OMB No. 0910-0796
Exp. 6/30/18
Tobacco Discussion
Participant Booklet
Set 3
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Please
circle
the picture that goes best with the sentence you see on the pictures.
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Please
circle
the picture that goes best with the sentence you see on the pictures.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking harms
children.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking harms
babies.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking causes
cancer.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking causes lung
disease.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking causes heart
disease.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking causes
death.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking causes
blindness.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents how
smoking causes
addiction.
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Please
mark an X in the box next to the one
picture-sentence combination that you think best represents quitting
smoking.
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Paperwork Reduction Act Statement: 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. The public reporting burden for this information collection has been estimated to average 90 minutes per response for the time required to participate in the focus group and complete the Participant Booklet (the time estimated to discuss, read, review, and complete). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Robinson, Joelle |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |