Have you smoked at least 100 cigarettes in your entire life?

1 Yes

2 No

77 Don't know/Not sure

99 Refused

SOURCE: Adult BRFSS

Do you now smoke cigarettes everyday, some days or not at all?

1 Everyday

2 Some days

3 Not at all

99 Refused

SOURCE: Adult BRFSS

On average, about how many cigarettes a day do you now smoke?

Number of cigarettes __________

77 Don't know

99 Refused

SOURCE: Adult BRFSS

On average, when you smoked during the past 30 days, about how many cigarettes did you smoke a day?

Number of cigarettes [76 = 76 or more]__________

77 Don't know

99 Refused

SOURCE: Adult BRFSS

How old were you the first time you smoked a cigarette, even one or two puffs?

Age in years__________

88 Never smoked a cigarette

77 Don't know/Not sure

99 Refused

SOURCE: Adult BRFSS

How old were you when you first started smoking cigarettes regularly?

Age in years__________

88 Never smoked regularly

77 Don't know/Not sure

99 Refused

SOURCE: Adult BRFSS

About how long has it been since you last smoked cigarettes regularly, that is, daily?

1 Within the past month (0 to 1 month ago)

2 Within the past 3 months (1 to 3 months ago)

3 Within the past 6 months (3 to 6 months ago)

4 Within the past year (6 months to 12 months)

5 Within the past 5 years (11 to 5 years)

6 Within the past 15 years (5 to 15 years)

7 15 years or more

8 Never Smoker regularly

77 Don't know/Not sure

99 Refused

SOURCE: Adult BRFSS

Is there anyone (else) living in your household who smokes cigarettes, cigars or pipes?

1 Yes

2 No

7 Don't know/Not sure

9 Refused

Source: Oregon 1997, Texas 1998

Is there anyone [other than yourself], living in your household who currently smokes cigarettes, cigars, or tobacco in a pipe? Include occasional smokers.

1 Yes

2 No

7 Don’t Know/Not Sure

9 Refuse

Source: Minnesota 1999

Has your smoking affected your health?

Yes

No

77. Don’t Know

Refused

If so, which of these health concerns have been affected? (check all that apply)

_____ Heart trouble/problem

_____ High blood pressure

_____ Cancer

_____ Emphysema

_____ Cough

_____ Shortness of breath

_____ Cold/flu/virus

_____ Other respiratory problem

_____ Sore throat

_____ Pregnancy

_____ Other: _________________________________________________

DK

Source:1987 NHIS

Did you ever try to quit smoking because of a health condition you had at the time?

1 Yes

2 No

Source:1987 NHIS

What was the health condition? (check all that apply)

_____ Heart trouble/problem

_____ High blood pressure

_____ Cancer

_____ Emphysema

_____ Cough

_____ Shortness of breath

_____ Cold/flu/virus

_____ Other respiratory problem

_____ Sore throat

_____ Pregnancy

_____ Other

77 DK

99 Refused