Smoking survey

Smoking survey

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Smoking survey

Hello,

Please take a few minutes of your time to fill in the following survey.

1. How do you prefer to smoke?

  • Cigarettes
  • Cigars
  • Pipe
  • Water pipe

2. Have you ever tried an electronic cigarette?

  • Yes
  • No

3. What do you smoke?

  • Classic tobacco
  • Electronic cigarettes
  • I don't smoke

4. How many cigarettes do you smoke per day?

  • 1 - 5
  • 5 - 10
  • 10 - 20
  • 20 - 30
  • 30 - 40

5. What is your favourite brand of tabacco?

500

6. How often do you smoke?

  • Several times a day
  • Once a day
  • Several times a week
  • Less often

7. How much money do you spend each month on tobacco products?

  • 0 - 25
  • 25 - 50
  • 50 - 100

8. Please answer the following points according to your personal smoking experience?

  • True
  • Partly true
  • False

I enjoy smoking

  • True
  • Partly true
  • False

It calms me down

  • True
  • Partly true
  • False

It's expensive

  • True
  • Partly true
  • False

It's a part of my life

  • True
  • Partly true
  • False

9. To what extent do you agree with the following

  • I agree
  • I tend to agree
  • I tend to disagree
  • I disagree

There should not be smoking in restaurants

  • I agree
  • I tend to agree
  • I tend to disagree
  • I disagree

There should not be smoking at bus/ tram stops etc.

  • I agree
  • I tend to agree
  • I tend to disagree
  • I disagree

There should not be smoking in all public places

  • I agree
  • I tend to agree
  • I tend to disagree
  • I disagree

Smoking is still 'In-vogue' (Fashionable)

  • I agree
  • I tend to agree
  • I tend to disagree
  • I disagree

There should not be smoking in the workplace

  • I agree
  • I tend to agree
  • I tend to disagree
  • I disagree

10. Do you want to quit smoking?

  • Yes
  • No

11. Please write down all the different cigarette brands you can think of, off the top of your head:

500

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