What do you get out of smoking?

A survey about smoking: what you smoke, how much, why you do it and where you think it should be allowed. Most of it is about people who smoke or used to, but you can answer either way. It is anonymous, we do not ask for your name or your email. 

Under 3 minutes.

1. Do you smoke?

Select one answer

  • Yes, every day
  • Yes, now and then
  • I used to, not any more
  • No, I have never smoked

2. What do you smoke?

Select one or more answers

  • Cigarettes
  • Cigars
  • Pipe
  • Water pipe
  • Roll-your-own tobacco
  • Vape or e-cigarette
  • Heated tobacco
  • Nothing

3. How often do you smoke in a day?

Select one answer

  • I do not smoke
  • Less than once a day
  • Once or twice a day
  • A few times a day
  • Many times a day

4. How much do you spend on smoking a month?

In [currency]

  • Nothing
  • Up to 25
  • 26 to 50
  • 51 to 100
  • 101 to 200
  • More than 200

5. How true is each of these for you?

Select one answer in each row

  • Not true
  • Partly true
  • Very true

I enjoy it

  • Not true
  • Partly true
  • Very true

It calms me down

  • Not true
  • Partly true
  • Very true

It costs me too much

  • Not true
  • Partly true
  • Very true

It is part of who I am

  • Not true
  • Partly true
  • Very true

I smoke more when stressed

  • Not true
  • Partly true
  • Very true

I would miss it if I stopped

  • Not true
  • Partly true
  • Very true

6. Do you want to stop smoking?

Select one answer

  • No, not at all
  • Probably not
  • Not sure
  • Probably yes
  • Yes, definitely
  • I have already stopped

7. Should smoking be banned in these places?

Select one answer in each row

  • No
  • Not sure
  • Yes

Restaurants and bars

  • No
  • Not sure
  • Yes

Bus and tram stops

  • No
  • Not sure
  • Yes

Workplaces

  • No
  • Not sure
  • Yes

Outdoor terraces

  • No
  • Not sure
  • Yes

Parks and playgrounds

  • No
  • Not sure
  • Yes

8. What brand do you smoke most?

500

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Survey Templates Healthcare

Smoking Habits and Attitudes

Who it's for

Public health teams, researchers and anyone planning a stop-smoking programme. Run it before you design the programme.

Who answers

Adults, completely anonymously, in two minutes. No name and no contact details.

Use template

What you'll see

  • How far people are from actually quitting, from not interested to trying now
  • What smoking gives them: pleasure, habit, stress relief, company
  • What they smoke, how often and what it costs them
  • What they think about smoking bans in public places

How to get good answers

  • Collect it anonymously with no contact field. Anything that could identify a person turns the answers into the acceptable version.
  • Keep every question free of judgement. A survey that sounds like a health warning gets you the answers people think they should give.
  • The question about wanting to stop is the one to plan around. People who are not ready need something completely different from people who are trying.
  • Ask what smoking gives them. A programme that ignores that answer is a leaflet, and leaflets do not work.

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