1a	Have you ever smoked?	Yes No
2a	Have you ever smoked at least 100 cigarettes or the equivalent amount of tobacco in your lifetime?	Yes No
3a	Do you now smoke daily, occasionally, or not at all?	Daily Occasionally Not at all
4a	Do you currently smoke tobacco?	A) Yes, I smoke every day B) Yes, I smoke occasionally (NOT every day) C) No, I am an EX-smoker D) No, I never was a smoker A B C D
5a	During the past 30 days, on how many days did you smoke?	In the past 30 days, I smoked on 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30days.
6	Do you now smoke cigarettes?	Yes No
7	Do you now smoke cigars?	Yes No
8	Do you now smoke cigarillos?	Yes No
9	Do you now smoke pipes?	Yes No
10	Do you now use chewing tobacco?	Yes No
11	Do you now use tobacco snuff?	Yes No
12	Have you used smokeless tobacco (=snuff or chewing tobacco) in the past 7 days?	Yes No
13a	Have you smoked at least a part of a cigarette (or part of a cigar or pipe, etc) in the past 7 days?	Yes No How confident are you about your answer to this question? extremely very moderately slightly
14a	If not, have you smoked at least part of a cigarette (or part of a cigar or pipe, etc) in the last 30 days?	Yes No How confident are you about your answer to this question? extremely very moderately slightly
15a	If not, have you smoked at least part of a cigarette (or part of a cigar or pipe, etc) in the last 6 months?	Yes No How confident are you about your answer to this question? extremely very moderately slightly
16a	If not, have you smoked at least part of a cigarette (or part of a cigar or pipe, etc) in the last 12 months?	Yes No How confident are you about your answer to this question? extremely very moderately slightly
	Questions for smokers and users of smokeless tobacco: EX-smokers, please click here
17	Currently, which type of tobacco do you use mainly?	Currently, I use mainly: Cigarettes Smokeless tobacco-snuff Cigars/Cigarillos Pipes
18a	How many cigarettes per day do you smoke, on average?	0 0.5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 25 28 29 30 35 40 45 50 55 60 65 70 75 80 90 100 cigarettes per day
19a	Usually, how soon after waking up do you smoke your first cigarette?	0 0.5 1 2 3 4 5 6 8 10 15 20 25 30 35 40 45 50 60 75 90 120 180 240 300 360 420 480 600 720 840 960 minutes
20a	In the past 12 months, did you make an attempt to quit smoking?	Yes No How confident are you about your answer to this question? extremely very moderately slightly
20c	In the past 12 months, did you make an attempt to quit smoking and succeed in not smoking for at least 24 hours?	Yes No How confident are you about your answer to this question? extremely very moderately slightly
21	How long did your last attempt to quit smoking last?	My last quit attempt lasted: I never made a quit attempt 2 hours 4 hours 8 hours 12 hours 16 hours 1 day 2 days 3 days 4 days 5 days 6 days 7 days 8 days 9 days 10 days 11 days 12 days 13 days 14 days 15 days 16 days 17 days 18 days 19 days 20 days 21 days 28 days 30 days 35 days 40 days 45 days 50 days 55 days 60 days 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 1 year 18 months 2 years 2.5 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 12 years 15 years 17 years 20 years 25 years 30 years 40 years 50 years
22a	In the last year, how many times have you quit smoking for at least 24 hours?	0 1 2 3 4 5 6 7 8 9 10 15 20 30 40 50 60 70times How confident are you about your answer to this question? extremely very moderately slightly
23a	In the last year, how many times have you made an attempt to quit smoking?	0 1 2 3 4 5 6 7 8 9 10 15 20 30 40 50 60 70times How confident are you about your answer to this question? extremely very moderately slightly
23c	In the last year, how many times have you made an attempt to quit smoking and succeeded in not smoking for at least 24 hours?	0 1 2 3 4 5 6 7 8 9 10 15 20 30 40 50 60 70times How confident are you about your answer to this question? extremely very moderately slightly
24a	Are you seriously thinking of quitting smoking?	Yes, within the next 30 days Yes, within the next 6 months No, not thinking of quitting
	Questions for EX-smokers:
25a	When did you quit smoking?	I quit smoking on: Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: January February March April May June July August September October November December Year: 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1970 1965 1960 1955 1950 How confident are you about your answer to this question? extremely very moderately slightly
	Comments on the questions above:	Question no.

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