ (NA)  SKIP TO INSTRUCT_18]

18k

Question Universe: past 30-day nicotine pouch user [known]

Were any of the nicotine pouches that you used in the past 30 days flavored to taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

Yes
No
Don’t Know

[IF Q18k EQ (1)  CONTINUE TO Q19k]

[IF Q18k EQ (NA)  SKIP TO Q20l]

[ELSE  SKIP TO Q20l]

19k

Question Universe: past 30-day users of flavored nicotine pouches

What flavors were the nicotine pouches that you have used in the past 30 days? (Select one or more)

Menthol
Mint
Clove or spice
Fruit
Chocolate
Alcoholic drinks (such as wine, margarita, or other cocktails)
Candy, desserts, or other sweets
Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20l]

20l

Question Universe: past 30-day nicotine pouch user [known]

During the past 30 days, how did you get your nicotine pouches? (Select one or more)

I bought them myself
I had someone else buy them for me
I asked someone to give me some
Someone offered them to me
I got them from a friend
I got them from a family member
I took them from a store or another person
I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21l]

21l

Question Universe: past 30-day nicotine pouch user [known]

During the past 30 days, where did you buy your nicotine pouches? (Select one or more)

I did not buy nicotine pouches during the past 30 days  [EXCLUSIVE RESPONSE]
I bought them from another person (a friend, family member, or someone else)
A gas station or convenience store
A grocery store
A drugstore
A mall or shopping center kiosk/stand
A vending machine
On the Internet (such as a product or store website, eBay, or Facebook Marketplace)
Through the mail
Through a delivery service (such as DoorDash or Postmates)
A vape shop or tobacco shop
Some other place not listed here (specify): _______________________________

INSTRUCT_18

Programming Universe: all students

Programming note, only.

CONDITION #1: “current tobacco product user”

IF { [Q9=(1-30)] OR [Q38=(1-30)] OR [Q53=(1-30)] OR [Q64=(1-30)] OR [Q69=(1-30)] OR [(Q74=(1-30)] OR [Q76=(1-30)] OR [Q78=(1-30)] OR [Q80=(1-30)] OR [Q82=(1-30)] OR [Q85=(1-30)] OR [Q88=(1-30)] }  CONTINUE TO INSTRUCT_19

CONDITION #2: “never tobacco product user”; “former user of at least one product”

ELSE  SKIP TO INSTUCT_21

INSTRUCT_19

Instruction Universe: current (past 30-day) tobacco product user (any product) [known]

In answering the next 5 questions, please think about all of the tobacco products that you have used in the past 30 days, including e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, roll-your-own cigarettes, pipes, snus, dissolvable tobacco, bidis, heated tobacco products, and nicotine pouches.

Question Universe: current (past 30-day) tobacco product user (any product) [known]

During the past 30 days, on how many days did you use any tobacco product(s)?

Specify: |__|__| (Range 1 – 30)

[PROGRAMMING: RANGE (1 – 30) ALLOWED]

Question Universe: past 30-day users of any tobacco product [known]

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?

Question Universe: past 30-day users of any tobacco product [known]

How soon after you wake up do you want to use a tobacco product of any kind?

I do not want to use tobacco products
Within 5 minutes
From 6 to 30 minutes
From more than 30 minutes to 1 hour
After more than 1 hour but less than 24 hours
I rarely want to use tobacco products

Question Universe: past 30-day tobacco product users (any product) [known]

Are you seriously thinking about quitting the use of all tobacco products? (Please choose the first answer that fits)

Yes, during the next 30 days
Yes, during the next 6 months
Yes, during the next 12 months
Yes, but not during the next 12 months
No, I am not thinking about quitting the use of all tobacco products

Question Universe: past 30-day tobacco product users (any product) [known]

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 try to quit all tobacco products during the past 12 months
1 time
2 times
3 to 5 times
6 to 9 times
10 or more times

INSTRUCT_20

Instruction Universe: past 30-day tobacco product users (any product) [known]

The next few questions are about getting tobacco products.

Question Universe: past 30-day tobacco product users (any product) [known]

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 days
Yes
No

[ALL RESPONSES  SKIP TO Q95]

IF Q94 EQ (NA)  SKIP TO Q95]

INSTRUCT_21

Instruction Universe: never, former users of any tobacco product [known/unknown]

The next two questions ask your thoughts about getting tobacco products.

Question Universe: all students

How easy do you think it is for people your age to buy tobacco products in a store?

Easy
Somewhat easy
Not easy at all

Question Universe: all students

How easy do you think it is for people your age to buy tobacco products online?

Easy
Somewhat easy
Not easy at all

INSTRUCT_22

Instruction Universe: all students

The next several questions are about visits to a doctor, dentist, nurse, or other health professional during the past 12 months.

Question Universe: all students

Have you visited a doctor, dentist, or nurse in the past 12 months?

Yes  [CONTINUE TO INSTRUCT_23]
No  [SKIP TO INSTRUCT_26]

[IF Q97 EQ (NA) SKIP TO INSTRUCT_26]

INSTRUCT_23

Instruction Universe: all students

Please think about cigarettes, only, when answering the next two questions.

Question Universe: all students

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked if you used cigarettes?

Question Universe: all students

During any of these visits, were you advised to not use cigarettes?

INSTRUCT_24

Instruction Universe: all students

Please think about e-cigarettes, only, when answering the next two questions.

100

Question Universe: all students

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked if you used e-cigarettes?

101

Question Universe: all students

During any of these visits, were you advised to not use e-cigarettes?

INSTRUCT_25

Instruction Universe: all students

Please think about all other tobacco products when answering the next two questions.

This includes: cigars, smokeless tobacco products, hookah, roll-your-own cigarettes, pipe tobacco, snus, dissolvable tobacco, bidis, heated tobacco products, or nicotine pouches.

Do not think of e-cigarettes or manufactured cigarettes when answering these questions.

102

Question Universe: all students

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked if you used any of these other tobacco products?

103

Question Universe: all students

During any of these visits, were you advised to not use any of these other tobacco products?

INSTRUCT_26

Instruction Universe: all students

The next seven questions are about different topics related to antitobacco messaging.

104

105

106

107

108

Question Universe: all students

A warning label tells you if a product is harmful to you and can be either a picture or words.

During the past 30 days, how often did you see a warning label on…

	Never	Rarely	Sometimes	Most of the Time	Always	I didn’t see this tobacco product packaging in the past 30 days
An e-cigarette package?	A	B	C	D	E	F
A cigarette package?	A	B	C	D	E	F
A cigar, cigarillo, or little cigar package?	A	B	C	D	E	F
A package of chewing tobacco, snuff, or dip?	A	B	C	D	E	F
A package of hookah tobacco?	A	B	C	D	E	F

109

Question Universe: all students

In the past 12 months, have you seen or heard The Real Cost, on television, the internet, social media, or radio as part of ads about tobacco?

Yes
No
Not sure

110

Question Universe: all students

In the past 12 months, have you seen or heard any other ads against tobacco with the following names or slogans on television, the internet, social media, or on the radio? (Select one or more)

Truth
Tips or Tips From Former Smokers
Fresh Empire
This Free Life
Some other ad (Specify): ___________________________________________
I haven’t seen or heard of any of these ads  [EXCLUSIVE RESPONSE]

INSTRUCT_27

Instruction Universe: all students

The next 17 questions ask about your thoughts on tobacco products.

111

Question Universe: all students

How much do you think people harm themselves when they smoke cigarettes some days but not every day?

No harm
Little harm
Some harm
A lot of harm

112

Question Universe: all students

How much do you think people harm themselves when they smoke cigars, cigarillos, or little cigars, some days but not every day?

No harm
Little harm
Some harm
A lot of harm

113

Question Universe: all students

Do you believe that cigars, cigarillos, or little cigars are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

Less addictive
Equally addictive
More addictive
I have never heard of cigars, cigarillos, or little cigars

I don’t know enough about these products

114

Question Universe: all students

How much do you think people harm themselves when they use chewing tobacco, snuff, dip, snus, or dissolvable tobacco products, some days but not every day?

No harm
Little harm
Some harm
A lot of harm

115

Question Universe: all students

Do you believe that chewing tobacco, snuff, dip, snus, or dissolvable tobacco products are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

Less addictive
Equally addictive
More addictive
I have never heard of chewing tobacco, snuff, dip, snus, or dissolvable tobacco products
I don’t know enough about these products

116

Question Universe: all students

How much do you think people harm themselves when they use e-cigarettes some days but not every day?

No harm
Little harm
Some harm
A lot of harm

117

Question Universe: all students

Do you believe that e-cigarettes are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

Less addictive
Equally addictive
More addictive
I have never heard of e-cigarettes
I don’t know enough about these products

118

Question Universe: all students

How much do you think people harm themselves when they smoke tobacco in a hookah or waterpipe some days but not every day?

No harm
Little harm
Some harm
A lot of harm

119

Question Universe: all students

Do you believe that smoking tobacco in a hookah or waterpipe is (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

Less addictive
Equally addictive
More addictive
I have never heard of smoking tobacco in a hookah or waterpipe
I don’t know enough about these products

120

Question Universe: all students

Compared to a typical cigarette, would you think that a cigarette advertised as low nicotine would be…

Much less harmful
Slightly less harmful
Equally harmful
Slightly more harmful
Much more harmful

121

Question Universe: all students

Do you think that e-cigarettes…

Never contain nicotine
Rarely contain nicotine
Sometimes contain nicotine
Usually contain nicotine
Always contain nicotine

122

Question Universe: all students

How strongly do you agree with the statement ‘All tobacco products are dangerous’?

Strongly agree
Agree
Disagree
Strongly disagree

123

Question Universe: all students

Do you think that breathing the vapor from other people’s e-cigarettes causes…

No harm
Little harm
Some harm
A lot of harm

124

Question Universe: all students

Not including the vapor from e-cigarettes, do you think that breathing smoke from other people’s cigarettes or other tobacco products causes…

No harm
Little harm
Some harm
A lot of harm

125

Question Universe: all students

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

126

Question Universe: all students

Out of every 10 students in your grade at school, how many do you think use e-cigarettes?

127

Question Universe: all students

Please complete the following sentence. My friends think that e-cigarette use is…

Completely acceptable
Mostly acceptable
Mostly not acceptable
Not acceptable

INSTRUCT_28

Instruction Universe: all students

The next five questions ask about e-cigarette advertisements.

Do not think about cigarettes or other tobacco products when answering these questions.

128

Question Universe: all students

When you are using the Internet, how often do you see ads or promotions for e-cigarettes?

I do not use the Internet
Never
Rarely
Sometimes
Most of the time
Always

129

Question Universe: all students

When you read newspapers or magazines, how often do you see ads or promotions for e-cigarettes?

I do not read newspapers or magazines
Never
Rarely
Sometimes
Most of the time
Always

130

Question Universe: all students

When you go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping center, how often do you see ads or promotions for e-cigarettes?

I never go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping center
Never
Rarely
Sometimes
Most of the time
Always

131

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the movies, how often do you see ads or promotions for e-cigarettes?

I do not watch TV or streaming services, or go to the movies
Never
Rarely
Sometimes
Most of the time
Always

132

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the movies, how often do you see people or characters using e-cigarettes?

I do not watch TV or streaming services, or go to the movies
Never
Rarely
Sometimes
Most of the time
Always

INSTRUCT_29

Instruction Universe: all students

The next several questions ask about e-cigarettes and social media (such as YouTube, Instagram, Snapchat, Twitter, Facebook, Reddit, or TikTok).

Do not think about cigarettes or other tobacco products when answering these questions.

133

Question Universe: all students

How often do you use social media?

Never / I don’t use social media  [SKIP TO INSTRUCT_30]
Less than one time per week
About one time per week
A few times per week
Less than 1 hour, daily
About 1-2 hours, daily
About 3-4 hours, daily
4 hours or more, daily

[IF Q133 EQ (2,3,4,5,6,7)  CONTINUE TO Q134]

IF Q133 EQ (NA)  SKIP TO INSTRUCT_30]

134

Question Universe: students who report using social media

When you use social media, how often do you see posts or content (pictures, videos, or text) related to e-cigarettes?

Never  [SKIP TO Q135]
Less than monthly
Monthly
Weekly
Daily

[IF Q133 EQ (2,3,4,5)  CONTINUE TO Q135]

[IF Q133 EQ (NA)  SKIP TO Q136]

135

Question Universe: students who report seeing e-cigarette posts

On which social media sites have you seen posts or content related to e-cigarettes? (Select one or more)

Facebook
Instagram
Snapchat
TikTok
Twitter
Reddit
YouTube
Some other site (specify: _______________________)

[ALL RESPONSES CONTINUE TO Q136]

136

Question Universe: students who report using social media

When you use social media, how often do you post pictures or videos of yourself or someone else using e-cigarettes?

Never
Less than monthly
Monthly
Weekly
Daily

137

Question Universe: students who report using social media

When you use social media, how often have you liked, commented, or shared posts or content (pictures, videos, or text) related to e-cigarettes?

Never
Less than monthly
Monthly
Weekly
Daily

138

Question Universe: students who report using social media

Who usually posted the content related to e-cigarettes on your social media? (Select one or more)

People I know in real life
Online friends I have not met in real life
Celebrities or social media influencers
E-cigarette brands or sellers
Online news articles
Public health campaigns (e.g., Truth Initiative, Real Cost)
Other (SPECIFY):_______________________________________

INSTRUCT_30

Instruction Universe: all students

The next five questions ask about advertisements for cigarettes and other tobacco products (cigarettes, cigars, smokeless tobacco, hookahs, roll-your-own cigarettes, pipes, snus, dissolvable tobacco, bidis, heated tobacco products, and nicotine pouches).

Do not think of e-cigarettes when answering these questions.

139

Question Universe: all students

When you are using the Internet, how often do you see ads or promotions for cigarettes or other tobacco products?

I do not use the Internet
Never
Rarely
Sometimes
Most of the time
Always

140

Question Universe: all students

When you read newspapers or magazines, how often do you see ads or promotions for cigarettes or other tobacco products?

I do not read newspapers or magazines
Never
Rarely
Sometimes
Most of the time
Always

141

Question Universe: all students

When you go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping center, how often do you see ads or promotions for cigarettes or other tobacco products?

I never go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping center
Never
Rarely
Sometimes
Most of the time
Always

142

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the movies, how often do you see ads or promotions for cigarettes or other tobacco products?

I do not watch TV or streaming services, or go to the movies
Never
Rarely
Sometimes
Most of the time
Always

143

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the movies, how often do you see people or characters using cigarettes or other tobacco products?

I do not watch TV or streaming services, or go to the movies
Never
Rarely
Sometimes
Most of the time
Always

INSTRUCT_31

Instruction Universe: all students

The next four questions ask about you being around other people’s tobacco smoke.

Do not include exposure to vapor from e-cigarettes.

144

Question Universe: all students

During the past 7 days, on how many days did someone smoke tobacco products in your home while you were there?

0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days

145

Question Universe: all students

During the past 7 days, on how many days did you ride in a vehicle when someone was smoking a tobacco product?

0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days

146

Question Universe: all students

During the past 30 days, on how many days were you exposed to the smoke from someone who was smoking tobacco products in an indoor public place?

Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Do not think about homes when answering this question.

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

147

Question Universe: all students

During the past 30 days, on how many days were you exposed to the smoke from someone who was smoking tobacco products in an outdoor public place?

Examples of outdoor public places are school grounds, sidewalks, parking lots, stadiums, and parks.

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

INSTRUCT_32

Instruction Universe: all students

The next five questions ask about being around other people’s e-cigarette vapor.

Do not include exposure to smoke from cigarettes or other tobacco products.

148

Question Universe: all students

During the past 7 days, on how many days did someone use e-cigarettes in your home while you were there?

0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days

149

Question Universe: all students

During the past 7 days, on how many days did you ride in a vehicle when someone was using an e-cigarette?

0 days
1 day
2 days
3 days
4 days
5 days
6 days
7 days

150

Question Universe: all students

During the past 30 days, on how many days were you exposed to the vapor from someone who was using an e-cigarette in an indoor public place?

Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Do not think about homes when answering this question.

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

151

Question Universe: all students

During the past 30 days, on how many days were you exposed to the vapor from someone who was using an e-cigarette in an outdoor public place?

Examples of outdoor public places are school grounds, sidewalks, parking lots, stadiums, and parks.

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

152

Question Universe: all students

Have you ever seen anyone using an e-cigarette, such as JUUL, SMOK, Suorin, Vuse, blu, Puff Bar, or STIG in any locations while at school or on school property? (Select one or more)

No  [EXCLUSIVE]
Yes, inside a school bathroom or locker room
Yes, inside a classroom
Yes, inside some other area of the school (hallway, cafeteria)
Yes, outside of the school, such as in the parking lot, sidewalk, sports field, or other school grounds
Yes, somewhere else not listed here [SPECIFY: ________________________]

INSTRUCT_33

Instruction Universe: all students

The last fourteen questions ask about your experiences at home and at school.

153

Question Universe: all students

Does anyone who lives with you now…? (Select one or more)

Use e-cigarettes
Smoke cigarettes
Smoke cigars, cigarillos, or little cigars
Use chewing tobacco, snuff, or dip
Smoke tobacco in a hookah or waterpipe
Smoke roll-your-own cigarettes
Smoke pipes filled with tobacco (not hookah or waterpipes)
Use snus
Use dissolvable tobacco products
Smoke bidis (small brown cigarettes wrapped in a leaf)
Use heated tobacco products
Use nicotine pouches
No one who lives with me now uses any form of tobacco  [EXCLUSIVE]

154

Question Universe: all students

Do you speak a language other than English at home?

155

Question Universe: all students

Which of the following best describes you?

Heterosexual (straight)
Gay or Lesbian
Bisexual
Not Sure

156

Question Universe: all students

Some people describe themselves as transgender when their sex at birth does not match the way they think or feel about their gender. Are you transgender?

No, I am not transgender
Yes, I am transgender
I am not sure if I am transgender
I do not know what this question is asking

157

158

159

160

Question Universe: all students

During the past two weeks, how often have you been bothered by any of the following problems?

	Not at all	Several Days	More than half of the days	Nearly every day
Little interest or pleasure in doing things	A	B	C	D
Feeling down, depressed, or hopeless	A	B	C	D
Feeling nervous, anxious, or on edge	A	B	C	D
Not being able to stop or control worrying	A	B	C	D

161

Question Universe: all students

Does your family own a vehicle (such as a car, van, or truck)?

No
Yes, one
Yes, two or more

162

Question Universe: all students

Do you have your own bedroom?

163

Question Universe: all students

How many computers (including laptops and tablets, not including game consoles and smartphones) does your family own?

None
One
Two
More than two

164

Question Universe: all students

During the past 12 months, how many times did you travel on vacation with your family?

Not at all
Once
Twice
More than twice

165

Question Universe: all students

During the past 12 months, how would you describe your grades in school?

Mostly A’s
Mostly B’s
Mostly C’s
Mostly D’s
Mostly F's
None of these grades
Not sure

166

Question Universe: all students

Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Gentzke, Andrea (CDC/DDNID/NCCDPHP/OSH)
File Modified	0000-00-00
File Created	2021-01-13