Cessation questions (6 questions)
Behavioral Intent
Do you intend to quit smoking at any time in the future?
1 Yes
2 No
7 Don’t know / Not sure
9 Refused
(Source: Brion Fox)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
Are you seriously considering stopping smoking within the next 6 months?
1 Yes
2 No
7 Don’t know / Not sure
9 Refused
(Source: 1992 NHIS, CPS 1993, Oregon 1997, Texas 1998; modifications by SSS)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
Do you intend to stop within the next 30 days?
1 Yes
2 No
7 Don’t know / Not sure
9 Refused
(Source: Minnesota 1999)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
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
What is the likelihood that you will use medicines to help you quit smoking?
(Use a scale of 1 to 7 where 1 = Not at all likely; 4 = Somewhat likely; 7 = Extremely likely)
________ (1 TO 7 Rating)
77 Don’t know / Not sure
99 Refused
(Source: Brion Fox)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
What is the likelihood that you will use counseling support to help you quit smoking?
(Use a scale of 1 to 7 where 1 = Not at all likely; 4 = Somewhat likely; 7 = Extremely likely)
________ (1 TO 7 Rating)
77 Don’t know / Not sure
99 Refused
(Source: Brion Fox)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001