Form Approved 

 OMB No.: 0920-0621 

Expiration Date: 01/31/2015 

National Youth Tobacco Survey (NYTS) 2012 

Questionnaire

Thank You Very Much for Your Help.

This survey is about tobacco. We would like to know about you and things 

you do that may affect your health. Your answers will be used for 

programs for young people like yourself. 

DO NOT write your name on this survey. The answers you give will be 

kept private. 

NO one will know what you write. Answer the questions based on what 

you really do and know. 

Completing the survey is voluntary. Whether or not you answer the 

questions will not affect your grade in this class. Try to answer all the 

questions. If you do not want to answer a question, just leave it blank. 

There are no wrong answers. 

The questions that ask about your background will only be used to 

describe the types of students completing this survey. The information will 

not be used to find out your name. No names will ever be reported. 

Please read every question. Try to answer all the questions. Fill in the 

circles in the booklet completely. When you are finished, follow the 

instructions of the person giving you the survey. 

Public reporting burden for this collection of information is estimated to average 45 minutes per response, 

including time for reviewing instructions, searching existing data sources, gathering and maintaining the 

data needed, and completing and reviewing the collection of information. An agency may not conduct or 

sponsor, and a person is not required to respond to a collection of information unless it displays a currently 

valid OMB control number. Send comments regarding this burden estimate or any other aspect of this 

collection of information, including suggestions for reducing this burden to: CDC Reports Clearance Officer, 

1600 Clifton Road, NE, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0621). 

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Directions

 Use a #2 pencil only

 Make dark marks

 Fill in a response like this 

 If you change your answer, erase your old 

answer completely.

The first five questions ask for some 

background information about you

1. How old are you? 

A. 9 years old 

B. 10 years old 

C. 11 years old 

D. 12 years old 

E. 13 years old 

F. 14 years old 

G. 15 years old 

H. 16 years old 

I. 17 years old 

J. 18 years old 

K. 19 years old or older 

2. What is your sex? 

A. Female 

B. Male 

3. What grade are you in? 

A. 6th

B. 7th

C. 8th

D. 9th

E. 10th

F. 11th

G. 12th

H. Ungraded or other grade 

4. Are you Hispanic or Latino?

A. No

B. Yes, I am Mexican, Mexican 

American, or Chicano

C. Yes, I am Puerto Rican

D. Yes, I am Cuban or Cuban American

E. Yes, I am some other Hispanic or 

Latino not listed here 

5. What race or races do you consider yourself 

to be? (CHOOSE ALL THAT APPLY)

A. American Indian or Alaska Native

B. Asian

C. Black or African American

D. Native Hawaiian or Other Pacific 

Islander

E. White

The next six sections ask about your use of 

different kinds of tobacco products

Cigarettes

6. Have you ever been curious about smoking 

a cigarette?

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

7. Have you ever tried cigarette smoking, 

even one or two puffs? 

A. Yes 

B. No 

8. Do you think you will smoke a cigarette in 

the next year? 

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

9. Do you think that you will try a cigarette 

soon? 

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

10. If one of your best friends were to offer you 

a cigarette, would you smoke it? 

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not

11. How old were you when you first tried

cigarette smoking, even one or two puffs?

A. I have never smoked cigarettes, not 

even one or two puffs

B. 8 years old or younger 

C. 9 years old

D. 10 years old

E. 11 years old

F. 12 years old

G. 13 years old

H. 14 years old

I. 15 years old

J. 16 years old

K. 17 years old

L. 18 years old

M. 19 years old or older

A B D
12. About how many cigarettes have you 

smoked in your entire life?

A. I have never smoked cigarettes, not 

even one or two puffs

B. 1 or more puffs but never a whole 

cigarette

C. 1 cigarette

D. 2 to 5 cigarettes

E. 6 to 15 cigarettes (about 1/2 a pack 

total)

F. 16 to 25 cigarettes (about 1 pack 

total)

G. 26 to 99 cigarettes (more than 1 

pack, but less than 5 packs)

H. 100 or more cigarettes (5 or more 

packs)

13. During the past 30 days, on how many 

days did you smoke cigarettes? 

A. 0 days

B. 1 or 2 days 

C. 3 to 5 days 

D. 6 to 9 days 

E. 10 to 19 days 

F. 20 to 29 days 

G. All 30 days

14. During the past 30 days, on the days you 

smoked, how many cigarettes did you 

smoke per day? 

A. I did not smoke cigarettes during the 

past 30 days

B. Less than 1 cigarette per day

C. 1 cigarette per day

D. 2 to 5 cigarettes per day

E. 6 to 10 cigarettes per day

F. 11 to 20 cigarettes per day

G. More than 20 cigarettes per day

15. When was the last time you smoked a 

cigarette, even one or two puffs? (PLEASE 

CHOOSE THE FIRST ANSWER THAT 

FITS)

A. I have never smoked cigarettes, not 

even one or two puffs

B. Earlier today 

C. Not today but sometime during the 

past 7 days

D. Not during the past 7 days but 

sometime during the past 30 days

E. Not during the past 30 days but 

sometime during the past 6 months

F. Not during the past 6 months but 

sometime during the past year

G. 1 to 4 years ago

H. 5 or more years ago

16. During the past 30 days, what brand of 

cigarettes did you usually smoke? 

(CHOOSE ONLY ONE ANSWER)

A. I did not smoke cigarettes during the 

past 30 days

B. I did not smoke a usual brand

C. American Spirit

D. Camel

E. GPC, Basic, or Doral

F. Kool

G. Lucky Strike

H. Marlboro

I. Newport

J. Parliament

K. Virginia Slims

L. Some other brand not listed here 

M. Not sure

17. Menthol cigarettes are cigarettes that taste 

like mint. During the past 30 days, were the 

cigarettes that you usually smoked 

menthol?

A. I did not smoke cigarettes during the 

past 30 days

B. Yes

C. No

D. Not sure

 

18. How likely is it that you will try to purchase 

cigarettes within the next 30 days? 

A. I do not smoke cigarettes

B. Very likely

C. Somewhat likely

D. Somewhat unlikely

E. Very unlikely

19. During the past 30 days, how did you get

your own cigarettes? (CHOOSE ALL THAT 

APPLY)

A. I did not get cigarettes during the 

past 30 days

B. I bought a pack of cigarettes myself

C. I had someone else buy a pack of 

cigarettes for me

D. I asked someone to give me a 

cigarette

E. Someone offered me a cigarette

F. I bought cigarettes from another 

person

G. I took cigarettes from a store or 

another person

H. I got cigarettes some other way 
20. During the past 30 days, where did you 

buy your own cigarettes? (CHOOSE ALL 

THAT APPLY)

A. I did not buy cigarettes during the 

past 30 days

B. A gas station or convenience store

C. A grocery store

D. A drugstore

E. A vending machine

F. Over the Internet

G. Through the mail

H. Some other place not listed here 

21. During the past 30 days, did anyone 

refuse to sell you cigarettes because of 

your age? 

A. I did not try to buy cigarettes during 

the past 30 days

B. Yes

C. No

Cigars, cigarillos, or little cigars, such as Black 

and Milds, Swisher Sweets, Dutch Masters, 

White Owl, or Phillies Blunts

22. Have you ever been curious about smoking 

a cigar, cigarillo, or little cigar, such as

Black and Milds, Swisher Sweets, Dutch 

Masters, White Owl, or Phillies Blunts?

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

23. Have you ever tried smoking cigars, 

cigarillos, or little cigars, such as Black and 

Milds, Swisher Sweets, Dutch Masters, 

White Owl, or Phillies Blunts, even one or 

two puffs? 

A. Yes 

B. No 

24. How old were you when you first tried

smoking a cigar, cigarillo, or little cigar even 

one or two puffs? 

A. I have never smoked cigars, 

cigarillos, or little cigars, not even 

one or two puffs

B. 8 years old or younger 

C. 9 years old 

D. 10 years old

E. 11 years old

F. 12 years old

G. 13 years old

H. 14 years old

I. 15 years old

J. 16 years old

K. 17 years old

L. 18 years old

M. 19 years old or older

25. During the past 30 days, on how many 

days did you smoke cigars, cigarillos, or 

little cigars? 

A. 0 days

B. 1 or 2 days 

C. 3 to 5 days 

D. 6 to 9 days 

E. 10 to 19 days 

F. 20 to 29 days 

G. All 30 days 

26. During the past 30 days, how did you get 

your own cigars, cigarillos, or little cigars? 

(CHOOSE ALL THAT APPLY)

A. I did not get cigars, cigarillos, or little 

cigars during the past 30 days

B. I bought them myself

C. I had someone else buy them for me

D. I asked someone to give me one

E. Someone offered it to me

F. I bought them from another person

G. I took them from a store or another 

person

H. I got them some other way 
27. During the past 30 days, where did you 

buy your own cigars, cigarillos, or little 

cigars? (CHOOSE ALL THAT APPLY)

A. I did not buy cigars, cigarillos, or little 

cigars during the past 30 days

B. A gas station or convenience store

C. A grocery store

D. A drugstore

E. A vending machine

F. Over the Internet

G. Through the mail

H. Some other place not listed here 

Chewing tobacco, snuff, or dip, such as 

Redman, Levi Garrett, Beechnut, Skoal, Skoal 

Bandits, or Copenhagen

28. Have you ever been curious about using 

chewing tobacco, snuff, or dip, such as

Redman, Levi Garrett, Beechnut, Skoal, 

Skoal Bandits, or Copenhagen?

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

29. Have you ever used chewing tobacco, 

snuff, or dip, such as Redman, Levi Garrett, 

Beechnut, Skoal, Skoal Bandits, or 

Copenhagen, even just a small amount? 

A. Yes 

B. No 

30. How old were you when you used chewing 

tobacco, snuff, or dip for the first time? 

A. I have never used chewing tobacco, 

snuff, or dip

B. 8 years old or younger 

C. 9 years old 

D. 10 years old

E. 11 years old

F. 12 years old

G. 13 years old

H. 14 years old

I. 15 years old

J. 16 years old

K. 17 years old

L. 18 years old

M. 19 years old or older

31. During the past 30 days, on how many 

days did you use chewing tobacco, snuff, or 

dip? 

A. 0 days 

B. 1 or 2 days 

C. 3 to 5 days 

D. 6 to 9 days 

E. 10 to 19 days 

F. 20 to 29 days 

G. All 30 days 

32. During the past 30 days, how did you get 

your own chewing tobacco, snuff, or dip? 

(CHOOSE ALL THAT APPLY) 

A. I did not get chewing tobacco, snuff, 

or dip during the past 30 days

B. I bought it myself

C. I had someone else buy it for me

D. I asked someone to give me some

E. Someone offered it to me

F. I bought it from another person

G. I took it from a store or another 

person

H. I got it some other way 

33. During the past 30 days, where did you 

buy your own chewing tobacco, snuff, or 

dip? (CHOOSE ALL THAT APPLY) 

A. I did not buy chewing tobacco, snuff, 

or dip during the past 30 days

B. A gas station or convenience store

C. A grocery store

D. A drugstore

E. A vending machine

F. Over the Internet

G. Through the mail

H. Some other place not listed here 

A Pipe. Do NOT include smoking tobacco in a 

waterpipe or hookah 

34. Have you ever tried smoking tobacco in a 

pipe, even one or two puffs? 

A. Yes 

B. No 

35. During the past 30 days, on how many 

days did you smoke tobacco in a pipe?

A. 0 days

B. 1 or 2 days

C. 3 to 5 days

D. 6 to 9 days

E. 10 to 19 days

F. 20 to 29 days

G. All 30 days
Other tobacco products

36. Which of the following tobacco products 

have you ever heard of? (CHOOSE ALL 

THAT APPLY)

A. Roll-your-own cigarettes

B. Bidis (small brown cigarettes 

wrapped in a leaf)

C. Clove cigarettes (kreteks)

D. Smoking tobacco from a hookah or a 

waterpipe

E. Snus, such as Camel or Marlboro 

Snus 

F. Dissolvable tobacco products, such 

as Ariva, Stonewall, Camel orbs, 

Camel sticks, Marlboro sticks, or 

Camel strips 

G. Electronic Cigarettes or E-cigarettes, 

such as Ruyan or NJOY

H. Some other new tobacco product not 

listed here

I. I have never heard of any of the 

products listed above or any new 

tobacco product

37. Which of the following tobacco products 

have you ever tried, even just one time? 

(CHOOSE ALL THAT APPLY)

A. Roll-your-own cigarettes

B. Bidis (small brown cigarettes 

wrapped in a leaf)

C. Clove cigarettes (kreteks)

D. Smoking tobacco from a hookah or a 

waterpipe

E. Snus, such as Camel or Marlboro 

Snus 

F. Dissolvable tobacco products, such 

as Ariva, Stonewall, Camel orbs, 

Camel sticks, Marlboro sticks, or 

Camel strips 

G. Electronic Cigarettes or E-cigarettes, 

such as Ruyan or NJOY

H. Some other new tobacco products 

not listed here

I. I have never tried any of the 

products listed above or any new 

tobacco product

38. During the past 30 days, which of the 

following products have you used on at 

least one day? (CHOOSE ALL THAT 

APPLY) 

A. Roll-your-own cigarettes

B. Bidis (small brown cigarettes 

wrapped in a leaf)

C. Clove cigarettes (kreteks)

D. Smoking tobacco from a hookah or a 

waterpipe

E. Snus, such as Camel or Marlboro 

Snus 

F. Dissolvable tobacco products, such 

as Ariva, Stonewall, Camel orbs, 

Camel sticks, Marlboro sticks, or 

Camel strips 

G. Electronic Cigarettes or E-cigarettes, 

such as Ruyan or NJOY

H. Some other new tobacco products 

not listed here

I. I have not used any of the products 

listed above or any new tobacco 

product during the past 30 days

39. Were any of the tobacco products you used 

in the past 30 days flavored to taste like 

menthol (mint), clove, spice, alcohol (wine, 

cognac), candy, fruit, chocolate, or other 

sweets? 

A. I did not use any flavored tobacco 

products in the past 30 days

B. Yes

C. No

40. During the past 30 days, have you had a 

strong craving or felt like you really needed 

to use a tobacco product of any kind (such 

as smoking a cigarette or using chewing 

tobacco, snuff, dip, or snus)?

A. Yes

B. No

41. During the past 30 days, was there a time 

when you wanted to use a tobacco product 

so much that you found it difficult to think of 

anything else?

A. Yes

B. No
42. How soon after you wake up do you want to 

use a tobacco product?

A. I do not use tobacco

B. Within 5 minutes

C. From 6 to 30 minutes

D. From more than 30 minutes to 1 

hour

E. After more than 1 hour but less than 

24 hours

F. I rarely want to use tobacco

43. How true is this statement for you? I feel 

restless and irritable when I don’t use 

tobacco for a while.

A. I do not use tobacco

B. Not at all true

C. Sometimes true

D. Often true

E. Always true

The next nine questions ask about about 

different issues related to tobacco.

44. How easy do you think it is for kids your age 

to buy tobacco products in a store?

A. Easy

B. Somewhat easy

C. Not easy at all

45. When you are using the Internet, how often 

do you see any ads or promotions for 

cigarettes or other tobacco products? 

A. I do not use the Internet

B. Never 

C. Rarely

D. Sometimes

E. Most of the time

F. Always

46. When you read newspapers or magazines, 

how often do you see any ads or 

promotions for cigarettes or other tobacco 

products?

A. I do not read newspapers or 

magazines

B. Never 

C. Rarely

D. Sometimes

E. Most of the time

F. Always

47. During the past 30 days, did you receive 

coupons from a tobacco company 

through... (CHOOSE ALL THAT APPLY)

A. The mail

B. E-mail

C. The Internet

D. Social Networks (such as Facebook 

and Twitter) 

E. A text message

F. On a cigarette pack or other tobacco 

product

G. I did not receive coupons from a 

tobacco company

48. During the past 30 days, did a tobacco 

company send you information (other than 

coupons) through... (CHOOSE ALL THAT 

APPLY)

A. The mail

B. E-mail 

C. A text message

D. Some other way

E. I did not receive any information from a 

tobacco company

49. When you go to a convenience store, 

supermarket, or gas station, how often do 

you see any ads or promotions for 

cigarettes or other tobacco products? 

A. I never go to a convenience store, 

supermarket, or gas station

B. Never 

C. Rarely

D. Sometimes

E. Most of the time

F. Always

50. During the past 30 days, how often did you 

see any ads or promotions for cigarettes or 

other tobacco products that were outdoors 

on a billboard or could be seen from outside 

a store? 

A. I did not see an ad for cigarettes or 

other tobacco products during the 

past 30 days

B. Never 

C. Rarely

D. Sometimes

E. Most of the time

F. Always
51. When you watch TV or go to the movies, 

how often do you see actors and actresses 

using cigarettes or other tobacco products?

A. I do not watch TV or go to the 

movies

B. Never 

C. Rarely

D. Sometimes

E. Most of the time

F. Always

52. What is the name of the cigarette brand of 

your favorite cigarette ad? (CHOOSE ONLY 

ONE ANSWER)

A. American Spirit

B. Camel

C. GPC, Basic, or Doral

D. Kool 

E. Marlboro

F. Newport

G. Some other brand not listed here

H. I don’t have a favorite cigarette ad

I. Not sure

The next four questions ask about about 

different issues related to tobacco warning 

labels.

53. A warning label tells you if a product is 

harmful to you and can be either a picture or 

words. During the past 30 days, how often 

did you see a warning label on a cigarette 

pack?

A. I did not see a cigarette pack during 

the past 30 days

B. Never

C. Rarely

D. Sometimes

E. Most of the time 

F. Always

54. During the past 30 days, to what extent did 

warning labels on cigarette packs make you 

think about the health risks of smoking?

A. I did not see a warning label on a 

cigarette pack in the past 30 days.

B. Not at all

C. A little

D. Somewhat

E. A lot

55. During the past 30 days, how often did you 

see a warning label on a smokeless tobacco 

product, such as chewing tobacco, snuff, 

dip, or snus?

A. I did not see a smokeless tobacco 

product during the past 30 days

B. Never

C. Rarely

D. Sometimes

E. Most of the time 

F. Always

56. During the past 30 days, to what extent did 

warning labels on smokeless tobacco 

products make you think about the health 

risks of smokeless tobacco, such as 

chewing tobacco, snuff, dip, or snus?

A. I did not see a warning label on a 

smokeless tobacco product in the 

past 30 days

B. Not at all

C. A little

D. Somewhat

E. A lot

The next six questions are about quitting 

tobacco products.

57. Are you seriously thinking about quitting 

cigarettes?... (PLEASE CHOOSE THE 

FIRST ANSWER THAT FITS)

A. I do not smoke cigarettes

B. Yes, within the next 30 days

C. Yes, within the next 6 months

D. Yes, within the year

E. Yes, but not within the year

F. No, I am not thinking about quitting 

cigarettes

58. If you decided to quit cigarettes for good, 

how likely is it that you would succeed?

A. I do not smoke cigarettes

B. Very likely

C. Somewhat likely

D. Somewhat unlikely

E. Very unlikely
59. During the past 12 months, how many 

times have you stopped smoking for one 

day or longer because you were trying to 

quit smoking cigarettes for good?

A. I did not smoke during the past 12 

months

B. I did not try to quit during the past 12 

months

C. 1 time

D. 2 times

E. 3 to 5 times

F. 6 to 9 times

G. 10 or more times

60. When you last tried to quit for good, how 

long did you stay off cigarettes? (PLEASE 

CHOOSE THE FIRST ANSWER THAT 

FITS)

A. I have never smoked cigarettes

B. I have never tried to quit

C. Less than a day

D. 1 to 7 days 

E. More than 7 days but less than 30 

days

F. More than 30 days but less than 6 

months

G. More than 6 months but less than 1 

year

H. 1 year or more

61. Are you seriously thinking about quitting the 

use of all tobacco products?

A. I do not use tobacco products

B. Yes, within the next 30 days

C. Yes, within the next 6 months

D. Yes, within the year

E. Yes, but not within the year

F. No, I am not thinking about quitting 

the use of all tobacco products

62. During the past 12 months, how many 

times have you stopped using all tobacco 

products for one day or longer because 

you were trying to quit all tobacco products 

for good?

A. I did not use tobacco products 

during the past 12 months

B. I did not try to quit during the past 12 

months

C. 1 time

D. 2 times

E. 3 to 5 times

F. 6 to 9 times

G. 10 or more times

The next thirteen questions ask about your 

thoughts on tobacco.

63. Do you think smoking cigarettes makes 

young people look cool or fit in? 

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

64. Do you think young people who smoke 

cigarettes have more friends?

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not

 

65. How long do you think someone has to 

smoke before it harms their health?

A. Less than a year

B. 1 year

C. 5 years

D. 10 years

E. 20 years or more

66. How much do you think people harm 

themselves when they smoke a few 

cigarettes every day?

A. No harm

B. Little harm

C. Some harm

D. A lot of harm

67. How much do you think people harm 

themselves when they smoke cigarettes 

some days but not every day?

A. No harm

B. Little harm

C. Some harm

D. A lot of harm 

68. How much do you think people harm 

themselves when they smoke 10 or more 

cigarettes every day?

A. No harm

B. Little harm

C. Some harm

D. A lot of harm 
69. Do you believe that electronic cigarettes or 

e-cigarettes, such as Ruyan or NJOY, are 

(LESS HARMFUL, EQUALLY HARMFUL, 

or MORE HARMFUL) than regular 

cigarettes?

A. Less harmful

B. Equally harmful

C. More harmful

D. I have never heard of electronic 

cigarettes or e-cigarettes

E. I don’t know enough about these 

products

70. How much do you think people harm 

themselves when they use smokeless 

tobacco, such as chewing tobacco, snuff, 

dip, or snus, every day? 

A. No harm

B. Little harm

C. Some harm

D. A lot of harm 

71. How much do you think people harm 

themselves when they use smokeless 

tobacco, such as chewing tobacco, snuff, 

dip, or snus, some days but not every day? 

A. No harm

B. Little harm

C. Some harm

D. A lot of harm 

72. Do you believe that dissolvable tobacco 

products, such as Ariva, Stonewall, Camel 

orbs, Camel sticks, Marlboro sticks, or 

Camel strips are (LESS HARMFUL, 

EQUALLY HARMFUL, or MORE 

HARMFUL) than other smokeless tobacco 

products, such as chewing tobacco, snuff, 

dip, or snus?

A. Less harmful

B. Equally harmful

C. More harmful

D. I have never heard of dissolvable 

tobacco products 

E. I don’t know enough about these 

products

73. How strongly do you agree with the 

statement ‘All tobacco products are 

dangerous’?

A. Strongly agree

B. Agree

C. Disagree

D. Strongly disagree

74. In the past 30 days, how often have you 

thought about the harmful chemicals in 

tobacco products?

A. Never

B. Rarely

C. Sometimes

D. Often

E. Very Often

75. Do you think that breathing smoke from 

other people's cigarettes or other tobacco 

products causes...

A. No harm

B. Little harm

C. Some harm

D. A lot of harm 

The next two questions ask about smoking and 

other tobacco use by students in your grade.

76. Out of every 10 students in your grade at 

school, how many do you think smoke 

cigarettes?

A. 0

B. 1

C. 2

D. 3

E. 4

F. 5

G. 6

H. 7

I. 8

J. 9

K. 10

77. Out of every 10 students in your grade at 

school, how many do you think use tobacco 

products other than cigarettes?

A. 0

B. 1

C. 2

D. 3

E. 4

F. 5

G. 6

H. 7

I. 8

J. 9

K. 10
Some tobacco companies make items like 

sports gear, T-shirts, lighters, hats, jackets, 

sunglasses or other items that people can buy 

or receive for free. 

78. During the past 12 months, did you buy or

receive anything such as a lighter, T-shirt,

hat, sunglasses, that has a tobacco brand

name, logo, or picture on it?

A. Yes

B. No

79. How likely is it that you would ever use or

wear something--such as a lighter, T-shirt,

hat, or sunglasses --that has a tobacco

brand name, logo, or picture on it?

A. Very likely

B. Somewhat likely

C. Somewhat unlikely

D. Very unlikely

The next question asks about smoking and 

other tobacco use by your family. 

80. Does anyone who lives with you now...?

(CHOOSE ALL THAT APPLY).

A. Smoke cigarettes

B. Use smokeless tobacco, such as

chewing tobacco, snuff, dip, or snus

C. Smoke cigars, cigarillos, or little

cigars

D. Use any other form of tobacco

E. No one who lives with me now uses

any form of tobacco

The last question is about your experience at 

home. 

81. During the past 12 months, have your

parents or guardians talked with you, even

once, about not using any type of tobacco

product?

A. Yes

B. No

Thank you very much.
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