Qualitative Study on Cigarettes and Smoking: Knowledge, Beliefs, and Misperceptions about cigarettes and cigarette smoking

Pretesting of Tobacco Communications

FDA Qualitative Study on Cigarettes and Smoking_New Information_List B_Adults_3-31-15

Qualitative Study on Cigarettes and Smoking: Knowledge, Beliefs, and Misperceptions about cigarettes and cigarette smoking

OMB: 0910-0674

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OMB No. 0910-0674

Exp: 3/31/16

Qualitative Study on Cigarettes and Smoking
“New Information” Worksheet

Adults – List B





Please place a check mark in the box next to the statements that taught you something new about cigarettes or smoking.




Cigarettes cause cancer.




Smoking causes many forms of cancer such as lung, liver, stomach, oral, cervical, pancreatic, kidney, colorectal, bone marrow, blood, and bladder cancer




Smoking causes bladder cancer, which can lead to painful and frequent urination




Smoking during pregnancy can harm your baby




Smoking during pregnancy can stunt your baby's growth




Smoking during pregnancy can lead to deformities in your baby




Smoking can kill you




Smoking causes gangrene, Buerger’s disease, and diabetes, which can lead to amputation of limbs









Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 1 minute per response to complete the worksheet (the time estimated to read, review, and complete). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHayes, Kim
File Modified0000-00-00
File Created2021-01-27

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