Questionnaire template for smokers

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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Smoking survey

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How harmful are electronic cigarettes compared to ordinary tobacco? Survio has a questionnaire template for smokers to find out. Just send it out.

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The survey sample is ideal for

  • students,
  • representatives of tobacco companies,
  • non-profit and healthcare organizations.

What is the ratio of consumption of tobacco products to new, "healthier" electronic technologies? Which brands are the best sellers in this regard? How much does the average smoker spend on cigarettes per month? If you are interested in the answers to these and other questions, use the output from the survey sample to prepare your own study or write an interesting article. The findings can be used to promote or prevent smoking. It depends on which side of the fence you stand on.

The questionnaire template can be fully edited. Survio will process your answers into well-arranged tables and graphs.

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