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pdfPopulation Assessment of Tobacco and Health (PATH) Study (NIDA)
Attachment 3g - English
PATH Study Data Collection Instruments:
Youth Extended Interview
June 18, 2013
PATH
Youth Extended Questionnaire
Version 7.5
Table of Contents
INTRODUCTORY DEMOGRAPHICS ................................................................................ 5
CIGARETTES SECTION .................................................................................................... 7
E-CIGARETTE SECTION ................................................................................................. 21
CIGAR SECTION .............................................................................................................. 36
PIPE TOBACCO SECTION .............................................................................................. 53
HOOKAH SECTION ......................................................................................................... 65
SMOKELESS TOBACCO SECTION ................................................................................ 79
DISSOLVABLE TOBACCO SECTION ............................................................................. 95
BIDIS AND KRETEKS SECTION ................................................................................... 109
FIRST TOBACCO PRODUCT SECTION ....................................................................... 122
REASONS TO USE TOBACCO SECTION .................................................................... 123
NICOTINE DEPENDENCE SECTION ............................................................................ 129
CESSATION / QUITTER SECTION ............................................................................... 134
SECONDHAND SMOKE SECTION ............................................................................... 137
MODIFIED RISK TOBACCO PRODUCTS SECTION .................................................... 139
PACKAGING AND HEALTH WARNINGS SECTION ..................................................... 140
MARKETING SECTION.................................................................................................. 149
ACCESSIBILITY SECTION ............................................................................................ 152
MEDIA USE SECTION ................................................................................................... 153
PSYCHOSOCIAL SECTION........................................................................................... 158
SUBSTANCE USE SECTION......................................................................................... 163
AD EXPOSURE SECTION ............................................................................................. 174
DEMOGRAPHICS SECTION ......................................................................................... 176
CONTACT INFORMATION SECTION ........................................................................... 192
APPENDIX A: USER GROUP DEFINITIONS ................................................................ 199
PATH – Wave 1
Youth Extended Questionnaire
ii
PATH
Youth Extended Questionnaire
Version 7.5
Section
Number of questions
Introductory Demographics
4
Cigarettes
43
E-Cigarette
46
Cigar, Cigarillo and Filtered Cigar
46
Pipe Tobacco
38
Hookah
50
Smokeless Tobacco
44
Dissolvable Tobacco
43
Bidis and Kreteks
41
First Tobacco Product
1
Reasons to Use Tobacco
17
Dependence
11
Cessation/Quitter
8
Secondhand Smoke
4
Modified Risk Tobacco Products
3
Packaging and Health Warnings
26
Marketing
8
Accessibility
1
Media Use
16
Psychosocial
13
Substance Use
32
Ad Exposure
3
Emancipated Youth
50
Demographics
14
Contact Information
21
PATH – Wave 1
Youth Extended Questionnaire
3
PATH
Youth Extended Questionnaire
Version 7.5
OMB Control Number: 0925-0664
Expiration Date: 11/30/2015
Public reporting burden for this collection of information is estimated to average 32 minutes per
response, including the 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 208927974, ATTN: PRA (XXXX-XXXX). Do not return the completed form to this address.
PATH – Wave 1
Youth Extended Questionnaire
4
PATH
Youth Extended Questionnaire
Version 7.5
INTRODUCTORY DEMOGRAPHICS
PATH ID:
YM0002
Screen ID:
How old are you?
1
Less than 12 years old
2
12 years old
3
13 years old
4
14 years old
5
15 years old
6
16 years old
7
17 years old
8
18 years old or older
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
GO TO YM0005
GO TO YM0005
GO TO YM0005
GO TO YM0005
GO TO YM0005
GO TO YM0005
GO TO YM0005
GO TO YM0005
YM0003
Screen ID:
Are you…
1
2
3
-8
-7
Less than 12 years old,
12 to 14 years old, or
15 to 17 years old?
DON’T KNOW
REFUSED
ASK: All respondents who refused to give or did not know age (YM0002=-8 or -7)
PATH ID:
YM0005
Screen ID:
Are you Hispanic, [Latino I Latina I Latino or Latina], or of Spanish origin? Choose all that apply.
1
No, not of Hispanic, [Latino I Latina I Latino or Latina], or Spanish origin
2
Yes, Mexican, Mexican American, [Chicano I Chicana I Chicano or Chicana]
3
Yes, Puerto Rican
4
Yes, Cuban
5
Yes, Another Hispanic, [Latino I Latina I Latino or Latina], or Spanish origin
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PROGRAM: If male (HM0005=1), display “Latino” and “Chicano”; if female (HM0005=2), display
“Latina” and “Chicana”; if don’t know or refused (HM0005=-8 or -7), display “Latino or Latina” and
“Chicano or Chicana”.
PATH – Wave 1
Youth Extended Questionnaire
5
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YM0006
Screen ID:
What is your race? Choose all that apply.
1
White
2
Black or African American
3
American Indian or Alaska Native
4
Asian Indian
5
Chinese
6
Filipino
7
Japanese
8
Korean
9
Vietnamese
10
Other Asian
11
Native Hawaiian
12
Guamanian or Chamorro
13
Samoan
14
Other Pacific Islander
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH – Wave 1
Youth Extended Questionnaire
6
PATH
Youth Extended Questionnaire
Version 7.5
CIGARETTES SECTION
PATH ID:
YC1002
Screen ID:
Have you ever tried cigarette smoking, even one or two puffs?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
GO TO YC1006
YC1103
Screen ID:
Have you ever been curious about smoking a cigarette?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have not tried a cigarette (YC1002=2, -8 or -7).
PATH ID:
YC9101
Screen ID:
Do you think you will smoke a cigarette in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
GO TO YC1105
4
Definitely not
GO TO YC1105
-8
DON’T KNOW
GO TO YC1105
-7
REFUSED
GO TO YC1105
ASK: Respondents who have not tried a cigarette (YC1002=2, -8 or -7).
PATH – Wave 1
Youth Extended Questionnaire
7
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1104
Screen ID:
Do you think that you will try a cigarette soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who think they will smoke a cigarette in the next year (YC9101=1 or 2).
PATH ID:
YC1105
Screen ID:
If one of your best friends were to offer you a cigarette, would you smoke it?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have not tried a cigarette (YC1002=2, -8 or -7).
GO TO: If respondent has never tried a cigarette (YC1002=2, -8 or -7), go to YC1124.
Else go to YC1006.
PATH ID:
YC1006
Screen ID:
How old were you when you first tried cigarette smoking, even one or two puffs?
1
|__|__| years old
-8
DON’T KNOW
-7
REFUSED
GO TO YC9020
ASK: Respondents who have tried a cigarette (YC1002=1).
PROGRAM: Allow 2 digits for age.
PATH – Wave 1
Youth Extended Questionnaire
8
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1120
Screen ID:
When you first tried cigarette smoking, even one or two puffs, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who refused to give or did not know age (YC1006=-8 or -7)
PATH ID:
YC9020
Screen ID:
Was the first cigarette you smoked flavored to taste like menthol or mint?
1
Yes
GO TO YC9104
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:
YC9021
Screen ID:
Was the first cigarette you smoked flavored to taste like clove, spice, candy, fruit, chocolate, alcohol
(such as wine or cognac), or other sweets?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents whose first cigarette was not menthol (YC9020=2, -8 or -7)
PATH ID:
YC9104
Screen ID:
How much did you experience pleasant sensations the first time you smoked a cigarette?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH – Wave 1
Youth Extended Questionnaire
9
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC9105
Screen ID:
How much did you experience unpleasant sensations the first time you smoked a cigarette?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:
YC9106
Screen ID:
How much did you feel sick to your stomach the first time you smoked a cigarette?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:
YC9022
Screen ID:
Do you consider yourself a smoker?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH ID:
YC1005
Screen ID:
How many cigarettes have you smoked in your entire life? A pack usually has 20 cigarettes in it.
1
1 or more puffs but never a whole cigarette
2
1 cigarette
3
2 to 10 cigarettes (about ½ pack total)
4
11 to 20 cigarettes (about ½ pack to 1 pack)
5
21 to 50 cigarettes (more than 1 pack but less than 3 packs)
6
51 to 99 cigarettes (more than 2 ½ packs but less than 5 packs)
7
100 or more cigarettes (5 packs or more)
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
PATH – Wave 1
Youth Extended Questionnaire
10
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1112
Screen ID:
When was the last time you smoked a cigarette, even one or two puffs?
1
Earlier today
2
Not today but sometime in the past 7 days
3
Not in the past 7 days but sometime in the past 30 days
4
Not in the past 30 days but sometime in the past 6 months
5
Not in the past 6 months but sometime in the past year
6
1 to 4 years ago
7
5 or more years ago
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have tried a cigarette (YC1002=1).
GO TO YC1124
GO TO YC1124
GO TO YC1124
GO TO YC1124
GO TO YC1124
GO TO YC1124
PROGRAM:
CREATE VARIABLES:
PAST30DAY_CIGS (Past 30 Day Users)
PAST30DAY_CIGS = 1 Yes, if respondent has smoked a cigarette within the past 30 days (YC1112=1
or 2 or 3).
Else PAST30DAY_CIGS = 2 No.
PAST30DAY_VL_CIGS (Past 30 Day Very Light Users)
PAST30DAY_VL_CIGS = 1 Yes, if respondent has smoked less than 10 cigarettes in lifetime
(YC1005=1 or 2 or 3) AND last smoked a cigarette in the past 30 days (YC1112=1 or 2 or 3).
Else PAST30DAY_VL_CIGS = 2 No.
PAST30DAY_NL_CIGS (Past 30 Day Not Light Users)
PAST30DAY_NL_CIGS = 1 Yes, if respondent has smoked more than 10 cigarettes in lifetime
(YC1005 > 3) AND last smoked a cigarette within the past 30 days (YC1112=1 or 2 or 3).
Else PAST30DAY_NL_CIGS = 2 No.
PATH ID:
YC1022
Screen ID:
In the past 30 days, on how many days did you smoke cigarettes?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked in the past 30 days (PAST30DAY_CIGS = 1)
PROGRAM: Range check (1-30 days)
PATH – Wave 1
Youth Extended Questionnaire
11
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1023
Screen ID:
In the past 30 days, on the days you smoked, how many cigarettes did you smoke per day? A pack
usually has 20 cigarettes in it.
1
Less than 1 cigarette per day
2
1 cigarette per day
3
2 to 5 cigarettes per day
4
6 to 10 cigarettes per day
5
11 to 20 cigarettes per day
6
More than 20 cigarettes per day
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_CIGS = 1).
PATH ID:
YC9108
Screen ID:
In the past 30 days, were any of the cigarettes you smoked flavored to taste like menthol or mint?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_CIGS = 1).
PATH ID:
YC1123
Screen ID:
In the past 30 days, did anyone refuse to sell you cigarettes because of your age?
1
Yes
2
No
3
I did not try to buy cigarettes in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_CIGS = 1).
PATH ID:
YC1118
Screen ID:
In the past 30 days, how did you usually get your own cigarettes?
1
2
3
4
5
6
7
-8
I bought cigarettes myself
I gave someone else money to buy cigarettes for me
I asked someone to give me a cigarette
Someone offered me a cigarette
I bought cigarettes from another person
I took cigarettes from a store or another person
I got cigarettes some other way
SPECIFY __________________________
DON’T KNOW
PATH – Wave 1
Youth Extended Questionnaire
12
GO TO YC1030
GO TO YC1047
GO TO YC1047
GO TO YC1047
GO TO YC1047
GO TO YC1047
GO TO YC1047
PATH
Youth Extended Questionnaire
Version 7.5
-7 REFUSED
GO TO YC1047
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_CIGS = 1).
[PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”]
GO TO: If PAST30DAY_VL_CIGS=1, go to YC1124
Else go to YC1097.
PATH ID:
YC1097
Screen ID:
In the past 30 days, did you use a coupon when buying cigarettes?
1
Yes
2
No
GO TO YC1030
-8 DON’T KNOW
GO TO YC1030
-7 REFUSED
GO TO YC1030
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND who have tried to buy cigarettes in the past 30 days (YC1123 NE 3) AND bought cigarettes
themselves in the past 30 days (YC1118=1)
PATH ID:
YC1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy cigarettes?
1
I__I__I
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND used a coupon in the past 30 days (YC1097=1)
PATH ID:
YC1030
Screen ID:
How do [you/they] usually buy your cigarettes? Is it…
1
In person
2
From the internet
GO TO YC1039
3
By telephone
GO TO YC1039
-8
DON’T KNOW
GO TO YC1039
-7
REFUSED
GO TO YC1039
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND indicated that they bought cigarettes for themselves or that someone else bought cigarettes for
them in the past 30 days (YC1118 = 1 or 2).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”.
PATH – Wave 1
Youth Extended Questionnaire
13
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1032
Screen ID:
Do [you/they] usually buy cigarettes...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND indicated that the cigarettes they bought or that someone else bought for them were purchased
in person (YC1030= 1).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”
PATH ID:
YC1033
Screen ID:
Where do [you/they] buy your cigarettes most of the time?
1
A convenience store or gas station
2
A supermarket, grocery store, or drug store
3
A warehouse club, such as Sam’s or Costco
4
A smoke shop, tobacco specialty store or tobacco outlet store
5
A duty free shop or military commissary
6
A bar, pub, restaurant or casino
7
A friend or relative
[DISPLAY ONLY IF YC1118 = 1]
8
A swap meet or flea market
9
A store on an Indian reservation
10 Or from somewhere else
SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND indicated that the cigarettes they bought or that someone else bought for them were purchased
in person (YC1030= 1).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”.
If YC1118=1, display option 7=‘ A friend or relative,’ if YC1118 NE 1, hide option 7.
If OS field selected and additional OS screen is shown, display question text and add the following
text: “Please type your answer using the computer keyboard.”
PATH – Wave 1
Youth Extended Questionnaire
14
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1039
Screen ID:
Do [you I they] usually buy cigarettes by the carton, pack, or as single cigarettes?
1
Carton
2
Pack
3
Single Cigarette
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND indicated that they bought cigarettes for themselves or that someone else bought cigarettes for
them in the past 30 days (YC1118 = 1 or 2).
PROGRAM: If YC1118=1, display “you”; If YC1118=2, display “they”
PATH ID:
YC1047
Screen ID:
Do you have a regular brand of cigarettes that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
PATH ID:
YC1048
Screen ID:
What brand of cigarette [do I did] you [usually I last] smoke? Please select it from the choices below
by touching the screen. [ If you do not see it below, touch the button marked “NEXT”. I If you do not
see it below, touch the box marked “Something else”. ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO YC1070]
1
Something else
GO TO YC1049
-8 DON’T KNOW
GO TO YC1051
-7 REFUSED
GO TO YC1051
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1).
PROGRAM: If YC1047=1, display “do” and “usually”. If YC1047=2, DK or RF, display “did” and “last”
PATH – Wave 1
Youth Extended Questionnaire
15
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1070
Screen ID:
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do I did] you [usually I last]
smoke? Please select it from the choices below by touching the screen. [ If you do not see it below,
touch the button marked “NEXT”. I If you do not see it below, touch the box marked “Something
else”. ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS
ASSOCIATED WITH BRAND SELECTED IN YC1048]
1 Something else
GO TO YC1071
-8 DON’T KNOW
GO TO YC1051
-7 REFUSED
GO TO YC1051
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
and selected a brand image in YC1048.
PROGRAM: If YC1047=1, display “do” and “usually”. If YC1047=2, DK or RF, display “did” and “last”
PATH ID:
YC1049
Screen ID:
You said that your brand was not pictured. What is it?
1
__________________________
GO TO YC1051
-8 DON’T KNOW
GO TO YC1051
-7 REFUSED
GO TO YC1051
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND did not select an image for their brand (YC1048 = 1).
PATH ID:
YC1071
Screen ID:
You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1 __________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
who did not select the type of product they use (YC1070=”Something else”) but who DID select a
brand (YC1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YC1049.
PATH – Wave 1
Youth Extended Questionnaire
16
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1051
Screen ID:
About how long have you been smoking your regular brand of cigarettes? Please choose whether
you've been smoking your regular brand for years, months, or days. Then enter the number of years,
months, or days using the number keypad.
I___I___I
DAYS
I___I___I
2
MONTHS
3
I___I___I
YEARS
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
1
Box YC3
Display questions YC9010, YC9012, YC9014, YC9115, YC9017, YC9115, YC9116, YC9117, on one
screen. Show the intro/transition text from YC9010 first, then show each item with a Y/N response. As
each item is answered, show the next one.
PROGRAM: Randomize order of YC9010 through YC9117.
PATH ID:
YC9010
Screen ID:
In choosing your regular brand of cigarettes, was part of your decision based on any of the following?
It is less expensive.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
PATH ID:
YC9012
Screen ID:
The design of the pack.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
PATH – Wave 1
Youth Extended Questionnaire
17
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC9014
Screen ID:
The taste.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
PATH ID:
YC9017
Screen ID:
People who are important to you smoke this brand.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
PATH ID:
YC9115
Screen ID:
Because it is a popular brand.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
PATH ID:
YC9116
Screen ID:
People in the media smoke this brand.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
PATH – Wave 1
Youth Extended Questionnaire
18
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC9117
Screen ID:
This brand is easy for you to get.
1
2
-8
-7
Yes
No
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
AND have a regular brand (YC1047=1)
PATH ID:
YC9019
Screen ID:
Do you think the brand of cigarettes you usually smoke might be less harmful, no different, or more
harmful, compared to other cigarette brands?
1 Less harmful
2 No different
3 More harmful
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS =
1) and who have a regular brand (YC1047=1).
PATH ID:
YC1124
Screen ID:
How likely is someone to become addicted to cigarettes?
1 Very unlikely
2 Somewhat unlikely
3 Neither likely nor unlikely
4 Somewhat likely
5 Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:
YC1125
Screen ID:
How much do you think people harm themselves when they smoke cigarettes?
1 No harm
2 Little harm
3 Some harm
4 A lot of harm
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
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PATH ID:
YC9118
Screen ID:
Are cigarettes flavored like menthol or mint harder to smoke, about the same, or easier to smoke than
regular cigarettes?
1 Harder to smoke
2 About the same
3 Easier to smoke
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
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Youth Extended Questionnaire
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E-CIGARETTE SECTION
The next questions are about electronic cigarettes, often called e-cigarettes. E-cigarettes look like
regular cigarettes, but are battery-powered and produce vapor instead of smoke. There are many
types of e-cigarettes. Some common brands include NJOY, Blu and Smoking Everywhere.
E-cigarettes can be bought as one-time, disposable products, or can be bought as re-usable kits with a
cartridge. Some people refill their own cartridges with nicotine fluid, sometimes called “e-juice” or “eliquid”. Disposable e-cigarettes, e-cigarette cartridges and e-liquid come in many different flavors and
nicotine concentrations.
SHOW GENERIC IMAGES OF E-CIGARETTES, CARTRIDGES AND JUICE.
PATH ID:
YE1001
Screen ID:
Have you ever seen or heard of an electronic cigarette or e-cigarette before this study?
1
Yes
2
No
GO TO BOX YG1
-8 DON’T KNOW
GO TO BOX YG1
-7 REFUSED
GO TO BOX YG1
ASK: All respondents.
SHOW GENERIC IMAGES OF E-CIGARETTES
PATH ID:
YE1002
Screen ID:
Have you ever used an e-cigarette, such as NJOY, Blu, or Smoking Everywhere, even one or two
times?
1
Yes
GO TO YE1005
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of e-cigarettes (YE1001 = 1).
SHOW GENERIC IMAGES OF E-CIGARETTES
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PATH ID:
YE1103
Screen ID:
Have you ever been curious about using e-cigarettes?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of but never used e-cigarettes (YE1001 = 1 AND YE1002
= 2, -8 or -7).
PATH ID:
YE1104
Screen ID:
Do you think that you will try an e-cigarette soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of but never used e-cigarettes (YE1001 = 1 AND YE1002
= 2, -8 or -7).
PATH ID:
YE1105
Screen ID:
If one of your best friends were to offer you an e-cigarette, would you use it?
1 Definitely yes
2 Probably yes
3 Probably not
4 Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of but never used e-cigarettes (YE1001 = 1 AND YE1002
= 2, -8 or -7).
GO TO: If respondent has never used an e-cigarette (YE1002 = 2, -8 or -7), GO TO YE1124.
Else GO TO YE1005
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PATH ID:
YE1005
Screen ID:
How many disposable e-cigarettes or e-cigarette cartridges have you used in your entire life?
1
1 or more puffs but never a whole one
2
1
3
2 to 10
4
11 to 20
5
21 to 50
6
51 to 99
7
100 or more
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:
YE1090
Screen ID:
Do you own an e-cigarette?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:
YE1191
Screen ID:
Do any of your parents or guardians own an e-cigarette?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of e-cigarettes (YE1001 = 1).
PATH ID:
YE1006
Screen ID:
How old were you when you first tried an e-cigarette, even one or two times?
1 |__|__| years old
GO TO YE1108
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
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PATH ID:
YE1120
Screen ID:
When you first tried an e-cigarette, even one or two times, were you…
1 Less than 12 years old,
2 12 to 14 years old, or
3 15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YE1006=DK,R)
PATH ID:
YE1108
Screen ID:
Was the first e-cigarette you used flavored to taste like menthol, mint, clove, spice, candy, fruit,
chocolate, alcohol (such as wine or cognac), or other sweets?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
PATH ID:
YE1112
Screen ID:
When did you last use an e-cigarette, even on or two times?
1
Earlier today
2
Not today but sometime in the past 7 days
3
Not in the past 7 days but sometime in the past 30 days
4
Not in the past 30 days but sometime in the past 6 months
5
Not in the past 6 months but sometime in the past year
6
1 to 4 years ago
7
5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried an e-cigarette (YE1002 = 1)
GO TO YE1124
GO TO YE1124
GO TO YE1124
GO TO YE1124
GO TO YE1124
GO TO YE1124
PROGRAM:
CREATE VARIABLES:
PAST30DAY_ECIGS (Past 30 Day Users)
PAST30DAY_ECIGS = 1 Yes, if respondent has used an e-cigarette within the past 30 days
(YE1112=1 or 2 or 3).
Else PAST30DAY_ECIGS = 2 No.
PAST30DAY_VL_ECIGS (Past 30 Day Very Light Users)
PAST30DAY_VL_ECIGS = 1 Yes, if respondent has used 1 or more puffs of an e-cigarette in lifetime
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(YE1005=1) AND last used an e-cigarette in the past 30 days (YE1112=1 or 2 or 3).
Else PAST30DAY_VL_ECIGS = 2 No.
PAST30DAY_NL_ECIGS (Past 30 Day Not Light Users)
PAST30DAY_NL_ECIGS = 1 Yes, if respondent has used 1 or more e-cigarettes in lifetime (YC1005 >
1) AND last used an e-cigarette within the past 30 days (YE1112=1 or 2 or 3).
Else PAST30DAY_NL_ECIGS = 2 No.
PATH ID:
YE9005
Screen ID:
Please think about the e-cigarette you use most of the time.
Is your e-cigarette rechargeable?
1
Yes
2
No
GO TO YE9009
-8
DON’T KNOW
-7
REFUSED
ASK: If respondent has used e-cigarettes in the past 30 days (PAST30DAY_NL_ECIGS = 1)
PATH ID:
YE9008
Screen ID:
Does your e-cigarette use cartridges?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_NL_ECIGS = 1)
whose e-cigarettes are rechargeable (YE9005=1, -8 or -7).
PATH ID:
YE9009
Screen ID:
Can you refill your [e-cigarette I e-cigarette cartridges] with “e-liquid”?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_NL_ECIGS = 1)
PROGRAM: If YE9005 = 2 OR if YE9008=2, DK or RF, display “e-cigarette”; if YE9008=1, display “ecigarette cartridges”.
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Youth Extended Questionnaire
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PROGRAM: [ECIGFILL] Series
If respondent reports using disposable/non-rechargeable (YE9005=2) OR uses rechargeable that is
refillable with nicotine fluid (YE9009=1), fill [ECIGFILL] with “e-cigarettes”.
If respondent has only had one or more puffs of an e-cigarette in lifetime and last used in the past 30
days (PAST30DAY_VL_ECIGS=1), fill [ECIGFILL] with “e-cigarettes”.
If respondent reports using rechargeable with replaceable cartridges (YE9005=1 AND YE9008=1) OR
refillable cartridges (YE9005=1 AND YE9009=1), fill [ECIGFILL] with “e-cigarette cartridges”.
PATH ID:
YE1022
Screen ID:
In the past 30 days, on how many days did you use an e-cigarette?
1
|__|__|
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_ECIGS = 1)
PROGRAM: Range check: 1-30 days
PATH ID:
YE1023
Screen ID:
In the past 30 days, on the days you used an e-cigarette, how many [ECIGFILL] did you use per day?
1
2
3
4
5
6
-8
-7
Less than 1 [ECIGFILL] per day
1 [ECIGFILL] per day
2 to 5 [ECIGFILL] per day
6 to 10 [ECIGFILL] per day
11 to 20 [ECIGFILL] per day
More than 20 [ECIGFILL] per day
DON’T KNOW
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1)
PROGRAM: For options 1 and 2, do not display ‘s’ in [ECIGFILL]
PATH ID:
YE1130
Screen ID:
In the past 30 days, were any of the [ECIGFILL] you used flavored to taste like menthol, mint, clove,
spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
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PATH ID:
YE1123
Screen ID:
In the past 30 days, did anyone refuse to sell you [ECIGFILL] [or e-liquid] because of your age?
1
Yes
2
No
3
I did not try to buy [ECIGFILL] [or e-liquid] in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PROGRAM: If YE9009=1, display “or e-liquid”.
PATH ID:
YE1118
Screen ID:
In the past 30 days, how did you usually get your own [ECIGFILL] [and e-liquid]?
1
2
3
4
5
6
I bought them myself
I gave someone else money to buy them for me
GO TO YE1030
I asked someone to give me one
GO TO YE1047
Someone offered it to me
GO TO YE1047
I bought them from another person
GO TO YE1047
I took them from a store or another person
GO TO YE1047
I got them some other way
GO TO YE1047
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YE1047
-7 REFUSED
GO TO YE1047
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PROGRAM: If YE9009=1, display “and e-liquid”.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
GO TO: If PAST30DAY_VL_ECIGS=1, go to Box YE2
Else go to YE1097.
PATH ID:
YE1097
Screen ID:
In the past 30 days, did you use a coupon when buying[ECIGFILL] [and e-liquid]?
1
Yes
2
No
GO TO YE1030
-8
DON’T KNOW
GO TO YE1030
-7
REFUSED
GO TO YE1030
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND tried to buy e-cigarettes in the past 30 days (YE1123 NE 3) AND bought e-cigarettes themselves
in the past 30 days (YE1118=1)
PROGRAM: If YE9009=1, display “and e-liquid”.
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PATH ID:
YE1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy [ECIGFILL] [and e-liquid]?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND used a coupon in the past 30 days (YE1097 = 1)
PROGRAM: If YE9009=1, display “and e-liquid”.
PATH ID:
YE1030
Screen ID:
How do [you/they] usually buy your [ECIGFILL] [and e-liquid]? Is it…
1
In person
2
From the internet
GO TO YE1047
3
By telephone
GO TO YE1047
-8
DON’T KNOW
GO TO YE1047
-7
REFUSED
GO TO YE1047
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND indicated that they bought e-cigarettes for themselves or that someone else bought e-cigarettes
for them in the past 30 days (YE1118 = 1 or 2).
PROGRAM: If YE1118=1, display “you”; If YE1118=2, display “they”. If YE9009=1, display “and eliquid”.
PATH ID:
YE1032
Screen ID:
Do [you/they] usually buy [ECIGFILL] [and e-liquid]...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND indicated that the e-cigarettes they bought or that someone else bought for them were purchased
in person (YE1030= 1).
PROGRAM: If YE1118=1, display “you”; If YE1118=2, “they”. If YE9009=1, display “and e-liquid”.
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PATH ID:
YE1033
Screen ID:
Where do [you/they] buy your [ECIGFILL] [and e-liquid] most of the time?
1
A mall kiosk
2
A convenience store or gas station
3
A supermarket, grocery store, or drug store
4
A warehouse club, such as Sam’s or Costco
5
A smoke shop, tobacco specialty store or tobacco outlet store
6
A duty free shop or military commissary
7
A bar, pub, restaurant or casino
8
A friend or relative
[DISPLAY IF YE1118 = 1]
9
A swap meet or flea market
10
Or from somewhere else
SPECIFY: ____________________________
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND indicated that the e-cigarettes they bought or that someone else bought for them were purchased
in person (YE1030 = 1).
PROGRAM: If YE1118=1, display “you”; If YE1118=2, “they”. If YE9009=1, display “and e-liquid”.
If YE1118=1, display option 8=‘ A friend or relative,’ if YE1118 NE 1, hide option 8.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH ID:
YE1047
Screen ID:
Do you have a regular brand of e-cigarettes that you usually use?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND have used e-cigarettes in the past 30 days (YE1022 > 0 OR YE1112 = 1, 2 or 3).
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PATH ID:
YE1048
Screen ID:
What brand of e-cigarette [do I did] you [usually I last] use? Please select it from the choices below by
touching the screen. [ If you do not see it below, touch the button marked “NEXT”. I If you do not see
it below, touch the box marked “Something else.” ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO BOX YE2]
1 Something else
GO TO YE1049
-8 DON’T KNOW
GO TO YE1060
-7 REFUSED
GO TO YE1060
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND have used an e-cigarette in the past 30 days (YE1022> 0).
PROGRAM: If YE1047=1, display “do” and “usually”. If YE1047=2, DK or RF, display “did” and “last”
PATH ID:
YE1049
Screen ID:
You said that your brand was not pictured. What is it?
1
__________________________
-8 DON’T KNOW
GO TO YE1060
-7 REFUSED
GO TO YE1060
ASK: Respondents who have used an e-cigarette in the past 30 days (PAST30DAY_NL_ECIGS = 1)
AND did not select an image for brand (YE1048 = 1).
Box YE2
Display question YE1060, YE1061, YE1085, YE1062, YE1075, YE1063, YE1064, YE1065, YE1066,
YE1067, YE1068, YE1069, YE1072 on one screen. Show the intro/transition text from YE1060 first,
then show each item with a Y/N response. As each item is answered, show the next one.
PROGRAM: Randomize order of YE1060 through YE1072.
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Youth Extended Questionnaire
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PATH ID:
YE1060
Screen ID:
The next questions are about the reasons people use e-cigarettes. Please select which reasons apply
to you.
I use e-cigarettes because…
They are affordable.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1061
Screen ID:
People in the media or other public figures use e-cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1085
Screen ID:
I can use e-cigarettes at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1062
Screen ID:
They might be less harmful to me than cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
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PATH ID:
YE1075
Screen ID:
They might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1063
Screen ID:
[ECIGFILL] come in flavors I like.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1064
Screen ID:
Using e-cigarettes helps people to quit smoking cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1065
Screen ID:
E-cigarettes don’t smell.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
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PATH ID:
YE1066
Screen ID:
Using an e-cigarette feels like smoking a regular cigarette.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1067
Screen ID:
E-cigarettes don’t bother non-tobacco users.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1068
Screen ID:
People who are important to me use e-cigarettes.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1069
Screen ID:
I like socializing while using an e-cigarette.
1
Yes
2
No
-8 DON”T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH ID:
YE1072
Screen ID:
The advertising for e-cigarettes appeals to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
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Youth Extended Questionnaire
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PATH ID:
YE1086
Screen ID:
In the past 30 days, have you used an e-cigarette at times when or in places where you could not
smoke regular cigarettes?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1) AND
who have also smoked cigarettes in the past 30 days (PAST30DAY_CIGS = 1).
PATH ID:
YE1124
Screen ID:
How likely is someone to become addicted to e-cigarettes?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of e-cigarettes (YE1001 = 1).
PATH ID:
YE1099
Screen ID:
Is using e-cigarettes less harmful, about the same, or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of e-cigarettes (YE1001 = 1).
PATH ID:
YE1125
Screen ID:
How much do you think people harm themselves when they use e-cigarettes?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of e-cigarettes (YE1001 = 1).
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Youth Extended Questionnaire
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PATH ID:
YE1146
Screen ID:
Some e-cigarettes come in flavors like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such
as wine or cognac), or other sweets.
Are flavored e-cigarettes easier to use, about the same, or harder to use than unflavored e-cigarettes?
1
Easier to use
2
About the same
3
Harder to use
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of e-cigarettes (YE1001 = 1).
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Youth Extended Questionnaire
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CIGAR SECTION
PATH ID:
BOX YG1
Screen ID:
The next questions are about traditional cigars, cigarillos, and filtered cigars. These products go by
lots of different names, so please use these descriptions and photos to understand what they are.
Traditional cigars contain tightly rolled tobacco that is wrapped in a tobacco leaf. Some common
brands of cigars include Macanudo, Romeo y Julieta, and Arturo Fuente, but there are many others.
SHOW GENERIC IMAGE OF TRADITIONAL CIGARS
PATH ID:
BOX YG2
Screen ID:
Cigarillos and filtered cigars are smaller than traditional cigars. They are usually brown. Some are
the same size as cigarettes, and some come with plastic or wood tips. Some common brands are
Black & Mild, Swisher Sweets, Dutch Masters, Phillies Blunts, Prime Time, and Winchester.
SHOW GENERIC IMAGES OF CIGARILLOS AND FILTERED CIGARS
PATH ID:
YG9101
Screen ID:
Have you ever seen or heard of a cigar, cigarillo, or filtered cigar before this study?
1
Yes
2
No
GO TO BOX YP1
-8 DON’T KNOW
GO TO BOX YP1
-7 REFUSED
GO TO BOX YP1
ASK: All respondents.
SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS AND FILTERED CIGARS
BOX – DISPLAY INSTRUCTIONS
For YG9002, display a “Yes” and “No” column with options for each response category.
PATH ID:
YG9002
Screen ID:
Which type of cigar have you heard of before this study?
1
Traditional cigars like Macanudo, Romeo y Julieta, Arturo Fuente, or others
2
Cigarillos or filtered cigars like Black & Mild, Swisher Sweets, Dutch Masters,
Phillies Blunts, Prime Time, Winchester, or others
-8 DON’T KNOW
BOX YP1
-7 REFUSED
BOX YP1
ASK: Respondents who have seen or heard of a cigar, cigarillo or filtered cigar (YG9101=1)
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Youth Extended Questionnaire
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PATH ID:
BOX YG5
Screen ID:
PROGRAM: If never seen or heard of traditional cigars, cigarillos, or filtered cigars (YG9101 = 2, -8, or
-7) OR ((YG9002 NOT IN (1, 2)), GO TO BOX YP1.
PATH ID:
YG1002
Screen ID:
Have you ever smoked a traditional cigar, cigarillo, or filtered cigar, even one or two puffs?
1
Yes
GO TO YG9104
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of cigars, cigarillos, or filtered cigars (YG9101 = 1)
PROGRAM: DISPLAY GENERIC IMAGE OF CIGARS, CIGARILLOS AND FILTERED CIGARS
PATH ID:
YG1103
Screen ID:
Have you ever been curious about smoking a traditional cigar, cigarillo or filtered cigar?
1 Very curious
2 Somewhat curious
3 A little curious
4 Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who seen or have heard of any cigar but have not tried one ((YG9101 = 1) AND
YG1002 = 2, -8 or -7).
PATH ID:
YG1104
Screen ID:
Do you think that you will try a traditional cigar, cigarillo or filtered cigar soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of any cigar but have not tried one ((YG9101 = 1) AND
YG1002 = 2, -8 or -7).
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PATH ID:
YG1105
Screen ID:
If one of your best friends were to offer you a traditional cigar, cigarillo or filtered cigar, would you
smoke it?
1
Definitely yes
GO TO YG9105
2
Probably yes
GO TO YG9105
3
Probably not
GO TO YG9105
4
Definitely not
GO TO YG9105
-8
DON’T KNOW
GO TO YG9105
-7
REFUSED
GO TO YG9105
ASK: Respondents who have seen or heard of any cigar but have not tried one ((YG9101 = 1) AND
YG1002 = 2, -8 or -7).
BOX – DISPLAY INSTRUCTIONS
For YG9104, display a “Yes” and “No” column with options for each response category.
PATH ID:
YG9104
Screen ID:
Which type of cigar have you ever smoked?
1
Traditional cigars like Macanudo, Romeo y Julieta, Arturo Fuente, or others
Cigarillos or filtered cigars like Black & Mild, Swisher Sweets, Dutch Masters, Phillies
2
Blunts, Prime Time, Winchester, or others
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigar, cigarillo or filtered cigar (YG1002 =1).
PATH ID:
YG9105
Screen ID:
Sometimes people take tobacco out of a cigar, cigarillo or filtered cigar and replace it with marijuana.
This is sometimes called a “blunt”.
Have you ever smoked part or all of a cigar, cigarillo or filtered cigar with marijuana in it?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of cigars, cigarillos, or filtered cigars (YG9101 = 1 AND
AND (YG9002 IN (1 or 2))
GO TO:
If YG9105 = 1, go to YG9107
Else if YG1002 != 1, go to YG1124
Else go to [CIGARFILL] SERIES
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YG9107
Screen ID:
In the past 12 months, have you smoked part or all of a cigar, cigarillo or filtered cigar with marijuana in
it?
1
Yes
2
No
GO TO YG9009
-8
DON’T KNOW
GO TO YG9009
-7
REFUSED
GO TO YG9009
ASK: Respondents who have smoked cigars with marijuana (YG9105=1)
PATH ID:
YG9106
Screen ID:
In the past 12 months, when you smoked a cigar, cigarillo or filtered cigar, how often has tobacco been
replaced with any marijuana?
1
Every time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked cigars with marijuana in past 12 months (YG9107=1)
PATH ID:
YG9009
Screen ID:
Which of the following kinds of cigarillos or filtered cigars have you smoked[as blunts]? Choose all that
apply. The kind…
1 With a plastic or wooden tip
2 With a filter (like a cigarette filter)
3 Without a tip or filter
-8 DON’T KNOW
-7 REFUSED
ASK: Respondent who have ever smoked a cigarillo/FC ((YG9104(2)=1)) OR are blunt-only cigar
smokers (YG1002=2 OR YG9104(2)=2 AND YG9107=1).
PROGRAM: Display “ as blunts” if (YG1002=2 OR YG9104(2)=2) AND YG9107=1.
DISPLAY GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS
WITHOUT TIPS
PROGRAM: [CIGARFILL] SERIES
Create [CIGARFILL] and repeat series (YG1005 TO YG1146) for each product that the respondent has
indicated that he or she used in questions YG9104.
Create [CIGARFILL]. If YG9104(1)=1, fill [CIGARFILL] with “cigar”; if YG9104(2)=1 AND (YG9009=1
OR 3), fill [CIGARFILL] with “cigarillo”; if YG9104(2)=1 AND YG9009=2, fill [CIGARFILL] with “filtered
cigar”.
Repeat the rest of the section once for each type of cigar the respondent has used (traditional cigars,
PATH – Wave 1
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PATH
Youth Extended Questionnaire
Version 7.5
cigarillos, filtered cigars). Display text below as follows:
FOR RESPONDENTS WHO HAVE USED TRADITIONAL CIGARS, BUT HAVE NOT USED
CIGARILLOS OR FILTERED CIGARS: No display.
FOR ALL OTHER RESPONDENTS, DISPLAY THE FOLLOWING TEXT EACH TIME THEY REPEAT
THE REST OF THE SECTION. ADD THE LAST SENTENCE ONLY IF THEY STILL HAVE ANOTHER
CIGARFILL TO ANSWER QUESTIONS ABOUT.
The next questions are about [[CIGARFILL]s I cigarillos I filtered cigars], like those shown below.
As you answer these questions, please think only about your use of [[CIGARFILL]s I cigarillos
when smoked as blunts I filtered cigars when smoked as blunts]. [SHOW GENERIC IMAGE FOR
CIGARFILL]. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION]. There will be
a separate section later about other kinds of cigars.
[DISPLAY: If YG1002=2 OR YG9104(2)=2 AND YG9107=1 AND YG9009=1 OR 3, display
‘cigarillos’ and ‘cigarillos when smoked as blunts’. If YG1002=2 OR YG9104(2)=2 AND YG9107=1
AND YG9009=2, display ‘filtered cigars’ and ‘filtered cigars when smoked as blunts’. Else, display
[CIGARFILL]s as specified. NEVER DISPLAY any blunt text WHEN CIGARFILL=TRADITIONAL
CIGAR.]
For questions asked of respondents who have heard of, but not used cigars, cigarillos, and/or filtered
cigars (YG1124, YG1099, YG1125, YG1146), fill [CIGARFILL] as follows:
Heard of traditional cigars, never smoked one:
If YG9101=1 (AND YG1002 = 2, -8 or -7 OR YG9104(1)=2, -8 or -7)) , fill with “cigar”
Heard of cigarillos, never smoked one:
If YG9102=1 (AND YG1002 = 2, -8 or -7 OR YG9104(2)=2, -8 or -7), fill with “cigarillo”
Heard of filtered cigars, never smoked one:
If YG9103=1 (AND YG1002 = 2, -8, -7 OR YG9104(2)=2, -8 or -7) , fill with “filtered cigar”.
Repeat series (YG1124-YG1146) for each type of cigar respondent has heard of.
PROGRAM:
CREATE VARIABLES:
BLUNT_ONLY_GRILLO – respondents that report never smoking a cigar, but report smoking cigarillos
as blunts
BLUNT_ONLY_GRILLO=1 YES, if (YG1002=2 OR YG9104(2)=2) AND (YG9107=1 AND YG9009=1
OR 3).
Else BLUNT_ONLY_GRILLO=2 NO.
BLUNT_ONLY_GFC – respondents that report never smoking a cigar, but report smoking filtered
cigars as blunts
BLUNT_ONLY_GFC=1 YES, if (YG1002=2 OR YG9104(2)=2) AND (YG9107=1 AND YG9009=2).
Else BLUNT_ONLY_GFC=2 NO.
IF BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, ONLY ASK ITEMS: YG1095, YG1108,
YG1030, YG1032, YG1033, YG1047, YG1048, YG1070, YG1049, and YG1071, following skips
appropriately.
PROGRAM: If BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, go to YG1095
Else go to YG1005.
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Version 7.5
PATH ID:
YG1005
Screen ID:
How many [CIGARFILL]s have you smoked in your entire life?
1 1 or more puffs but never a whole one
2 1
3 2 to 10
4 11 to 20
5 21 to 50
6 51 to 99
7 100 or more
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1).
PATH ID:
YG1095
Screen ID:
Please look at this picture. Which group is most like the [[CIGARFILL] I cigarillo I filtered cigar] you
usually smoke[ as a blunt]?
1 Group 1
2 Group 2
3 Group 3
4 Group 4
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1) OR are blunt-only cigar smokers
(BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1).
PROGRAM: If BLUNT_ONLY_GRILLO=1, display “cigarillo” and “ as a blunt”. If
BLUNT_ONLY_GFC=1, display “filtered cigar” and “as a blunt”. Else, display “[CIGARFILL]”.
DISPLAY IMAGE OF CIGARS WITH SCALE
GO TO: If BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, go to YG1108
Else go to YG1006.
PATH ID:
YG1006
Screen ID:
How old were you when you first tried a [CIGARFILL], even one or two puffs?
1
|__|__| years old
GO TO YG1108
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1).
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YG1120
Screen ID:
When you first tried a [CIGARFILL], even one or two puffs, were you…
1 Less than 12 years old,
2 12 to 14 years old, or
3 15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YG1006=-8 OR -7)
PATH ID:
YG1108
Screen ID:
Was the first [[CIGARFILL] you smoked I cigarillo you smoked as a blunt I filtered cigar you smoked as
a blunt] flavored to taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine
or cognac), or other sweets?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1) OR are blunt-only cigar smokers
(BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1)
PROGRAM: If BLUNT_ONLY_GRILLO=1, display “cigarillo you smoked as a blunt”. If
BLUNT_ONLY_GFC=1, display “filtered cigar you smoked as a blunt”. Else, display “[CIGARFILL] you
smoked”.
GO TO: If BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, go to YG1030.
PATH ID:
YG1112
Screen ID:
When was the last time you smoked a [CIGARFILL], even one or two puffs?
1
Earlier today
2
Not today but sometime in the past 7 days
3
Not in the past 7 days but sometime in the past 30 days
4
Not in the past 30 days but sometime in the past 6 months
5
Not in the past 6 months but sometime in the past year
6
1 to 4 years ago
7
5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] (YG1002 =1).
PATH – Wave 1
Youth Extended Questionnaire
42
GO TO YG1124
GO TO YG1124
GO TO YG1124
GO TO YG1124
GO TO YG1124
GO TO YG1124
PATH
Youth Extended Questionnaire
Version 7.5
PROGRAM:
CREATE VARIABLES FOR EACH CIGAR TYPE:
PAST30DAY_[CIGARFILL] (Past 30 Day Users)
PAST30DAY_ [CIGARFILL] = 1 Yes, if respondent has smoked a [CIGARFILL] within the past 30 days
(YG1112=1 or 2 or 3).
Else PAST30DAY_[CIGARFILL]= 2 No.
PAST30DAY_VL_[CIGARFILL] (Past 30 Day Very Light Users)
PAST30DAY_VL_[CIGARFILL]= 1 Yes, if respondent has smoked less than 10 [CIGARFILL]s in
lifetime (YG1005=1 or 2 or 3) AND last smoked a [CIGARFILL] in the past 30 days (YG1112=1 or 2 or
3).
Else PAST30DAY_VL_[CIGARFILL]= 2 No.
PAST30DAY_NL_[CIGARFILL] (Past 30 Day Not Light Users)
PAST30DAY_NL_[CIGARFILL]= 1 Yes, if respondent has smoked more than 10 [CIGARFILL]s in
lifetime (YG1005 > 3) AND last smoked a [CIGARFILL] within the past 30 days (YG1112=1 or 2 or 3).
Else PAST30DAY_NL_[CIGARFILL]= 2 No.
PATH ID:
YG1022
Screen ID:
In the past 30 days, on how many days did you smoke a [CIGARFILL]?
1
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1)
PROGRAM: Range check: 1-30 days
PATH ID:
YG1023
Screen ID:
In the past 30 days, on the days you smoked a [CIGARFILL], how many [CIGARFILL]s did you smoke
per day?
1
Less than 1 [CIGARFILL] per day
2
1 [CIGARFILL] per day
3
2 to 5 [CIGARFILL]s per day
4
6 to 10 [CIGARFILL]s per day
5
11 to 20 [CIGARFILL]s per day
6
More than 20 [CIGARFILL]s per day
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
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PATH ID:
YG1130
Screen ID:
In the past 30 days, were any of the [CIGARFILL]s that you smoked flavored to taste like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1123
Screen ID:
In the past 30 days, did anyone refuse to sell you [CIGARFILL]s because of your age?
1
Yes
2
No
3
I did not try to buy [CIGARFILL]s in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_ [CIGARFILL]
= 1).
PATH ID:
YG1118
Screen ID:
In the past 30 days, how did you usually get your own [CIGARFILL]s?
1
2
3
4
5
6
I bought them myself
I gave someone else money to buy them for me
GO TO YG1030
I asked someone to give me one
GO TO YG1047
Someone offered it to me
GO TO YG1047
I bought them from another person
GO TO YG1047
I took them from a store or another person
GO TO YG1047
I got them some other way
GO TO YG1047
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YG1047
-7 REFUSED
GO TO YG1047
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_ [CIGARFILL]
= 1).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
GO TO: If PAST30DAY_VL_[CIGARFILL]=1, go to Box YG6
Else go to YG1097.
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YG1097
Screen ID:
In the past 30 days, did you use a coupon when buying [CIGARFILL]s?
1
Yes
2
No
GO TO YG1030
-8
DON’T KNOW
GO TO YG1030
-7
REFUSED
GO TO YG1030
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) AND tried to buy [CIGARFILL]s in the past 30 days (YG1123 NE
3) AND bought [CIGARFILL]s themselves in the past 30 days (YG1118=1)
PATH ID:
YG1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy [CIGARFILL]s?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) AND used a coupon in the past 30 days (YG1097 = 1)
PATH ID:
YG1030
Screen ID:
How do [you/they] usually buy [your [CIGARFILL]s I cigarillos for when you smoke blunts I filtered
cigars for when you smoke blunts? Is it…
1 In person (such as at a store or cigar bar)
2 From the internet
GO TO YG1047
3 By telephone
GO TO YG1047
-8 DON’T KNOW
GO TO YG1047
-7 REFUSED
GO TO YG1047
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) AND indicated that they bought [CIGARFILL] for themselves or
that someone else bought [CIGARFILL] for them in the past 30 days (YG1118 = 1 or 2) OR blunt-only
cigar smokers (BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1).
PROGRAM: If YG1118=1, display “you” and “your [CIGARFILL]s”; If YG1118=2, display “they” and
“your [CIGARFILL]s”. IF BLUNT_ONLY_GRILLO=1, display “you” and “cigarillos for when you smoke
blunts”. If BLUNT_ONLY_GFC=1 display “you” and “filtered cigars for when you smoke blunts”.
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Version 7.5
PATH ID:
YG1032
Screen ID:
Do [you/they] usually buy [[CIGARFILL]s I cigarillos for blunts I filtered cigars for blunts]...?
1 In your own state
2 In another state
3 Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) AND indicated that the [CIGARFILL]s they bought for themselves
or that someone else bought for them were purchased in person (YG1030 = 1).
PROGRAM: If YG1118=1, display “you” and [CIGARFILL]s; If YG1118=2, display “they and
[CIGARFILL]s”. IF BLUNT_ONLY_GRILLO=1, display “you” and “cigarillos for blunts”. If
BLUNT_ONLY_GFC=1 display “you” and “filtered cigars for blunts”.
PATH ID:
YG1033
Screen ID:
Where do [you/they] buy your [[CIGARFILL]s I cigarillos for blunts I filtered cigars for blunts] most of
the time?
1 A cigar bar
2 A convenience store or gas station
3 A supermarket, grocery store, or drug store
4 A warehouse club, such as Sam’s or Costco
5 A smoke shop, tobacco specialty store or tobacco outlet store
6 A duty free shop or military commissary
7 A bar, pub, restaurant or casino
8 A friend or relative
[DISPLAY IF YG1118 = 1]
9 A swap meet or flea market
10 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) AND indicated that the [CIGARFILL]s or blunts they bought for
themselves or that someone else bought for them were purchased in person (YG1030 = 1).
PROGRAM: If YG1118=1, display “you” and [CIGARFILL]s; If YG1118=2, display “they” and
[CIGARFILL]s. If BLUNT_ONLY_GRILLO=1, display “you” and “cigarillos for blunts”. If
BLUNT_ONLY_GFC=1, display “you” and “filtered cigars for blunts”.
If YG1118=1 OR BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, display option 7=‘ A friend or
relative,’ if YG1118 NE 1, hide option 7.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH – Wave 1
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46
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YG1047
Screen ID:
Do you have a regular brand of [[CIGARFILL]s I cigarillo I filtered cigar] that you usually [smoke I use
for blunts]?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) OR blunt-only cigar smoker (BLUNT_ONLY_GRILLO=1 OR
BLUNT_ONLY_GFC=1)
PROGRAM: If BLUNT_ONLY_GRILLO=1, display “cigarillo” and “use for blunts”. If
BLUNT_ONLY_GFC=1, display “filtered cigar” and “use for blunts”. Else, display [CIGARFILL]s and
“smoke”.
PATH ID:
YG1048
Screen ID:
What brand of [[CIGARFILL] I cigarillo for blunts I filtered cigar for blunts] [do I did] you [usually I last]
smoke? Please select it from the choices below by touching the screen. If you do not see it below,
touch the button marked “NEXT”. I If you do not see it below, touch the box marked “Something else”.
]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO YG1070]
1 Something else
GO TO YG1049
-8 DON’T KNOW
GO TO YG1060
-7 REFUSED
GO TO YG1060
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) OR blunt-only cigar smoker (BLUNT_ONLY_GRILLO=1 OR
BLUNT_ONLY_GFC=1).
PROGRAM: If BLUNT_ONLY_GRILLO=1, display “cigarillo for blunts”. If BLUNT_ONLY_GFC=1,
display “filtered cigar for blunts”. Else, display [CIGARFILL].If YG1047=1, display “do” and “usually”. If
YG1047=2, DK or RF, display “did” and “last”.
PATH – Wave 1
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PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YG1070
Screen ID:
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do I did] you [usually I last]
smoke[as a blunt]? Please select it from the choices below by touching the screen. [ If you do not see
it below, touch the button marked “NEXT”. I If you do not see it below, touch the box marked
“Something else”. ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS
ASSOCIATED WITH BRAND SELECTED IN YG1048]
1
-8
-7
Something else
GO TO YG1071
DON’T KNOW
GO TO YG1060
REFUSED
GO TO YG1060
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) OR blunt-only cigar smoker (BLUNT_ONLY_GRILLO=1 OR
BLUNT_ONLY_GFC=1) that selected a brand image in YG1048.
PROGRAM: If YG1047=1, display “do” and “usually”. If YG1047=2, DK or RF, display “did” and “last”.
If BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, display “as a blunt”.
PATH ID:
YG1049
Screen ID:
You said that your brand was not pictured. What is it?
1
__________________________
GO TO YG1060
-8 DON’T KNOW
GO TO YG1060
-7 REFUSED
GO TO YG1060
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) OR blunt-only cigar smokers (AND BLUNT_ONLY_GRILLO=1
OR BLUNT_ONLY_GFC=1) that did not select an image for their brand (YG1048=1).
PATH ID:
YG1071
Screen ID:
You said that the type of [BRANDFILL]s that you smoke[ as blunts] was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days
(PAST30DAY_NL_[CIGARFILL] = 1) OR blunt-only cigar smoker (BLUNT_ONLY_GRILLO=1 OR
BLUNT_ONLY_GFC=1) who did not select the type of product they use (YG1070=”Something else”)
but who DID select a brand (YG1048<>1, -8, -7). Do not ask of respondents who wrote a brand into
YG1049.
PROGRAM: If BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, display “as blunts”. Else, no
display.
GO TO: If BLUNT_ONLY_GRILLO=1 OR BLUNT_ONLY_GFC=1, go to next section.
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48
PATH
Youth Extended Questionnaire
Version 7.5
Box YG6
Display question YG1060, YG1061, YG1085, YG1062, YG1063, YG1064, YG1066, YG1068, YG1069,
YG1072 on one screen. Show the intro/transition text from YG1060 first, then show each item with a
Y/N response. As each item is answered, show the next one.
PROGRAM: Randomize order of YG1060 through YG1072.
PATH ID:
YG1060
Screen ID:
The next questions are about the reasons people smoke [CIGARFILL]s. Please select which reasons
apply to you.
I smoke [CIGARFILL]s because…
They are affordable.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1061
Screen ID:
People in the media or other public figures smoke [CIGARFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1085
Screen ID:
I can smoke [CIGARFILL]s at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YG1062
Screen ID:
They might be less harmful than cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1063
Screen ID:
[CIGARFILL]s come in flavors I like.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1064
Screen ID:
Smoking [CIGARFILL]s helps people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1066
Screen ID:
Smoking a [CIGARFILL] feels like smoking a regular cigarette.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
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50
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YG1068
Screen ID:
People who are important to me smoke [CIGARFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1069
Screen ID:
I like socializing while smoking a [CIGARFILL].
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1072
Screen ID:
The advertising for [CIGARFILL]s appeals to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [CIGARFILL] in the past 30 days (PAST30DAY_[CIGARFILL]
= 1).
PATH ID:
YG1124
Screen ID:
How likely is someone to become addicted to [[CIGARFILL]s I traditional cigars, cigarillos or filtered
cigars]?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of [CIGARFILL]s (YG9101 = 1)
PROGRAM: If YG1002=2, -8 or -7, display “traditional cigars, cigarillos or filtered cigars”; else use
[CIGARFILL]s display as previously specified.
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51
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YG1099
Screen ID:
Is smoking [[CIGARFILL]s I traditional cigars, cigarillos or filtered cigars,] less harmful, about the same,
or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of [CIGARFILL]s (YG9101 = 1)
PROGRAM: If YG1002=2, -8 or -7, display “traditional cigars, cigarillos or filtered cigars,”; else use
[CIGARFILL]s display as previously specified.
PATH ID:
YG1125
Screen ID:
How much do you think people harm themselves when they smoke [[CIGARFILL]s I traditional cigars,
cigarillos or filtered cigars]?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of [CIGARFILL]s (YG9101 = 1)
PROGRAM: If YG1002=2, -8 or -7, display “traditional cigars, cigarillos or filtered cigars”; else use
[CIGARFILL]s display as previously specified.
PATH ID:
YG1146
Screen ID:
Some [[CIGARFILL]s I traditional cigars, cigarillos or filtered cigars] come in flavors like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets.
Are flavored [[CIGARFILL]s I traditional cigars, cigarillos or filtered cigars,] easier to smoke, about the
same, or harder to smoke than unflavored [[CIGARFILL]s I traditional cigars, cigarillos or filtered
cigars]?
1
Easier to smoke
2
About the same
3
Harder to smoke
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of [CIGARFILL]s (YG9101 = 1)
PROGRAM: If YG1002=2, -8 or -7, display “traditional cigars, cigarillos or filtered cigars,”; else use
[CIGARFILL]s display as previously specified.
PATH – Wave 1
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52
PATH
Youth Extended Questionnaire
Version 7.5
PIPE TOBACCO SECTION
BOX YP1
The next set of questions are about smoking tobacco in a pipe.
Pipes come in many shapes and sizes. They all have a bowl that holds the tobacco and a stem. Pipe
tobacco is often sold loose in packages or tins. In the following section, we are only asking about
smoking pipes filled with tobacco. The picture below shows a typical pipe and some pipe tobacco.
[SHOW IMAGES OF PIPES AND PIPE TOBACCO – BOTH LOOSE AND IN TINS]
PATH ID:
YP1001
Screen ID:
Have you ever seen or heard of a pipe before this study?
1
Yes
2
No
GO TO YHINTRO_1
-8 DON’T KNOW
GO TO YHINTRO_1
-7 REFUSED
GO TO YHINTRO_1
ASK: All respondents.
DISPLAY GENERIC IMAGE OF PIPE AND PIPE TOBACCO
PATH ID:
YP1002
Screen ID:
Have you ever smoked a pipe filled with tobacco, even one or two puffs?
1
Yes
GO TO YP1005
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of pipe tobacco (YP1001 = 1).
DISPLAY GENERIC IMAGE OF PIPE AND PIPE TOBACCO
PATH ID:
YP1103
Screen ID:
Have you ever been curious about smoking a pipe filled with tobacco?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents that have seen or heard of pipe tobacco but have not smoked it (YP1001 = 1 AND
YP1002 = 2, -8 or -7).
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Version 7.5
PATH ID:
YP1104
Screen ID:
Do you think you will try smoking a pipe filled with tobacco soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents that have seen or heard of pipe tobacco but have not smoked it (YP1001 = 1 AND
YP1002 = 2, -8 or -7).
PATH ID:
YP1105
Screen ID:
If one of your best friends were to offer you a pipe filled with tobacco, would you smoke it?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents that have seen or heard of pipe tobacco but have not smoked it (YP1001 = 1 AND
YP1002 = 2, -8 or -7).
GO TO: If respondent has never smoked a pipe (YP1002 = 2, -8 or -7), GO TO YP1124.
Else GO TO YP1005
PATH ID:
YP1005
Screen ID:
How many bowls filled with pipe tobacco have you smoked in your entire life?
1
1 or more puffs but never a whole one
2
1
3
2 to 10
4
11 to 20
5
21 to 50
6
51 to 99
7
100 or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe (YP1002 = 1).
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YP1006
Screen ID:
How old were you when you first tried pipe tobacco, even one or two puffs?
1
|__|__| years old
-8
DON’T KNOW
-7
REFUSED
GO TO YP1108
ASK: Respondents who have smoked a pipe (YP1002 = 1).
PROGRAM: Allow 2 digits for age.
PATH ID:
YP1120
Screen ID:
When you first tried pipe tobacco, even one or two puffs, were you…
1 Less than 12 years old,
2 12 to 14 years old, or
3 15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YP1006=-8 OR -7)
PATH ID:
YP1108
Screen ID:
Was the first pipe tobacco you smoked flavored to taste like menthol, mint, clove, spice, candy, fruit,
chocolate, alcohol (such as wine or cognac), or other sweets?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe (YP1002 = 1).
PATH ID:
YP1112
Screen ID:
When was the last time you smoked a pipe, even one or two puffs?
1 Earlier today
2 Not today but sometime in the past 7 days
3 Not in the past 7 days but sometime in the past 30 days
4 Not in the past 30 days but sometime in the past 6 months
5 Not in the past 6 months but sometime in the past year
6 1 to 4 years ago
7 5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe (YP1002 = 1).
PATH – Wave 1
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55
GO TO YP1124
GO TO YP1124
GO TO YP1124
GO TO YP1124
GO TO YP1124
GO TO YP1124
PATH
Youth Extended Questionnaire
Version 7.5
PROGRAM:
CREATE VARIABLES:
PAST30DAY_PIPE (Past 30 Day Users)
PAST30DAY_PIPE = 1 Yes, if respondent has smoked a pipe within the past 30 days (YP1112=1 or 2
or 3).
Else PAST30DAY_PIPE = 2 No.
PAST30DAY_VL_PIPE (Past 30 Day Very Light Users)
PAST30DAY_VL_PIPE = 1 Yes, if respondent has smoked less than 10 bowls of pipe tobacco in
lifetime (YP1005=1 or 2 or 3) AND last smoked a pipe in the past 30 days (YP1112=1 or 2 or 3).
Else PAST30DAY_VL_PIPE = 2 No.
PAST30DAY_NL_PIPE (Past 30 Day Not Light Users)
PAST30DAY_NL_PIPE = 1 Yes, if respondent has smoked more than 10 bowls of pipe tobacco in
lifetime (YP1005 > 3) AND last smoked a pipe within the past 30 days (YP1112=1 or 2 or 3).
Else PAST30DAY_NL_PIPE = 2 No.
PATH ID:
YP1022
Screen ID:
In the past 30 days, on how many days did you smoke a pipe?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1)
PROGRAM: Range check: 1-30 days
PATH ID:
YP1023
Screen ID:
In the past 30 days, on the days you smoked a pipe, how many bowls filled with tobacco did you smoke
per day?
1
Less than 1 bowl per day
2
1 bowl per day
3
2 to 5 bowls per day
4
6 to 10 bowls per day
5
11 to 20 bowls per day
6
More than 20 bowls per day
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
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Youth Extended Questionnaire
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PATH ID:
YP1130
Screen ID:
In the past 30 days, was any of the pipe tobacco you smoked flavored to taste like menthol, mint, clove,
spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1123
Screen ID:
In the past 30 days, did anyone refuse to sell you pipe tobacco because of your age?
1
Yes
2
No
3
I did not try to buy pipe tobacco in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1118
Screen ID:
In the past 30 days, how did you usually get your own pipe tobacco?
1
2
3
4
5
6
I bought it myself
I gave someone else money to buy it for me
GO TO YP1030
I asked someone to give me some
GO TO YP1047
Someone offered it to me
GO TO YP1047
I bought it from another person
GO TO YP1047
I took it from a store or another person
GO TO YP1047
I got it some other way
GO TO YP1047
7
SPECIFY __________________________
-8
DON’T KNOW
GO TO YP1047
-7
REFUSED
GO TO YP1047
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
GO TO: If PAST30DAY_VL_PIPE=1, go to Box YP2
Else go to YP1097.
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YP1097
Screen ID:
In the past 30 days, did you use a coupon when buying pipe tobacco?
1
Yes
2
No
GO TO YP1030
-8
DON’T KNOW
GO TO YP1030
-7
REFUSED
GO TO YP1030
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) that
tried to buy pipe tobacco in the past 30 days (YP1123 NE 3) AND bought pipe tobacco themselves in
the past 30 days (YP1118=1)
PATH ID:
YP1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy pipe tobacco?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) AND
who used a coupon in the past 30 days (YP1097 = 1)
PATH ID:
YP1030
Screen ID:
How do [you/they] usually buy your pipe tobacco? Is it…
1
In person
2
From the internet
GO TO YP1047
3
By telephone
GO TO YP1047
-8
DON’T KNOW
GO TO YP1047
-7
REFUSED
GO TO YP1047
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) AND
indicated that they bought pipe tobacco for themselves or that someone else bought pipe tobacco for
them in the past 30 days (YP1118 = 1 or 2).
PROGRAM: If YP1118=1, display “you”; If YP1118=2, display “they”.
PATH ID:
YP1032
Screen ID:
Do [you/they] usually buy pipe tobacco...
1
In your own state
2
In another state
3
Outside the US
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) AND
indicated that the pipe tobacco that they bought for themselves or that someone else bought for them
was purchases in person (YP1030 = 1).
PROGRAM: If YP1118=1, display “you”; If YP1118=2, display “they”
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YP1033
Screen ID:
Where do [you/they] buy your pipe tobacco most of the time?
1 A convenience store or gas station
2 A supermarket, grocery store, or drug store
3 A warehouse club, such as Sam’s or Costco
4 A smoke shop, tobacco specialty store or tobacco outlet store
5 A duty free shop or military commissary
6 A bar, pub, restaurant or casino
7 A friend or relative
[DISPLAY IF YP1118 = 1]
8 A swap meet or flea market
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) AND
indicated that the pipe tobacco that they bought for themselves or that someone else bought for them
was purchased in person (YP1030 = 1).
PROGRAM: If YP1118=1, display “you”; If YP1118=2, display “they”
If YP1118=1, display option 7=‘ A friend or relative,’ if YP118 NE 1, hide option 7.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH ID:
YP1047
Screen ID:
Do you have a regular brand of pipe tobacco that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1).
PATH ID:
YP1048
Screen ID:
What brand of pipe tobacco [do I did] you [usually I last] smoke? Please select it from the choices
below by touching the screen. [ If you do not see it below, touch the button marked “NEXT”. I If you
do not see it below, touch the box marked “Something else”. ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO YP1070]
1
Something else
PATH – Wave 1
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GO TO YP1049
59
PATH
Youth Extended Questionnaire
Version 7.5
-8 DON’T KNOW
GO TO YP1060
-7 REFUSED
GO TO YP1060
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1).
PROGRAM: If YP1047=1, display “do” and “usually”. If YP1047=2, DK or RF, display “did” and “last”
PATH ID:
YP1070
Screen ID:
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do I did] you [usually I last]
smoke? Please select it from the choices below by touching the screen. [ If you do not see it below,
touch the button marked “NEXT”. I If you do not see it below, touch the box marked “Something else”.
]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS
ASSOCIATED WITH BRAND SELECTED IN YP1048]
1
-8
-7
Something else
GO TO YP1071
DON’T KNOW
GO TO YP1060
REFUSED
GO TO YP1060
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) and
selected a brand image in YP1048.
PROGRAM: If YP1047=1, display “do” and “usually”. If YP1047=2, DK or RF, display “did” and “last”
PATH ID:
YP1049
Screen ID:
You said that your brand was not pictured. What is it?
1
__________________________
GO TO YP1060
-8 DON’T KNOW
GO TO YP1060
-7 REFUSED
GO TO YP1060
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) that did
not select an image for their brand (YP1048 = 1).
PATH ID:
YP1071
Screen ID:
You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_NL_PIPE = 1) who did
not select the type of product they use (YP1070=”Something else”) but who DID select a brand
(YP1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YP1049.
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PATH
Youth Extended Questionnaire
Version 7.5
Box YP2
Display question YP1060, YP1061, YP1085, YP1062, YP1063, YP1064, YP1068, YP1069, YP1072
on one screen. Show the intro/transition text from YP1060 first, then show each item with a Y/N
response. As each item is answered, show the next one.
PROGRAM: Randomize order of YP1060 through YP1072.
PATH ID:
YP1060
Screen ID:
The next questions are about the reasons people smoke a pipe. Please select which reasons apply to
you.
I smoke a pipe filled with tobacco because…
It is affordable.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1061
Screen ID:
People in the media or other public figures smoke pipes.
1
2
Yes
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YP1085
Screen ID:
I can smoke a pipe at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1062
Screen ID:
It might be less harmful than smoking cigarettes.
1
2
Yes
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1063
Screen ID:
Pipe tobacco comes in flavors I like.
1
2
Yes
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1064
Screen ID:
Smoking a pipe helps people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1068
Screen ID:
People who are important to me smoke pipes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YP1069
Screen ID:
I like socializing while smoking a pipe.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1072
Screen ID:
The advertising for pipes appeal to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YP1124
Screen ID:
How likely is someone to become addicted to pipe tobacco?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely or unlikely
4
Somewhat likely
5
Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of pipe tobacco (YP1001 = 1).
PATH ID:
YP1099
Screen ID:
Is smoking pipe tobacco less harmful, about the same, or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of pipe tobacco (YP1001 = 1).
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YP1125
Screen ID:
How much do you think people harm themselves when they smoke a pipe?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of pipe tobacco (YP1001 = 1).
PATH ID:
YP1146
Screen ID:
Some pipe tobacco comes in flavors like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol
(such as wine or cognac), or other sweets.
Is flavored pipe tobacco easier to smoke, about the same, or harder to smoke than unflavored pipe
tobacco?
1
Easier to smoke
2
About the same
3
Harder to smoke
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of pipe tobacco (YP1001 = 1).
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HOOKAH SECTION
[YHINTRO_1]
The next few questions are about smoking tobacco in a hookah. A hookah pipe is a type of water pipe
that is sometimes also called a narghile pipe. From now on, we will use hookah to refer to a water pipe
or narghile pipe that is often used to smoke tobacco.
There are many types of hookahs. People often smoke tobacco in hookahs in groups at cafes or in
hookah bars.
SHOW GENERIC IMAGES OF HOOKAH
[YHINTRO_2]
People smoke shisha or hookah tobacco in a hookah. Some shisha contains tobacco and some does
not. Shisha comes in many flavors.
SHOW GENERIC IMAGES OF SHISHA
PATH ID:
YH1001
Screen ID:
Have you ever seen or heard of a hookah before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents.
SHOW GENERIC IMAGES OF HOOKAH
PATH ID:
GO TO SMLTOB
GO TO SMLTOB
GO TO SMLTOB
YH1002
Screen ID:
Have you ever smoked tobacco in a hookah, even one or two puffs?
1
Yes
GO TO YH1005
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of a hookah (YH1001 = 1).
SHOW GENERIC IMAGES OF HOOKAH
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PATH ID:
YH1103
Screen ID:
Have you ever been curious about smoking tobacco in a hookah?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of a hookah but not smoked a hookah (YH1001 = 1 AND
YH1002 = 2, -8 or -7).
PATH ID:
YH1104
Screen ID:
Do you think you will try smoking tobacco in a hookah soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of a hookah but not smoked a hookah (YH1001 = 1 AND
YH1002 = 2, -8 or -7).
PATH ID:
YH1105
Screen ID:
If one of your best friends were to offer you a hookah, would you smoke it?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of a hookah but not smoked hookah (YH1001 = 1 AND
YH1002 = 2, -8 or -7).
GO TO: If respondent has never smoked hookah (YH1002 = 2, -8 or -7), GO TO YH1124.
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PATH ID:
YH1005
Screen ID:
How many times have you smoked tobacco in a hookah in your entire life? Count each sitting or
session where you smoked tobacco in a hookah, whether alone or with others.
1
1
2
2 to 10
3
11 to 20
4
21 to 50
5
51 to 99
6
100 or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah (YH1002 = 1).
PATH ID:
YH1112
Screen ID:
When was the last time you smoked tobacco in a hookah, even one or two puffs?
1 Earlier today
2 Not today but sometime in the past 7 days
3 Not in the past 7 days but sometime in the past 30 days
4 Not in the past 30 days but sometime in the past 6 months
5 Not in the past 6 months but sometime in the past year
6 1 to 4 years ago
7 5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked hookah (YH1002 = 1).
PATH ID:
YH9003
GO TO YH1090
GO TO YH1090
Screen ID:
Which of the following choices best describes your hookah smoking? Usually I smoke hookah…
1
Everyday
GO TO YH9006
2
Weekly
GO TO YH9005
3
Monthly
GO TO YH9004
4
Every couple of months
GO TO YH1090
5
About once a year
GO TO YH1090
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah at least once in the past 12 months (YH1112 = 1, 2, 3, 4,
5, DK, or RF).
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PATH ID:
YH9004
Screen ID:
On average, about how many times do you smoke tobacco in a hookah in a month? Count each sitting
or session where you smoked tobacco in a hookah, whether alone or with others.
1
I___I___I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who smoke hookah monthly (YH9003 = 3).
PATH ID:
YH9005
Screen ID:
On average, about how many times do you smoke tobacco in a hookah in a week? Count each sitting
or session where you smoked tobacco in a hookah, whether alone or with others.
1
I___I___I
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who smoke hookah weekly (YH9003 = 2).
PATH ID:
YH9006
Screen ID:
On average, about how many times do you smoke tobacco in a hookah each day? Count each sitting
or session where you smoked tobacco in a hookah, whether alone or with others.
1
I___I___I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who smoke hookah daily (YH9003 = 1).
PATH ID:
YH1090
Screen ID:
Do you own a hookah?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked hookah (YH1002 = 1).
PATH ID:
YH1191
Screen ID:
Do any of your parents or guardians own a hookah?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of a hookah (YH1001 = 1).
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PATH ID:
YH1006
Screen ID:
How old were you when you first tried smoking hookah, even one or two puffs?
1
|__|__| years old
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked hookah (YH1002 = 1).
PATH ID:
GO TO YH1108
YH1120
Screen ID:
When you first tried smoking hookah, even one or two puffs, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YH1006=-8 OR -7)
PATH ID:
YH1108
Screen ID:
Was the first shisha or hookah tobaccoyou smoked flavored to taste like menthol, mint, clove, spice,
candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked hookah (YH1002 = 1).
PATH ID:
YH9012
Screen ID:
Do you usually share the same hookah with others when you smoke?
1
Yes
2
No
GO TO YH9014
-8 DON’T KNOW
GO TO YH9011
-7 REFUSED
GO TO YH9011
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
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PATH ID:
YH9013
Screen ID:
How many people do you usually share hookah with?
1
None
2
1 other person
3
2 other people
4
3 other people
-8
4 or more other people
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3) that report
sharing with others (YH9012=1).
PATH ID:
YH9014
Screen ID:
On average, how long is one hookah session for you [and the people you share it with]? A session is
one sitting in which you smoke hookah, whether alone or with others.
1
Less than 30 minutes
2
30-60 minutes
3
1-2 hours
4
More than 2 hours
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3)
PROGRAM: If respondent reports sharing with others (YH9012=1 and YH9013 NE 1), display “and the
people you share it with”
PATH ID:
YH9015
Screen ID:
On average, when you [smoke I share] hookah, how many times do you refill it with tobacco?
1
0 times
2
1 time
3
2 to 3 times
4
4 or more times
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3)
PROGRAM: If respondent reports not sharing with others (YH9012=2), display ‘smoke’; if respondent
reports sharing with others (YH9012=1 and YH9013 NE 1), display “share”.
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PATH ID:
YH9011
Screen ID:
Where do you usually smoke hookah? Choose all that apply.
1
At home
2
In a hookah bar or cafe
3
At a friend’s house
4
Somewhere else (SPECIFY_________________)
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
PATH ID:
YH1130
Screen ID:
In the past 30 days, was any of the shisha or hookah tobacco you smoked flavored to taste like
menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1123
Screen ID:
In the past 30 days, did anyone refuse to sell you shisha or hookah tobacco because of your age?
1
Yes
2
No
3
I did not try to buy shisha tobacco in the past 30 days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1118
Screen ID:
In the past 30 days, how did you usually get your own shisha or hookah tobacco?
1
2
3
4
5
6
7
-8
-7
I bought it myself
I gave someone else money to buy it for me
I asked someone to give me some
Someone offered it to me
I bought it from another person
I took it from a store or another person
I got it some other way SPECIFY _________
DON’T KNOW
REFUSED
PATH – Wave 1
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71
GO TO YH1030
GO TO YH1047
GO TO YH1047
GO TO YH1047
GO TO YH1047
GO TO YH1047
GO TO YH1047
GO TO YH1047
PATH
Youth Extended Questionnaire
Version 7.5
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
PATH ID:
YH1097
Screen ID:
In the past 30 days, did you use a coupon when buying shisha or hookah tobacco?
1
Yes
2
No
GO TO YH1030
-8
DON’T KNOW
GO TO YH1030
-7
REFUSED
GO TO YH1030
ASK: Respondents who tried to buy shisha tobacco in the past 30 days (YH1123 NE 3) AND bought
shisha tobacco themselves in the past 30 days (YH1118=1)
PATH ID:
YH1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy shisha or hookah tobacco?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who used a coupon in the past 30 days (YH1097 = 1)
PATH ID:
YH1030
Screen ID:
How do [you/they] usually buy your shisha or hookah tobacco? Is it…
1 In person (such as at a store or hookah bar)
2 From the internet
GO TO YH1047
3 By telephone
GO TO YH1047
-8 DON’T KNOW
GO TO YH1047
-7 REFUSED
GO TO YH1047
ASK: Respondents who indicated that they bought shisha tobacco for themselves or that someone
else bought shisha tobacco for them in the past 30 days (YH1118 = 1 or 2).
PROGRAM: If YH1118=1, display “you”; If YH1118=2, display “they”.
PATH ID:
YH1032
Screen ID:
Do [you/they] usually buy shisha or hookah tobacco...
1 In your own state
2 In another state
3 Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the shisha tobacco they bought for themselves or that someone
else bought for them was purchased in-person (YH1030= 1).
PROGRAM: If YH1118=1, display “you”; If YH1118=2, display “they”
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PATH ID:
YH1033
Screen ID:
Where do [you/they] buy your shisha or hookah tobacco most of the time?
1
A hookah bar or cafe
2
A convenience store or gas station
3
A supermarket, grocery store, or drug store
4
A warehouse club, such as Sam’s or Costco
5
A smoke shop, tobacco specialty store or tobacco outlet store
6
A duty free shop or military commissary
7
A bar, pub, restaurant or casino
8
A friend or relative
[DISPLAY IF YH1118 = 1]
9
A swap meet or flea market
10 Or from somewhere else
SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who indicated that the shisha tobacco they bought for themselves or that someone
else bought for them was purchased in-person (YH1030 = 1).
PROGRAM: If YH1118=1, display “you”; If YH1118=2, display “they”
If YH1118=1, display option 8=‘ A friend or relative,’ if YH118 NE 1, hide option 8.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH ID:
YH1047
Screen ID:
Do you have a regular brand of shisha or hookah tobacco that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1048
Screen ID:
What brand of shisha or hookah tobacco [do I did] you [usually I last] smoke? Please select it from the
choices below by touching the screen. [ If you do not see it below, touch the button marked “NEXT”. I
If you do not see it below, touch the box marked “Something else”. ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO YH1070]
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1 Something else
GO TO YH1049
-8 DON’T KNOW
GO TO YH1060
-7 REFUSED
GO TO YH1060
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PROGRAM: If YH1047=1, display “do” and “usually”. If YH1047=2, DK or RF, display “did” and “last”
PATH ID:
YH1070
Screen ID:
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do I did] you [usually I last]
smoke? Please select it from the choices below by touching the screen. [ If you do not see it below,
touch the button marked “NEXT”. I If you do not see it below, touch the box marked “Something else”.
]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS
ASSOCIATED WITH BRAND SELECTED IN YH1048]
1
-8
-7
Something else
GO TO YH1071
DON’T KNOW
GO TO YH1060
REFUSED
GO TO YH1060
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3) and selected a
brand image in YH1048.
PROGRAM: If YH1047=1, display “do” and “usually”. If YH1047=2, DK or RF, display “did” and “last”
PATH ID:
YH1049
Screen ID:
You said that your brand was not pictured. What is it?
1
__________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who did not select an image for their
PATH ID:
YH1071
GO TO YH9108
GO TO YH9108
GO TO YH9108
brand (YH1048 = 1)
Screen ID:
You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3) who did not
select the type of product they use (YH1070=”Something else”) but who DID select a brand
(YH1048<>1, -8, -7). Do not ask of respondents who wrote a brand into YH1049.
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PATH ID:
YH9108
Screen ID:
Does this brand of shisha contain tobacco?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3) who selected a
brand in YH1048.
Box YH2
Display question YH1060, YH1061, YH1085, YH1062, YH1063, YH1064, YH1066, YH1068, YH1069,
YH1072 and YH1073 on one screen. Show the intro/transition text from YH1060 first, then show each
item with a Y/N response. As each item is answered, show the next one.
PROGRAM: Randomize order of YH1060 through YH1073.
PATH ID:
YH1060
Screen ID:
The next questions are about the reasons people smoke hookah. Please select which reasons apply
to you.
I smoke hookah because…
It is affordable.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1061
Screen ID:
People in the media or other public figures smoke hookah.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
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PATH ID:
YH1085
Screen ID:
I can smoke hookah at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1062
Screen ID:
It might be less harmful than smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1063
Screen ID:
Shisha or hookah tobacco comes in flavors I like.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1064
Screen ID:
Smoking hookah helps people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1068
Screen ID:
People who are important to me smoke hookah.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
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Version 7.5
PATH ID:
YH1069
Screen ID:
I like socializing while smoking hookah.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1072
Screen ID:
The advertising for hookah appeals to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1073
Screen ID:
Smoking hookah is part of my cultural tradition.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH1112=1, 2 or 3).
PATH ID:
YH1124
Screen ID:
How likely is someone to become addicted to shisha or hookah tobacco?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of a hookah (YH1001 = 1).
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Version 7.5
PATH ID:
YH1099
Screen ID:
Is smoking hookah less harmful, about the same, or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of a hookah (YH1001 = 1).
PATH ID:
YH1125
Screen ID:
How much do you think people harm themselves when they smoke hookah?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of a hookah (YH1001 = 1).
PATH ID:
YH1146
Screen ID:
Some shisha or hookah tobacco comes in flavors like menthol, mint, clove, spice, candy, fruit,
chocolate, alcohol (such as wine or cognac), or other sweets.
Is flavored shisha or hookah tobacco easier to smoke, about the same, or harder to smoke than
unflavored shisha or hookah tobacco?
1
Easier to smoke
2
About the same
3
Harder to smoke
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of a hookah (YH1001 = 1).
PATH ID:
YH9110
Screen ID:
Is shisha that does not contain tobacco less harmful, about the same, or more harmful than shisha that
does contain tobacco?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen or heard of a hookah (YH1001 = 1).
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PATH
Youth Extended Questionnaire
Version 7.5
SMOKELESS TOBACCO SECTION
[SMLTOB]
The next questions ask about smokeless tobacco which you put in your mouth. Frequently you chew,
suck or spit while using smokeless tobacco, although there is no need to do so for some types. Snus,
for instance, is a type of smokeless tobacco that comes in a small pouch that you put inside your lip.
There are many kinds of smokeless tobacco, such as snus pouches, loose snus, moist snuff, dip, spit,
and chewing tobacco. Common brands include Redman, Levi Garrett, Beechnut, Skoal, Grizzly,
Nordic Ice and Copenhagen.
SHOW GENERIC IMAGE OF SMOKELESS TOBACCO
PATH ID:
YS1001
Screen ID:
Have you ever seen or heard of smokeless tobacco, such as snus pouches, loose snus, moist snuff,
dip, spit or chewing tobacco, before this study?
1 Yes
2 No
GO TO BOX AD1
-8 DON’T KNOW
GO TO BOX AD1
-7 REFUSED
GO TO BOX AD1
ASK: All respondents.
SHOW GENERIC IMAGE OF SMOKELESS TOBACCO
PATH ID:
YS1002
Screen ID:
Have you ever used any of the following smokeless tobacco products, even one or two times? Choose
all that apply.
1
Snus pouches
2
Loose snus, moist snuff, dip, spit, or chewing tobacco
3
I have never used a smokeless tobacco product
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco (YS1001 = 1).
SHOW GENERIC IMAGE OF SMOKELESS TOBACCO
PATH – Wave 1
Youth Extended Questionnaire
79
GO TO BOX YS4
GO TO BOX YS5
GO TO YS1103
GO TO YS1103
GO TO YS1103
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1103
Screen ID:
Have you ever been curious about using smokeless tobacco?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco but have not ever used it ((YS1001
= 1 AND YS1002 = 3, -8 or -7)).
PATH ID:
YS1104
Screen ID:
Do you think you will try smokeless tobacco soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco but have not ever used it ((YS1001
= 1 AND YS1002 = 3, -8 or -7)).
PATH ID:
YS1105
Screen ID:
If one of your best friends were to offer you smokeless tobacco, would you use it?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco but have not ever used it ((YS1001
= 1 AND YS1002 = 3, -8 or -7)).
GO TO: If respondent has never used smokeless tobacco (YS1002 = 3, -8 or -7), GO TO YS1124.
Else GO TO BOX YS4
BOX YS4
DEFINE VARIABLE [OTHPOUCH] to capture names of types of smokeless tobacco pouches other
than snus pouches.
OTHPOUCH=”Skoal Bandits”
PATH – Wave 1
Youth Extended Questionnaire
80
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YU1003
Screen ID:
You mentioned that you have used snus pouches. There are many brands of snus pouches. Did you
use the brand called “[OTHPOUCH]”?
1
Yes, I used only [OTHPOUCH]
2
Yes, I used both [OTHPOUCH] and other brands of snus pouches
3
No, I did not use [OTHPOUCH]
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents that have ever used snus pouches ((YS1002(1)=1 IN SNUS POUCHES))
BOX YS5
DEFINE: CREATE AN ARRAY SMKLSSTYPE WITH 2 ELEMENTS – ONE FOR EACH SMOKELESS
TOBACCO TYPE (SMOKELESS TOBACCO; SNUS)
If respondent has ever used smokeless tobacco (YS1002[2] = 1) and has not used snus (YS1002[1] =
2) then SMKLSSTYPE[1] = 1 ; {uses smokeless tobacco only}
If respondent has ever used snus (YS1002[1] = 1) AND used only Skoal Bandits (YU1003 = 1) or Skoal
Bandits and some other snus (YU1003 = 2) then SMKLSSTYPE[1] = 1 ; {uses snus - Skoal Bandits >
same as smokeless user}
If respondent has ever used snus (YS1002[1] = 1) AND used Skoal Bandits and some other snus
(YU1003 = 2) or did not use Skoal Bandits (YU1003 = 3) then SMKLSSTYPE[2] = 2 ; {uses snus –
Skoal Bandits and other brands or no Skoal Bandits}
Then do the following:
{FILL-1} If SMKLSSTYPE[1] = 1 and SMLSSTYPE[2] = NULL, complete the rest of this section one
time, filling [SMKLSSFILL] with “smokeless tobacco”
{FILL-2} If SMKLSSTYPE[1] = NULL and SMKLSSTYPE[2] = 2, complete the rest of this section one
time, filling [SMKLSSFILL] with “snus pouches”
{FILL-3} If SMKLSSTYPE[1] = 1 and SMKLSSTYPE[2] = 2, complete the rest of this section TWICE.
The first time, fill [SMKLSSFILL] with “snus pouches”. The second time, fill [SMKLSSFILL] with
“smokeless tobacco.”
BOX YS6
{FILL-1}
If SMKLSSTYPE[1] = 1 and SMKLSSTYPE[2] = NULL (respondent uses smokeless tobacco, but not
snus pouches), GO TO YS1005.
{FILL-2}
If SMKLSSTYPE[1] = NULL and SMKLSSTYPE[2] = 2 (respondent uses snus pouches but not other
forms of smokeless), display the following text:
The next questions ask about snus pouches. Common brands of snus pouches include Camel snus,
General snus, Marlboro snus, and Nordic Ice, but there are many others.
PATH – Wave 1
Youth Extended Questionnaire
81
PATH
Youth Extended Questionnaire
Version 7.5
Please think about your use of snus pouches as you answer these questions.
[SHOW GENERIC IMAGE OF SNUS TIN AND POUCHES]
{FILL-3}
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2]=2, (respondent uses snus pouches AND other forms of
smokeless) FIRST TIME THROUGH, display the following text:
The next questions ask about snus pouches, a type of smokeless tobacco that comes in a small pouch
that you put under your lip.
Common brands of snus pouches include Camel snus, General snus, Marlboro snus, and Nordic Ice,
but there are many others.
Please think about your use of snus pouches as you answer these questions. There will be a separate
section later about other kinds of smokeless tobacco.
[SHOW GENERIC IMAGE OF SNUS TIN AND POUCHES]
If SMKLSSTYPE[1]=1 and SMKLSSTYPE[2]=2, SECOND TIME THROUGH, display the following text:
You just answered questions about snus pouches. The next questions are about your use of other
kinds of smokeless tobacco, such as loose snus, moist snuff, dip, spit, and chewing tobacco.
Common brands include Redman, Levi Garrett, Beechnut, Skoal, Grizzly and Copenhagen, but there
are many others.
The questions will use the phrase “smokeless tobacco” to refer to these products. Please think about
your use of smokeless tobacco products, not including snus pouches, as you answer these questions.
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS TIN AND POUCHES]
PATH ID:
YS1005
Screen ID:
How many [times I snus pouches] have you used [smokeless tobacco] in your entire life?
1
1
2
2 to 10
3
11 to 20
4
21 to 50
5
51 to 99
6
100 or more
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PROGRAM: If SMKLSSTYPE[1]=1, display “times” and “smokeless tobacco”; if SMKLSSTYPE[2]=2,
display “snus pouches”.
PATH – Wave 1
Youth Extended Questionnaire
82
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1006
Screen ID:
How old were you when you first tried [SMKLSSFILL], even one or two times?
1
|__|__| years old
GO TO YS1108
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PATH ID:
YS1120
Screen ID:
When you first tried [SMKLSSFILL], even one or two times, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YS1006=-8 OR -7)
PATH ID:
YS1108
Screen ID:
Was the first [smokeless tobacco product I snus pouch] you used flavored to taste like menthol, mint,
clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PROGRAM: If SMKLSSFILL[1]=1, display ‘smokeless tobacco product’; if SMKLSSFILL[2]=2 display
‘snus pouch’
PATH ID:
YS1112
Screen ID:
When did you last use [SMKLSSFILL], even one or two times?
1 Earlier today
2 Not today but sometime in the past 7 days
3 Not in the past 7 days but sometime in the past 30 days
4 Not in the past 30 days but sometime in the past 6 months
5 Not in the past 6 months but sometime in the past year
6 1 to 4 years ago
7 5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] (YS1002 = 1).
PROGRAM:
CREATE VARIABLES FOR SMOKELESS AND SNUS:
PATH – Wave 1
Youth Extended Questionnaire
83
GO TO YS1124
GO TO YS1124
GO TO YS1124
GO TO YS1124
GO TO YS1124
GO TO YS1124
PATH
Youth Extended Questionnaire
Version 7.5
PAST30DAY_[SMKLSSFILL] (Past 30 Day Users)
PAST30DAY_[SMKLSSFILL] = 1 Yes, if respondent has used smokeless tobacco within the past 30
days (YS1112=1 or 2 or 3).
Else PAST30DAY_[SMKLSSFILL] = 2 No.
PAST30DAY_VL_[SMKLSSFILL] (Past 30 Day Very Light Users)
PAST30DAY_VL_[SMKLSSFILL] = 1 Yes, if respondent has used less than 10 times/pouches in
lifetime (YS1005=1 or 2) AND last used smokeless tobacco in the past 30 days (YS1112=1 or 2 or 3).
Else PAST30DAY_VL_[SMKLSSFILL] = 2 No.
PAST30DAY_NL_[SMKLSSFILL] (Past 30 Day Not Light Users)
PAST30DAY_NL_[SMKLSSFILL] = 1 Yes, if respondent has used more than 10 times/pouches in
lifetime (YS1005 > 2) AND last used smokeless tobacco within the past 30 days (YS1112=1 or 2 or 3).
Else PAST30DAY_NL_[SMKLSSFILL] = 2 No.
PATH ID:
YS1022
Screen ID:
In the past 30 days, on how many days did you use [SMKLSSFILL]?
1
|__|__|
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1)
PROGRAM: Range check: 1-30 days
PATH ID:
YS1023
Screen ID:
In the past 30 days, on the days you used [SMKLSSFILL], [how many times did you use smokeless
tobacco per day I how many snus pouches did you use per day]?
1
Less than 1 per day
2
1 per day
3
2 to 5 per day
4
6 to 10 per day
5
11 to 20 per day
6
More than 20 per day
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: If display SMKLSSFILL[1]=1, “how many times did you usually use smokeless tobacco
each day; if SMKLSSFILL[2]=2, display “how many snus pouches did you usually use each day”
PATH – Wave 1
Youth Extended Questionnaire
84
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1130
Screen ID:
In the past 30 days, [was | were] any of the [smokeless tobacco I snus pouches] you used flavored to
taste like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other
sweets?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: If SMKLSSTYPE[1]=1, display “was” and “smokeless tobacco”; if SMKLSSTYPE[2]=2,
display “were” and “snus pouches”.
PATH ID:
YS1123
Screen ID:
In the past 30 days, did anyone refuse to sell you [SMKLSSFILL] because of your age?
1
Yes
2
No
3
I did not try to buy [SMKLSSFILL] in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PATH ID:
YS1118
Screen ID:
In the past 30 days, how did you usually get your own [SMKLSSFILL]?
1
2
3
4
5
6
I bought it myself
I gave someone else money to buy it for me
GO TO YS1030
I asked someone to give me some
GO TO YS1047
Someone offered it to me
GO TO YS1047
I bought it from another person
GO TO YS1047
I took it from a store or another person
GO TO YS1047
I got it some other way
GO TO YS1047
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YS1047
-7 REFUSED
GO TO YS1047
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
GO TO: If PAST30DAY_VL_[SMKLSSFILL]=1, go toBox YS2
Else go to YS1097.
PATH – Wave 1
Youth Extended Questionnaire
85
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1097
Screen ID:
In the past 30 days, did you use a coupon when buying [SMKLSSFILL]?
1
Yes
2
No
GO TO YS1030
-8
DON’T KNOW
GO TO YS1030
-7
REFUSED
GO TO YS1030
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) AND tried to buy [SMKLSSFILL] in the past 30 days (YS1123
NE 3) AND bought [SMKLSSFILL] themselves in the past 30 days (YS1118=1)
PATH ID:
YS1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy [SMKLSSFILL]?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) AND used a coupon in the past 30 days (YS1097 = 1)
PATH ID:
YS1030
Screen ID:
How do [you/they] usually buy your [SMKLSSFILL]? Is it…
1
In person
2
From the internet
GO TO YS1047
3
By telephone
GO TO YS1047
-8 DON’T KNOW
GO TO YS1047
-7 REFUSED
GO TO YS1047
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) AND indicated that they bought [SMKLSSFILL] for themselves
or that someone else bought [SMKLSSFILL] for them in the past 30 days (YS1118 = 1 or 2).
PROGRAM: If YS1118=1, display “you”; If YS1118=2, display “they”.
PATH ID:
YS1032
Screen ID:
Do [you/they] usually buy it...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) AND indicated that the [SMKLSSFILL] they bought for
themselves or that someone else bought for them was purchased in person (YS1030 = 1).
PROGRAM: If YS1118=1, display “you”; If YS1118=2, display “they”
PATH – Wave 1
Youth Extended Questionnaire
86
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1033
Screen ID:
Where do [you/they] buy your [SMKLSSFILL] most of the time?
1 A convenience store or gas station
2 A supermarket, grocery store, or drug store
3 A warehouse club, such as Sam’s or Costco
4 A smoke shop, tobacco specialty store or tobacco outlet store
5 A duty free shop or military commissary
6 A bar, pub, restaurant or casino
7 A friend or relative
[DISPLAY IF YS1118 = 1]
8 A swap meet or flea market
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) AND indicated that the [SMKLSSFILL] they bought for
themselves or that someone else bought for them was purchased in person (YS1030 = 1).
PROGRAM: If YS1118=1, display “you”; If YS1118=2, display “they”
If YS1118=1, display option 7=‘ A friend or relative,’ if YS1118 NE 1, hide option 7.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH ID:
YS1047
Screen ID:
Do you have a regular brand of [SMKLSSFILL] that you usually use?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1).
PATH – Wave 1
Youth Extended Questionnaire
87
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1048
Screen ID:
What brand of [SMKLSSFILL] [do I did] you [usually I last] use? Please select it from the choices below
by touching the screen. [ If you do not see it below, touch the button marked “NEXT”. I If you do not
see it below, touch the box marked “Something else”.
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO YS1070]
1 Something else
GO TO YS1049
-8 DON’T KNOW
GO TO YS1060
-7 REFUSED
GO TO YS1060
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1).
PROGRAM: If 1047=1, display “do” and “usually”. If 1047=2, DK or RF, display “did” and “last”
PATH ID:
YS1070
Screen ID:
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do I did] you [usually I last]
use? Please select it from the choices below by touching the screen. [ If you do not see it below, touch
the button marked “NEXT”. I If you do not see it below, touch the box marked “Something else”.
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS
ASSOCIATED WITH BRAND SELECTED IN YS1048]
1
-8
-7
Something else
GO TO YS1071
DON’T KNOW
GO TO YS1060
REFUSED
GO TO YS1060
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) and selected a brand image in YS1048.
PROGRAM: If 1047=1, display “do” and “usually”. If 1047=2, DK or RF, display “did” and “last”
PATH – Wave 1
Youth Extended Questionnaire
88
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1049
Screen ID:
You said that your brand was not pictured. What is it?
1
__________________________
GO TO YS1060
-8 DON’T KNOW
GO TO YS1060
-7 REFUSED
GO TO YS1060
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) AND did not select an image for their brand (YS1048= 1).
PATH ID:
YS1071
Screen ID:
You said that the type of [BRANDFILL]s that you use was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days
(PAST30DAY_NL_[SMKLSSFILL] = 1) who did not select the type of product they use
(YS1070=”Something else”) but who DID select a brand (YS1048<>1, -8, -7). Do not ask of
respondents who wrote a brand into YS1049.
Box YS2
Display question YS1060, YS1061, YS1085, YS1062, YS1075, YS1063, YS1064, YS1065, YS1067,
YS1068, YU1076, YU1070, YS1072 on one screen. Show the intro/transition text from YS1060 first,
then show each item with a Y/N response. As each item is answered, show the next one.
PROGRAM NOTE: Items YU1076 and YU1070 are only shown for snus users; they are not shown for
smokeless tobacco users.
PROGRAM: Randomize order of YS1060 through YS1072.
PATH ID:
YS1060
Screen ID:
The next questions are about the reasons people [SMKLSSFILL]. Please select which reasons apply
to you.
I use [SMKLSSFILL] because…
It is affordable.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PATH – Wave 1
Youth Extended Questionnaire
89
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1061
Screen ID:
People in the media or other public figures use [SMKLSSFILL].
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PATH ID:
YS1085
Screen ID:
I can use [SMKLSSFILL] at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PATH ID:
YS1062
Screen ID:
[It I They] might be less harmful to me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: IF SMKLSSFILL[1]=1, display “It”; If SMKLSSFILL[2]=2, display “They”
PATH ID:
YS1075
Screen ID:
[It I They] might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: IF SMKLSSFILL[1]=1, display “It”; If SMKLSSFILL[2]=2, display “They”
PATH – Wave 1
Youth Extended Questionnaire
90
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1063
Screen ID:
[Smokeless tobacco comes I Snus pouches come] in flavors I like.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: If SMKLSSFILL[1]=1, display “Smokeless tobacco comes”; if SMKLSSFILL[2]=2, display
“Snus pouches come”.
PATH ID:
YS1064
Screen ID:
Using [SMKLSSFILL] helps people to quit smoking cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PATH ID:
YS1065
Screen ID:
[Smokeless tobacco doesn’t I Snus pouches don’t] smell.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: If SMKLSSFILL[1]=1,display “Smokeless tobacco doesn’t”; If SMKLSSFILL[2]=2, display
“Snus pouches don’t”
PATH ID:
YS1067
Screen ID:
[Smokeless tobacco doesn’t I Snus pouches don’t] bother non-tobacco users.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: If SMKLSSFILL[1]=1,display “Smokeless tobacco doesn’t”; If SMKLSSFILL[2]=2, display
“Snus pouches don’t”
PATH – Wave 1
Youth Extended Questionnaire
91
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1068
Screen ID:
People who are important to me use [SMKLSSFILL].
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
GO TO: If SMKLSSFILL[2]=2, GO TO YU1076.
Else GO TO YS1072.
PATH ID:
YU1076
Screen ID:
No one can tell when I am using a snus pouch.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used snus in the past 30 days (PAST30DAY_[SMKLSSFILL] = 1).
PROGRAM: This is only asked of snus users where SMKLSSFILL[2]=2; This is not asked of smokeless
tobacco users where SMKLSSFILL[1]=1.
PATH ID:
YU1070
Screen ID:
The sensations are stronger or more pleasurable than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used snus (SMKLSSFILL[2]=2 in the past 30 days
(PAST30DAY_[SMKLSSFILL] = 1) AND who have also smoked cigarettes in the past 30 days
(PAST30DAY_CIGS = 1).
PROGRAM: This is only asked of snus users where SMKLSSFILL[2]=2; This is not asked of smokeless
tobacco users where SMKLSSFILL[1]=1.
PATH ID:
YS1072
Screen ID:
The advertising for [SMKLSSFILL] appeals to me.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1).
PROGRAM: This is asked of both types of smokeless tobacco users.
PATH – Wave 1
Youth Extended Questionnaire
92
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1086
Screen ID:
In the past 30 days, have you used [SMKLSSFILL] at times when or in places where you could not
smoke cigarettes?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used [SMKLSSFILL] in the past 30 days (PAST30DAY_[SMKLSSFILL] =
1) AND who have also smoked cigarettes in the past 30 days (PAST30DAY_CIGS = 1).
PATH ID:
YS1124
Screen ID:
How likely is someone to become addicted to smokeless tobacco?
1 Very unlikely
2 Somewhat unlikely
3 Neither likely nor unlikely
4 Somewhat likely
5 Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco (YS1001 = 1).
PATH ID:
YS1099
Screen ID:
Is using smokeless tobacco less harmful, about the same, or more harmful than smoking cigarettes?
1 Less harmful
2 About the same
3 More harmful
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco (YS1001 = 1).
PATH ID:
YS1125
Screen ID:
How much do you think people harm themselves when they use smokeless tobacco?
1 No harm
2 Little harm
3 Some harm
4 A lot of harm
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco (YS1001 = 1).
PATH – Wave 1
Youth Extended Questionnaire
93
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1146
Screen ID:
Some smokeless tobacco comes in flavors like menthol, mint, clove, spice, candy, fruit, chocolate,
alcohol (such as wine or cognac), or other sweets.
Is flavored smokeless tobacco easier to use, about the same, or harder to use than unflavored
smokeless tobacco?
1 Easier to use
2 About the same
3 Harder to use
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of smokeless tobacco (YS1001 = 1).
PATH – Wave 1
Youth Extended Questionnaire
94
PATH
Youth Extended Questionnaire
Version 7.5
DISSOLVABLE TOBACCO SECTION
BOX AD1
The next questions ask about another type of tobacco called dissolvable tobacco. You don’t smoke
dissolvable tobacco products – they are made of finely ground flavored tobacco that dissolves in your
mouth.
Dissolvable tobacco products come in a variety of shapes, including small round pellets, thin sticks and
flat strips. Some common brands are Ariva, Stonewall, or Camel Orbs, Sticks or Strips.
SHOW GENERIC IMAGES OF DISSOLVABLES
PATH ID:
YD1001
Screen ID:
Have you ever seen or heard of a dissolvable tobacco before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
SHOW GENERIC IMAGES OF DISSOLVABLES
PATH ID:
GO TO BOX BK1
GO TO BOX BK1
GO TO BOX BK1
YD1002
Screen ID:
Have you ever used dissolvable tobacco products, such as Ariva, Stonewall, or Camel Orbs, Sticks, or
Strips, even one or two times?
1 Yes
GO TO YD1005
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of dissolvable tobacco (YD1001 = 1).
SHOW GENERIC IMAGES OF DISSOLVABLES
PATH ID:
YD1103
Screen ID:
Have you ever been curious about using dissolvable tobacco?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of but never used a dissolvable tobacco product. (YD1001
= 1 AND YD1002 = 2, -8 or -7).
PATH – Wave 1
Youth Extended Questionnaire
95
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1104
Screen ID:
Do you think you will try dissolvable tobacco soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of but never used a dissolvable tobacco product. (YD1001
= 1 AND YD1002 = 2, -8 or -7).
PATH ID:
YD1105
Screen ID:
If one of your best friends were to offer you dissolvable tobacco, would you use it?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of but never used a dissolvable tobacco product. (YD1001
= 1 AND YD1002 = 2, -8 or -7).
GO TO: If respondent has never used dissolvable tobacco (YD1002 = 2, -8 or -7), GO TO YD1124.
Else GO TO YD1005
PATH ID:
YD1005
Screen ID:
How many pieces of dissolvable tobacco have you used in your entire life?
1
1
2
2 to 10
3
11 to 20
4
21 to 50
5
51 to 99
6
100 or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).
PATH – Wave 1
Youth Extended Questionnaire
96
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1006
Screen ID:
How old were you when you first tried dissolvable tobacco, even one or two times?
1 |__|__| years old
GO TO YD1108
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).
PATH ID:
YD1120
Screen ID:
When you first tried dissolvable tobacco, even one or two times, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YD1006=-8 OR -7)
PATH ID:
YD1108
Screen ID:
Was the first dissolvable tobacco product you used flavored to taste like menthol, mint, clove, spice,
candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).
PATH ID:
YD1112
Screen ID:
When did you last use dissolvable tobacco, even one or two times?
1
Earlier today
2
Not today but sometime in the past 7 days
3
Not in the past 7 days but sometime in the past 30 days
4
Not in the past 30 days but sometime in the past 6 months
5
Not in the past 6 months but sometime in the past year
6
1 to 4 years ago
7
5 or more years ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product (YD1002 = 1).
PROGRAM:
CREATE VARIABLES:
PATH – Wave 1
Youth Extended Questionnaire
97
GO TO YD1124
GO TO YD1124
GO TO YD1124
GO TO YD1124
GO TO YD1124
GO TO YD1124
PATH
Youth Extended Questionnaire
Version 7.5
PAST30DAY_DISS (Past 30 Day Users)
PAST30DAY_DISS = 1 Yes, if respondent has used dissolvable tobacco within the past 30 days
(YD1112=1 or 2 or 3).
Else PAST30DAY_DISS = 2 No.
PAST30DAY_VL_DISS (Past 30 Day Very Light Users)
PAST30DAY_VL_DISS = 1 Yes, if respondent has used less than 10 pieces of dissolvable tobacco in
lifetime (YD1005=1 or 2) AND last used dissolvable tobacco in the past 30 days (YD1112=1 or 2 or 3).
Else PAST30DAY_VL_DISS = 2 No.
PAST30DAY_NL_DISS (Past 30 Day Not Light Users)
PAST30DAY_NL_DISS = 1 Yes, if respondent has used more than 10 pieces of dissolvable tobacco
in lifetime (YD1005 > 2) AND last used dissolvable tobacco within the past 30 days (YD1112=1 or 2 or
3).
Else PAST30DAY_NL_DISS = 2 No.
PATH ID:
YD1022
Screen ID:
In the past 30 days, on how many days did you use dissolvable tobacco?
1 I__I__I
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1)
PROGRAM: Range check: 1-30 days
PATH ID:
YD1023
Screen ID:
In the past 30 days, on the days you used dissolvable tobacco, how many pieces did you use per day?
1
Less than 1 piece per day
2
1 piece per day
3
2 to 5 pieces per day
4
6 to 10 pieces per day
5
11 to 20 pieces per day
6
More than 20 pieces per day
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH – Wave 1
Youth Extended Questionnaire
98
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1130
Screen ID:
In the past 30 days, were any of the dissolvable tobacco products you used flavored to taste like
menthol, mint, clove, spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1123
Screen ID:
In the past 30 days, did anyone refuse to sell you dissolvable tobacco because of your age?
1 Yes
2 No
3 I did not try to buy dissolvable tobacco in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1118
Screen ID:
In the past 30 days, how did you usually get your own dissolvable tobacco?
1
2
3
4
5
6
I bought it myself
I gave someone else money to buy it for me
GO TO YD1030
I asked someone to give me some
GO TO YD1047
Someone offered it to me
GO TO YD1047
I bought it from another person
GO TO YD1047
I took it from a store or another person
GO TO YD1047
I got it some other way
GO TO YD1047
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YD1047
-7 REFUSED
GO TO YD1047
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
GO TO: If PAST30DAY_VL_DISS=1, go to Box YD2
Else go to YD1097.
PATH – Wave 1
Youth Extended Questionnaire
99
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1097
Screen ID:
In the past 30 days, did you use a coupon when buying dissolvable tobacco?
1
Yes
2
No
GO TO YD1030
-8
DON’T KNOW
GO TO YD1030
-7
REFUSED
GO TO YD1030
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_NL_DISS =
1) AND tried to buy dissolvable tobacco in the past 30 days (YD1123 NE 3) AND bought dissolvable
tobacco themselves in the past 30 days (YD1118=1)
PATH ID:
YD1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy dissolvable tobacco?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_NL_DISS =
1) AND used a coupon in the past 30 days (YD1097 = 1)
PATH ID:
YD1030
Screen ID:
How do [you/they] usually buy your dissolvable tobacco? Is it…
1 In person
2 From the internet
GO TO YD1047
3 By telephone
GO TO YD1047
-8 DON’T KNOW
GO TO YD1047
-7 REFUSED
GO TO YD1047
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_NL_DISS =
1) AND indicated that they bought dissolvable tobacco for themselves or that someone else bought
dissolvable tobacco for them in the past 30 days (YD1118 = 1 or 2).
PROGRAM: If YD1118=1, display “you”; If YD1118=2, display “they”.
PATH ID:
YD1032
Screen ID:
Do [you/they] usually buy dissolvable tobacco...
1 In your own state
2 In another state
3 Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_NL_DISS =
1) AND indicated that the dissolvable tobacco they bought for themselves or that someone else bought
for them was purchased in person (YD1030 = 1).
PROGRAM: If YD1118=1, display “you”; If YD1118=2, display “they”
PATH – Wave 1
Youth Extended Questionnaire
100
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1033
Screen ID:
Where do [you/they] buy your dissolvable tobacco most of the time?
1 A convenience store or gas station
2 A supermarket, grocery store, or drug store
3 A warehouse club, such as Sam’s or Costco
4 A smoke shop, tobacco specialty store or tobacco outlet store
5 A duty free shop or military commissary
6 A bar, pub, restaurant or casino
7 A friend or relative
[DISPLAY IF YD1118 = 1]
8 A swap meet or flea market
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_NL_DISS =
1) AND indicated that the dissolvable tobacco they bought for themselves or that someone else bought
for them was purchased in person (YD1030 = 1).
PROGRAM: If YD1118=1, display “you”; If YD1118=2, display “they”
If YD1118=1, display option 7=‘ A friend or relative,’ if YD1118 NE 1, hide option 7.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH ID:
YD1047
Screen ID:
Do you have a regular brand of dissolvable tobacco that you usually use?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_NL_DISS = 1).
PATH – Wave 1
Youth Extended Questionnaire
101
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1048
Screen ID:
What brand of dissolvable tobacco [do I did] you [usually I last] use? Please select it from the choices
below by touching the screen. [ If you do not see it below, touch the button marked “NEXT”. I If you do
not see it below, touch the button marked “Something else”. ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO YD1070]
1
Something else
GO TO YD1049
-8
DON’T KNOW
GO TO YD1060
-7
REFUSED
GO TO YD1060
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_NL_DISS = 1).
PROGRAM: If YD1047=1, display “do” and “usually”. If YD1047=2, DK or RF, display “did” and “last”
PATH ID:
YD1070
Screen ID:
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do I did] you [usually I last]
use? Please select it from the choices below by touching the screen. [ If you do not see it below, touch
the button marked “NEXT”. I If you do not see it below, touch the button marked “Something else”. ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS
ASSOCIATED WITH BRAND SELECTED IN YD1048]
1
-8
-7
Something else
GO TO YD1071
DON’T KNOW
GO TO YD1060
REFUSED
GO TO YD1060
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_NL_DISS = 1) and selected a brand image in YD1048.
PROGRAM: If YD1047=1, display “do” and “usually”. If YD1047=2, DK or RF, display “did” and “last”
PATH – Wave 1
Youth Extended Questionnaire
102
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1049
Screen ID:
You said that your brand was not pictured. What is it?
1
__________________________
GO TO YD1060
-8 DON’T KNOW
GO TO YD1060
-7 REFUSED
GO TO YD1060
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_NL_DISS =
1) AND did not select an image for their brand (YD1048 = 1).
PATH ID:
YD1071
Screen ID:
You said that the type of [BRANDFILL]s that you use was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_NL_DISS = 1) who did not select the type of product they use (YD1070=”Something
else”) but who DID select a brand (YD1048<>1, -8, -7). Do not ask of respondents who wrote a brand
into YD1049.
Box YD2
Display question YD1060, YD1061, YD1085, YD1062, YD1075, YD1063, YD1064, YD1065, YD1067,
YD1068, YD1076, YD1072, YD1074 on one screen. Show the intro/transition text from YD1060 first,
then show each item with a Y/N response. As each item is answered, show the next one.
PROGRAM: Randomize order of YD1060 through YD1074.
PATH ID:
YD1060
Screen ID:
The next questions are about the reasons people use dissolvable tobacco. Please select which
reasons apply to you.
I use dissolvable tobacco because…
It is affordable.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH – Wave 1
Youth Extended Questionnaire
103
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1061
Screen ID:
People in the media or other public figures use dissolvable tobacco.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1085
Screen ID:
I can use dissolvable tobacco at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1062
Screen ID:
It might be less harmful to me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1075
Screen ID:
It might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH – Wave 1
Youth Extended Questionnaire
104
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1063
Screen ID:
Dissolvable tobacco comes in flavors I like.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1064
Screen ID:
Using dissolvable tobacco helps people to quit smoking cigarettes.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1065
Screen ID:
Dissolvable tobacco doesn’t smell.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1067
Screen ID:
Dissolvable tobacco doesn’t bother non-tobacco users.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH – Wave 1
Youth Extended Questionnaire
105
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1068
Screen ID:
People who are important to me use dissolvable tobacco.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YD1076
Screen ID:
No one can tell when I am using dissolvable tobacco.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_DISS = 1).
PATH ID:
YD1072
Screen ID:
The advertising for dissolvable tobacco appeals to me.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_DISS = 1).
PATH ID:
YD1074
Screen ID:
It reminds me of candy.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used dissolvable tobacco in the past 30 days (PAST30DAY_DISS = 1).
PATH – Wave 1
Youth Extended Questionnaire
106
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1086
Screen ID:
In the past 30 days, have you used dissolvable tobacco products at times when or in places where you
could not smoke cigarettes?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1) AND who have also smoked cigarettes in the past 30 days
(PAST30DAY_CIGS = 1).
PATH ID:
YD1124
Screen ID:
How likely is someone to become addicted to dissolvable tobacco?
1
Very unlikely
2
Somewhat unlikely
3
Neither likely nor unlikely
4
Somewhat likely
5
Very likely
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of dissolvable tobacco (YD1001 = 1).
PATH ID:
YD1099
Screen ID:
Is using dissolvable tobacco less harmful, about the same, or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
Don’t know
-7
refused
ASK: Respondents who have seen or heard of dissolvable tobacco (YD1001 = 1).
PATH ID:
YD1125
Screen ID:
How much do you think people harm themselves when they use dissolvable tobacco?
1 No harm
2 Little harm
3 Some harm
4 A lot of harm
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of dissolvable tobacco (YD1001 = 1).
PATH – Wave 1
Youth Extended Questionnaire
107
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1146
Screen ID:
Some dissolvable tobacco comes in flavors like menthol, mint, clove, spice, candy, fruit, chocolate,
alcohol (such as wine or cognac), or other sweets.
Is flavored dissolvable tobacco easier to use, about the same, or harder to use than unflavored
dissolvable tobacco?
1
Easier to use
2
About the same
3
Harder to use
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have seen or heard of dissolvable tobacco (YD1001 = 1).
PATH – Wave 1
Youth Extended Questionnaire
108
PATH
Youth Extended Questionnaire
Version 7.5
BIDIS AND KRETEKS SECTION
Box BK1
The next questions are about smoking bidis or kreteks. Bidis are small brown cigarettes wrapped in a
leaf and typically tied on one or both ends with string. Kreteks are clove cigarettes.
SHOW GENERIC IMAGE OF BIDIS AND KRETEKS
PATH ID:
YB9101
Screen ID:
Which of the following tobacco products have you ever seen or heard of before this study? Choose all
that apply.
1
Bidis
2
Kreteks
3
Never seen or heard of either of these products
GO TO YY0601
-8 DON’T KNOW
GO TO YY0601
-7 REFUSED
GO TO YY0601
ASK: All respondents.
SHOW GENERIC IMAGE OF BIDIS AND KRETEKS
PROGRAM: Option 3 cannot be selected if options 1 or 2 are selected.
GO TO: If respondent has never seen or heard of either bidis or kreteks (YB9101=3, -8 or -7), skip to
next section.
PATH ID:
YB9102
Screen ID:
Which of the following tobacco products have you ever tried, even one or two times? Choose all that
apply.
1
Bidis
GO TO BOX YB2
2
Kreteks
GO TO BOX YB2
3
Never tried either of these products
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of at least 1 of the products (YB9101 = 1 OR 2).
SHOW GENERIC IMAGE OF BIDIS AND KRETEKS
PROGRAM: Option 3 cannot be selected if options 1 or 2 are selected.
PATH – Wave 1
Youth Extended Questionnaire
109
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1103
Screen ID:
Have you ever been curious about smoking a bidi or a kretek?
1
Very curious
2
Somewhat curious
3
A little curious
GO TO YB1104
4
Not at all curious
GO TO YB1104
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of any of these products but have not smoked any of them
(YB9101 = 1 or 2 AND YB9102 = 3, -8 or -7).
PATH ID:
YB9103
Screen ID:
Which product are you curious about smoking? Choose all that apply.
1
Bidi
2
Kretek
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who respond ‘very curious’ or ‘somewhat curious’ (YB1103 = 1 or 2).
PATH ID:
YB1104
Screen ID:
Do you think you will try bidis or kreteks soon?
1
Definitely yes
2
Probably yes
3
Probably not
GO TO YB1105
4
Definitely not
GO TO YB1105
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of any of these products but have not smoked any of them
(YB9101 = 1 or 2 AND YB9102 = 3, -8 or -7).
PATH ID:
YB9104
Screen ID:
Which one do you think you will try soon? Choose all that apply.
1
Bidi
2
Kretek
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who respond ‘definitely yes’ or ‘probably yes’ (YB1104 = 1 or 2).
PATH – Wave 1
Youth Extended Questionnaire
110
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1105
Screen ID:
If one of your best friends were to offer you a bidi or kretek, would you smoke it?
1
Definitely yes
2
Probably yes
3
Probably not
GO TO BOX YB2
4
Definitely not
GO TO BOX YB2
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of any of these products but have not smoked any of them
(YB9101 = 1 or 2 AND YB9102 = 3, -8 or -7).
PATH ID:
YB9105
Screen ID:
Which one would you smoke if your best friends offered it? Choose all that apply.
1
Bidi
2
Kretek
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who respond ‘definitely yes’ or ‘probably yes’ (YB1105 = 1 or 2).
GO TO: If respondent has never smoked a bidi or kretek (YB9102 = 3, -8 or -7), GO TO Box YB4.
Else GO TO Box YB2
PATH ID:
BOX YB2
Screen ID:
PROGRAM: [BKFILL] Series
If respondent has smoked a bidi ((YB9102(1)=1), fill [BKFILL] with “bidi”.
If respondent has smoked a kretek ((YB9102(2)=1), fill [BKFILL] with “kretek”.
If respondent has smoked both a bidi AND a kretek ((YB9102(1)=1 AND YB9102(2)=1)), ask section
once using fill [BKFILL] “bidi”, then repeat questions YB1005 through YB1146 a second time using fill
[BKFILL] “kretek”.
PATH ID:
YB1005
Screen ID:
How many [BKFILL]s have you smoked in your entire life?
1
1 or more puffs but never a whole one
2
1
3
2 to 10
4
11 to 20
5
21 to 50
6
51 to 99
7
100 or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever smoked a [BKFILL] (YB9102 ne 3, -8 or -7).
PATH – Wave 1
Youth Extended Questionnaire
111
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1006
Screen ID:
How old were you when you first tried a [BKFILL], even one or two puffs?
1
|__|__| years old
-8
DON’T KNOW
-7
REFUSED
GO TO YB1108
ASK: Respondents who have ever smoked a [BKFILL] (YB9102 ne 3, -8 or -7).
PROGRAM: Allow 2 digits for age.
PATH ID:
YB1120
Screen ID:
When you first tried a [BKFILL], were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who refused to give or did not know age (YB1006=-8 OR -7)
PATH ID:
YB1108
Screen ID:
Was the first [BKFILL] you smoked flavored to taste like menthol, mint, clove, spice, candy, fruit,
chocolate, alcohol (such as wine or cognac), or other sweets?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have ever smoked a [BKFILL] (YB9102 ne 3, -8 or -7).
PATH ID:
YB1112
Screen ID:
When was the last time you smoked a [BKFILL], even one or two puffs?
1 Earlier today
2 Not today but sometime in the past 7 days
3 Not in the past 7 days but sometime in the past 30 days
4 Not in the past 30 days but sometime in the past 6 months
5 Not in the past 6 months but sometime in the past year
6 1 to 4 years ago
7 5 or more years
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have ever smoked a [BKFILL] (YB9102 ne 3, -8 or -7).
PATH – Wave 1
Youth Extended Questionnaire
112
GO TO BOX YB4
GO TO BOX YB4
GO TO BOX YB4
GO TO BOX YB4
GO TO BOX YB4
GO TO BOX YB4
PATH
Youth Extended Questionnaire
Version 7.5
PROGRAM:
CREATE VARIABLES:
PAST30DAY_[BKFILL] (Past 30 Day Users)
PAST30DAY_[BKFILL] = 1 Yes, if respondent has smoked a [BKFILL] within the past 30 days
(YB1112=1 or 2 or 3).
Else PAST30DAY_ [BKFILL] = 2 No.
PAST30DAY_VL_[BKFILL] (Past 30 Day Very Light Users)
PAST30DAY_VL_[BKFILL] = 1 Yes, if respondent has smoked less than 10 [BKFILL]s in lifetime
(YB1005=1 or 2 or 3) AND last smoked a [BKFILL] in the past 30 days (YB1112=1 or 2 or 3).
Else PAST30DAY_VL_[BKFILL] = 2 No.
PAST30DAY_NL_[BKFILL] (Past 30 Day Not Light Users)
PAST30DAY_NL_[BKFILL] = 1 Yes, if respondent has smoked more than 10 [BKFILL]s in lifetime
(YB1005 > 3) AND last smoked a [BKFILL] within the past 30 days (YB1112=1 or 2 or 3).
Else PAST30DAY_NL_[BKFILL] = 2 No.
PATH ID:
YB1022
Screen ID:
In the past 30 days, on how many days did you smoke a [BKFILL]?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] =
1)
PROGRAM: Range check 1-30 days
PATH ID:
YB1023
Screen ID:
In the past 30 days, on the days you smoked a [BKFILL], how many [BKFILL]s did you smoke per day?
1
Less than 1 [BKFILL] per day
2
1 [BKFILL] per day
3
2 to 5 [BKFILL]s per day
4
6 to 10 [BKFILL]s per day
5
11 to 20 [BKFILL]s per day
6
More than 20 [BKFILL]s per day
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH – Wave 1
Youth Extended Questionnaire
113
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1130
Screen ID:
In the past 30 days, were any of the [BKFILL]s you smoked flavored to taste like menthol, mint, clove,
spice, candy, fruit, chocolate, alcohol (such as wine or cognac), or other sweets?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1123
Screen ID:
In the past 30 days, did anyone refuse to sell you [BKFILL]s because of your age?
1
Yes
2
No
3
I did not try to buy [BKFILL]s in the past 30 days
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1118
Screen ID:
In the past 30 days, how did you usually get your own [BKFILL]s?
1
2
3
4
5
6
I bought them myself
I gave someone else money to buy them for me
GO TO YB1030
I asked someone to give me one
GO TO YB1047
Someone offered them to me
GO TO YB1047
I bought them from another person
GO TO YB1047
I took them from a store or another person
GO TO YB1047
I got them some other way
GO TO YB1047
7
SPECIFY __________________________
-8 DON’T KNOW
GO TO YB1047
-7 REFUSED
GO TO YB1047
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
GO TO: If PAST30DAY_VL_[BKFILL]=1, go to Box YB3
Else go to YB1097.
PATH – Wave 1
Youth Extended Questionnaire
114
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1097
Screen ID:
In the past 30 days, did you use a coupon when buying [BKFILL]s?
1
Yes
2
No
GO TO YB1030
-8
DON’T KNOW
GO TO YB1030
-7
REFUSED
GO TO YB1030
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_NL_[BKFILL] = 1)
AND tried to buy [BKFILL]s in the past 30 days (YB1123 NE 3) AND bought [BKFILL]s themselves in
the past 30 days (YB1118=1)
PATH ID:
YB1098
Screen ID:
How many times in the past 30 days have you used a coupon to buy [BKFILL]s?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_NL_[BKFILL] = 1)
AND used a coupon in the past 30 days (YB1097 = 1)
PATH ID:
YB1030
Screen ID:
How do [you/they] usually buy your [BKFILL]s? Is it…
1
In person
2
From the internet
GO TO YB1047
3
By telephone
GO TO YB1047
-8 DON’T KNOW
GO TO YB1047
-7 REFUSED
GO TO YB1047
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_NL_[BKFILL] = 1)
AND indicated that they bought [BKFILL]s for themselves or that someone else bought [BKFILL]s for
them in the past 30 days (YB1118 = 1 or 2).
PROGRAM: If YB1118=1, display “you”; If YB1118=2, display “they”
PATH ID:
YB1032
Screen ID:
Do [you/they] usually buy [BKFILL]s...
1
In your own state
2
In another state
3
Outside the US
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_NL_[BKFILL] = 1)
AND indicated that the [BKFILL]s they bought for themselves or that someone else bought for them
was purchased in person (YB0030 = 1).
PROGRAM: If YB1118=1, display “you”; If YB1118=2, display “they”
PATH – Wave 1
Youth Extended Questionnaire
115
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1033
Screen ID:
Where do [you/they] buy your [BKFILL]s most of the time?
1 A convenience store or gas station
2 A supermarket, grocery store, or drug store
3 A warehouse club, such as Sam’s or Costco
4 A smoke shop, tobacco specialty store or tobacco outlet store
5 A duty free shop or military commissary
6 A bar, pub, restaurant or casino
7 A friend or relative
[DISPLAY IF YB1118 = 1]
8 A swap meet or flea market
9 Or from somewhere else SPECIFY: ____________________________
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_NL_[BKFILL] = 1)
AND indicated that the [BKFILL] they bought for themselves or that someone else bought for them was
purchased in person (YB1030 = 1).
PROGRAM: If YB1118=1, display “you”; If YB1118=2, display “they”
If YB1118=1, display option 7=‘ A friend or relative,’ if YB1118 NE 1, hide option 7.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH ID:
YB1047
Screen ID:
Do you have a regular brand of [BKFILL]s that you usually smoke?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_NL_[BKFILL] = 1).
PATH ID:
YB1048
Screen ID:
What brand of [BKFILL] [do I did] you [usually I last] smoke? Please select it from the choices below by
touching the screen. [ If you do not see it below, touch the button marked “NEXT”. I If you do not see
it below, touch the button marked “Something else.” ]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A RESPONDENT
SELECTS A BRAND, GO TO YB1070]
1
-8
Something else
DON’T KNOW
PATH – Wave 1
Youth Extended Questionnaire
GO TO YB1049
GO TO YB1060
116
PATH
Youth Extended Questionnaire
Version 7.5
-7 REFUSED
GO TO YB1060
ASK: Respondents who have smoked a kretek [BKFILL=kretek] in the past 30 days
(PAST30DAY_NL_[BKFILL] = 1). This question is skipped for respondents who have smoked a bidi
[BKFILL=bidi].
PROGRAM: If YB1047=1, display “do” and “usually”. If YB1047=2, DK or RF, display “did” and “last”
PATH ID:
YB1070
Screen ID:
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do I did] you [usually I last]
smoke? Please select it from the choices below by touching the screen. [ If you do not see it below,
touch the button marked “NEXT”. I If you do not see it below, touch the box marked “Something else”.
]
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “Something else”.
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS
ASSOCIATED WITH BRAND SELECTED IN YB1048]
1
-8
-7
Something else
GO TO YB1071
DON’T KNOW
GO TO YB1060
REFUSED
GO TO YB1060
ASK: Respondents who have smoked a kretek [BKFILL=kretek] in the past 30 days
(PAST30DAY_NL_[BKFILL] = 1) and selected a brand image in YB1048. This question is skipped for
respondents who have smoked a bidi [BKFILL=bidi].
PROGRAM: If YB1047=1, display “do” and “usually”. If YB1047=2, DK or RF, display “did” and “last”
PATH ID:
YB1049
Screen ID:
[You said that your brand was not pictured. What is it? I What brand of bidi [do I did] you [usually I
last] smoke? Please type your answer using the computer keyboard. ]
1
__________________________
GO TO YB1060
-8 DON’T KNOW
GO TO YB1060
-7 REFUSED
GO TO YB1060
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_NL_[BKFILL] = 1)
AND did not select an image for their brand (YB1048 = 1).
PROGRAM: If respondent uses kreteks (BKFILL=kretek), display “You said that your brand was not
pictured. What is it?”. If respondent uses bidis (BKFILL=bidi), display: What brand of bidi [do I did] you
[usually I last] smoke? Please type your answer using the computer keyboard. If YB1047BD=1, display
“do” and “usually”. If YB1047BD=2, DK or RF, display “did” and “last”
PATH – Wave 1
Youth Extended Questionnaire
117
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1071
Screen ID:
You said that the type of [BRANDFILL]s that you smoke was not pictured. What type is it?
1
-8
-7
__________________________
DON’T KNOW
REFUSED
ASK: Respondents who have smoked a kretek [BKFILL=kretek] in the past 30 days
(PAST30DAY_NL_[BKFILL] = 1) who did not select the type of product they use (YB1070=”Something
else”) but who DID select a brand (YB1048<>1, -8, -7).
PROGRAM: Do not ask of respondents who wrote a brand into YB1049. Do not ask of respondents
who have smoked a bidi [BKFILL=bidi]
Box YB3
Display question YB1060, YB1061, YB1085, YB1062, YB1063, YB1064, YB1066, YB1068, YB1072 on
one screen. Show the intro/transition text from YB1060 first, then show each item with a Y/N response.
As each item is answered, show the next one.
PROGRAM: Randomize order of YB1060 through YB1072.
PATH ID:
YB1060
Screen ID:
The next questions are about the reasons people smoke [BKFILL]s. Please select which reasons
apply to you.
I smoke [BKFILL]s because…
They are affordable.
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1061
Screen ID:
People in the media or other public figures smoke [BKFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH – Wave 1
Youth Extended Questionnaire
118
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1085
Screen ID:
I can smoke [BKFILL]s at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1062
Screen ID:
They might be less harmful than cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1063
Screen ID:
[BKFILL]s come in flavors I like.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1064
Screen ID:
Smoking [BKFILL]s help people to quit smoking cigarettes.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1066
Screen ID:
Smoking a [BKFILL] feels like smoking a cigarette.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH – Wave 1
Youth Extended Questionnaire
119
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1068
Screen ID:
People who are important to me smoke [BKFILL]s.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH ID:
YB1072
Screen ID:
The advertising for [BKFILL]s appeals to me.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a [BKFILL] in the past 30 days (PAST30DAY_[BKFILL] = 1).
BOX YB4
PROGRAM: [BKHEARD] Series. If respondent provides more than one response in YB9101, repeat
series (questions YB1124-YB1146) for each product selected. If YB9101=1, fill [BKHEARD] with “bidi”;
if YB9101=2, fill [BKHEARD] with “kretek”. Repeat each series as applicable.
PATH ID:
YB1124
Screen ID:
How likely is someone to become addicted to [BKHEARD]s?
1
Very likely
2
Somewhat likely
3
Neither likely or unlikely
4
Somewhat unlikely
5
Very unlikely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of at least 1 of the products (YB9101 = 1 OR 2).
PATH ID:
YB1099
Screen ID:
Is smoking a [BKHEARD] less harmful, about the same, or more harmful than smoking cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of at least 1 of the products (YB9101 = 1 OR 2).
PATH – Wave 1
Youth Extended Questionnaire
120
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YB1125
Screen ID:
How much do you think people harm themselves when they smoke a [BKHEARD]?
1
No harm
2
Little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have heard of at least 1 of the products (YB9101 = 1 OR 2).
PATH ID:
YB1146
Screen ID:
Some [BKHEARD]s come in flavors like menthol, mint, clove, spice, candy, fruit, chocolate, alcohol
(such as wine or cognac), or other sweets.
Are flavored [BKHEARD]s easier to smoke, about the same, or harder to smoke than unflavored
[BKHEARD]s?
1
Easier to smoke
2
About the same
3
Harder to smoke
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have heard of at least 1 of the products (YB9101 = 1 OR 2).
PATH – Wave 1
Youth Extended Questionnaire
121
PATH
Youth Extended Questionnaire
Version 7.5
FIRST TOBACCO PRODUCT SECTION
PATH ID:
YY0601
Screen ID:
You mentioned that you starting using [FILL WITH ALL PRODUCTS USED AT EARLIEST AGE] at age
[EARLIEST AGE]. Which type of tobacco did you try first?
1
Cigarettes
2
E-cigarettes
3
Traditional cigars, cigarillos, or filtered cigars
4
Pipe tobacco
5
Hookah
6
Smokeless tobacco
7
Snus pouches
8
Dissolvable tobacco
9
Bidis
10
Kreteks
14
Other
SPECIFY:___________________
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who use 2 or more products and the youngest age at first tried was equal for 2 or
more of the products
PROGRAM: Make response options a dynamic list with fills based on the products in positively
answered questions. Always include the unspecified other.
If OS field selected and additional OS screen is shown, display question text and add the following text:
“Please type your answer using the computer keyboard.”
PATH – Wave 1
Youth Extended Questionnaire
122
PATH
Youth Extended Questionnaire
Version 7.5
REASONS TO USE TOBACCO SECTION
The next few questions are statements about tobacco. Please tell me whether you agreeor disagree
with the following statements.
BOX
PROGRAM: Randomize order for items YX0037-YX0044.
PATH ID:
YX0037
Screen ID:
I think I would enjoy using tobacco.
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Strongly Agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED
YX0040
Screen ID:
I think using tobacco would be energizing.
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Strongly Agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED
YX0041
Screen ID:
I think using tobacco would help me reduce or handle stress.
1
2
3
4
-8
-7
ASK: All respondents
Strongly Agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED
PATH – Wave 1
Youth Extended Questionnaire
123
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0042
Screen ID:
I think using tobacco would help me calm down when I am angry.
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Strongly Agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED
YX0043
Screen ID:
I think using tobacco would help me control my weight.
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Strongly Agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED
YX0044
Screen ID:
I think using tobacco would help me to feel more comfortable at parties.
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Strongly Agree
Agree
Disagree
Strongly Disagree
DON’T KNOW
REFUSED
YC1175
Screen ID:
How much do you think people harm themselves when they smoke cigarettes every day?
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH – Wave 1
Youth Extended Questionnaire
124
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1170
Screen ID:
How much do you think people harm themselves when they smoke cigarettes some days but not every
day?
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
YC1180
Screen ID:
How long do you think someone has to smoke cigarettes before it harms their health?
1
2
3
4
5
6
-8
-7
ASK: All respondents
PATH ID:
It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED
YS1175
Screen ID:
How much do you think people harm themselves when they use smokeless tobacco, such as chewing
tobacco, snuff, dip, or snus, every day?
1
2
3
4
-8
-7
ASK: All respondents
No harm
A little harm
Some harm
A lot of harm
DON’T KNOW
REFUSED
PATH – Wave 1
Youth Extended Questionnaire
125
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YS1170
Screen ID:
How much do you think people harm themselves when they use smokeless tobacco, such as chewing
tobacco, snuff, dip, or snus, some days but not every day?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
No harm
Little harm
Some harm
A lot of harm
DON’T KNOW
REFUSED
YX0625
Screen ID:
How long do you think someone has to use smokeless tobacco such as chewing tobacco, snuff, dip, or
snus before it harms their health?
1
2
3
4
5
6
-8
-7
ASK: All respondents
PATH ID:
It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED
YE1180
Screen ID:
How long do you think someone has to use e-cigarettes before it harms their health?
1
2
3
4
5
6
-8
-7
ASK: All respondents
It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED
PATH – Wave 1
Youth Extended Questionnaire
126
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YD1180
Screen ID:
How long do you think someone has to use dissolvable tobacco before it harms their health?
1
2
3
4
5
6
-8
-7
ASK: All respondents
PATH ID:
It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED
YX0620
Screen ID:
How long do you think someone has to use other kinds of smoked tobacco, like cigars, cigarillos,
filtered cigars, pipes, hookah, bidis, or kreteks before it harms their health?
1
2
3
4
5
6
-8
-7
ASK: All respondents
BOX
It will never harm their health
Less than a year
1 year
5 years
10 years
20 years or more
DON’T KNOW
REFUSED
AY1
PROGRAM:
CREATE AN ARRAY USEPROD WITH 11 ELEMENTS - ONE FOR EACH TOBACCO TYPE - THAT
IDENTIFIES WHETHER THE RESPONDENT IS A CURRENT OR SOME DAY USER OF THE
SPECIFIC TOBACCO TYPE.
USEPROD(1-10): Past 30 day users of: (1) e-cigarettes; (2) traditional cigars; (3) cigarillos; (4) filtered
cigars; (5) pipes; (6) hookahs; (7) snus; (8) dissolvable tobacco; (9) bidis; (10) kreteks; (11) smokeless
tobacco.
CREATE AN ARRAY HNUPROD WITH 11 ELEMENTS – ONE FOR EACH TOBACCO TYPE
(EXCLUDING CIGARETTES) – THAT IDENTIFIES WHETHER THE RESPONDENT HAS HEARD OF
BUT NEVER USED THE SPECIFIC TOBACCO TYPE.
HNUPROD(1-11): Heard of but have never used: (1) e-cigarettes; (2) traditional cigars; (3) cigarillos;
(4) filtered cigars; (5) pipes; (6) hookahs; (7) snus; (8) dissolvable tobacco; (9) bidis; (10) kreteks; (11)
smokeless tobacco.
PATH – Wave 1
Youth Extended Questionnaire
127
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0300
Screen ID:
How much do you agree or disagree with this statement: I have considered switching completely from
using [USEPROD(1-11)] to smoking cigarettes.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON’T KNOW
-7
REFUSED
ASK: Past 30 days users of [USEPROD(1-11)] who have ever tried smoking cigarettes
PROGRAM: EXCLUDE CIGARETTES from USEPROD list for this question
NOTE: This question will ask about switching from each product the respondent has used to cigarettes.
PATH ID:
YX0307
Screen ID:
Have you considered switching from [USEPROD(1-11)] to any of the following products? Choose all
that apply.
1
I have not considered switching to another product
2
[FILL RESPONSE OPTIONS WITH HNUPROD(1-11)
X
-8
DON’T KNOW
-7
REFUSED
ASK: Past 30 day users of [USEPROD(1-11)] Ask the question one time for each product in
USEPROD(1-11). Each time the question is asked, fill response options with HNUPROD(1-11).
NOTE: This question will ask about switching from each product the respondent uses to each product
they have heard of but never used.
PATH – Wave 1
Youth Extended Questionnaire
128
PATH
Youth Extended Questionnaire
Version 7.5
NICOTINE DEPENDENCE SECTION
PROGRAM: Create new variables:
EVER_USE_TOB - respondents who have ever used any tobacco products in lifetime.
EVER_USE_TOB=1 Yes if (YC1002=1) OR (YE1002=1) OR (YG1002=1) OR (YP1002=1) OR
(YH1002=1) OR (YS1002[1 or 2] =1) OR (YD1002=1) OR (YB9102[1 or 2]=1).
Else EVER_USE_TOB=2 No.
EVER_USE_CIGS - respondents who have only ever used cigarettes in lifetime.
EVER_USE_CIGS=1 Yes if (YC1002=1) AND (YE1002 NE 1) AND (YG1002 NE 1) AND (YP1002 NE
1) AND (YH1002 NE 1) AND (YS1002[3]=1) AND (YD1002 NE 1) AND (YB9102[3]=1).
Else EVER_USE_CIGS=2 No.
EVER_USE_DUAL - respondents who have ever used cigarettes and at least one other tobacco
product in lifetime.
EVER_USE_DUAL=1 Yes if (YC1002 = 1) AND (YE1002=1) OR (YG1002=1) OR (YP1002=1) OR
(YH1002=1) OR (YS1002[1 or 2] =1) OR (YD1002=1) OR (YB9102[1 or 2]=1).
Else EVER_USE_DUAL=2 No.
EVER_USE_TOBXCIGS - respondents who have ever used any tobacco products, excluding
cigarettes, in lifetime.
EVER_USE_TOBXCIGS=1 Yes if (YC1002 NE 1) AND (YE1002=1) OR (YG1002=1) OR (YP1002=1)
OR (YH1002=1) OR (YS1002[1 or 2] =1) OR (YD1002=1) OR (YB9102[1 or 2]=1).
Else EVER_USE_TOBXCIGS=2 No.
PASTYEAR_TOB_USE - respondents who have used any tobacco products in the past year.
PASTYEAR_TOB_USE=1 Yes if (YC1112=1, 2, 3, 4 or 5) OR (YE1112=1, 2, 3, 4 or 5) OR
(YG1112=1, 2, 3, 4 or 5) OR (YP1112=1, 2, 3, 4 or 5) OR (YH1112=1, 2, 3, 4 or 5) OR (YS1112=1, 2,
3, 4 or 5) OR (YD1112=1, 2, 3, 4 or 5) OR (YB1112=1, 2, 3, 4 or 5).
Else, PASTYEAR_TOB_USE=2 No.
PATH – Wave 1
Youth Extended Questionnaire
129
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YN0703
Screen ID:
The next questions ask about your experience with tobacco products.
How soon after you wake up do you want to use tobacco?
1
Within 5 minutes
2
From 6 to 30 minutes
3
From more than 30 minutes to 1 hour
4
After more than 1 hour but less than 24 hours
5
I rarely want to use tobacco
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco products in the past year (PASTYEAR_TOB_USE=1).
PATH ID:
YN0704
Screen ID:
Do you ever have strong cravings to use tobacco?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a tobacco product in the past year (PASTYEAR_TOB_USE=1).
PATH ID:
YN0705
Screen ID:
Have you ever felt like you really needed to use tobacco?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a tobacco product in the past year (PASTYEAR_TOB_USE=1).
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Youth Extended Questionnaire
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PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YN0055
Screen ID:
Please rate your level of agreement for each statement using the following scale: 1= not true of me at
all to 5=extremely true of me.
I find myself reaching for a tobacco product without thinking about it.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year (PASTYEAR_TOB_USE=1).
BOX: PROGRAM: Randomize order of items YN0025-YN0080.
PATH ID:
YN0025
Screen ID:
Following are some statements about tobacco use.
I frequently crave tobacco.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a tobacco product in the past year (PASTYEAR_TOB_USE=1).
PATH ID:
YN0045
Screen ID:
My tobacco use is out of control.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco product in the past year (PASTYEAR_TOB_USE=1).
PATH – Wave 1
Youth Extended Questionnaire
131
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YN0070
Screen ID:
Using tobacco really helps me feel better if I’ve been feeling down.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year (PASTYEAR_TOB_USE=1).
PATH ID:
YN0075
Screen ID:
Using tobacco helps me think better.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year (PASTYEAR_TOB_USE=1).
PATH ID:
YN0255
Screen ID:
Most of the people I spend time with are tobacco users.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year (PASTYEAR_TOB_USE=1).
PATH ID:
YN0080
Screen ID:
I would feel alone without my tobacco.
1
2
3
4
5
Not true of me at all
Extremely true of me
PATH – Wave 1
Youth Extended Questionnaire
132
PATH
Youth Extended Questionnaire
Version 7.5
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year (PASTYEAR_TOB_USE=1).
PATH ID:
YN0060
Screen ID:
I usually want to use tobacco right after I wake up.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco in the past year and did not report that they rarely want
to use tobacco after waking up (PASTYEAR_TOB_USE=1) AND (YN0703 NE 5).
PATH – Wave 1
Youth Extended Questionnaire
133
PATH
Youth Extended Questionnaire
Version 7.5
CESSATION / QUITTER SECTION
PATH ID:
YC1210
Screen ID:
Do you want to completely stop smoking cigarettes?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
PATH ID:
YC1215
Screen ID:
Have you tried to completely stop smoking cigarettes within the past 12 months?
1
Yes
2
No
GO TO YC1230
-8
DON’T KNOW
GO TO YC1230
-7
REFUSED
GO TO YC1230
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
PATH ID:
YC1220
Screen ID:
In the past 12 months, how many times have you stopped smoking for one day or longer because you
were trying to quit smoking cigarettes for good?
1
I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
who have tried to quit smoking in the past year (YC1215 = 1).
PATH ID:
YC1225
Screen ID:
When you last tried to quit for good, how long did you stay off cigarettes? Please choose the first
answer that fits.
1
Less than 1 day
2
1 to 7 days
3
More than 7 days but less than 30 days
4
More than 30 days but less than 6 months
5
More than 6 months but less than 1 year
6
1 year or more
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
who have tried to quit smoking in the past year (YC1215 = 1).
PATH – Wave 1
Youth Extended Questionnaire
134
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YC1230
Screen ID:
If you decided to quit cigarettes for good, how likely is it that you would succeed?
1
Very likely
2
Somewhat likely
3
Somewhat unlikely
4
Very unlikely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigarette in the past 30 days (PAST30DAY_NL_CIGS = 1)
PATH ID:
YN0126
Screen ID:
Have you tried to completely stop use of all tobacco products within the past 12 months?
1
Yes
2
No
GO TO YN0127
-8
DON’T KNOW
GO TO YN0127
-7
REFUSED
GO TO YN0127
ASK: Respondents who have used any tobacco product in the past 30 days except cigarette only
[(PAST30DAY_NL_ECIGS = 1) OR (PAST30DAY_NL_[CIGARFILL] = 1) OR (PAST30DAY_NL_PIPE
= 1) OR (YH1112=1, 2 or 3) OR (PAST30DAY_NL_[SMKLSSFILL] = 1) OR (PAST30DAY_NL_DISS =
1) OR (PAST30DAY_NL_[BKFILL] = 1)]
PATH ID:
YN0120
Screen ID:
In the past 12 months, have you stopped using all tobacco products for one day or longer because you
were trying to quit for good?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have tried to quit using all tobacco products in the past year (YN0126 = 1).
PATH ID:
YN0127
Screen ID:
Are you seriously thinking about quitting [cigarettes I all tobacco products I cigarettes and tobacco
products]?
1
Yes, within the next 30 days
2
Yes, within the next 6 months
3
Yes, within the year
4
Yes, but not within the year
5
No, I am not seriously thinking about quitting
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used any tobacco product in the past 30 days including cigarette
smokers (only and not-only) [(PAST30DAY_NL_CIGS = 1) OR (PAST30DAY_NL_ECIGS = 1) OR
PATH – Wave 1
Youth Extended Questionnaire
135
PATH
Youth Extended Questionnaire
Version 7.5
(PAST30DAY_NL_[CIGARFILL] = 1) OR (PAST30DAY_NL_PIPE = 1) OR (YH1112=1, 2 or 3) OR
(PAST30DAY_NL_[SMKLSSFILL] = 1) OR (PAST30DAY_NL_DISS = 1) OR
(PAST30DAY_NL_[BKFILL] = 1)]
If cigarette smoker only [(PAST30DAY_NL_CIGS = 1) AND [(PAST30DAY_ECIGS = 2) AND
(PAST30DAY_[CIGARFILL] = 2) AND (PAST30DAY_PIPE = 2) AND (YH1112 NE 1, 2 or 3) AND
(PAST30DAY_[SMKLSSFILL] = 2) AND (PAST30DAY_DISS = 2) AND (PAST30DAY_[BKFILL] =
2)],display “cigarettes”.
If non-cigarette tobacco user [(PAST30DAY_CIGS = 2) AND [(PAST30DAY_NL_ECIGS = 1) OR
(PAST30DAY_NL_[CIGARFILL] = 1) OR (PAST30DAY_NL_PIPE = 1) OR (YH1112=1, 2 or 3) OR
(PAST30DAY_NL_[SMKLSSFILL] = 1) OR (PAST30DAY_NL_DISS = 1) OR
(PAST30DAY_NL_[BKFILL] = 1)], display “ all tobacco products”.
If cigarette and other tobacco user [(PAST30DAY_NL_CIGS = 1) AND (PAST30DAY_NL_ECIGS = 1)
OR (PAST30DAY_NL_[CIGARFILL] = 1) OR (PAST30DAY_NL_PIPE = 1) OR (YH1112=1, 2 or 3) OR
(PAST30DAY_NL_[SMKLSSFILL] = 1) OR (PAST30DAY_NL_DISS = 1) OR
(PAST30DAY_NL_[BKFILL] = 1)], display “cigarettes and tobacco products”.
PATH – Wave 1
Youth Extended Questionnaire
136
PATH
Youth Extended Questionnaire
Version 7.5
SECONDHAND SMOKE SECTION
DISPLAY TRANSITION TEXT: The next questions ask about the rules of using tobacco inside your
home.
PATH ID:
YX0671
Screen ID:
Does anyone who lives with you now do any of the following? Choose all that apply.
1
Smoke cigarettes
2
Use smokeless tobacco, such as chewing tobacco, snuff, dip, or snus
3
Smoke cigars, cigarillos, or filtered cigars
4
Use any other form of tobacco
5
No one who lives with me now uses any form of tobacco
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PROGRAM: Option 5 may not be selected if Options 1, 2, 3 or 4 are selected.
PATH ID:
YR1045
Screen ID:
Please think about everyone who might be in your home including children, adults, visitors, guests, or
workers.
For tobacco products that are burned, such as cigarettes, cigars, pipes or hookah, which statement
best describes the rules about smoking a tobacco product inside your home?
1
It is not allowed anywhere or at any time inside my home
2
It is allowed in some places or at some times inside my home
3
It is allowed anywhere and at any time inside my home
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
YR1050
Screen ID:
Now think about other tobacco products that are not burned, like smokeless tobacco, dissolvable
tobacco, and electronic cigarettes. Which statement best describes the rules about using these
products inside your home?
1
It is not allowed anywhere or at any time inside my home
2
It is allowed in some places or at some times inside my home
3
It is allowed anywhere and at any time inside my home
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH – Wave 1
Youth Extended Questionnaire
137
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0068
Screen ID:
During the past seven days, about how many hours were you around others who were smoking[,
whether or not you were smoking yourself]? Include time in your home, in a car, at school, or outdoors.
1
I__I__I__I
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PROGRAM: If respondent has smoked cigarettes, cigars, pipe or hookah in the past 30 days, display ‘,
whether or not you were smoking yourself’
PATH – Wave 1
Youth Extended Questionnaire
138
PATH
Youth Extended Questionnaire
Version 7.5
MODIFIED RISK TOBACCO PRODUCTS SECTION
PATH ID:
YX0667
Screen ID:
To what extent do you agree or disagree with the following statement?
Some tobacco products are safer than others.
1
2
3
4
5
-8
-7
ASK: All respondents
PATH ID:
Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
DON’T KNOW
REFUSED
YX0669
Screen ID:
In the past 12 months, have you seen any tobacco products that claim to be safer than other tobacco
products?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
GO TO YX0671
GO TO YX0671
GO TO YX0671
PATH ID:
Screen ID:
YX0670
How likely is it that you will use one of these tobacco products that claim to be safer in the next 30
days?
1
Very likely
2
Somewhat likely
3
Somewhat unlikely
4
Very unlikely
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have seen any tobacco products that claim to be safer than other tobacco
products in the past year (YX0669 = 1).
PATH – Wave 1
Youth Extended Questionnaire
139
PATH
Youth Extended Questionnaire
Version 7.5
PACKAGING AND HEALTH WARNINGS SECTION
PATH ID:
YR0141
Screen ID:
In the past 12 months, how often have you seen a list of the chemicals contained in tobacco products?
1
2
3
4
5
-8
-7
ASK: All respondents
PATH ID:
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
YR0142
Screen ID:
In the past 12 months, how often have you thought about the chemicals contained in tobacco
products?
1
2
3
4
5
-8
-7
ASK: All respondents
PATH ID:
Never
Rarely
Sometimes
Often
Very often
DON’T KNOW
REFUSED
YR0005
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on cigarette packages?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
GO TO: If YC1002 = 2 AND YR0005>1, GO TO YR0055.
PATH – Wave 1
Youth Extended Questionnaire
140
GO TO YR0060
GO TO YR0060
GO TO YR0060
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0202
Screen ID:
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
cigarette packages?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1002=1 AND
YR0005>1).
PATH ID:
YR0010
Screen ID:
In the past 30 days, how often, if at all, have the health warnings stopped you from having a cigarette
when you were about to smoke one?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1002=1 AND
YR0005>1).
PATH ID:
YR0015
Screen ID:
In the past 30 days, have you tried to avoid looking at or thinking about the health warnings on
cigarette packs - such as covering them up, keeping them out of sight, using a cigarette case, avoiding
certain warnings, or any other means?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1002=1 AND
YR0005>1).
PATH – Wave 1
Youth Extended Questionnaire
141
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0025
Screen ID:
How believable do you consider the health warnings on cigarette packs to be?
1
Not at all believable
2
A little believable
3
Somewhat believable
4
Very believable
5
Extremely believable
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1002=1 AND
YR0005>1).
PATH ID:
YR0030
Screen ID:
How do the health warnings on cigarette packs make you feel about smoking?
1
Very unconcerned
2
Somewhat unconcerned
3
Neither concerned nor unconcerned
4
Somewhat concerned
5
Very concerned
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1002=1 AND
YR0005>1).
PATH ID:
YR0035
Screen ID:
To what extent, if at all, do the health warnings on cigarette packs make you think about the health
risks of smoking?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1002=1 AND
YR0005>1).
PATH – Wave 1
Youth Extended Questionnaire
142
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0203
Screen ID:
To what extent, if at all, do the health warnings on cigarette packs make you never want to smoke
again?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever smokers who have noticed the health warnings in the past month (YC1002=1 AND
YR0005>1).
GO TO: If YC1002=2 AND YR0005>1, GO TO YR0055.
Else GO TO YR0060.
PATH ID:
YR0055
Screen ID:
To what extent, if at all, have the health warnings on cigarette packs made you less likely to start
smoking?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents that have never tried smoking who have seen the health warnings (YC1002 = 2
AND YR0005>1).
PATH ID:
YR0060
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of
smokeless tobacco products like snus, moist snuff, dip, spit and chew?
1
Never
GO TO YR0110
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
GO TO YR0110
-7
REFUSED
GO TO YR0110
ASK: Respondents who have heard of smokeless tobacco (YS1001=1)
GO TO: If ((YS1002(1)=1 OR YS1002(2)=1)) AND (YR0060 >1), GO TO YR0205
If YS1002(3)=1 AND YR0060>1, GO TO YR0220
Else GO TO YR0110.
PATH – Wave 1
Youth Extended Questionnaire
143
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0205
Screen ID:
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
smokeless tobacco packages?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month ((YS1002(1)=1 OR
YS1002(2)=1)) AND (YR0060 >1)
PATH ID:
YR0065
Screen ID:
In the past 30 days, how often, if at all, have the health warnings stopped you from having a smokeless
tobacco product when you were about to use one?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month ((YS1002(1)=1 OR
YS1002(2)=1)) AND (YR0060 >1).
PATH ID:
YR0070
Screen ID:
In the past 30 days, have you tried to avoid looking at or thinking about the health warnings on
packages of smokeless tobacco products - such as covering them up, keeping them out of sight,
avoiding certain warnings, or any other means?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month ((YS1002(1)=1 OR
YS1002(2)=1)) AND (YR0060 >1).
PATH – Wave 1
Youth Extended Questionnaire
144
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0075
Screen ID:
How believable do you consider the health warnings on packages of smokeless tobacco products to
be?
1
Not at all believable
2
A little believable
3
Somewhat believable
4
Very believable
5
Extremely believable
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month ((YS1002(1)=1 OR
YS1002(2)=1)) AND (YR0060 >1).
PATH ID:
YR0080
Screen ID:
How do the health warnings on packages of smokeless tobacco products make you feel about using it?
1
Very unconcerned
2
Somewhat unconcerned
3
Neither concerned nor unconcerned
4
Somewhat concerned
5
Very concerned
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month ((YS1002(1)=1 OR
YS1002(2)=1)) AND (YR0060 >1).
PATH ID:
YR0085
Screen ID:
To what extent, if at all, do the health warnings on packages of smokeless tobacco products make you
think about the health risks of using smokeless tobacco products?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month ((YS1002(1)=1 OR
YS1002(2)=1)) AND (YR0060 >1).
PATH – Wave 1
Youth Extended Questionnaire
145
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0218
Screen ID:
To what extent, if at all, do the health warnings on packages of smokeless tobacco products make you
never want to use smokeless tobacco again?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Ever users who have noticed the health warnings in the past month ((YS1002(1)=1 OR
YS1002(2)=1)) AND (YR0060 >1).
GO TO: If YS1002(3)=1 AND YR0060 >1, GO TO YR0220
Else GO TO YR0110.
PATH ID:
YR0220
Screen ID:
To what extent, if at all, have the health warnings on smokeless tobacco packages made you less likely
to start using smokeless tobacco?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have never tried smokeless tobacco who have seen the health warnings
(YS1002(3) = 1 AND YR0060 > 1).
PATH ID:
YR0110
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of ecigarettes?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used e-cigarettes in the past 30 days (PAST30DAY_ECIGS = 1).
PATH – Wave 1
Youth Extended Questionnaire
146
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0225
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of cigars,
cigarillos, or filtered cigars?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a cigar, filtered cigar, or cigarillo in the past 30 days
(PAST30DAY_[CIGARFILL] = 1).
PATH ID:
YR0130
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of pipe
tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a pipe in the past 30 days (PAST30DAY_PIPE = 1).
PATH ID:
YR0135
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of shisha
tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked hookah in the past 30 days (YH9004 > 0 or YH1112 = 1, 2 or 3).
PATH – Wave 1
Youth Extended Questionnaire
147
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YR0140
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of
dissolvable tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used a dissolvable tobacco product in the past 30 days
(PAST30DAY_DISS = 1).
PATH ID:
YR0230
Screen ID:
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of bidis or
kreteks?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have smoked a bidi or kretek in the past 30 days (PAST30DAY_[BKFILL] = 1).
PATH – Wave 1
Youth Extended Questionnaire
148
PATH
Youth Extended Questionnaire
Version 7.5
MARKETING SECTION
PATH ID:
YX0475
Screen ID:
In the past 6 months, have you seen a tobacco sweepstakes ad?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PROGRAM: DISPLAY SWEEPSTAKES/GIVEAWAY IMAGE. THE PICTURE SHOWS A
COMPOSITE IMAGE OF SEVERAL TOBACCO SPONSORED SWEEPSTAKES
PATH ID:
YX0476
Screen ID:
In the past 6 months, have you participated in a tobacco sponsored sweepstakes?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
YX0477
Screen ID:
In the past 6 months, have you gotten a discount coupon for any tobacco product?
1
Yes
2
No
GO TO YX0526
-8
DON’T KNOW
GO TO YX0526
-7
REFUSED
GO TO YX0526
ASK: All respondents
PROGRAM: DISPLAY COUPON IMAGE. THE PICTURE SHOWS A COMPOSITE IMAGE OF
SEVERAL DISCOUNT COUPONS
PATH ID:
YX0478
Screen ID:
Where did you get discount coupons from? Choose all that apply.
1
2
3
4
5
6
7
8
-8
The mail
E-mail
The Internet
Social Networks (such as Facebook and Twitter)
A text message
On a cigarette pack or other tobacco product
From a friend or other person
Some other way: SPECIFY___________________
DON’T KNOW
PATH – Wave 1
Youth Extended Questionnaire
149
PATH
Youth Extended Questionnaire
Version 7.5
-7
REFUSED
ASK: Respondents who have received a discount coupon (YX0477 = 1).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
PATH ID:
YX0479
Screen ID:
In the past 6 months, have you used a discount coupon to purchase a tobacco product?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have obtained a discount coupon (YX0477 = 1).
PATH ID:
YX0526
Screen ID:
In the past 6 months, did a tobacco company send you any information other than coupons?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
GO TO YX0481
GO TO YX0481
GO TO YX0481
YX0480
Screen ID:
How did a tobacco company send you any information other than coupons? Choose all that apply.
1
The mail
2
E-mail
3
The Internet
4
Social Networks (such as Facebook and Twitter)
5
A text message
6
Some other way: SPECIFY __________________________
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have received information (YX0526 = 1).
PROGRAM: If OS field selected and additional OS screen is shown, display question text and add the
following text: “Please type your answer using the computer keyboard.”
PATH – Wave 1
Youth Extended Questionnaire
150
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0481
Screen ID:
In the past 6 months, have you gotten a free sample of a tobacco product?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH – Wave 1
Youth Extended Questionnaire
151
PATH
Youth Extended Questionnaire
Version 7.5
ACCESSIBILITY SECTION
PATH ID:
YX0499
Screen ID:
How easy do you think it is for people your age to buy tobacco products in a store?
1
Very easy
2
Somewhat easy
3
Somewhat difficult
4
Very difficult
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH – Wave 1
Youth Extended Questionnaire
152
PATH
Youth Extended Questionnaire
Version 7.5
MEDIA USE SECTION
PATH ID:
YX0494
Screen ID:
The next questions ask about your TV, internet and cell phone use.
About how long do you spend watching TV on a typical day?
1
None
2
Less than 1 hour
3
1 to 2 hours
4
3 to 4 hours
5
More than 4 hours
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:
YX0486
Screen ID:
Overall, how often do you use the internet?
1 Several times a day
2 About once a day
3 3-5 days a week
4 1-2 days a week
5 Every few weeks
6 Less often
7 Don’t have regular internet access
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:
YX0062
GO TO YX0498
GO TO YX0498
GO TO YX0498
Screen ID:
Do you have a Facebook, Google Plus, MySpace, Twitter, or other social networking account?
1 Yes
2 No
GO TO YX0487
-8 DON’T KNOW
GO TO YX0487
-7 REFUSED
GO TO YX0487
ASK: Respondents who have access to the internet (YX0486 NE 7, -8 or -7)
PATH – Wave 1
Youth Extended Questionnaire
153
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0063
Screen ID:
How often do you visit your Facebook, Google Plus, MySpace, Twitter, or other social networking
account?
1
Several times a day
2
Daily
3
Weekly
4
Monthly or less
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have a Facebook or other social networking account (YX0062 = 1).
PATH ID:
YX0490
Screen ID:
Has anyone discussed tobacco products on your Facebook, Google Plus, MySpace, Twitter, or other
social networking account?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have a Facebook or other social networking account (YX0062 = 1).
PATH ID:
YX0487
Screen ID:
In the past 6 months, have you ever signed up for email alerts about tobacco products, read articles
online about tobacco products, or watched a video online about tobacco products?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have access to the internet (YX0486 NE 7, -8 or -7)
PATH ID:
YX0483
Screen ID:
This is the website for [BRAND].
In the past 6 months, have you been to this website?
1
Yes
2
No
GO TO YX0485
-8
DON’T KNOW
GO TO YX0485
-7
REFUSED
GO TO YX0485
ASK: Internet users (YX0486 NE 7, -8 or -7).
PROGRAM: For questions YX0483 to YX0492, loop through screenshots of 5 tobacco websites. Fill
[BRAND] with the brand name the website represents.
PATH – Wave 1
Youth Extended Questionnaire
154
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0484
Screen ID:
Did you register at the [BRAND] website?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Internet users (YX0486 NE 7, -8 or -7) who have ever visited this website (YX0483 = 1).
PATH ID:
YX0485
Screen ID:
How much do you like this website?
1
I strongly like this website
2
I like this website
3
I don’t like or dislike this website
4
I dislike this website
5
I strongly dislike this website
-8
DON’T KNOW
-7
REFUSED
ASK: Internet users (YX0486 NE 7, -8 or -7).
Note: This question asked even if the respondent reports that they have never been to the website.
PATH ID:
YX0491
Screen ID:
Have you liked or followed [BRAND] on Facebook, Twitter or other sites?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have a social networking account (YX0062 = 1).
PROGRAM: Fill in [BRAND] from YX0483.
Note: This question asked even if the respondent reports that they have never been to the website.
PATH ID:
YX0493
Screen ID:
Have you sent a link or information about [BRAND] to others on Facebook, Twitter or other sites?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have a social networking account (YX0062 = 1).
PROGRAM: Fill in [BRAND] from YX0483.
Note: This question asked even if the respondent reports that they have never been to the website.
PATH – Wave 1
Youth Extended Questionnaire
155
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0492
Screen ID:
Have you played an online game related to [BRAND]?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: Internet users (YX0486 NE 7, -8 or -7)
PROGRAM: Fill in [BRAND] from YX0483.
Note: This question asked even if the respondent reports that they have never been to the website.
PATH ID:
YX0498
Screen ID:
DISPLAY MOVIE TITLE (DRAWN FROM A POOL OF RECENTLY RELEASED MOVIES). SHOW 5
MOVIE TITLES.
How many times have you seen this movie?
1
Never
2
Once
3
Twice
4
3 or more times
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:
YX0495
Screen ID:
Do you regularly use a smart phone?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
GO TO YX0500
GO TO YX0500
GO TO YX0500
PATH ID:
Screen ID:
YX0496
A Quick Response code is a white square with black dots in it, sometimes called a QR code.
[INSERT IMAGE OF QR CODE FOR PATH WEBSITE]
Have you ever used a smart phone to scan a QR code for a tobacco product or to enter a sweepstakes
or drawing from a tobacco company?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who regularly use a smart phone (YX0495 = 1).
PATH – Wave 1
Youth Extended Questionnaire
156
GO TO YX0500
GO TO YX0500
GO TO YX0500
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0497
Screen ID:
Did this code take you to a tobacco company web site?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have scanned a QR code (YX0496 = 1).
PATH – Wave 1
Youth Extended Questionnaire
157
PATH
Youth Extended Questionnaire
Version 7.5
PSYCHOSOCIAL SECTION
PATH ID:
YX0500
Screen ID:
In the past 12 months, have your parents or guardians talked with you, even once, about not using any
type of tobacco product?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
YX0200
Screen ID:
If your parents or guardians found you using tobacco, how do you think they would react? Would
they…
1
Be very upset
2
Not be too upset
3
Have no reaction
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
YX0488
Screen ID:
The following questions are about common psychological, behavioral, and personal problems. These
problems are considered significant when you have them for two or more weeks, when they keep
coming back, when they keep you from meeting your responsibilities, or when they make you feel like
you can’t go on.
After each of the following questions, please tell us the last time, if ever, you had the problem, by
answering whether it was in the past month, 2-12 months ago, over a year ago, or never.
ASK: All respondents
PATH ID:
YX0161
Screen ID:
When was the last time that you had significant problems with…
Feeling very trapped, lonely, sad, blue, depressed, or hopeless about the future?
1
2
3
4
-8
-7
ASK: All respondents
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
PATH – Wave 1
Youth Extended Questionnaire
158
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0162
Screen ID:
When was the last time that you had significant problems with…
Sleep trouble, such as bad dreams, sleeping restlessly, or falling asleep during the day?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
YX0163
Screen ID:
When was the last time that you had significant problems with…
Feeling very anxious, nervous, tense, scared, panicked, or like something bad was going to happen?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
YX0164
Screen ID:
When was the last time that you had significant problems with…
Becoming very distressed and upset when something reminded you of the past?
1
2
3
4
-8
-7
ASK: All respondents
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
PATH – Wave 1
Youth Extended Questionnaire
159
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0165
Screen ID:
When was the last time that you did the following things two or more times…
Lied or conned to get things you wanted or to avoid having to do something?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
YX0166
Screen ID:
When was the last time that you did the following things two or more times…
Had a hard time paying attention at school, work, or home?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
YX0167
Screen ID:
When was the last time that you did the following things two or more times…
Had a hard time listening to instructions at school, work, or home?
1
2
3
4
-8
-7
ASK: All respondents
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
PATH – Wave 1
Youth Extended Questionnaire
160
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0168
Screen ID:
When was the last time that you did the following things two or more times…
Were a bully or threatened other people?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
YX0169
Screen ID:
When was the last time that you did the following things two or more times…
Started physical fights with other people?
1
2
3
4
-8
-7
ASK: All respondents
PATH ID:
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
YX0250
Screen ID:
When was the last time that you did the following things two or more times…
Felt restless or the need to run around or climb on things?
1
2
3
4
-8
-7
ASK: All respondents
PATH – Wave 1
Youth Extended Questionnaire
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
161
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0251
Screen ID:
When was the last time that you did the following things two or more times…
Gave answers before the other person finished asking the question?
1
2
3
4
-8
-7
ASK: All respondents
PATH – Wave 1
Youth Extended Questionnaire
Past month
2 to 12 months ago
Over a year ago
Never
DON’T KNOW
REFUSED
162
PATH
Youth Extended Questionnaire
Version 7.5
SUBSTANCE USE SECTION
PATH ID:
YX0084
Screen ID:
The next questions ask about your use of alcohol and other drugs. Remember all the information you
give to the PATH Study will be kept private.
Have you ever used alcohol at all, including sips of someone’s drink or your own drink?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
GO TO YX0085
GO TO YX0085
GO TO YX0085
YX0086
Screen ID:
About how old were you when you first drank alcohol at all, counting small tastes or sips?
1
|__|__| years old
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever used alcohol (YX0084=1)
PATH ID:
YX0087
GO TO YX0074
Screen ID:
When you first drank alcohol at all, counting small tastes or sips, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who refused to give or did not know age (YX0086 = -8, -7).
PATH ID:
YX0074
Screen ID:
About how old were you when you had your first alcoholic drink, other than small tastes or sips? A
drink is a can or bottle of beer; a wine cooler or a glass of wine, champagne, or sherry; a shot of liquor
or a mixed drink or cocktail.
I have never had an alcoholic drink other than small tastes or
sips
2
I___I___I years old
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever used alcohol (YX0084=1)
1
PATH – Wave 1
Youth Extended Questionnaire
163
GO TO YX0073
GO TO YX0073
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0270
Screen ID:
When you had your first alcoholic drink, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who refused to give or did not know age (YX0074=DK,R)
GO TO: If Ever User Tobacco (EVER_USE_TOB=1), go to YX0077
Else go to YX0073
PATH ID:
YX0077
Screen ID:
[At the age that you first started drinking | When you were AGE OF ALCOHOL USE years old], did you
also [smoke cigarettes | use tobacco products | smoke cigarettes or use other tobacco products]?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Ever tobacco users (EVER_USE_TOB=1) if onset of tobacco use precedes onset of alcohol use
(age in YC1006 or YE1006 or YG1006 or YP1006 or YH1006 or YS1006 or YD1006 or YB1006 < age
in YX0074).
PROGRAM: If YX0074=-8 or -7, display "At the age that you started drinking". If YX0074 NE -8 or -7,
display "When you were AGE OF ALCOHOL USE years old" and fill with age reported in YX0074.
If cigarette-only user (EVER_USE_CIGS=1), display “smoke cigarettes”.
If non-cigarette tobacco user (EVER_USE_TOBXCIGS=1), display “use tobacco products”.
If cigarette and tobacco user (EVER_USE_DUAL=1), display “smoke cigarettes or use other tobacco
products”.
PATH ID:
YX0073
Screen ID:
How long has it been since you last used alcohol? Was it …
1
Within the past 30 days
2
More than 30 days ago, but within the past year
3
More than a year ago
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever used alcohol (YX0084=1).
PATH – Wave 1
Youth Extended Questionnaire
164
GO TO YX0085
GO TO YX0085
GO TO YX0085
GO TO YX0085
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0075
Screen ID
In the past 30 days, on how many days did you have one or more alcoholic drinks?
Count a drink as a can or bottle of beer; a wine cooler or a glass of wine, champagne, or sherry; a shot
of liquor or a mixed drink or cocktail.
|__|__|
[RANGE: 0 - 30]
Number of days
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have ever used alcohol (YX0084=1) and have used alcohol in the past 30
days (YX0073=1)
1
PATH ID:
YX0076
Screen ID:
On average, on those days that you drank in the past 30 days, how many alcoholic drinks did you
usually have each day?
Count a drink as a can or bottle of beer; a wine cooler or a glass of wine, champagne, or sherry; a shot
of liquor or a mixed drink or cocktail.
|__|__|
[RANGE: 1 - 90]
Number of drinks
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who have used alcohol one day or more in the past 30 days (YX0075 NE 0)
GO TO: If YG9105=1, go to YX0079
Else go to YX0085.
1
PATH ID:
YX0085
Screen ID:
Have you ever used marijuana, hash, THC, grass, pot or weed?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PROGRAM: If YG9105=1, do not ask this question.
PATH – Wave 1
Youth Extended Questionnaire
165
GO TO YX0089
GO TO YX0089
GO TO YX0089
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0079
Screen ID:
How old were you when you first used marijuana, hash, THC, grass, pot or weed?
1
|__|__| years old
GO TO YX0080
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have ever used marijuana (YX0085=1 OR YG9105=1).
PATH ID:
YX0271
Screen ID:
When you first used marijuana, hash, THC, grass, pot, or weed, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who refused to give or did not know age (YX0079=DK,R)
GO TO: If Ever User Tobacco (EVER_USE_TOB=1), go to YX0080
Else go to YX0089
PATH ID:
YX0080
Screen ID:
[At the age that you first started using marijuana, hash, THC, grass, pot or weed | When you were AGE
OF MARIJUANA USE years old], did you also [smoke cigarettes | use tobacco products | smoke
cigarettes or use other tobacco products]?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Ever tobacco users (EVER_USE_TOB=1) if onset of tobacco use precedes onset of marijuana
use (age in YC1006 or YE1006 or YG1006 or YP1006 or YH1006 or YS1006 or YD1006 or YB1006 <
age in YX0079).
PROGRAM: If YX0079=-8 or -7, display "At the age that you first started using marijuana, hash, THC,
grass, pot, or weed". If YX0079 NE -8 or -7, display "When you were AGE OF MARIJUANA USE years
old" and fill with age reported in YX0079.
If cigarette-only user (EVER_USE_CIGS=1), display “smoke cigarettes”.
If non-cigarette tobacco user (EVER_USE_TOBXCIGS=1), display “use tobacco products”.
If cigarette and tobacco user (EVER_USE_DUAL=1), display “smoke cigarettes or use other tobacco
products”.
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PATH ID:
YX0078
Screen ID:
How long has it been since you last used marijuana, hash, THC, grass, pot or weed? Was it…
1
Within the past 30 days
2
More than 30 days ago, but within the past year
3
More than a year ago
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who have ever used marijuana (YX0085=1 OR YG9105=1)
BOX – DISPLAY INSTRUCTIONS
For YX0089, display a “Yes” and “No” column with options for each response category.
PATH ID:
YX0089
Screen ID:
Have you ever used any of the following prescription drugs that were not prescribed for you or that you
took only for the experience or feeling they caused?
1
Ritalin® or Adderall®
2
Painkillers, sedatives, or tranquilizers
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
BOX – DISPLAY INSTRUCTIONS
For YX0220, display a “Yes” and “No” column with options for each response category.
PATH ID:
YX0220
Screen ID:
Have you ever used any of the following substances?
1
Cocaine or crack
2
Stimulants like methamphetamine or speed
3
Any other drugs like heroin, inhalants, solvents, or hallucinogens
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
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BOX – FILL INSTRUCTIONS
CREATE [SUBSTANCEFILL]
Display: If YX0089[1]=1, display ‘Ritalin® or Adderall®’
If YX0089[2]=1, display ‘painkillers, sedatives, or tranquilizers’
If YX0220[1]=1, display ‘cocaine or crack’
If YX0220[2]=1, display ‘stimulants like methamphetamine or speed’
If YX0220[3]=3, display ‘any other drugs like heroin, inhalants, solvents, or hallucinogens’
Repeat YX0081- YX0083 for each group of substances respondent reports ever using in YX0089 AND
YX0220.
Else, GO TO BOX SA
PATH ID:
YX0082
Screen ID:
How old were you when you first used [SUBSTANCEFILL]?
1
|__|__| years old
GO TO YX0083
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents that have ever used [SUBSTANCEFILL] (YX0089[1]=1 OR YX0089[2]=1 OR
YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
PATH ID:
YX0272
Screen ID:
When you first used [SUBSTANCEFILL], were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who refused to give or did not know age (YX0082=-8 or -7)
GO TO: If Ever User Tobacco (EVER_USE_TOB=1), go to YX0083
Else go to YX0081.
PATH ID:
YX0083
Screen ID:
[At the age that you first started using [SUBSTANCEFILL] | When you were AGE OF SUBSTANCE
USE years old], did you also [smoke cigarettes | use tobacco products | smoke cigarettes or use other
tobacco products]?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: Ever tobacco users (EVER_USE_TOB=1) if onset of tobacco use precedes onset of substance
use ( age in YC1006 or YE1006 or YG1006 or YP1006 or YH1006 or YS1006 or YD1006 or YB1006 <
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age in YX0074).
PROGRAM: If YX0082=-8 or -7, display "At the age that you first started using [SUBSTANCEFILL]". If
YX0082 NE -8 or -7, display "When you were AGE OF SUBSTANCE USE years old" and fill with age
reported in YX0082.
If cigarette-only user (EVER_USE_CIGS=1), display “smoke cigarettes”.
If non-cigarette tobacco user (EVER_USE_TOBXCIGS=1), display “use tobacco products”.
If cigarette and tobacco user (EVER_USE_DUAL=1), display “smoke cigarettes or use other tobacco
products”.
PATH ID:
YX0081
Screen ID:
How long has it been since you last used [SUBSTANCEFILL]? Was it…
1
Within the past 30 days
2
More than 30 days ago, but within the past year
3
More than a year ago
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents that have ever used [SUBSTANCEFILL] (YX0089[1]=1 OR YX0089[2]=1 OR
YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
BOX SA
PROGRAM:
If YX0084=1 OR YX0085=1 OR YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR
YX0220[2]=1 OR YX0220[3]=1, GO TO YX0170.
If no substances were selected in YX0084=2, -8 or -7 AND YX0085=2, -8 or -7 AND YX0089[1]=2, -8
or -7 AND YX0089[2]=2, -8 or -7 AND YX0220[1]=2, -8 or -7 AND YX0220[2]=2, -8 or -7 AND
YX0220[3]=2, -8 or -7, GO TO YX0510.
PATH ID:
YX0170
Screen ID:
When was the last time that . . .
You used alcohol or other drugs weekly or more often?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
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BOX SA2
If respondent reports ever using only one substance (ONE SELECTED IN YX0084=1 OR YX0085=1
OR YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR
YX0220[3]=1), go to YX0171.
If respondent reports ever using two or more substances (TWO OR MORE SELECTED IN YX0084=1
OR YX0085=1 OR YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1
OR YX0220[3]=1), go to YX0175.
PATH ID:
YX0175
Screen ID:
You mentioned that you used alcohol or drugs at least weekly sometime in the past. Which substances
did you use weekly or more often? Please do not include drugs that were prescribed for you. Choose
all that apply.
1
Alcohol
2
Marijuana, hash, THC, grass, pot, or weed
3
Ritalin® or Adderall®
4
Painkillers, sedatives, or tranquilizers
5
Cocaine or crack
6
Stimulants like methamphetamine or speed
7
Any other drugs like heroin, inhalants, solvents, or hallucinogens.
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who used alcohol or other drugs weekly or more often (YX0170=1,2,3)) AND
report ever using two or more substances (TWO OR MORE SELECTED IN YX0084=1 OR YX0085=1
OR YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR
YX0220[3]=1).
PROGRAM: List only those substances a respondent previously indicated he/she used. Display option
1 if YX0084=1; display option 2 if YX0085=1 OR YG9105=1; display option 3 if YX0089[1]=1; display
option 4 if YX0089[2]=1; display option 5 if YX0220[1]=1; display option 6 if YX0220[2]=1; display
option 7 if YX0220[3]=1.
GO TO: If YX0193 IN (1,2,3) OR YX0172 IN (1,2,3) OR YX0173 IN (1,2,3) OR YX0174 IN (1,2,3) OR
YX0194 IN (1,2,3), go to YX0176.
Else go to YX0510
PATH ID:
YX0171
Screen ID:
When was the last time that…
You spent a lot of time getting alcohol or other drugs?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8 DON’T KNOW
-7 REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
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PATH ID:
YX0193
Screen ID:
When was the last time that…
You spent a lot of time using or recovering from alcohol or other drugs?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
PATH ID:
YX0172
Screen ID:
When was the last time that…
You kept using alcohol or other drugs even though it was causing social problems, leading to fights, or
getting you into trouble with other people?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
PATH ID:
YX0173
Screen ID:
When was the last time that…
Your use of alcohol or other drugs reduced your involvement with activities at work, school, home, or
social events?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
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PATH ID:
YX0174
Screen ID:
When was the last time that…
You had withdrawal problems such as shaky hands, throwing up, having trouble sitting still or sleeping?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
PATH ID:
YX0194
Screen ID:
When was the last time that…
You used any alcohol or other drugs to stop being sick or avoid withdrawal problems?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who report ever using alcohol or ever using drugs (YX0084=1 OR YX0085=1 OR
YG9105=1 OR YX0089[1]=1 OR YX0089[2]=1 OR YX0220[1]=1 OR YX0220[2]=1 OR YX0220[3]=1)
PATH ID:
YX0176
Screen ID:
You mentioned that alcohol or drugs caused some problems for you. Which substances caused these
problems? Please do not include drugs that were prescribed for you. Choose all that apply.
1
Alcohol
2
Marijuana, hash, THC, grass, pot, or weed
3
Ritalin® or Adderall®
4
Painkillers, sedatives, or tranquilizers
5
Cocaine or crack
6
Stimulants like methamphetamine or speed
7
Any other drugs like heroin, inhalants, solvents, or hallucinogens
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who indicated alcohol or drugs caused problems for them (YX0193 IN (1,2,3) OR
YX0172 IN (1,2,3) OR YX0173 IN (1,2,3) OR YX0174 IN (1,2,3) OR YX0194 IN (1,2,3)),
PROGRAM: List only those substances a respondent previously indicated he/she used. Display option
1 if YX0084=1; display option 2 if YX0085=1 OR YG9105=1; display option 3 if YX0089[1]=1; display
option 4 if YX0089[2]=1; display option 5 if YX0220[1]=1; display option 6 if YX0220[2]=1; display
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option 7 if YX0220[3]=1.
PATH ID:
YX0510
Screen ID:
Please tell me how much you agree or disagree with each of the following statements:
I like to do frightening things.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:
YX0515
Screen ID:
I like new and exciting experiences, even if I have to break the rules. Do you…
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:
YX0520
Screen ID:
I prefer friends who are exciting and unpredictable. Do you…
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
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AD EXPOSURE SECTION
DISPLAY TRANSITION TEXT: The following questions ask about tobacco advertising that you may
have seen.
PATH ID:
YX0197
Screen ID:
What is the brand of your favorite tobacco advertisement?
PROGRAM:
[If multiple screens] Display: If you do not see it below, touch the button marked “NEXT”.
[If single screen OR last screen of multiple screens] Display: If you do not see it below, touch the
box marked “The brand is not listed”.
[SHOW PICTURES OR TEXT OF THE MAJOR BRANDS ON THE TOUCHSCREEN. WHEN A
RESPONDENT SELECTS A BRAND, GO TO YX0181]
The brand is not listed
SPECIFY: __________________
2 I do not have a favorite advertisement
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PROGRAM: Option 2 should appear first in the list of brands.
1
PATH ID:
YX0181
Screen ID:
DISPLAY 20 RANDOMLY SELECTED TOBACCO ADS HERE, ONE AT A TIME. THE SELECTION
OF SPECIFIC ADS WILL BE MADE JUST PRIOR TO LAUNCH OF FIELD OPERATIONS BASED ON
THE MOST CURRENT INFORMATION.
EACH PICTURE SHOWS A TOBACCO ADVERTISEMENT
In the past 12 months, have you seen this advertisement before this study?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH – Wave 1
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GO TO NEXT AD; IF LAST AD, GO TO YM0004
GO TO NEXT AD; IF LAST AD, GO TO YM0004
GO TO NEXT AD; IF LAST AD, GO TO YM0004
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PATH ID:
YX0184
Screen ID:
How much do you like this advertisement? Do you…
1
Like this ad
2
Have no opinion about this ad
3
Dislike this ad
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
GO TO: If respondent is an emancipated youth, continue to the emancipated youth module. Else, go
to demographics section
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DEMOGRAPHICS SECTION
PATH ID:
YM0004
Screen ID:
What is your sex?
1 Male
2 Female
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PATH ID:
GO TO YM0019
GO TO YM0019
GO TO YM0019
YX0136
Screen ID:
Are you currently pregnant?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Female respondents (YM0004=2)
GO TO YM0019
GO TO YM0019
GO TO YM0019
PATH ID:
Screen ID:
YX0137
How many weeks or months pregnant? (Enter number of months or weeks)
1
I__I__I Months
2
I__I__I Weeks
-8
DON’T KNOW
-7
REFUSED
ASK: Female respondents who are currently pregnant (YM0004=2 AND YX0136=1)
PROGRAM: Allow entry into one or both fields.
PATH ID:
YM0019
Screen ID:
Have you been going to school at any time during the past 12 months?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH – Wave 1
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GO TO YM0020
GO TO YM0020
GO TO YM0020
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PATH ID:
YM0018
Screen ID:
What grade are you in? If you are on a holiday or summer break, please select the grade or year you
will enter when you return to school.
th
1
4 grade or below
th
2
5
th
3
6
th
4
7
th
5
8
th
6
9
th
7
10
th
8
11
th
9
12 grade
10
College, vocational or technical school
11
Not enrolled
12
I am home-schooled
13
My school is ungraded
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who did go to school in past 12 months (YM0019=1)
PATH ID:
YM0020
Screen ID:
What grade or year in school did you last complete?
th
1
4 grade or below
th
2
5
th
3
6
th
4
7
th
5
8
th
6
9
th
7
10
th
8
11
th
9
12 grade
10
College, vocational or technical school
11
I am home-schooled
12
My school is ungraded
-8
DON’T KNOW
-7
REFUSED
ASK: Respondents who did not go to school in past 12 months (YM0019=2 or DK or RF)
GO TO: If Non-Emancipated Youth (EYOUTH = 2), go to YX0525
If Emancipated Youth (EYOUTH = 1), go to YT0019.
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BOX:
This is the start of the Emancipated Youth questions. Questions YT0019- YT0263 are asked of
emancipated youth only, with the exception of YX0525 which is asked of all youth.
GO TO: If Non-Emancipated Youth (EYOUTH = 2), go to YX0525
If Emancipated Youth (EYOUTH = 1), go to YT0019.
PATH ID:
YT0019
Screen ID:
How would you describe how you have performed at school in the past 12 months? Would you say
your grades are..
1
Mostly A’s
2
A’s and B’s
3
Mostly B’s
4
B’s and C’s
5
Mostly C’s
6
C’s and D’s
7
Mostly D’s
8
D’s and F’s
9
Mostly F’s
10
My school is ungraded
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YT0030
Screen ID:
In the past 12 months, how often did you miss school due to illness?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
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PATH ID:
YT0035
Screen ID:
The next questions ask about some basic medical information that is important for the study.
In general, would you say your overall health is…
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YX0310
Screen ID:
The next questions ask about your height and weight. Do you want to answer these questions in…
1
Feet and pounds, or
2
Meters and kilograms?
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YT0007
GO TO YT0007
GO TO YX0311
GO TO YT0007
GO TO YT0007
Screen ID:
About how tall are you without shoes?
I___I
Feet
I__I__I
2
Inches
-8 DON’T KNOW
-7 REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1) who prefer to answer in feet (YX0310=1, -8 or
-7)
PROGRAM: Range check: Feet (3 to 8); Inches (0 to 11).
1
PATH ID:
YX0311
Screen ID:
About how tall are you without shoes?
I__I__I.I__I__I
Meters
-8 DON’T KNOW
-7 REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1) who prefer to answer in meters (YX0310=2)
1
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PROGRAM: Range check: Meters (0.9 to 2.7).
PATH ID:
YT0008
Screen ID:
About how much do you weigh without clothes or shoes?
I___I___I___I
Pounds
-8 DON’T KNOW
-7 REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1) who prefer to answer in pounds (YX0310=1, 8 or -7)
PROGRAM: Range check: Pounds (75 to 450).
1
PATH ID:
YX0312
Screen ID:
About how much do you weigh without clothes or shoes?
I___I___I___I
Kilograms
-8 DON’T KNOW
-7 REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1) who prefer to answer in kilograms
(YX0310=2)
PROGRAM: Range check: Kilograms (34 to 205).
1
PATH ID:
YX0302
Screen ID:
In the past 12 months, have you visited an emergency room or urgent care center for a health problem,
accident or injury?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YT0034
GO TO YX0186
GO TO YX0186
GO TO YX0186
Screen ID:
How many visits to the emergency room or urgent care center have you made in the past 12 months?
|__|__|__|
VISITS
-8 DON’T KNOW
-7 REFUSED
ASK: Emancipated youth respondents (EYOUTH = 1) who have visited an emergency room or urgent
care in the past 12 months (YX0302=1).
1
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PATH ID:
YX0186
Screen ID:
Do you have serious difficulty walking or climbing stairs?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YX0188
Screen ID:
Do you have difficulty dressing or bathing?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YX0191
Screen ID:
Are you blind or do you have serious difficulty seeing, even when wearing glasses?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YX0190
Screen ID:
Are you deaf or do you have serious difficulty hearing?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YX0189
Screen ID:
Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating,
remembering, or making decisions?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
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PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YX0187
Screen ID:
Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such
as visiting a doctor's office or shopping?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents (EYOUTH = 1) who are 15 years old or older (HM0006 >= 15)
PATH ID:
YT0050
Screen ID:
Have you ever been told by a doctor or other health professional that you have high blood pressure?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
GO TO YT0051
GO TO YT0051
GO TO YT0051
YT0041
Screen ID:
How old were you when you were first told you had high blood pressure?
1
|___|___|___| years old
-8
DON’T KNOW
-7
REFUSED
GO TO YT0051
ASK: If emancipated youth (EYOUTH = 1) ever had high blood pressure (YT0050=1)
PATH ID:
YT0253
Screen ID:
When you were first told you had high blood pressure, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: Emancipated youth respondents (EYOUTH = 1) who refused to give or did not know age
(YT0041=DK,R)
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Youth Extended Questionnaire
182
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Youth Extended Questionnaire
Version 7.5
PATH ID:
YT0051
Screen ID:
Have you ever been told by a doctor or other health professional that you have high cholesterol?
1
Yes
2
No
-8 DON’T KNOW
-7 REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
GO TO YT0031
GO TO YT0031
GO TO YT0031
YT0043
Screen ID:
How old were you when you were first told you had high cholesterol?
1
|___|___|___| years old
-8
DON’T KNOW
-7
REFUSED
GO TO YT0031
ASK: If emancipated youth (EYOUTH = 1) ever had a cholesterol problem (YT0051=1)
PATH ID:
YT0254
Screen ID:
When you were first told you had high cholesterol, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: Emancipated youth respondents (EYOUTH = 1) who refused to give or did not know age
(YT0043=DK,R)
PATH ID:
YX0525
Screen ID:
[The next question asks about your health.]
Do you have shortness of breath or is it hard to exercise compared to your peers?
1 Yes
2 No
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents
PROGRAM: If EYOUTH = 2, display “The next question asks about your health.” If EYOUTH = 1, do
not display this text.
GO TO: If non emancipated youth (EYOUTH = 2), go to YM0021
If emancipated youth (EYOUTH = 1), go to YT0031.
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Youth Extended Questionnaire
183
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YT0031
Screen ID:
Have you ever been told by a doctor or other health professional that you have asthma?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
GO TO YT0033
GO TO YT0033
GO TO YT0033
YT0038
Screen ID:
How old were you when you were first told you had asthma?
1
|___|___|___| years old
-8
DON’T KNOW
-7
REFUSED
GO TO YT0022
ASK: If emancipated youth (EYOUTH = 1) ever had asthma (YT0031=1)
PATH ID:
YT0260
Screen ID:
When you were first told you had asthma, were you…
1
Less than 12 years old,
2
12 to 14 years old, or
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: Emancipated youth respondents (EYOUTH = 1) who refused to give or did not know age
(YT0038=DK,R)
PATH ID:
YT0022
Screen ID:
In the past 12 months, have you taken medications regularly for asthma?
(Taken regularly means according to a health care provider’s instructions.)
1
Yes
2
No
GO TO YT0125
-8
DON’T KNOW
GO TO YT0125
-7
REFUSED
GO TO YT0125
ASK: Emancipated youth respondents (EYOUTH = 1) that have ever had asthma (YT0031=1).
DISPLAY INSTRUCTION: For YT0036, display as a stem and leaf question. For each leaf, display a
yes/no response.
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Youth Extended Questionnaire
184
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YT0036
Screen ID:
In the past 12 months, which of the following medications did you regularly take for asthma?
Quick-relief inhaler - for example: albuterol (ProAir, Ventolin, Xopenex), ipratropium
(Atrovent), or a combination inhaler (Combivent)
Controller or long-acting inhaler including steroid inhaler – for example:
2
beclomethasone (Qvar), fluticasone (Flovent), salmeterol (Serevent), tiotropium
(Spiriva), or a combination inhaler (Advair)
Other controlling medication – for example: montelukast (Singulair), zafirlukast
3
(Accolate), theophylline, roflumilast (Daliresp)
Oral or injected steroid medication – for example: prednisone, prednisolone
4
(Orapred), dexamethasone (Decadron)
5
Oxygen therapy
6
Other asthma medication
-8 DON’T KNOW
-7 REFUSED
ASK: If emancipated youth (EYOUTH = 1) took medications for asthma (YT0022=1)
1
PATH ID:
YT0125
Screen ID:
In the past 12 months, have you had an asthma attack that required use of an oral or injected steroid
medication at the time of the attack? Examples of oral or injected steroid medications include
prednisone, prednisolone (Orapred), and dexamethasone (Decadron).
1
Yes
2
No
GO TO YT0127
-8
DON’T KNOW
GO TO YT0127
-7
REFUSED
GO TO YT0127
ASK: If emancipated youth (EYOUTH = 1) ever had asthma (YT0031=1)
PATH ID:
YT0039
Screen ID:
In the past 12 months, how many asthma attacks have you had that required use of an oral or injected
steroid medication at the time of the attack?
1
|___|___|___|
-8
DON’T KNOW
-7
REFUSED
ASK: If emancipated youth (EYOUTH = 1) ever had asthma attack and needed medication (YT0125=1)
PATH – Wave 1
Youth Extended Questionnaire
185
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YT0127
Screen ID:
In the past 12 months, have you had to visit an emergency room or urgent care center because of
asthma?
1
Yes
2
No
GO TO YT0033
-8
DON’T KNOW
GO TO YT0033
-7
REFUSED
GO TO YT0033
ASK: If emancipated youth (EYOUTH = 1) ever had asthma (YT0031=1)
PATH ID:
YT0282
Screen ID:
In the past 12 months, how many times have you had to visit an emergency room or urgent care center
because of asthma?
1
|___|___|___| times
-8
DON’T KNOW
-7
REFUSED
ASK: If emancipated youth (EYOUTH = 1) ever had to go to emergency room for asthma (YT0127=1)
PATH ID:
YT0033
Screen ID:
In the past 12 months, have you been told by a doctor or other health professional that you have
bronchitis, pneumonia, or chronic cough?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
YT0040
GO TO YT0052
GO TO YT0052
GO TO YT0052
Screen ID:
Have you ever been told by a doctor or other health professional that you had bronchitis, pneumonia,
or chronic cough?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: If emancipated youth (EYOUTH = 1) has not had bronchitis in past 12 months (YT0033=2)
PATH – Wave 1
Youth Extended Questionnaire
186
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YT0052
Screen ID:
Have you ever been told by a doctor or other health professional that you have ADHD or ADD?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
GO TO YT0049
GO TO YT0049
GO TO YT0049
YT0048
Screen ID:
In the past 12 months, have you taken medications regularly for ADHD or ADD?
[Taken regularly means according to a health care provider’s instructions.
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: If emancipated youth (EYOUTH = 1) ever had ADHD/ADD (YT0052=1)
PATH ID:
YT0049
Screen ID:
In the past 12 months, have you been told by a doctor, dentist, or other health professional that you
have dental health issues, such as cavities, gum disease or dental stains?
[Dental health issues do NOT include orthodontia or braces.]
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
GO TO YT0281
GO TO YT0281
GO TO YT0281
YT0044
Screen ID:
Have you ever been told by a doctor or a health professional that you have dental health issues, such
as cavities, gum disease, or dental stains?
[Dental health issues do NOT include orthodontia or braces.]
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: If emancipated youth (EYOUTH = 1) has not had dental issues in past 12 months (YT0049=2)
PATH – Wave 1
Youth Extended Questionnaire
187
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YT0281
Screen ID:
Have you ever been told by a doctor or other health professional that you have diabetes, sugar
diabetes, high blood sugar, or borderline diabetes?
1
Yes
2
No
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents (EYOUTH = 1)
PATH ID:
GO TO YM0004
GO TO YM0004
GO TO YM0004
YT0042
Screen ID:
How old were you when you were first told you had diabetes, sugar diabetes, or borderline diabetes?
1
|___|___|___| years old
-8
DON’T KNOW
-7
REFUSED
GO TO YM0004
ASK: If emancipated youth (EYOUTH = 1) ever had diabetes (YT0281=1)
PATH ID:
YT0263
Screen ID:
When you were first told you had diabetes, sugar diabetes, high blood sugar, or borderline diabetes,
were you…
1
Less than 12 years old,
2
12 to 14 years old,
3
15 to 17 years old?
-8 DON’T KNOW
-7 REFUSED
ASK: Emancipated youth respondents (EYOUTH = 1) who refused to give or did not know age
(YT0042=DK,R)
PATH ID:
YM0021
Screen ID:
The next question asks about your level of sexual attraction to BOTH males and females. Please
consider the response choices carefully, as it is important that you understand them and are as honest
as you can be in your answer. To whom have you felt sexually attracted, even if you did not take any
action based on feeling attracted?
1
2
3
4
5
6
-8
-7
ASK: All respondents
Only to females, never to males
Mostly to females, and at least once to a male
About equally often to females and to males
Mostly to males, and at least once to a female
Only to males, never to females
I have never felt sexually attracted to anyone at all
DON’T KNOW
REFUSED
PATH – Wave 1
Youth Extended Questionnaire
188
PATH
Youth Extended Questionnaire
Version 7.5
NOTE: For female participants, answer categories one to five were presented in reverse order
PROGRAM:
RESPONDENTS AGE<14 GO TO YM0008
RESPONDENTS AGE 14 AND OVER GO TO YM0022
PATH ID:
YM0022
Screen ID:
Do you think of yourself as:
1
[Gay | Lesbian or gay]
GO TO YM0008
2
[Straight, that is not gay | Straight, that is, not Lesbian or gay]
GO TO YM0008
3
Bisexual
GO TO YM0008
4
Something else
GO TO YM0023
ASK: All respondents
PROGRAM: Do not display the standard DK/R probe if this item is left blank. Instead, when this item is
left blank, go to YM0024.
For male respondents, display the first option in the response categories. For female respondents,
display the second option.
PATH ID:
YM0023
Screen ID:
By something else, do you mean that…
1
You are not straight, but identify with another label such as
queer, trisexual, omnisexual or pan-sexual
GO TO YM0008
2
You are transgender, transsexual, or gender variant
GO TO YM0008
3
You have not figured out your sexuality or are in the process
of figuring it out
GO TO YM0008
4
You do not think of yourself as having a sexuality
GO TO YM0008
5
You do not use labels to identify yourself
GO TO YM0008
6
You made a mistake and did not mean to pick this answer
GO TO YM0028
7
You mean something else
GO TO YM0025
-8 DON’T KNOW
-7 REFUSED
ASK: All respondents who selected “something else” (YM0022 = 4).
PATH – Wave 1
Youth Extended Questionnaire
189
GO TO YM0024
GO TO YM0008
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YM0028
Screen ID:
Do you think of yourself as:
1
[Gay | Lesbian or gay]
GO TO YM0008
2
[Straight, that is not gay | Straight, that is, not Lesbian or gay]
GO TO YM0008
3
Bisexual
GO TO YM0008
4
Something else
GO TO YM0008
-8
DON’T KNOW
GO TO YM0024
-7
REFUSED
GO TO YM0008
ASK: Respondents that selected ‘You made a mistake and did not mean to pick this answer’
(YM0023=6)
PROGRAM: For male respondents, display the first option in the response categories. For female
respondents, display the second option.
PATH ID:
YM0024
Screen ID:
You did not enter an answer for the question. That is because:
1
You don’t understand the words
GO TO YM0008
2
You understand the words, but you have not figured out your
sexuality or are in the process of figuring it out
GO TO YM0008
3
You mean something else
GO TO YM0025
4
You don’t want to answer the question
GO TO YM0008
ASK: Respondents who left YM0022 blank, or “don’t know” in YM0023 or YM0028 (YM0022 = blank
OR YM0023 = -8 OR YM0028 = -8).
PROGRAM: If a respondent leaves this question unanswered, do not display the standard DK/R
probe. Instead, go to YM0008.
PATH ID:
YM0025
Screen ID:
What do you mean by something else? Please type in your answer:
1
[OPEN TEXT FIELD]
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents who selected “something else” in YM0023 or YM0024 (YM0023 = 7 OR YM0024
= 3).
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Youth Extended Questionnaire
190
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YM0008
Screen ID:
During an average week, how much money do you receive in total? Please include money from a job,
your family, an allowance, or any other sources.
1
None
2
Less than $1
3
$1 to $5
4
$6 to $10
5
$11 to $20
6
$21 to $50
7
$51 to $100
8
$101 to $150
9
$151 or more
-8
DON’T KNOW
-7
REFUSED
ASK: All respondents
PATH ID:
YL3000
Screen ID:
You have finished [this part of] the questionnaire. Please hand the computer to the interviewer.
ASK: All respondents
If respondent is an emancipated youth (EYOUTH=1), display “this part of”.
PATH ID:
YL3001
Screen ID:
Monitor Password: _____
The interviewer must now enter the Monitor Password into the computer.
ASK: All respondents
PROGRAM: THE MONITOR PASSWORD IS 8954
GO TO:
IF EYOUTH=1 GO TO YL3002
IF EYOUTH NE 1, END INTERVIEW AND RETURN TO IMS
PATH ID:
YL3002
Screen ID:
YOU MUST COLLECT CONTACT INFORMATION FROM THE RESPONDENT.
THE RESPONDENT IS AN EMANCIPATED YOUTH.
PRESS 1 TO CONTINUE
PROGRAM: This message is displayed for the interviewer only if the respondent is an emancipated
youth (EYOUTH = 1)
GO TO: CONTACT INFORMATION SECTION
PATH – Wave 1
Youth Extended Questionnaire
191
PATH
Youth Extended Questionnaire
Version 7.5
CONTACT INFORMATION SECTION
BOX YL1
CONTACT INFORMATION SECTION IS ASKED OF EMANCIPATED YOUTH ONLY (EYOUTH=1)
PATH ID:
YL0001
Screen ID:
I’d like to take a brief moment to confirm your contact information for my records. I’ll use this
information to contact you about your participation in the study.
Can you tell me your full name?
VERIFY ALL SPELLING. IF PERSON HAS NO MIDDLE NAME, LEAVE MIDDLE INITIAL BLANK. IF
NEEDED: FULL NAME INCLUDES FIRST NAME, MIDDLE INITIAL, AND LAST NAME.
NAME: ______________________________________________________________
FIRST
MI
LAST
I need to confirm your street address. Is this address correct?
[DISPLAY ADDRESS FROM THE SAMPLE FILE IN AN EASY TO READ FORMAT.]
READ ADDRESS. VERIFY ALL SPELLING. PROBE FOR APARTMENT NUMBER IF NEEDED. DO
NOT ENTER A PO BOX HERE.
___________________________________________________________________
STREET
APT #
___________________________________________________________________
CITY
STATE
ZIP
ASK: Emancipated youth respondents
PROGRAM: PRE-POPULATE NAME FIELDS (FIRST, MI, LAST) BASED ON INFO OBTAINED IN
THE SCREENER. If the first name is don’t know or refused, continue on to ask MI and LAST. If Street
is don’t know or refused, continue on to ask the rest of the address fields.
PATH ID:
YL0002
Screen ID:
Do you receive mail at the address you just gave me?
1
YES
2
NO
-8
DON’T KNOW
-7
REFUSED
GO TO YL0004
ASK: Emancipated youth respondents
PATH – Wave 1
Youth Extended Questionnaire
192
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YL0003
Screen ID:
Can I please have your mailing address?
VERIFY ALL SPELLING.
_________________________________________________________________
MAILING ADDRESS
__________________________________________________________________
CITY
STATE
ZIP
PROGRAM: If Mailing Address is don’t know or refused, continue on to ask the rest of the address
fields.
PATH ID:
YL0004
Screen ID:
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
__________
______________________________ _________
AREA CODE
PHONE NUMBER
EXT
ASK: Emancipated youth respondents
PROGRAM:
If the area code is don’t know or refused, do not ask the rest of the phone number or
the extension.
PATH ID:
YL0005
Screen ID:
Is this a home or cell phone number?
1
HOME
2
CELL
3
OTHER
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents.
PATH ID:
GO TO YL0006
GO TO YL0032
GO TO YL0006
GO TO YL0006
GO TO YL0006
YL0032
Screen ID:
May we contact you by text message at this number?
1
YES
2
NO
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who said their best number is a cell phone (YL0005=2).
PATH – Wave 1
Youth Extended Questionnaire
193
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YL0006
Screen ID:
Is there a second telephone number where you can be reached?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
__________
______________________________ _________
AREA CODE
PHONE NUMBER
EXT
ASK: Emancipated youth respondents
PROGRAM: If the area code is don’t know or refused, do not ask the rest of the phone number or the
extension.
PATH ID:
YL0007
Screen ID:
Is this a home or cell phone number?
1
HOME
2
CELL
3
OTHER
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents
PATH ID:
GO TO YL0012
GO TO YL0033
GO TO YL0012
GO TO YL0012
GO TO YL0012
YL0033
Screen ID:
May we contact you by text message at this number?
1
YES
2
NO
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who said their second number is a cell phone (YL0007=2).
PATH ID:
YL0012
Screen ID:
Can you please give me your e-mail address?
VERIFY ALL SPELLING AND PUNCTUATION. RECORD TEXT BEFORE @ SYMBOL IN THE EMAIL
NAME FIELD. TEXT AFTER THE @ SYMBOL IS ENTERED IN THE EMAIL PROVIDER FIELD.
_____________________________@________________
E-MAIL ADDRESS
E-MAIL PROVIDER
ASK: Emancipated youth respondents
PATH – Wave 1
Youth Extended Questionnaire
194
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YL0017
Screen ID:
Of all the contact information you just provided, what is the best way to reach you?
PROBE WITH RESPONSE OPTIONS IF NECESSARY.
IF RESPONDENT SAYS CELL PHONE, PROBE ON PHONE CALL OR TEXT MESSAGE.
1
HOME PHONE
2
CELL PHONE
3
TEXT MESSAGE
4
E-MAIL
5
OTHER
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents
PATH ID:
YL0018
Screen ID:
Do you anticipate moving or relocating either permanently or temporarily in the next 6 to 12 months?
1
YES
2
NO
3
MAYBE
-8 DON’T KNOW
-7 REFUSED
ASK: Emancipated youth respondents
PATH ID:
GO TO YL0020
GO TO YL0020
GO TO YL0020
YL0019
Screen ID:
Can you tell me more about your plans to move? [For example, your new street address or the city or
state to which you plan to move?]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
__________________________________________________________________
ASK: Respondents who indicate they might be moving (YL0018=1)
PATH ID:
YL0020
Screen ID:
In case we cannot reach you, can you please give me the contact information of two relatives, friends
or neighbors who will always know how to get in touch with you? We would prefer to have information
for people who do not live with you.
Who is the first person? VERIFY ALL SPELLING.
__________________________________________________________________
FIRST NAME
MI
LAST NAME
ASK: Emancipated youth respondents
PROGRAM: If the first name is don’t know or refused, continue on to ask MI and LAST.
GO TO: IF first name, MI and LAST are all don’t know or refused GO TO YL3003
PATH – Wave 1
Youth Extended Questionnaire
195
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YL0021
Screen ID:
How is [FIRST NAME IN YL0020] related to you?
1
HUSBAND/WIFE
2
FATHER/MOTHER (INCLUDING IN-LAWS)
4
GRANDPARENT
8
BROTHER/SISTER (INCLUDING IN-LAWS)
13
FRIEND/NEIGHBOR
91
OTHER RELATIVE (SPECIFY) ________________
92
OTHER NON-RELATIVE (SPECIFY) ____________
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a name in YL0020 (YL0020 NE DK or RF)
PATH ID:
YL0022
Screen ID:
What is [FIRST NAME IN YL0020]’s address and telephone number? VERIFY ALL SPELLING.
_________________________________________________________________
MAILING ADDRESS
__________________________________________________________________
CITY
STATE
ZIP
_________
______________________________ _________
AREA CODE
PHONE NUMBER
EXT
ASK: Emancipated youth respondents who provided a name in YL0020 (YL0020 NE DK or RF)
PROGRAM: If Mailing Address is don’t know or refused, continue on to ask the rest of the address
fields. If the area code is don’t know or refused, do not ask the rest of the phone number or the
extension.
PATH ID:
YL0024
Screen ID:
Can you please tell me [FIRST NAME IN YL0020]’s e-mail address? VERIFY ALL SPELLING AND
PUNCTUATION.
_____________________________@________________
E-MAIL ADDRESS
E-MAIL PROVIDER
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a name in YL0020 (YL0020 NE DK or RF)
PATH – Wave 1
Youth Extended Questionnaire
196
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YL0025
Screen ID:
What is the name of the second friend or relative? Again, we would prefer someone who does not live
with you.
VERIFY ALL SPELLING.
__________________________________________________________________
FIRST NAME
MI
LAST NAME
ASK: Emancipated youth respondents who provided a name in YL0020 (YL0020 NE DK or RF)
PROGRAM: If the first name is don’t know or refused, continue on to ask MI and LAST.
GO TO: IF first name, MI and LAST are all don’t know or refused GO TO YL3003
PATH ID:
YL0026
Screen ID:
How is [FIRST NAME IN YL0025] related to you?
1
HUSBAND/WIFE
2
FATHER/MOTHER (INCLUDING IN-LAWS)
4
GRANDPARENT
8
BROTHER/SISTER (INCLUDING IN-LAWS)
13
FRIEND/NEIGHBOR
91
OTHER RELATIVE (SPECIFY) ________________
92
OTHER NON-RELATIVE (SPECIFY) ____________
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a name in YL0025 (YL0025 NE DK or RF)
PATH ID:
YL0027
Screen ID:
What is [FIRST NAME IN YL0025]’s address and telephone number? VERIFY ALL SPELLING.
_________________________________________________________________
MAILING ADDRESS
__________________________________________________________________
CITY
STATE
ZIP
_________
______________________________ ____________
AREA CODE
PHONE NUMBER
EXT
ASK: All emancipated youth respondents who provided a name in YL0025 (YL0025 NE DK or RF)
PROGRAM: If Mailing Address is don’t know or refused, continue on to ask the rest of the address
fields. If the area code is don’t know or refused, do not ask the rest of the phone number or the
extension.
PATH – Wave 1
Youth Extended Questionnaire
197
PATH
Youth Extended Questionnaire
Version 7.5
PATH ID:
YL0029
Screen ID:
Can you please tell me [FIRST NAME IN YL0025]’s e-mail address? VERIFY ALL SPELLING AND
PUNCTUATION.
_____________________________@________________
E-MAIL ADDRESS
E-MAIL PROVIDER
-8
DON’T KNOW
-7
REFUSED
ASK: All emancipated youth respondents who provided a name in YL0025 (YL0025 NE DK or RF)
PATH ID:
YL3003
Screen ID:
Thank you for taking the time to answer these questions.
ENTER 1 TO CONTINUE. THIS IS THE END OF THE EMANCIPATED YOUTH CONTACT
INFORMATION.
ASK: All emancipated youth respondents
PATH – Wave 1
Youth Extended Questionnaire
198
PATH
Youth Extended Questionnaire
Version 7.5
APPENDIX A: USER GROUP DEFINITIONS
User Group Name
BLUNT_ONLY_GRILLO
BLUNT_ONLY_GFC
EVER_USE_TOB
User Group Definition
Respondents that report
never smoking a cigar, but
report smoking cigarillos as
blunts
Respondents that report
never smoking a cigar, but
report smoking filtered
cigars as blunts
Respondents who have ever
used any tobacco products
in lifetime.
EVER_USE_CIGS
Respondents who have only
ever used cigarettes in
lifetime.
EVER_USE_DUAL
Respondents who have ever
used cigarettes and at least
one other tobacco product
in lifetime.
EVER_USE_TOBXCIGS
Respondents who have ever
used any tobacco products,
excluding cigarettes, in
lifetime.
PASTYEAR_TOB_USE
Respondents who have used
any tobacco products in the
past year.
PAST30DAY_CIGS
Past 30 Day Users Cigarettes
PATH – Wave 1
Youth Extended Questionnaire
199
User Group Specification
BLUNT_ONLY_GRILLO=1 YES, if YG1002=2
OR YG9104(2)=2 AND YG9107=1 AND
YG9009=1 OR 3.
Else BLUNT_ONLY_GRILLO=2 NO.
BLUNT_ONLY_GFC=1 YES, if YG1002=2 OR
YG9104(2)=2 AND YG9107=1 AND
YG9009=2.
Else BLUNT_ONLY_GFC=2 NO.
EVER_USE_TOB=1 if (YC1002=1) OR
(YE1002=1) OR (YG1002=1) OR (YP1002=1)
OR (YH1002=1) OR (YS1002[1 or 2] =1) OR
(YD1002=1) OR (YB9102[1 or 2]=1).
Else EVER_USE_TOB=2.
EVER_USE_CIGS=1 if (YC1002=1) AND
(YE1002 NE 1) AND (YG1002 NE 1) AND
(YP1002 NE 1) AND (YH1002 NE 1) AND
(YS1002[3]=1) AND (YD1002 NE 1) AND
(YB9102[3]=1).
Else EVER_USE_CIGS=2.
EVER_USE_DUAL=1 if (YC1002 = 1) AND
(YE1002=1) OR (YG1002=1) OR (YP1002=1)
OR (YH1002=1) OR (YS1002[1 or 2] =1) OR
(YD1002=1) OR (YB9102[1 or 2]=1).
Else EVER_USE_DUAL=2.
EVER_USE_TOBXCIGS=1 if (YC1002 NE 1)
AND (YE1002=1) OR (YG1002=1) OR
(YP1002=1) OR (YH1002=1) OR (YS1002[1
or 2] =1) OR (YD1002=1) OR (YB9102[1 or
2]=1).
Else EVER_USE_TOBXCIGS=2.
PASTYEAR_TOB_USE=1 if (YC1112=1, 2, 3,
4 or 5) OR (YE1112=1, 2, 3, 4 or 5) OR
(YG1112=1, 2, 3, 4 or 5) OR (YP1112=1, 2,
3, 4 or 5) OR (YH1112=1, 2, 3, 4 or 5) OR
(YS1112=1, 2, 3, 4 or 5) OR (YD1112=1, 2,
3, 4 or 5) OR (YB1112=1, 2, 3, 4 or 5).
Else, PASTYEAR_TOB_USE=2.
PAST30DAY_CIGS = 1 Yes, if respondent
has smoked a cigarette within the past 30
days (YC1112=1 or 2 or 3).
Else PAST30DAY_CIGS = 2 No.
PATH
Youth Extended Questionnaire
Version 7.5
User Group Name
PAST30DAY_VL_CIGS
User Group Definition
Past 30 Day Very Light Users
- Cigarettes
PAST30DAY_NL_CIGS
Past 30 Day Not Light Users
- Cigarettes
PAST30DAY_ECIGS
Past 30 Day Users - eCigarettes
PAST30DAY_VL_ECIGS
Past 30 Day Very Light Users
- e-Cigarettes
PAST30DAY_NL_ECIGS
Past 30 Day Not Light Users
- e-Cigarettes
PAST30DAY_[CIGARFILL]
Past 30 Day Users - Cigars
PAST30DAY_VL_[CIGARFI Past 30 Day Very Light Users
- Cigars
LL]
PATH – Wave 1
Youth Extended Questionnaire
200
User Group Specification
PAST30DAY_VL_CIGS = 1 Yes, if
respondent has smoked less than 10
cigarettes in lifetime (YC1005=1 or 2 or 3)
AND last smoked a cigarette in the past 30
days (YC1112=1 or 2 or 3).Else
PAST30DAY_VL_CIGS = 2 No.
PAST30DAY_NL_CIGS = 1 Yes, if
respondent has smoked more than 10
cigarettes in lifetime (YC1005 > 3) AND last
smoked a cigarette within the past 30 days
(YC1112=1 or 2 or 3).
Else PAST30DAY_NL_CIGS = 2 No.
PAST30DAY_ECIGS = 1 Yes, if respondent
has used an e-cigarette within the past 30
days (YE1112=1 or 2 or 3).
Else PAST30DAY_ECIGS = 2 No.
PAST30DAY_VL_ECIGS = 1 Yes, if
respondent has used 1 or more puffs of an
e-cigarette in lifetime (YE1005=1) AND last
used an e-cigarette in the past 30 days
(YE1112=1 or 2 or 3).
Else PAST30DAY_VL_ECIGS = 2 No.
PAST30DAY_NL_ECIGS = 1 Yes, if
respondent has used 1 or more ecigarettes in lifetime (YC1005 > 1) AND last
used an e-cigarette within the past 30 days
(YE1112=1 or 2 or 3).
Else PAST30DAY_NL_ECIGS = 2 No.
PAST30DAY_ [CIGARFILL] = 1 Yes, if
respondent has smoked a [CIGARFILL]
within the past 30 days (YG1112=1 or 2 or
3).
Else PAST30DAY_[CIGARFILL]= 2 No.
PAST30DAY_VL_[CIGARFILL]= 1 Yes, if
respondent has smoked less than 10
[CIGARFILL]s in lifetime (YG1005=1 or 2 or
3) AND last smoked a [CIGARFILL] in the
past 30 days (YG1112=1 or 2 or 3).
Else PAST30DAY_VL_[CIGARFILL]= 2 No.
PATH
Youth Extended Questionnaire
Version 7.5
User Group Name
User Group Definition
Past 30 Day Not Light Users
- Cigars
User Group Specification
PAST30DAY_NL_[CIGARFILL]= 1 Yes, if
respondent has smoked more than 10
[CIGARFILL]s in lifetime (YG1005 > 3) AND
last smoked a [CIGARFILL] within the past
30 days (YG1112=1 or 2 or 3).Else
PAST30DAY_NL_[CIGARFILL]= 2 No.
PAST30DAY_PIPE
Past 30 Day Users - Pipe
PAST30DAY_PIPE = 1 Yes, if respondent
has smoked a pipe within the past 30 days
(YP1112=1 or 2 or 3).
Else PAST30DAY_PIPE = 2 No.
PAST30DAY_VL_PIPE
Past 30 Day Very Light Users
- Pipe
PAST30DAY_VL_PIPE = 1 Yes, if respondent
has smoked less than 10 bowls of pipe
tobacco in lifetime (YP1005=1 or 2 or 3)
AND last smoked a pipe in the past 30 days
(YP1112=1 or 2 or 3).
Else PAST30DAY_VL_PIPE = 2 No.
PAST30DAY_NL_PIPE
Past 30 Day Not Light Users
- Pipe
PAST30DAY_NL_PIPE = 1 Yes, if
respondent has smoked more than 10
bowls of pipe tobacco in lifetime (YP1005
> 3) AND last smoked a pipe within the
past 30 days (YP1112=1 or 2 or 3).
Else PAST30DAY_NL_PIPE = 2 No.
PAST30DAY_NL_[CIGARF
ILL]
PAST30DAY_[SMKLSSFILL Past 30 Day Users Smokeless/Snus
]
PAST30DAY_VL_[SMKLSS
FILL]
PAST30DAY_[SMKLSSFILL] = 1 Yes, if
respondent has used smokeless tobacco
within the past 30 days (YS1112=1 or 2 or
3).
Else PAST30DAY_[SMKLSSFILL] = 2 No.
Past 30 Day Very Light Users
- Smokeless/Snus
PAST30DAY_NL_[SMKLSS Past 30 Day Not Light Users
- Smokeless/Snus
FILL]
PATH – Wave 1
Youth Extended Questionnaire
201
PAST30DAY_VL_[SMKLSSFILL] = 1 Yes, if
respondent has used less than 10
times/pouches in lifetime (YS1005=1 or 2)
AND last used smokeless tobacco in the
past 30 days (YS1112=1 or 2 or 3).
Else PAST30DAY_VL_[SMKLSSFILL] = 2 No.
PAST30DAY_NL_[SMKLSSFILL] = 1 Yes, if
respondent has used more than 10
times/pouches in lifetime (YS1005 > 2)
AND last used smokeless tobacco within
the past 30 days (YS1112=1 or 2 or 3).Else
PAST30DAY_NL_[SMKLSSFILL] = 2 No.
PATH
Youth Extended Questionnaire
Version 7.5
User Group Name
PAST30DAY_DISS
User Group Definition
Past 30 Day Users Dissolvable
User Group Specification
PAST30DAY_DISS = 1 Yes, if respondent
has used dissolvable tobacco within the
past 30 days (YD1112=1 or 2 or 3).
Else PAST30DAY_DISS = 2 No.
PAST30DAY_VL_DISS
Past 30 Day Very Light Users
- Dissolvable
PAST30DAY_NL_DISS
Past 30 Day Not Light Users
- Dissolvable
PAST30DAY_[BKFILL]
Past 30 Day Users - Bidis and
Kreteks
PAST30DAY_VL_[BKFILL]
Past 30 Day Very Light Users
- Bidis and Kreteks
PAST30DAY_NL_[BKFILL]
Past 30 Day Not Light Users
- Bidis and Kreteks
PAST30DAY_VL_DISS = 1 Yes, if respondent
has used less than 10 pieces of dissolvable
tobacco in lifetime (YD1005=1 or 2) AND
last used dissolvable tobacco in the past
30 days (YD1112=1 or 2 or 3).
Else PAST30DAY_VL_DISS = 2 No.
PAST30DAY_NL_DISS = 1 Yes, if
respondent has used more than 10 pieces
of dissolvable tobacco in lifetime (YD1005
> 2) AND last used dissolvable tobacco
within the past 30 days (YD1112=1 or 2 or
3).
Else PAST30DAY_NL_DISS = 2 No.
PAST30DAY_[BKFILL] = 1 Yes, if respondent
has smoked a [BKFILL] within the past 30
days (YB1112=1 or 2 or 3).
Else PAST30DAY_ [BKFILL] = 2 No.
PAST30DAY_VL_[BKFILL] = 1 Yes, if
respondent has smoked less than 10
[BKFILL]s in lifetime (YB1005=1 or 2 or 3)
AND last smoked a [BKFILL] in the past 30
days (YB1112=1 or 2 or 3).
Else PAST30DAY_VL_[BKFILL] = 2 No.
PAST30DAY_NL_[BKFILL] = 1 Yes, if
respondent has smoked more than 10
[BKFILL]s in lifetime (YB1005 > 3) AND last
smoked a [BKFILL] within the past 30 days
(YB1112=1 or 2 or 3).
Else PAST30DAY_NL_[BKFILL] = 2 No.
PATH – Wave 1
Youth Extended Questionnaire
202
| File Type | application/pdf |
| Author | Westat |
| File Modified | 2013-06-18 |
| File Created | 2013-06-10 |