National Youth Tobacco Survey (NYTS)

2021 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.

The answers you give will be kept private. 

NO one will know what you answered. 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. Select the squares next to the 

response you choose. 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 survey, 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 30329, ATTN: PRA (0920-0621).
Q_NUM Question Text and Skip Instructions

Location Instruction Universe: all students

Where are you currently taking this survey?

A. In a school building/classroom

B. At home (virtual learning)

C. Some other place

INSTRUCT_1 Instruction Universe: all students

The first five questions ask some background information about you.

1 Question Universe: all students

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 Question Universe: all students

What is your sex? 

A. Male

B. Female

3 Question Universe: all students

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 Question Universe: all students

Are you Hispanic, Latino, Latina, or of Spanish origin? (Select one or more)

A. No, not of Hispanic, Latino, Latina, or Spanish origin → [EXCLUSIVE]

B. Yes, Mexican, Mexican American, Chicano, or Chicana

C. Yes, Puerto Rican

D. Yes, Cuban

E. Yes, Another Hispanic, Latino, Latina, or Spanish origin

5 Question Universe: all students

What race or races do you consider yourself to be? (Select one or more)

A. American Indian or Alaska Native

B. Asian

C. Black or African American

D. Native Hawaiian or Other Pacific Islander

E. White
Q_NUM Question Text and Skip Instructions

INSTRUCT_2 Instruction Universe: all students

The next several sections of questions ask about your use of particular kinds of tobacco products, 

such as e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, roll-your own-cigarettes, 

pipes, snus, dissolvable tobacco, bidis, heated tobacco products, and nicotine pouches.

At the beginning of each section, you will see a brief description and an image showing examples 

of each kind of tobacco product.

INSTRUCT_3 Instruction Universe: all students

The next several questions are about electronic cigarettes or e-cigarettes, such as JUUL, SMOK, 

Suorin, Vuse, blu, Puff Bar, or STIG. You also may know them as vapes, mods, e-cigs, e-hookahs, 

or vape-pens. 

For the rest of this survey, these products and devices will be called e-cigarettes. 

E-cigarettes are battery powered devices that usually contain a nicotine-based liquid that is 

vaporized and inhaled.

6 Question Universe: all students

Have you ever used an e-cigarette, even once or twice? 

A. Yes → [CONTINUE TO Q7]

B. No → [SKIP TO Q29]

[IF Q6 EQ (NA) [Not Answered] → SOFT VALIDATION]

[IF Q6 EQ (NA) → SKIP TO Q9]

7 Question Universe: ever e-cigarette users [known]

How old were you when you first used an e-cigarette, even once or twice? 

A. 8 years old or younger 

B. 9 years old 

C. 10 years old

D. 11 years old

E. 12 years old

F. 13 years old

G. 14 years old

H. 15 years old

I. 16 years old

J. 17 years old

K. 18 years old

L. 19 years old or older

8 Question Universe: ever e-cigarette users [known]

In total, on how many days have you used e-cigarettes in your entire life?

A. 1 day

B. 2 to 10 days

C. 11 to 20 days

D. 21 to 50 days

E. 51 to 100 days

F. Over 100 days
Q_NUM Question Text and Skip Instructions

9 Question Universe: ever e-cigarette users [or unknown]

During the past 30 days, on how many days did you use e-cigarettes?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

IF Q9 EQ (NA) → SOFT VALIDATION

[IF Q6 EQ (NA) AND Q9 EQ (NA) → SKIP TO INSTRUCT_4]

[IF Q6 EQ (NA) AND Q9 EQ (0) → SKIP TO INSTRUCT_4]

[IF Q6 EQ (1) AND Q9 EQ (NA) → CONTINUE TO Q10: show all options]

[IF Q6 EQ (NA) AND Q9 EQ (1-30) → CONTINUE TO Q10: show options A-C 

only]

[IF Q6 EQ (1) AND Q9 EQ (0) → CONTINUE TO Q10: show options D-G only]

[IF Q6 EQ (1) AND Q9 EQ (1-30) → CONTINUE TO Q10: show options A-C only]

10 Question Universe: ever/current e-cigarette users [known]

When was the last time you used an e-cigarette, even one or two times? (Please choose the first 

answer that fits)

A. Earlier today

B. Not today, but sometime during the past 7 days

C. Not during the past 7 days, but sometime during the past 30 days

D. Not during the past 30 days, but sometime during the past 6 months 

E. Not during the past 6 months, but sometime during the past year 

F. 1 to 4 years ago 

G. 5 or more years ago 

[ALL RESPONSES → CONTINUE TO Q11]

11 Question Universe: ever/current e-cigarette users [known]

Why did you first use an e-cigarette? (Select one or more)

A. A friend used them

B. A family member used them

C. To try to quit using other tobacco products, such as cigarettes

D. They cost less than other tobacco products, such as cigarettes

E. They were easier to get than other tobacco products, such as cigarettes

F. I’ve seen people on TV, online, or in movies use them

G. They are less harmful than other forms of tobacco, such as cigarettes

H. They were available in flavors, such as menthol, mint, candy, fruit, or chocolate

I. I could use them unnoticed at home or at school

J. I could use them to do tricks

K. I was curious about them

L. I was feeling anxious, stressed, or depressed

M. To get a high or buzz from nicotine

N. I used them for some other reason (specify: _____________________)

[IF Q11 EQ (NA) AND Q9 EQ (1-30)→ CONTINUE TO Q12]

[IF Q11 EQ (NA) AND Q9 EQ (0 or NA) → SKIP TO Q24]

[IF Q9 EQ (0 or NA) → SKIP TO Q24]

 [ELSE IF Q9 EQ (1-30) → CONTINUE TO Q12]
Q_NUM Question Text and Skip Instructions

12 Question Universe: current e-cigarette users [known]

Why do you currently use e-cigarettes? (Select one or more)

A. A friend uses them

B. A family member uses them 

C. To try to quit using other tobacco products, such as cigarettes

D. They cost less than other tobacco products, such as cigarettes

E. They are easier to get than other tobacco products, such as cigarettes

F. I’ve seen people on TV, online, or in movies use them

G. They are less harmful than other forms of tobacco, such as cigarettes

H. They are available in flavors, such as menthol, mint, candy, fruit, or chocolate

I. I can use them unnoticed at home or at school

J. I can use them to do tricks

K. I am curious about them

L. Because I feel anxious, stressed, or depressed 

M. To get a high or buzz from nicotine

N. I use them for some other reason (specify: _____________________)

13 Question Universe: past 30-day e-cigarette user [known]

Which of the following best describes the type of e-cigarette you have used in the past 30 days? 

If you have used more than one type, please think about the one you use most often.

A. A disposable e-cigarette (for example, Puff Bar or STIG)

B. An e-cigarette that uses pre-filled or refillable pods or cartridges (for example, JUUL, 

SMOK, or Suorin)

C. An e-cigarette with a tank that you refill with liquids (including mod systems that can 

be customized by the user)

D. I don’t know the type

14 Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, what e-cigarette brands did you use? (Select one or more)

A. blu

B. Eonsmoke

C. JUUL

D. Leap

E. Logic

F. Mojo

G. NJOY

H. Posh

I. Puff Bar

J. SMOK (including NOVO)

K. STIG

L. Suorin

M. Vuse

N. Some other brand(s) not listed here (specify): ______________________________

O. Not sure / I don’t know the brand

[IF >1 OPTION SELECTED → CONTINUE TO Q15]

[IF 1 OPTION SELECTED → SKIP TO Q16]

[IF Q14 EQ (NA) → SKIP TO Q16]
Q_NUM Question Text and Skip Instructions

15 Question Universe: past 30-day e-cigarette user reporting >1 brand [known]

During the past 30 days, what brand of e-cigarettes did you usually use? (Choose only one 

answer)

A. I did not use a usual brand

B. blu

C. Eonsmoke

D. JUUL

E. Leap

F. Logic

G. Mojo

H. NJOY

I. Posh

J. Puff Bar

K. SMOK (including NOVO)

L. STIG

M. Suorin

N. Vuse

O. Some other brand not listed here (specify): ____________________________

P. Not sure / I don’t know the brand

[ALL RESPONSES → CONTINUE TO Q16]

16 Question Universe: past 30-day e-cigarette users [known]

Did any of the e-cigarettes that you used in the past 30 days contain nicotine? 

A. Yes

B. No

C. Don’t know

17 Question Universe: past 30-day e-cigarette users [known]

Nicotine salts, or “nic salts”, is a type of nicotine that is found in some e-liquids, pods, and 

cartridges. Did any of the e-cigarettes that you used in the past 30 days contain nicotine salts?

A. Yes

B. No

C. Don’t know

18a Question Universe: past 30-day e-cigarette user [known] 

Were any of the e-cigarettes that you used in the past 30 days flavored to taste like menthol, 

mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18a EQ (1) → CONTINUE TO Q19a] 

[IF Q18a EQ (NA) → SKIP TO Q20a]

[ELSE → SKIP TO Q20a]

19a Question Universe: past 30-day users of flavored e-cigarettes

What flavors were the e-cigarettes that you have used in the past 30 days? (Select one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20a]
Q_NUM Question Text and Skip Instructions

20a Question Universe: past 30-day e-cigarette user [known] 

During the past 30 days, how did you get your e-cigarette devices, pods, cartridges, or e-liquid 

refills? (Select one or more)

A. I bought them myself 

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES → CONTINUE TO Q21a]

21a Question Universe: past 30-day e-cigarette user [known] 

During the past 30 days, where did you buy your e-cigarette devices, pods, cartridges, or e-liquid 

refills? (Select one or more)

A. I did not buy e-cigarettes during the past 30 days → [EXCLUSIVE RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product website or store website like eBay or Facebook 

Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify):_______________________________

[IF [((Q20a_B EQ (1)) OR (Q20a_C EQ (1)) OR (Q20a_D EQ (1)) OR (Q20a_E EQ 

(1)) OR (Q20a_F EQ (1)) OR Q21a_B EQ (1))] → CONTINUE TO Q22]

[ELSE IF Q20a EQ (NA) → SKIP TO Q24]

[ELSE → SKIP TO Q24]

22 Question Universe: past 30-day e-cigarette user (who got a product from someone else) 

Earlier you answered that you got or bought your e-cigarette devices, pods, cartridges, or e-liquid 

refills from another person, such as a friend or family member during the past 30 days. How old 

was this person? 

A. Younger than 18 years old

B. 18 years old

C. 19 years old

D. 20 years old

E. 21 years old or older

F. I don’t know

23 Question Universe: past 30-day e-cigarette user (who got a product from someone else) 

During the past 30 days, which of the following e-cigarette product(s) did you get or buy from 

another person? (Select one or more)

A. A new e-cigarette device (including disposable devices)

B. A pod, cartridge, or e-liquid refill

C. A hit or a drag from another person’s e-cigarette device 

D. Something else (specify:___________________________________________) 
Q_NUM Question Text and Skip Instructions

24 Question Universe: ever e-cigarette user [known] 

Have you ever purchased an e-cigarette device (including disposable devices), pod, cartridge, 

single hit, or e-liquid refill while at school or on school property? 

A. Yes

B. No

[IF Q24 EQ (NA) AND Q9 EQ (0 or NA) →SKIP TO INSTRUCT_4]

[IF Q24 IN (1,2) AND Q9 EQ (0 or NA) → SKIP TO INSTRUCT_4]

[ELSE IF Q9 EQ (1-30) → CONTINUE TO Q25]

25 Question Universe: past 30-day e-cigarette user [known] 

During the past 30 days, how often did you use someone else’s e-cigarette device? 

A. Never

B. Rarely

C. Sometimes

D. Most of the Time

E. Always

26 Question Universe: past 30-day users of e-cigarettes [known]

Are you seriously thinking about quitting e-cigarettes? (Please choose the first answer that fits)

A. Yes, during the next 30 days

B. Yes, during the next 6 months

C. Yes, during the next 12 months

D. Yes, but not during the next 12 months

E. No, I am not thinking about quitting e-cigarettes

27 Question Universe: past 30-day users of e-cigarettes [known]

During the past 12 months, how many times have you stopped using e-cigarettes for one day or 

longer because you were trying to quit using e-cigarettes for good?

A. I did not try to quit during the past 12 months → [SKIP TO INSTRUCT_4]

B. 1 time

C. 2 times

D. 3 to 5 times

E. 6 to 9 times

F. 10 or more times

[IF Q27 EQ (2,3,4,5,6) → CONTINUE TO Q28]

[IF Q27 EQ (NA) → SKIP TO INSTRUCT_4]

28 Question Universe: e-cigarette users who reported ≥1 quit attempt in past 12 months [known]

When you tried to quit using e-cigarettes, did you use any of the following? (Select one or more)

A. I did not use any resources → [EXCLUSIVE]

B. Help or advice from a parent or caregiver

C. Help or advice from a friend or peer

D. Help or advice from a teacher or coach

E. Help, advice, or counseling from a doctor or health care provider

F. Treatment from a hospital, medical center, or some other facility

G. Help or advice you found on the Internet

H. A mobile app or texting program

I. A telephone helpline or Quitline

J. Something else (specify): ______________________________________

[ALL RESPONSES → SKIP TO INSTRUCT_4]

IF Q28 EQ (NA) → SKIP TO INSTRUCT_4]
Q_NUM Question Text and Skip Instructions

29 Question Universe: never e-cigarette users [known]

Have you ever been curious about using an e-cigarette? 

A. Definitely yes 

B. Probably yes

C. Probably not

D. Definitely not

30 Question Universe: never e-cigarette users [known]

Do you think that you will try an e-cigarette soon? 

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not

31 Question Universe: never e-cigarette users [known]

Do you think you will use an e-cigarette in the next year?

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

32 Question Universe: never e-cigarette users [known]

If one of your best friends were to offer you an e-cigarette, would you use it? 

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not

[ALL RESPONSES CONTINUE TO INSTRUCT_4]

INSTRUCT_4 Instruction Universe: all students

The next questions ask about other substances that could be vaped. 

33 Question Universe: all students

Have you ever vaped any of the following substances (even once)? 

Yes No Don’t Know

A. Marijuana (also called pot, weed, or cannabis), including 

THC, THC concentrates, hash oil, or waxes

A B C

B. CBD or CBD oils A B C

C. Synthetic marijuana or cannabinoids, such as K2 or Spice A B C

D. Another substance Specify):________________ A B C

[IF Q33A EQ (2) AND Q33B EQ (2) AND Q33C EQ (2) AND Q33D EQ (2) → SKIP TO 

INSTRUCT_5]

[ELSE IF Q33A EQ (1,3) OR Q33B EQ (1,3) OR Q33C EQ (1,3) OR Q33D EQ (1,3) →

CONTINUE TO Q34]

[ELSE IF Q33A EQ (NA) AND Q33B EQ (NA) AND Q33C EQ (NA) AND Q33D EQ (NA) →

CONTINUE TO Q34]
Q_NUM Question Text and Skip Instructions

34 Question Universe: all students

Have you vaped any of the following substances during the past 30 days?

Yes No Don’t Know

[SHOW IF Q33A EQ (1, 3)]: 

A. Marijuana (also called pot, weed, or cannabis), including 

THC, THC concentrates, hash oil, or waxes

A B C

[SHOW IF Q33B EQ (1, 3)]: 

B. CBD or CBD oils 

A B C

[SHOW IF Q33C EQ (1, 3)]: 

C. Synthetic marijuana or cannabinoids, such as K2 or Spice

A B C

[SHOW IF Q33D EQ (1, 3)]: 

D. Another substance (Specify):_________________

A B C

[ALL RESPONSES CONTINUE TO INSTRUCT_5]

INSTRUCT_5 Instruction Universe: all students

The next several questions are about smoking cigarettes (ones that have to be lit and burned).

35 Question Universe: all students

Have you ever smoked a cigarette, even one or two puffs? 

A. Yes → [CONTINUE TO Q36]

B. No → [SKIP TO Q47]

[IF Q35 EQ (NA) → SOFT VALIDATION]

[IF Q35 EQ (NA) → SKIP TO Q38]

36 Question Universe: ever cigarette smokers [known]

How old were you when you first smoked a cigarette, even one or two puffs?

A. 8 years old or younger 

B. 9 years old

C. 10 years old

D. 11 years old

E. 12 years old

F. 13 years old

G. 14 years old

H. 15 years old

I. 16 years old

J. 17 years old

K. 18 years old

L. 19 years old or older

37 Question Universe: ever cigarette smokers [known]

About how many cigarettes have you smoked in your entire life?

A. 1 or more puffs but never a whole cigarette

B. 1 cigarette

C. 2 to 5 cigarettes

D. 6 to 15 cigarettes (about 1/2 a pack total)

E. 16 to 25 cigarettes (about 1 pack total)

F. 26 to 99 cigarettes (more than 1 pack, but less than 5 packs)

G. 100 or more cigarettes (5 or more packs)
Q_NUM Question Text and Skip Instructions

38 Question Universe: ever cigarette smokers [or unknown]

During the past 30 days, on how many days did you smoke cigarettes? 

Specify: |__|__| (Range: 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q38 EQ (NA) –SOFT VALIDATION

[IF Q35 EQ (NA) AND Q38 EQ (NA) → SKIP TO INSTRUCT_6]

[IF Q35 EQ (NA) AND Q38 EQ (0) → SKIP TO INSTRUCT_6]

[IF Q35 EQ (NA) AND Q38 EQ (1-30) → CONTINUE TO Q39: show options A-C 

only]

[IF Q35 EQ (1) AND Q38 EQ (NA) → CONTINUE TO Q39: show all options]

[ELSE, IF Q35 EQ (1) AND Q38 EQ (0) → CONTINUE TO Q39: show options D-G 

only]

[ELSE, IF Q35 EQ (1) AND Q38 EQ (1-30) → CONTINUE TO Q39: show options 

A-C only]

39 Question Universe: ever/current cigarette smokers [known]

When was the last time you smoked a cigarette, even one or two puffs? (Please choose the first 

answer that fits)

A. Earlier today 

B. Not today but sometime during the past 7 days

C. Not during the past 7 days but sometime during the past 30 days

D. Not during the past 30 days but sometime during the past 6 months 

E. Not during the past 6 months but sometime during the past year 

F. 1 to 4 years ago 

G. 5 or more years ago 

[IF Q38 EQ (NA) → GO TO INSTRUCT_6]

[IF Q38 EQ (0) → GO TO INSTRUCT_6]

[ELSE IF Q38 EQ (1-30) → CONTINUE TO Q40]

40 Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, on the days you smoked, about how many cigarettes did you smoke 

per day? A pack usually has 20 cigarettes in it. 

A. Less than 1 cigarette per day

B. 1 cigarette per day

C. 2 to 5 cigarettes per day

D. 6 to 10 cigarettes per day

E. 11 to 20 cigarettes per day

F. More than 20 cigarettes per day
Q_NUM Question Text and Skip Instructions

41 Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, what brands of cigarettes did you smoke? (Select one or more)

A. American Spirit

B. Camel

C. GPC, Basic, or Doral

D. Kool

E. Marlboro

F. Maverick

G. Newport

H. L&M

I. Pall Mall

J. Parliament

K. Winston

L. Some other brand not listed here (Please specify: _____________________)

M. Not sure / I don’t know the brand

[IF >1 OPTION SELECTED → CONTINUE TO Q42]

[IF 1 OPTION SELECTED → SKIP TO Q43]

[IF Q41 EQ (NA) → SKIP TO Q43]

42 Question Universe: past 30-day cigarette smokers reporting more than 1 brand [known]

During the past 30 days, what brand of cigarettes did you usually smoke? (Choose only one 

answer)

A. I did not smoke a usual brand

B. American Spirit

C. Camel

D. GPC, Basic, or Doral

E. Kool

F. Marlboro

G. Maverick

H. Newport

I. L&M

J. Pall Mall

K. Parliament

L. Winston

M. Some other brand not listed here (Please specify: _____________________)

N. Not sure / I don’t know the brand

43 Question Universe: past 30-day cigarette smokers [known]

Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes 

that you usually smoked menthol?

A. Yes

B. No

C. Not sure

20b Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, how did you get your cigarettes? (Select one or more)

A. I bought them myself 

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: __________________________________)

[ALL RESPONSES CONTINUE TO Q21b]
Q_NUM Question Text and Skip Instructions

21b Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, where did you buy your cigarettes? (Select one or more)

A. I did not buy cigarettes during the past 30 days → [EXCLUSIVE RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay or Facebook Marketplace) 

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): _______________________________

[IF [((Q20b_B EQ (1)) OR (Q20b_C EQ (1)) OR (Q20b_D EQ (1)) OR (Q20b_E EQ 

(1)) OR (Q20b_F EQ (1)) OR Q21b_B EQ (1))] → CONTINUE TO Q44]

[ELSE IF Q20b EQ (NA) → SKIP TO Q45]

[ELSE → SKIP TO Q45]

44 Question Universe: past 30-day cigarette user (who got a product from someone else) 

Earlier you mentioned that you got or bought your cigarettes from another person, such as a friend 

or family member during the past 30 days. How old was this person? 

A. Younger than 18 years old

B. 18 years old

C. 19 years old

D. 20 years old

E. 21 years old or older

F. I don’t know

45 Question Universe: past 30-day users of cigarettes [known]

Are you seriously thinking about quitting cigarettes? (Please choose the first answer that fits)

A. Yes, during the next 30 days

B. Yes, during the next 6 months

C. Yes, during the next 12 months

D. Yes, but not during the next 12 months

E. No, I am not thinking about quitting cigarettes

46 Question Universe: past 30-day users of cigarettes [known]

During the past 12 months, how many times have you stopped smoking cigarettes for one day 

or longer because you were trying to quit smoking cigarettes for good?

A. I did not try to quit during the past 12 months

B. 1 time

C. 2 times

D. 3 to 5 times

E. 6 to 9 times

F. 10 or more times

[ALL RESPONSES → SKIP TO INSTRUCT_6]

[IF Q46 EQ (NA) → SKIP TO INSTRUCT_6]

47 Question Universe: never cigarette smokers [known]

Have you ever been curious about smoking a cigarette? 

A. Definitely yes 

B. Probably yes

C. Probably not

D. Definitely not
Q_NUM Question Text and Skip Instructions

48 Question Universe: never cigarette smokers [known]

Do you think that you will try a cigarette soon? 

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not

49 Question Universe: never cigarette smokers [known]

Do you think you will smoke a cigarette in the next year?

A. Definitely yes 

B. Probably yes 

C. Probably not 

D. Definitely not 

50 Question Universe: never cigarette smokers [known]

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

INSTRUCT_6 Instruction Universe: all students

The next several questions are about the use of cigars, cigarillos, or little cigars such as Swisher 

Sweets, Black and Mild, Garcia y Vega, Cheyenne, White Owl, or Dutch Masters.

51 Question Universe: all students

Have you ever smoked a cigar, cigarillo, or little cigar, even one or two puffs? 

A. Yes → [CONTINUE TO Q52]

B. No → [SKIP TO Q57]

[IF Q51 EQ (NA) → SOFT VALIDATION]

 [IF Q51 EQ (NA) → SKIP TO Q53]

52 Question Universe: ever cigar smokers [known]

How old were you when you first smoked a cigar, cigarillo, or little cigar, even one or two puffs? 

A. 8 years old or younger 

B. 9 years old 

C. 10 years old

D. 11 years old

E. 12 years old

F. 13 years old

G. 14 years old

H. 15 years old

I. 16 years old

J. 17 years old

K. 18 years old

L. 19 years old or older
Q_NUM Question Text and Skip Instructions

53 Question Universe: ever cigar smokers [or unknown]

During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars? 

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q53 EQ (NA) – SOFT VALIDATION

[IF Q51 EQ (1) AND Q53 EQ (0) → SKIP TO INSTRUCT_7]

[IF Q51 EQ (NA) AND Q53 EQ (NA) → SKIP TO INSTRUCT_7]

[IF Q51 EQ (NA) AND Q53 EQ (0) → SKIP TO INSTRUCT_7]

[IF Q51 EQ (NA) AND Q53 EQ (1-30) → CONTINUE TO Q54]

[IF Q51 EQ (1) AND Q53 EQ (1-30) → CONTINUE TO Q54]

[IF Q51 EQ (1) AND Q53 EQ (NA) → SKIP TO INSTRUCT_7]

54 Question Universe: past 30-day cigar smokers [known]

During the past 30 days, on the days that you smoked, about how many cigars, cigarillos, or 

little cigars did you smoke per day? 

A. Less than 1 cigar, cigarillo, or little cigar per day

B. 1 per day

C. 2 to 5 per day

D. 6 to 10 per day

E. 11 to 20 per day

F. More than 20 per day

55 Question Universe: past 30-day cigar smokers [known]

During the past 30 days, which of the following types of cigars have you smoked? (Select one or 

more)

A. Regular cigars

B. Cigarillos

C. Little Cigars

D. Don’t Know → [EXCLUSIVE]

18b Question Universe: past 30-day cigar user [known] 

Were any of the cigars, cigarillos, or little cigars that you used in the past 30 days flavored to taste 

like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor?

A. Yes

B. No

C. Don’t Know

[IF Q18b EQ (1) → CONTINUE TO Q19b] 

[IF Q18b EQ (NA) → SKIP TO Q20c]

[ELSE → SKIP TO Q20c]
Q_NUM Question Text and Skip Instructions

19b Question Universe: past 30-day users of flavored cigars

What flavors were the cigars, cigarillos, or little cigars that you have used in the past 30 days? 

(Select one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES CONTINUE TO Q20c]

20c Question Universe: past 30-day cigar smokers [known]

During the past 30 days, how did you get your cigars, cigarillos, or little cigars? (Select one or 

more)

A. I bought them myself

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21c]

21c Question Universe: past 30-day cigar smokers [known]

During the past 30 days, where did you buy your cigars, cigarillos, or little cigars? (Select one or 

more)

A. I did not buy cigars, cigarillos, or little cigars during the past 30 days → [EXCLUSIVE 

RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): ________________________________

[IF [((Q20c_B EQ (1)) OR (Q20c_C EQ (1)) OR (Q20c_D EQ (1)) OR (Q20c_E EQ 

(1)) OR (Q20c_F EQ (1)) OR Q21c_B EQ (1))] → CONTINUE TO Q56]

[ELSE IF Q20c EQ (NA) → SKIP TO INSTRUCT_7]

[ELSE → SKIP TO INSTRUCT_7]
Q_NUM Question Text and Skip Instructions

56 Question Universe: past 30-day cigar user (who got a product from someone else) 

Earlier you mentioned that you got or bought your cigars, cigarillos, or little cigars from another 

person, such as a friend or family member during the past 30 days. How old was this person? 

A. Younger than 18 years old

B. 18 years old

C. 19 years old

D. 20 years old

E. 21 years old or older

F. I don’t know

[ALL RESPONSES → SKIP TO INSTRUCT_7]

[IF Q56 EQ (NA) → SKIP TO INSTRUCT_7]

57 Question Universe: never cigar smokers [known]

Have you ever been curious about smoking a cigar, cigarillo, or little cigar?

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not

58 Question Universe: never cigar smokers [known]

Do you think you will try a cigar, cigarillo, or little cigar soon? 

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not

59 Question Universe: never cigar smokers [known]

Do you think you will smoke a cigar, cigarillo, or little cigar in the next year?

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not

60 Question Universe: never cigar smokers [known]

If one of your best friends were to offer you a cigar, cigarillo, or little cigar, would you smoke it? 

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not

INSTRUCT_7 Instruction Universe: all students

The next question asks about marijuana use in cigars, cigarillos, or little cigars. Sometimes people 

take the tobacco out of a cigar, cigarillo, or little cigar and replace it with marijuana (also called 

pot, weed, or cannabis). This is sometimes called a blunt.

61 Question Universe: all students

Have you ever smoked part or all of a cigar, cigarillo, or little cigar with marijuana in it? 

A. Yes

B. No

INSTRUCT_8 Instruction Universe: all students

The next several questions are about the use of chewing tobacco, snuff, or dip, such as 

Copenhagen, Grizzly, Skoal, or Longhorn. 

Do not think about snus or dissolvable tobacco products when you answer these 

questions. 
Q_NUM Question Text and Skip Instructions

62 Question Universe: all students

Have you ever used chewing tobacco, snuff, or dip, even just a small amount? 

A. Yes → [CONTINUE TO Q63]

B. No → [SKIP TO Q66]

 [IF Q62 EQ (NA) – SOFT VALIDATION]

 [IF Q62 EQ (NA) → SKIP TO Q64]

63 Question Universe: ever smokeless tobacco users [known]

How old were you when you first used chewing tobacco, snuff, or dip, even just a small amount? 

A. 8 years old or younger 

B. 9 years old 

C. 10 years old

D. 11 years old

E. 12 years old

F. 13 years old

G. 14 years old

H. 15 years old

I. 16 years old

J. 17 years old

K. 18 years old

L. 19 years old or older

64 Question Universe: ever smokeless tobacco users [or unknown]

During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip? 

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q64 EQ (NA) → SOFT VALIDATION]

[IF Q64 EQ (0, NA) → SKIP TO INSTRUCT_9]

[ELSE IF Q64 EQ (1-30) CONTINUE TO Q18c]

18c Question Universe: past 30-day smokeless tobacco user [known] 

Was any of the chewing tobacco, snuff, or dip that you used in the past 30 days flavored to taste 

like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18c EQ (1) → CONTINUE TO Q19c] 

[IF Q18c EQ (NA) → SKIP TO Q20d]

[ELSE → SKIP TO Q20d]

19c Question Universe: past 30-day users of flavored smokeless tobacco

What flavors was the chewing tobacco, snuff, or dip that you have used in the past 30 days? 

(Select one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE Q20d]
Q_NUM Question Text and Skip Instructions

20d Question Universe: past 30-day smokeless tobacco user [known]

During the past 30 days, how did you get your chewing tobacco, snuff, or dip? (Select one or 

more)

A. I bought it myself 

B. I had someone else buy it for me

C. I asked someone to give me some

D. Someone offered it to me

E. I got it from a friend

F. I got it from a family member

G. I took it from a store or another person

H. I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21d]

21d Question Universe: past 30-day smokeless tobacco user [known]

During the past 30 days, where did you buy your chewing tobacco, snuff, or dip? (Select one or 

more)

A. I did not buy chewing tobacco, snuff, or dip during the past 30 days → [EXCLUSIVE 

RESPONSE]

B. I bought it from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify):________________________________

[IF [((Q20d_B EQ (1)) OR (Q20d_C EQ (1)) OR (Q20d_D EQ (1)) OR (Q20d_E EQ 

(1)) OR (Q20d_F EQ (1)) OR Q21d_B EQ (1))] → CONTINUE TO Q65]

[ELSE IF Q20d EQ (NA) → SKIP TO INSTRUCT_9]

[ELSE → SKIP TO INSTRUCT_9]

65 Question Universe: past 30-day smokeless tobacco user (who got a product from someone else) 

Earlier you mentioned that you got or bought your chewing tobacco, snuff, or dip from another 

person, such as a friend or family member. How old was this person? 

A. Younger than 18 years old

B. 18 years old

C. 19 years old

D. 20 years old

E. 21 years old or older

F. I don’t know

[ALL RESPONSES → SKIP TO INSTRUCT_9]

[IF Q65 EQ (NA) → SKIP TO INSTRUCT_9]

66 Question Universe: never smokeless tobacco product users [known]

Have you ever been curious about using chewing tobacco, snuff, or dip?

A. Definitely yes

B. Probably yes

C. Probably not

D. Definitely not
Q_NUM Question Text and Skip Instructions

INSTRUCT_9 Instruction Universe: all students

The next several questions are about smoking tobacco in a hookah, which is a type of waterpipe. 

Shisha (or hookah tobacco) is smoked in a hookah. 

67 Question Universe: all students

Have you ever smoked tobacco in a hookah or waterpipe, even one or two puffs?

A. Yes → [CONTINUE TO Q68]

B. No → [SKIP TO Q72]

[IF Q67 EQ (NA) – SOFT VALIDATION]

[IF Q67 EQ (NA) → SKIP TO Q69] 

68 Question Universe: ever hookah users [known]

How old were you when you first smoked tobacco in a hookah or waterpipe, even one or two 

puffs?

A. 8 years old or younger 

B. 9 years old 

C. 10 years old

D. 11 years old

E. 12 years old

F. 13 years old

G. 14 years old

H. 15 years old

I. 16 years old

J. 17 years old

K. 18 years old

L. 19 years old or older

69 Question Universe: ever hookah users [or unknown]

During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q69 EQ (NA) → SOFT VALIDATION]

[IF Q67 EQ (1) AND Q69 EQ (0) → SKIP TO INSTRUCT_10]

[IF Q67 EQ (NA) AND Q69 EQ (NA) → SKIP TO INSTRUCT_10]

[IF Q67 EQ (1) AND Q69 EQ (NA) → SKIP TO INSTRUCT_10]

[IF Q67 EQ (NA) AND Q69 EQ (0) → SKIP TO INSTRUCT_10]

[IF Q67 EQ (NA) AND Q69 EQ (1-30) → CONTINUE TO Q70]

[IF Q67 EQ (1) AND Q69 EQ (1-30) → CONTINUE TO Q70]

70 Question Universe: past 30-day hookah users [known]

During the past 30 days, where did you smoke tobacco in a hookah or waterpipe? (Select one or 

more) 

A. At my house

B. At a friend’s house

C. At a family member’s house, other than my house

D. At a hookah bar

E. At a café or restaurant

F. Some other place not listed here
Q_NUM Question Text and Skip Instructions

18d Question Universe: past 30-day hookah user [known] 

Was any of the tobacco in a hookah or waterpipe that you used in the past 30 days flavored to 

taste like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other 

flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18d EQ (1) → CONTINUE TO Q19d] 

[IF Q18d EQ (NA) → SKIP TO Q20e]

[ELSE → SKIP TO Q20e]

19d Question Universe: past 30-day users of flavored hookah tobacco 

What flavors was the tobacco in a hookah or waterpipe that you have used in the past 30 days? 

(Select one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20e]

20e Question Universe: past 30-day hookah user [known]

During the past 30 days, how did you get your hookah tobacco? (Select one or more)

A. I bought it myself 

B. I had someone else buy it for me

C. I asked someone to give me some

D. Someone offered it to me

E. I got it from a friend

F. I got it from a family member

G. I took it from a store or another person

H. I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21e]

21e Question Universe: past 30-day hookah user [known]

During the past 30 days, where did you buy your hookah tobacco? (Select one or more)

A. I did not buy hookah tobacco during the past 30 days → [EXCLUSIVE RESPONSE]

B. I bought it from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): ________________________________

[IF [((Q20e_B EQ (1)) OR (Q20e_C EQ (1)) OR (Q20e_D EQ (1)) OR (Q20e_E EQ 

(1)) OR (Q20e_F EQ (1)) OR Q21e_B EQ (1))] → CONTINUE TO Q71]

[ELSE IF Q20e EQ (NA) → SKIP TO INSTRUCT_10]

[ELSE → SKIP TO INSTRUCT_10]
Q_NUM Question Text and Skip Instructions

71 Question Universe: past 30-day hookah user (who got a product from someone else) 

Earlier you mentioned that you got or bought your hookah tobacco from another person, such as a 

friend or family member. How old was this person? 

A. Younger than 18 years old

B. 18 years old

C. 19 years old

D. 20 years old

E. 21 years old or older

F. I don’t know

[ALL RESPONSES → SKIP TO INSTRUCT_10]

[IF Q71 EQ (NA) → SKIP TO INSTRUCT_10]

72 Question Universe: never hookah users [known]

Have you ever been curious about smoking tobacco in a hookah or waterpipe?

A. Definitely yes 

B. Probably yes

C. Probably not

D. Definitely not

INSTRUCT_10 Instruction Universe: all students

The next several sections are about the use of other tobacco products, not described in the 

previous sections.

INSTRUCT_11 Instruction Universe: all students

The next few questions are about roll-your-own cigarettes. 

Do not think about manufactured cigarettes when answering these questions.

73 Question Universe: all students

Have you ever smoked roll-your-own cigarettes, even just one time? 

A. Yes →[CONTINUE TO Q74]

B. No → [SKIP TO INSTRUCT_12]

[IF Q73 EQ (NA) →SOFT VALIDATION]

[IF Q73 EQ (NA) → CONTINUE TO Q74]

74 Question Universe: ever users of roll-your-own tobacco products [or unknown]

During the past 30 days, on how many days did you smoke roll-your-own cigarettes?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q74 EQ (NA) → SOFT VALIDATION]

[IF Q74 EQ (1-30) → CONTINUE TO Q18i]

[ELSE IF Q74 EQ (NA) → SKIP TO INSTRUCT_12]

[ELSE IF Q74 EQ (0) → SKIP TO INSTRUCT_12]
Q_NUM Question Text and Skip Instructions

18i Question Universe: past 30-day roll-your-own user [known] 

Were any of the roll-your-own cigarettes that you used in the past 30 days flavored to taste like 

menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18i EQ (1) → CONTINUE TO Q19i] 

[IF Q18i EQ (NA) → SKIP TO Q20j]

[ELSE → SKIP TO Q20j]

19i Question Universe: past 30-day users of flavored roll-your-own cigarettes 

What flavors were the roll-your-own cigarettes that you have used in the past 30 days? (Select 

one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20j]

20j Question Universe: past 30-day roll-your-own user [known]

During the past 30 days, how did you get your roll-your-own cigarettes? (Select one or more)

A. I bought them myself 

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: __________________________________)

[ALL RESPONSES CONTINUE TO Q21j]

21j Question Universe: past 30-day roll-your-own user [known]

During the past 30 days, where did you buy your roll-your-own cigarettes? (Select one or more)

A. I did not buy roll-your-own cigarettes during the past 30 days → [EXCLUSIVE 

RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): ________________________________
Q_NUM Question Text and Skip Instructions

INSTRUCT_12 Instruction Universe: all students

The next few questions are about smoking tobacco in a pipe. 

Do not think about smoking tobacco in a hookah (waterpipe) when answering these 

questions. 

75 Question Universe: all students

Have you ever smoked pipes filled with tobacco (not hookah or waterpipe), even just one time? 

A. Yes → [CONTINUE TO Q76]

B. No → [SKIP TO INSTRUCT_13]

[IF Q75 EQ (NA) → SOFT VALIDATION]

[IF Q75 EQ (NA) → CONTINUE TO Q76]

76 Question Universe: ever users of pipes [or unknown]

During the past 30 days, on how many days did you smoke pipes filled with tobacco?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q76 EQ (NA) – SOFT VALIDATION]

[IF Q76 EQ (1-30) → CONTINUE TO Q18e]

[ELSE IF Q76 EQ (NA) → SKIP TO INSTRUCT_13]

[ELSE IF Q76 EQ (0) → SKIP TO INSTRUCT_13]

18e Question Universe: past 30-day pipe tobacco user [known] 

Were any of the pipes filled with tobacco that you used in the past 30 days flavored to taste like 

menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18e EQ (1) → CONTINUE TO Q19e] 

[IF Q18e EQ (NA) → SKIP TO Q20f]

[ELSE → SKIP TO Q20f]

19e Question Universe: past 30-day users of flavored pipe tobacco 

What flavors were the pipes filled with tobacco that you have used in the past 30 days? (Select 

one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20f]
Q_NUM Question Text and Skip Instructions

20f Question Universe: past 30-day pipe tobacco user [known]

During the past 30 days, how did you get your pipe tobacco? (Select one or more)

A. I bought it myself

B. I had someone else buy it for me

C. I asked someone to give me some

D. Someone offered it to me

E. I got it from a friend

F. I got it from a family member

G. I took it from a store or another person

H. I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21f]

21f Question Universe: past 30-day pipe tobacco user [known]

During the past 30 days, where did you buy your pipe tobacco? (Select one or more)

A. I did not buy pipe tobacco during the past 30 days → [EXCLUSIVE RESPONSE]

B. I bought it from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): _________________________________

INSTRUCT_13 Instruction Universe: all students

The next few questions are about snus, such as Camel Snus, Marlboro Snus, or General Snus. 

Snus is a type of smokeless tobacco that comes in a small pouch that you put under your lip.

Do not think about other forms of smokeless tobacco, such as chewing tobacco, snuff, dip, 

or dissolvable tobacco products when answering these questions. 

77 Question Universe: all students

Have you ever used snus, even just one time? 

A. Yes → [CONTINUE TO Q78] 

B. No → [SKIP TO INSTRUCT_14]

[IF Q77 EQ (NA) → SOFT VALIDATION]

[IF Q77 EQ (NA) → CONTINUE TO Q78]

78 Question Universe: ever users of snus [or unknown]

During the past 30 days, on how many days did you use snus?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q78 EQ (NA) → SOFT VALIDATION]

[IF Q78 EQ (1-30) → CONTINUE TO Q18f]

[ELSE IF Q78 EQ (NA) → SKIP TO INSTRUCT_14]

[ELSE IF Q78 EQ (0) → SKIP TO INSTRUCT_14]
Q_NUM Question Text and Skip Instructions

18f Question Universe: past 30-day snus user [known] 

Was any of the snus that you used in the past 30 days flavored to taste like menthol, mint, clove 

or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18f EQ (1) → CONTINUE TO Q19f]

[IF Q18f EQ (NA) → SKIP TO Q20g] 

[ELSE → SKIP TO Q20g]

19f Question Universe: past 30-day users of flavored snus 

What flavors was the snus that you have used in the past 30 days? (Select one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20g]

20g Question Universe: past 30-day snus user [known]

During the past 30 days, how did you get your snus? (Select one or more)

A. I bought it myself

B. I had someone else buy it for me

C. I asked someone to give me some

D. Someone offered it to me

E. I got it from a friend

F. I got it from a family member

G. I took it from a store or another person

H. I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21g]

21g Question Universe: past 30-day snus user [known]

During the past 30 days, where did you buy your snus? (Select one or more)

A. I did not buy snus during the past 30 days → [EXCLUSIVE RESPONSE]

B. I bought it from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): ______________________________
Q_NUM Question Text and Skip Instructions

INSTRUCT_14 Instruction Universe: all students

The next few questions are about dissolvable tobacco products, such as Ariva, Stonewall, Camel 

Orbs, Camel Sticks, Camel Strips, or Marlboro Orbs. Dissolvable tobacco products are made of 

finely ground flavored tobacco that dissolves in your mouth. They may come in a variety of 

shapes. 

Do not think about other forms of smokeless tobacco, such as chewing tobacco, snuff, dip, 

or snus when answering these questions. 

79 Question Universe: all students

Have you ever used dissolvable tobacco products, even just one time? 

A. Yes → [CONTINUE TO Q80] 

B. No → [SKIP TO INSTRUCT_15]

[IF Q79 EQ (NA) → SOFT VALIDATION]

[IF Q79 EQ (NA) → CONTINUE TO Q80]

80 Question Universe: ever users of dissolvable tobacco products [or unknown]

During the past 30 days, on how many days did you use dissolvable tobacco products? 

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q80 EQ (NA) → SOFT VALIDATION]

[IF Q80 EQ (1-30) → CONTINUE TO Q18g]

[ELSE IF Q80 EQ (NA) → SKIP TO INSTRUCT_15]

[ELSE IF Q80 EQ (0) → SKIP TO INSTRUCT_15]

18g Question Universe: past 30-day dissolvable tobacco user [known] 

Were any of the dissolvable tobacco products that you used in the past 30 days flavored to taste 

like menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18g EQ (1) → CONTINUE TO Q19g]

IF Q18g EQ (NA) → SKIP TO Q20h] 

[ELSE → SKIP TO Q20h]

19g Question Universe: past 30-day users of flavored dissolvable tobacco products

What flavors were the dissolvable tobacco products that you have used in the past 30 days? 

(Select one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20h]
Q_NUM Question Text and Skip Instructions

20h Question Universe: past 30-day dissolvable tobacco user [known]

During the past 30 days, how did you get your dissolvable tobacco products? (Select one or 

more)

A. I bought them myself

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21h]

21h Question Universe: past 30-day dissolvable tobacco user [known]

During the past 30 days, where did you buy your dissolvable tobacco products? (Select one or 

more)

A. I did not buy dissolvable tobacco products during the past 30 days → [EXCLUSIVE 

RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a website or a secondary source, like eBay or Facebook 

marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): _________________________________

INSTRUCT_15 Instruction Universe: all students

The next few questions are about bidis. Bidis are small brown cigarettes wrapped in a leaf that are 

typically tied on one or both ends with a string. 

81 Question Universe: all students

Have you ever smoked bidis, even just one time? 

A. Yes → [CONTINUE TO Q82] 

B. No → [SKIP TO INSTRUCT_16]

[IF Q81 EQ (NA) → SOFT VALIDATION]

[IF Q81 EQ (NA) → CONTINUE TO 82]

82 Question Universe: ever users of bidis [or unknown]

During the past 30 days, on how many days did you smoke bidis? 

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q82 EQ (NA) → SOFT VALIDATION]

[IF Q82 EQ (1-30) → CONTINUE TO Q18h]

[ELSE IF Q82 EQ (NA) → SKIP TO INSTRUCT_16]

[ELSE IF Q82 EQ (0) → SKIP TO INSTRUCT_16]
Q_NUM Question Text and Skip Instructions

18h Question Universe: past 30-day bidis user [known] 

Were any of the bidis that you used in the past 30 days flavored to taste like menthol, mint, clove 

or spice, alcoholic drinks, candy, fruit, chocolate or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18h EQ (1) → CONTINUE TO Q19h]

[IF Q18h EQ (NA) → SKIP TO Q20i]

[ELSE → SKIP TO Q20i]

19h Question Universe: past 30-day users of flavored bidis 

What flavors were the bidis that you have used in the past 30 days? (Select one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO 20i]

20i Question Universe: past 30-day bidis user [known]

During the past 30 days, how did you get your bidis? (Select one or more)

A. I bought them myself

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21i]

21i Question Universe: past 30-day bidis user [known]

During the past 30 days, where did you buy your bidis? (Select one or more)

A. I did not buy bidis during the past 30 days → [EXCLUSIVE RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): ________________________________

[ALL RESPONSES → CONTINUE TO INSTRUCT_16]
Q_NUM Question Text and Skip Instructions

INSTRUCT_16 Instruction Universe: all students

The next section is about “heated tobacco products” such as iQOS, glo, and Eclipse. You may 

know them as heated cigarettes or “heat-not-burn” tobacco products. Heated tobacco products 

heat tobacco sticks (“heatsticks”) or capsules to produce a vapor. They are different from ecigarettes, which heat a liquid to produce a vapor.

DO NOT THINK ABOUT E-CIGARETTES WHEN ANSWERING THESE QUESTIONS. 

83 Question Universe: all students

Before today, have you heard of “heated tobacco products”? 

A. Yes

B. No

C. Don’t know/Not Sure

[ALL RESPONSES CONTINUE TO Q84]

84 Question Universe: all students

Have you ever used a “heated tobacco product,” even just one time? 

A. Yes → [CONTINUE TO Q85]

B. No → [SKIP TO INSTRUCT_17]

C. Don’t Know/Not Sure → [CONTINUE TO Q85]

[IF Q84 EQ (NA) → SOFT VALIDATION]

[IF Q84 EQ (NA) → CONTINUE TO Q85]

85 Question Universe: ever heated tobacco product user [or unknown/don’t know]

During the past 30 days, on how many days did you use a “heated tobacco product”?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q85 EQ (NA) → SOFT VALIDATION]

[IF Q85 EQ (1-30) → CONTINUE TO Q18j]

[ELSE IF Q85 EQ (0) → SKIP TO INSTRUCT_17]

[ELSE IF Q85 EQ (NA) → SKIP TO INSTRUCT_17]

18j Question Universe: past 30-day heated tobacco product user [known] 

Were any of the heated tobacco products that you used in the past 30 days flavored to taste like 

menthol, mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18j EQ (1) → CONTINUE TO Q19j]

[IF Q18j EQ (NA) → SKIP TO Q20k] 

[ELSE → SKIP TO Q20k]
Q_NUM Question Text and Skip Instructions

19j Question Universe: past 30-day users of flavored heated tobacco products 

What flavors were the heated tobacco products that you have used in the past 30 days? (Select 

one or more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20k]

20k Question Universe: past 30-day heated tobacco product user [known]

During the past 30 days, how did you get your heated tobacco products? (Select one or more)

A. I bought them myself

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21k]

21k Question Universe: past 30-day heated tobacco product user [known]

During the past 30 days, where did you buy your heated tobacco products? (Select one or 

more)

A. I did not buy heated tobacco products during the past 30 days → [EXCLUSIVE 

RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): _________________________________

INSTRUCT_17 Instruction Universe: all students

The next section is about “nicotine pouches” such as Zyn, on!, or Velo. These small, flavored 

pouches contain nicotine that comes from tobacco. Users place them in their mouth. Nicotine 

pouches are different from other smokeless tobacco products such as snus, dip, or chewing 

tobacco, because they do not contain any tobacco leaf. 

Do not think about other forms of smokeless tobacco, such as chewing tobacco, snuff, dip, 

snus, or dissolvable tobacco when answering these questions. 
Q_NUM Question Text and Skip Instructions

86 Question Universe: all students

Before today, have you heard of “nicotine pouches”? 

A. Yes

B. No

C. Don’t know/Not Sure

[ALL RESPONSES CONTINUE TO Q87]

87 Question Universe: all students

Have you ever used a “nicotine pouch,” even just one time? 

A. Yes → [CONTINUE TO Q88]

B. No → [SKIP TO INSTRUCT_18]

C. Don’t Know/Not Sure → [CONTINUE TO Q88]

[IF Q87 EQ (NA) → SOFT VALIDATION]

[IF Q87 EQ (NA) → CONTINUE TO Q88]

88 Question Universe: ever heated tobacco product user [or unknown/don’t know]

During the past 30 days, on how many days did you use a “nicotine pouch”?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED] 

[IF Q88 EQ (NA) → SOFT VALIDATION]

[IF Q88 EQ (1-30) → CONTINUE TO Q18k]

[ELSE IF Q88 EQ (0) → SKIP TO INSTRUCT_18]

[ELSE IF Q88 EQ (NA) → SKIP TO INSTRUCT_18]

18k Question Universe: past 30-day nicotine pouch user [known] 

Were any of the nicotine pouches that you used in the past 30 days flavored to taste like menthol, 

mint, clove or spice, alcoholic drinks, candy, fruit, chocolate, or any other flavor? 

A. Yes

B. No

C. Don’t Know

[IF Q18k EQ (1) → CONTINUE TO Q19k] 

[IF Q18k EQ (NA) → SKIP TO Q20l]

[ELSE → SKIP TO Q20l]

19k Question Universe: past 30-day users of flavored nicotine pouches 

What flavors were the nicotine pouches that you have used in the past 30 days? (Select one or 

more)

A. Menthol

B. Mint

C. Clove or spice

D. Fruit

E. Chocolate

F. Alcoholic drinks (such as wine, margarita, or other cocktails)

G. Candy, desserts, or other sweets

H. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES → CONTINUE TO Q20l]
Q_NUM Question Text and Skip Instructions

20l Question Universe: past 30-day nicotine pouch user [known]

During the past 30 days, how did you get your nicotine pouches? (Select one or more)

A. I bought them myself

B. I had someone else buy them for me

C. I asked someone to give me some

D. Someone offered them to me

E. I got them from a friend

F. I got them from a family member

G. I took them from a store or another person

H. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21l]

21l Question Universe: past 30-day nicotine pouch user [known]

During the past 30 days, where did you buy your nicotine pouches? (Select one or more)

A. I did not buy nicotine pouches during the past 30 days → [EXCLUSIVE RESPONSE]

B. I bought them from another person (a friend, family member, or someone else)

C. A gas station or convenience store

D. A grocery store

E. A drugstore

F. A mall or shopping center kiosk/stand

G. A vending machine

H. On the Internet (such as a product or store website, eBay, or Facebook Marketplace)

I. Through the mail

J. Through a delivery service (such as DoorDash or Postmates)

K. A vape shop or tobacco shop

L. Some other place not listed here (specify): _______________________________

INSTRUCT_18 Programming Universe: all students

Programming note, only.

CONDITION #1: “current tobacco product user”

IF { [Q9=(1-30)] OR [Q38=(1-30)] OR [Q53=(1-30)] OR [Q64=(1-30)] OR [Q69=(1-30)]

OR [(Q74=(1-30)] OR [Q76=(1-30)] OR [Q78=(1-30)] OR [Q80=(1-30)] OR [Q82=(1-30)]

OR [Q85=(1-30)] OR [Q88=(1-30)] } → CONTINUE TO INSTRUCT_19

CONDITION #2: “never tobacco product user”; “former user of at least one product”

ELSE → SKIP TO INSTUCT_21

INSTRUCT_19 Instruction Universe: current (past 30-day) tobacco product user (any product) [known]

In answering the next 5 questions, please think about all of the tobacco products that you have 

used in the past 30 days, including e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, 

roll-your-own cigarettes, pipes, snus, dissolvable tobacco, bidis, heated tobacco products, and 

nicotine pouches.

89 Question Universe: current (past 30-day) tobacco product user (any product) [known]

During the past 30 days, on how many days did you use any tobacco product(s)?

Specify: |__|__| (Range 1 – 30)

[PROGRAMMING: RANGE (1 – 30) ALLOWED] 
Q_NUM Question Text and Skip Instructions

90 Question Universe: past 30-day users of any tobacco product [known]

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?

A. Yes

B. No

91 Question Universe: past 30-day users of any tobacco product [known]

How soon after you wake up do you want to use a tobacco product of any kind?

A. I do not want to use tobacco products

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 products 

92 Question Universe: past 30-day tobacco product users (any product) [known]

Are you seriously thinking about quitting the use of all tobacco products? (Please choose the 

first answer that fits)

A. Yes, during the next 30 days

B. Yes, during the next 6 months

C. Yes, during the next 12 months

D. Yes, but not during the next 12 months

E. No, I am not thinking about quitting the use of all tobacco products 

93 Question Universe: past 30-day tobacco product users (any product) [known]

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 try to quit all tobacco products during the past 12 months 

B. 1 time

C. 2 times

D. 3 to 5 times

E. 6 to 9 times

F. 10 or more times

INSTRUCT_20 Instruction Universe: past 30-day tobacco product users (any product) [known]

The next few questions are about getting tobacco products.

94 Question Universe: past 30-day tobacco product users (any product) [known]

During the past 30 days, did anyone refuse to sell you any tobacco products because of your 

age? 

A. I did not try to buy any tobacco products during the past 30 days

B. Yes

C. No

[ALL RESPONSES → SKIP TO Q95]

IF Q94 EQ (NA) → SKIP TO Q95]

INSTRUCT_21 Instruction Universe: never, former users of any tobacco product [known/unknown]

The next two questions ask your thoughts about getting tobacco products. 
Q_NUM Question Text and Skip Instructions

95 Question Universe: all students

How easy do you think it is for people your age to buy tobacco products in a store?

A. Easy

B. Somewhat easy

C. Not easy at all

96 Question Universe: all students

How easy do you think it is for people your age to buy tobacco products online?

A. Easy

B. Somewhat easy

C. Not easy at all 

INSTRUCT_22 Instruction Universe: all students 

The next several questions are about visits to a doctor, dentist, nurse, or other health professional 

during the past 12 months. 

97 Question Universe: all students

Have you visited a doctor, dentist, or nurse in the past 12 months? 

A. Yes → [CONTINUE TO INSTRUCT_23]

B. No → [SKIP TO INSTRUCT_26]

[IF Q97 EQ (NA) SKIP TO INSTRUCT_26]

INSTRUCT_23 Instruction Universe: all students 

Please think about cigarettes, only, when answering the next two questions. 

98 Question Universe: all students

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked 

if you used cigarettes? 

A. Yes

B. No

99 Question Universe: all students 

During any of these visits, were you advised to not use cigarettes? 

A. Yes

B. No

INSTRUCT_24 Instruction Universe: all students 

Please think about e-cigarettes, only, when answering the next two questions. 

100 Question Universe: all students

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked 

if you used e-cigarettes?

A. Yes

B. No

101 Question Universe: all students

During any of these visits, were you advised to not use e-cigarettes?

A. Yes

B. No
Q_NUM Question Text and Skip Instructions

INSTRUCT_25 Instruction Universe: all students 

Please think about all other tobacco products when answering the next two questions. 

This includes: cigars, smokeless tobacco products, hookah, roll-your-own cigarettes, pipe tobacco, 

snus, dissolvable tobacco, bidis, heated tobacco products, or nicotine pouches.

Do not think of e-cigarettes or manufactured cigarettes when answering these questions.

102 Question Universe: all students

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked 

if you used any of these other tobacco products? 

A. Yes

B. No

103 Question Universe: all students 

During any of these visits, were you advised to not use any of these other tobacco products?

A. Yes

B. No

INSTRUCT_26 Instruction Universe: all students

The next seven questions are about different topics related to antitobacco messaging. 

104

105

106

107

108

Question Universe: all students

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...

Never Rarely Sometimes Most 

of the 

Time

Always I didn’t see 

this tobacco 

product 

packaging in 

the past 30 

days

An e-cigarette 

package?

A B C D E F

A cigarette 

package?

A B C D E F

A cigar, cigarillo, 

or little cigar 

package?

A B C D E F

A package of 

chewing tobacco, 

snuff, or dip?

A B C D E F

A package of 

hookah tobacco? 

A B C D E F

109 Question Universe: all students

In the past 12 months, have you seen or heard The Real Cost, on television, the internet, social 

media, or radio as part of ads about tobacco?

A. Yes

B. No

C. Not sure
Q_NUM Question Text and Skip Instructions

110 Question Universe: all students

In the past 12 months, have you seen or heard any other ads against tobacco with the following 

names or slogans on television, the internet, social media, or on the radio? (Select one or more)

A. Truth

B. Tips or Tips From Former Smokers

C. Fresh Empire

D. This Free Life

E. Some other ad (Specify): ___________________________________________

F. I haven’t seen or heard of any of these ads → [EXCLUSIVE RESPONSE]

INSTRUCT_27 Instruction Universe: all students

The next 17 questions ask about your thoughts on tobacco products.

111 Question Universe: all students

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

112 Question Universe: all students

How much do you think people harm themselves when they smoke cigars, cigarillos, or little 

cigars, some days but not every day? 

A. No harm

B. Little harm

C. Some harm

D. A lot of harm

113 Question Universe: all students

Do you believe that cigars, cigarillos, or little cigars are (LESS ADDICTIVE, EQUALLY 

ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

A. Less addictive

B. Equally addictive

C. More addictive

D. I have never heard of cigars, cigarillos, or little cigars

E. I don’t know enough about these products

114 Question Universe: all students

How much do you think people harm themselves when they use chewing tobacco, snuff, dip, 

snus, or dissolvable tobacco products, some days but not every day? 

A. No harm

B. Little harm

C. Some harm

D. A lot of harm 

115 Question Universe: all students

Do you believe that chewing tobacco, snuff, dip, snus, or dissolvable tobacco products are 

(LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

A. Less addictive

B. Equally addictive

C. More addictive

D. I have never heard of chewing tobacco, snuff, dip, snus, or dissolvable tobacco 

products

E. I don’t know enough about these products
Q_NUM Question Text and Skip Instructions

116 Question Universe: all students

How much do you think people harm themselves when they use e-cigarettes some days but not 

every day?

A. No harm

B. Little harm

C. Some harm

D. A lot of harm

117 Question Universe: all students

Do you believe that e-cigarettes are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE 

ADDICTIVE) than cigarettes?

A. Less addictive

B. Equally addictive

C. More addictive

D. I have never heard of e-cigarettes

E. I don’t know enough about these products

118 Question Universe: all students

How much do you think people harm themselves when they smoke tobacco in a hookah or 

waterpipe some days but not every day?

A. No harm

B. Little harm

C. Some harm

D. A lot of harm

119 Question Universe: all students

Do you believe that smoking tobacco in a hookah or waterpipe is (LESS ADDICTIVE, 

EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

A. Less addictive

B. Equally addictive

C. More addictive

D. I have never heard of smoking tobacco in a hookah or waterpipe

E. I don’t know enough about these products

120 Question Universe: all students

Compared to a typical cigarette, would you think that a cigarette advertised as low nicotine would 

be...

A. Much less harmful

B. Slightly less harmful

C. Equally harmful

D. Slightly more harmful

E. Much more harmful

121 Question Universe: all students

Do you think that e-cigarettes... 

A. Never contain nicotine

B. Rarely contain nicotine

C. Sometimes contain nicotine

D. Usually contain nicotine

E. Always contain nicotine
Q_NUM Question Text and Skip Instructions

122 Question Universe: all students

How strongly do you agree with the statement ‘All tobacco products are dangerous’?

A. Strongly agree

B. Agree

C. Disagree

D. Strongly disagree

123 Question Universe: all students

Do you think that breathing the vapor from other people’s e-cigarettes causes...

A. No harm

B. Little harm

C. Some harm

D. A lot of harm

124 Question Universe: all students

Not including the vapor from e-cigarettes, 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

125 Question Universe: all students

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

126 Question Universe: all students

Out of every 10 students in your grade at school, how many do you think use e-cigarettes?

A. 0

B. 1

C. 2

D. 3

E. 4

F. 5

G. 6

H. 7

I. 8

J. 9

K. 10

127 Question Universe: all students

Please complete the following sentence. My friends think that e-cigarette use is...

A. Completely acceptable

B. Mostly acceptable

C. Mostly not acceptable

D. Not acceptable
Q_NUM Question Text and Skip Instructions

INSTRUCT_28 Instruction Universe: all students

The next five questions ask about e-cigarette advertisements. 

Do not think about cigarettes or other tobacco products when answering these questions.

128 Question Universe: all students

When you are using the Internet, how often do you see ads or promotions for e-cigarettes?

A. I do not use the Internet

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always 

129 Question Universe: all students

When you read newspapers or magazines, how often do you see ads or promotions for ecigarettes?

A. I do not read newspapers or magazines

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always 

130 Question Universe: all students

When you go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping 

center, how often do you see ads or promotions for e-cigarettes?

A. I never go to a convenience store, supermarket, gas station, kiosk/storefront, or 

shopping center

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always 

131 Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the 

movies, how often do you see ads or promotions for e-cigarettes?

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

132 Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the 

movies, how often do you see people or characters using e-cigarettes? 

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always
Q_NUM Question Text and Skip Instructions

INSTRUCT_29 Instruction Universe: all students 

The next several questions ask about e-cigarettes and social media (such as YouTube, Instagram, 

Snapchat, Twitter, Facebook, Reddit, or TikTok). 

Do not think about cigarettes or other tobacco products when answering these questions.

133 Question Universe: all students

How often do you use social media? 

A. Never / I don’t use social media → [SKIP TO INSTRUCT_30]

B. Less than one time per week

C. About one time per week

D. A few times per week

E. Less than 1 hour, daily

F. About 1-2 hours, daily

G. About 3-4 hours, daily

H. 4 hours or more, daily

[IF Q133 EQ (2,3,4,5,6,7) → CONTINUE TO Q134]

IF Q133 EQ (NA) → SKIP TO INSTRUCT_30]

134 Question Universe: students who report using social media

When you use social media, how often do you see posts or content (pictures, videos, or text)

related to e-cigarettes? 

A. Never → [SKIP TO Q136]

B. Less than monthly

C. Monthly

D. Weekly

E. Daily

[IF Q134 EQ (2,3,4,5) → CONTINUE TO Q135]

[IF Q134 EQ (NA) → SKIP TO Q136]

135 Question Universe: students who report seeing e-cigarette posts

On which social media sites have you seen posts or content related to e-cigarettes? (Select one 

or more)

A. Facebook

B. Instagram

C. Snapchat

D. TikTok

E. Twitter

F. Reddit

G. YouTube

H. Some other site (specify: _______________________)

[ALL RESPONSES CONTINUE TO Q136]

136 Question Universe: students who report using social media

When you use social media, how often do you post pictures or videos of yourself or someone 

else using e-cigarettes?

A. Never 

B. Less than monthly

C. Monthly

D. Weekly

E. Daily
Q_NUM Question Text and Skip Instructions

137 Question Universe: students who report using social media

When you use social media, how often have you liked, commented, or shared posts or content 

(pictures, videos, or text) related to e-cigarettes?

A. Never 

B. Less than monthly

C. Monthly

D. Weekly

E. Daily

138 Question Universe: students who report using social media

Who usually posted the content related to e-cigarettes on your social media? (Select one or 

more)

A. People I know in real life

B. Online friends I have not met in real life

C. Celebrities or social media influencers

D. E-cigarette brands or sellers 

E. Online news articles

F. Public health campaigns (e.g., Truth Initiative, Real Cost)

G. Other (SPECIFY):_______________________________________

INSTRUCT_30 Instruction Universe: all students

The next five questions ask about advertisements for cigarettes and other tobacco products

(cigarettes, cigars, smokeless tobacco, hookahs, roll-your-own cigarettes, pipes, snus, dissolvable 

tobacco, bidis, heated tobacco products, and nicotine pouches). 

Do not think of e-cigarettes when answering these questions.

139 Question Universe: all students

When you are using the Internet, how often do you see 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 

140 Question Universe: all students

When you read newspapers or magazines, how often do you see 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 
Q_NUM Question Text and Skip Instructions

141 Question Universe: all students

When you go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping 

center, how often do you see ads or promotions for cigarettes or other tobacco products?

A. I never go to a convenience store, supermarket, gas station, kiosk/storefront, or 

shopping center

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always 

142 Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the 

movies, how often do you see ads or promotions for cigarettes or other tobacco products?

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always 

143 Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the 

movies, how often do you see people or characters using cigarettes or other tobacco 

products? 

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

INSTRUCT_31 Instruction Universe: all students 

The next four questions ask about you being around other people’s tobacco smoke. 

Do not include exposure to vapor from e-cigarettes.

144 Question Universe: all students

During the past 7 days, on how many days did someone smoke tobacco products in your home 

while you were there?

A. 0 days

B. 1 day

C. 2 days

D. 3 days

E. 4 days

F. 5 days

G. 6 days

H. 7 days
Q_NUM Question Text and Skip Instructions

145 Question Universe: all students

During the past 7 days, on how many days did you ride in a vehicle when someone was smoking 

a tobacco product?

A. 0 days

B. 1 day

C. 2 days

D. 3 days

E. 4 days

F. 5 days

G. 6 days

H. 7 days 

146 Question Universe: all students

During the past 30 days, on how many days were you exposed to the smoke from someone who 

was smoking tobacco products in an indoor public place? 

Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Do 

not think about homes when answering this question. 

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

147 Question Universe: all students

During the past 30 days, on how many days were you exposed to the smoke from someone who 

was smoking tobacco products in an outdoor public place? 

Examples of outdoor public places are school grounds, sidewalks, parking lots, stadiums, and 

parks. 

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

INSTRUCT_32 Instruction Universe: all students

The next five questions ask about being around other people’s e-cigarette vapor. 

Do not include exposure to smoke from cigarettes or other tobacco products.

148 Question Universe: all students

During the past 7 days, on how many days did someone use e-cigarettes in your home while you 

were there?

A. 0 days

B. 1 day

C. 2 days

D. 3 days

E. 4 days

F. 5 days

G. 6 days

H. 7 days
Q_NUM Question Text and Skip Instructions

149 Question Universe: all students

During the past 7 days, on how many days did you ride in a vehicle when someone was using an 

e-cigarette?

A. 0 days

B. 1 day

C. 2 days

D. 3 days

E. 4 days

F. 5 days

G. 6 days

H. 7 days 

150 Question Universe: all students

During the past 30 days, on how many days were you exposed to the vapor from someone who 

was using an e-cigarette in an indoor public place? 

Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Do 

not think about homes when answering this question. 

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 

151 Question Universe: all students

During the past 30 days, on how many days were you exposed to the vapor from someone who 

was using an e-cigarette in an outdoor public place? 

Examples of outdoor public places are school grounds, sidewalks, parking lots, stadiums, and 

parks. 

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 

152 Question Universe: all students

Have you ever seen anyone using an e-cigarette, such as JUUL, SMOK, Suorin, Vuse, blu, Puff 

Bar, or STIG in any locations while at school or on school property? (Select one or more)

A. No → [EXCLUSIVE]

B. Yes, inside a school bathroom or locker room

C. Yes, inside a classroom

D. Yes, inside some other area of the school (hallway, cafeteria)

E. Yes, outside of the school, such as in the parking lot, sidewalk, sports field, or other 

school grounds

F. Yes, somewhere else not listed here [SPECIFY: ________________________] 

INSTRUCT_33 Instruction Universe: all students

The last fourteen questions ask about your experiences at home and at school.
Q_NUM Question Text and Skip Instructions

153 Question Universe: all students

Does anyone who lives with you now...? (Select one or more)

A. Use e-cigarettes

B. Smoke cigarettes

C. Smoke cigars, cigarillos, or little cigars

D. Use chewing tobacco, snuff, or dip

E. Smoke tobacco in a hookah or waterpipe

F. Smoke roll-your-own cigarettes

G. Smoke pipes filled with tobacco (not hookah or waterpipes)

H. Use snus

I. Use dissolvable tobacco products 

J. Smoke bidis (small brown cigarettes wrapped in a leaf)

K. Use heated tobacco products

L. Use nicotine pouches

M. No one who lives with me now uses any form of tobacco → [EXCLUSIVE]

154 Question Universe: all students

Do you speak a language other than English at home?

A. Yes

B. No

155 Question Universe: all students

Which of the following best describes you?

A. Heterosexual (straight)

B. Gay or Lesbian

C. Bisexual

D. Not Sure

156 Question Universe: all students

Some people describe themselves as transgender when their sex at birth does not match the way 

they think or feel about their gender. Are you transgender? 

A. No, I am not transgender

B. Yes, I am transgender

C. I am not sure if I am transgender

D. I do not know what this question is asking

157

158

159

160

Question Universe: all students

During the past two weeks, how often have you been bothered by any of the following problems? 

Not at all Several Days More than half 

of the days

Nearly every 

day

Little interest or 

pleasure in doing 

things

A B C D

Feeling down, 

depressed, or 

hopeless

A B C D

Feeling nervous, 

anxious, or on 

edge

A B C D

Not being able to 

stop or control 

worrying

A B C D
Q_NUM Question Text and Skip Instructions

161 Question Universe: all students

Does your family own a vehicle (such as a car, van, or truck)? 

A. No

B. Yes, one

C. Yes, two or more

162 Question Universe: all students

Do you have your own bedroom? 

A. No

B. Yes

163 Question Universe: all students

How many computers (including laptops and tablets, not including game consoles and 

smartphones) does your family own? 

A. None 

B. One 

C. Two 

D. More than two

164 Question Universe: all students

During the past 12 months, how many times did you travel on vacation with your family? 

A. Not at all 

B. Once 

C. Twice 

D. More than twice

165 Question Universe: all students

During the past 12 months, how would you describe your grades in school?

A. Mostly A’s

B. Mostly B’s

C. Mostly C’s

D. Mostly D’s

E. Mostly F's

F. None of these grades

G. Not sure

166 Question Universe: all students

Because of a physical, mental, or emotional condition, do you have serious difficulty 

concentrating, remembering, or making decisions?

A. Yes

B. No