Behavior (5 questions)

Have you ever used programs, products or medicine to help you quit smoking?

    1 Yes

    2 No

    3 Not trying to quit

    77 Don't Know

    99 Refused

SOURCE: Adult RBFSS


What have you used to help you quit smoking? (Check ‘Yes’ or ‘No’ for each method)

    1. Nicotine patch, gum, nasal spray, or inhaler Yes_____ No_____

    2. Zyban, or other non-nicotine prescription medicine Yes_____ No_____

    3. A quit smoking class or group Yes_____ No_____

    4. Books, pamphlets, video or audio tapes Yes_____ No_____

    5. A quit smoking telephone help line Yes_____ No______

    6 Other (please indicate):___________________________________________________________________

    77 Don't Know

    99 Refused

SOURCE: Adult RBFSS


 

Have you ever used the nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray as a way to delay smoking or cut down on the amount you smoke?

    1 Yes

    2 No

    7 Don’t know / Not sure

    9 Refused

(Source: Massachusetts, 1999)

SOURCE: Wisconsin Tobacco Survey, CTRI, 2001


How many times, if any, have you tried to quit smoking?

    1 None

    2 1 time

    3 2 times

    4 3 to 5 times

    5 6 to 9 times

    6 10 or more times

    7 I did not smoke during the past 12 months

    77 Don't know

    99 Refused

SOURCE: Youth RBFSS


 

 In the past 12 months, how many times, if any, have you tried to quit smoking?

    1 None

    2 1 time

    3 2 times

    4 3 to 5 times

    5 6 to 9 times

    6 10 or more times

    7 I did not smoke during the past 12 months

    77 Don't know

    99 Refused

SOURCE: Youth RBFSS