Questionnaire template for smokers

1. How do you prefer to smoke?

Cigarettes
Cigars
Pipe
Water pipe

2. Have you ever tried an electronic cigarette?

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?

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

500

Smoking survey

Popularity 528 ×

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

Use template — it’s free

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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I've been able to design multiple surveys in just a few minutes. I'm particularly excited about the data collection, analysis, reporting & exporting capabilities, which are critical to my success as an HR.

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It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

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Questionnaire template for smokers

1. How do you prefer to smoke?

2. Have you ever tried an electronic cigarette?

3. What do you smoke?

4. How many cigarettes do you smoke per day?

5. What is your favourite brand of tabacco?

6. How often do you smoke?

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

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

I enjoy smoking

It calms me down

It's expensive

It's a part of my life

9. To what extent do you agree with the following

There should not be smoking in restaurants

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

There should not be smoking in all public places

Smoking is still 'In-vogue' (Fashionable)

There should not be smoking in the workplace

10. Do you want to quit smoking?

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

Smoking survey

Template categories

Survio is a survey software for everyone.

Create a questionnaire in less than one minute

Collect survey responses on multiple channels

Analyze survey results with a single click

What people say about us

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

Questionnaire template for smokers

1. How do you prefer to smoke?

2. Have you ever tried an electronic cigarette?

3. What do you smoke?

4. How many cigarettes do you smoke per day?

5. What is your favourite brand of tabacco?

6. How often do you smoke?

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

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

I enjoy smoking

It calms me down

It's expensive

It's a part of my life

9. To what extent do you agree with the following

There should not be smoking in restaurants

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

There should not be smoking in all public places

Smoking is still 'In-vogue' (Fashionable)

There should not be smoking in the workplace

10. Do you want to quit smoking?

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

Smoking survey

Template categories

Survio is a survey software for everyone.

Create a questionnaire in less than one minute

Collect survey responses on multiple channels

Analyze survey results with a single click

What people say about us

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

Enter Survio

Create engaging surveys, get genuine data and make the right decisions.

Start surveying now!