| Picture Sort Form |
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Unique ID: _____________ |
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*0 = Doesn't Fit |
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Group Size |
Tobacco Use |
Tobacco Type |
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| # |
Adjectives |
% of School |
Rank Top User |
% of Users in Group |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 1 |
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8 |
9 |
10 |
11 |
12 |
13 |
14 |
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| 2 |
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15 |
16 |
17 |
18 |
19 |
20 |
21 |
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22 |
23 |
24 |
25 |
26 |
27 |
28 |
| 3 |
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29 |
30 |
31 |
32 |
33 |
34 |
35 |
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| 4 |
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36 |
37 |
38 |
39 |
40 |
41 |
42 |
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43 |
44 |
45 |
46 |
47 |
48 |
49 |
| 5 |
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50 |
51 |
52 |
53 |
54 |
55 |
56 |
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| 6 |
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57 |
58 |
59 |
60 |
61 |
62 |
63 |
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64 |
65 |
66 |
67 |
68 |
69 |
70 |
| 7 |
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71 |
72 |
73 |
74 |
75 |
76 |
77 |
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| 8 |
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78 |
79 |
80 |
81 |
82 |
83 |
84 |
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85 |
86 |
87 |
88 |
89 |
90 |
91 |
| 9 |
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92 |
93 |
94 |
95 |
96 |
97 |
98 |
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| 10 |
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99 |
100 |
101 |
102 |
103 |
104 |
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| Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated |
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| to average 15 minutes per response to complete (the time estimated for interviewer to complete with participant). |
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| Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions |
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| for reducing burden, to PRAStaff@fda.hhs.gov. |
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