Smoking Template

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* 1. Which of the following people would you consider to be smokers? (Check all that apply)

A person who smokes only when socializing

A person who smokes only when drinking alcohol

A person who smokes only after eating

A person who smokes every day

A person who smokes at least once a week but not every day

A person who smokes at least once a month but not every week

A person who smokes at least once a year but not every month

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* 2. Does anyone in your household currently smoke cigarettes, or not?

Yes, someone does

No, no one does

Not sure

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* 3. Do you currently smoke cigarettes, or not?

Yes, I do

No, I do not

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* 4. At what age did you start smoking cigarettes?

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. About how many cigarettes do you smoke in a typical day?

100

Clear

i We adjusted the number you entered based on the slider’s scale.

Smoking Template

Question Title

* 1. Which of the following people would you consider to be smokers? (Check all that apply)

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* 2. Does anyone in your household currently smoke cigarettes, or not?

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* 3. Do you currently smoke cigarettes, or not?

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* 4. At what age did you start smoking cigarettes?

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* 5. About how many cigarettes do you smoke in a typical day?

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* 6. About how much do you spend, in U.S. dollars, on cigarettes in a typical week?