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