CESSATION QUESTIONS, YOUTH
Attitude (15 questions)
In general, do you think that for youth who currently smoke:
1 More should be done to help them quit smoking
2 Less should be done to help them quit smoking
3 Current efforts are satisfactory
77 Don't Know
99 Refused
SOURCE: Adult RBFSS
In general, do you think that for adults who currently smoke:
1 More should be done to help them quit smoking
2 Less should be done to help them quit smoking
3 Current efforts are satisfactory
77 Don't Know
99 Refused
SOURCE: Adult RBFSS
People need help if they really want to quit smoking.
1. Strongly Agree
2. Agree
3. Disagree
4. Strongly Disagree
77. Don’t Know
99. Refused
SOURCE: Youth RBFSS
If you were to quit smoking do you believe it would decrease your chances of getting Lung Cancer?
(Use a scale of 1 to 7 where 1 = Not at all; 4 = Somewhat; 7 = A great deal)
________ (1 TO 7 Rating)
77 Don’t know / Not sure
99 Refused
(Source: Brion Fox)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
If you were to quit smoking do you believe it would decrease your chances of getting Heart Disease?
(Use a scale of 1 to 7 where 1 = Not at all; 4 = Somewhat; 7 = A great deal)
________ (1 TO 7 Rating)
77 Don’t know / Not sure
99 Refused
(Source: Brion Fox)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
If You were to quit smoking do you believe it would decrease your chances of getting Emphysema or COPD?
*
Emphysema and COPD are lung diseases that make it difficult to breathe.(Use a scale of 1 to 7 where 1 = Not at all; 4 = Somewhat; 7 = A great deal)
________ (1 TO 7 Rating)
77 Don’t know / Not sure
99 Refused
(Source: Brion Fox)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
If you were to quit smoking do you believe it would decrease your chances of dying of a smoke related disease?
(Use a scale of 1 to 7 where 1 = Not at all; 4 = Somewhat; 7 = A great deal)
________ (1 TO 7 Rating)
77 Don’t know / Not sure
99 Refused
(Source: Brion Fox)
SOURCE: Wisconsin Tobacco Survey, CTRI, 2001
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
If you were trying to quit smoking, how helpful do you think it would be to have
assistance such as a nicotine patch or gum or a smoking cessation program? Would you say:
1 Very helpful
2 Somewhat helpful
3 Not very helpful
4 Not helpful at all
7 Don't know/Not sure
9 Refused
Source: Oregon 1997, Texas 1998