TOBACCO USE QUESTIONS, ADULT

ATTITUDE (9 questions)


Do you believe your tobacco use has negatively affected your health in any way?

1 Yes

2 No

7 Don’t know / Not sure

9 Refused

(Source: 1987 NHIS; with modifications by SSS)

SOURCE: Wisconsin Tobacco Survey, CTRI, 2001

 


Generally speaking, in your community, to what extent is youth smoking a serious problem? By youth I mean people under 18 years old. Would you say the problem is:

1 Extremely serious

2 Somewhat serious

3 Not very serious

4 Not at all serious

77 Don't Know

99 Refused

SOURCE: Adult BRFSS

 


In your community what percent of high school students do you think smokes cigarettes?

__________%

77 Don't Know

99 Refused

SOURCE: Adult BRFSS


In the last few years, it has become socially unacceptable to smoke.

  1. Strongly Agree
  2. Agree
  3. Disagree
  4. Strongly Disagree
  1. Don’t Know
  1. Refused

SOURCE: Adult BRFSS

 


 People who smoke are personally responsible for their addiction.

  1. Strongly Agree
  2. Agree
  3. Disagree
  4. Strongly Disagree

77 Don’t Know

99 Refused

SOURCE: Adult BRFSS


Tobacco is a dangerous product.

  1. Strongly Agree
  2. Agree
  3. Disagree
  4. Strongly Disagree

77 Don’t Know

99 Refused

SOURCE: Adult BRFSS


All things considered, would you like to give up smoking?

1 Yes

2 No

77 Don't Know

99 Refused

SOURCE: Adult BRFSS


 

How sure are you that you could refrain from smoking for at least one month? Would you say...

 

    1 Very sure

    2 Somewhat sure

    3 Somewhat unsure

    4 Very unsure

    77 Don’t know

    99 Refused

 

Source: California 1996

 


What best describes your intentions regarding quitting? Would you say...

 

    1 Never expect to quit

    2 May quit in the future

    3 In the next 6 months

    4 Will quit in the next 6 months

    5 Will quit in the next month

    77 Don’t know

    99 Refused

 

Source: California 1996