Adult Screener

Study 1 & 2 – Screener

OMB control # 0910-NEW
Exp: XX/XX/XXXX
[STUDY 1 & 2 SCREENER]

[Study 1 – Cigarette Study
Experimental Smoker (young adults*): Below threshold (<100); currently smokes ‘some day’ or ‘rarely’
Established Smoker: 100 threshold and currently smokes ‘some day’ or ‘every day’;
Former Smoker (adults*): 100 threshold and abstinent for 1 year or longer
All: currently/formerly use one of these three cigarette brands: Camel, Marlboro, Newport]
[Study 2 – Smokeless Tobacco (SLT) Study
Current SLT User: Threshold (20) and currently uses ‘some day’ or ‘every day’
Smoker/Non-SLT user (all): Currently uses SLT ‘not at all’ and smokes ‘some day’ or ‘every day’]
*Young adults = 18-24yrs; adults = 25+ yrs
S1.

What is your current age in years?
ENTER NUMBER (X-XX)

|__|__|

IF S1 < 18, NOT ELIGIBLE.
S2.

Have you ever used smokeless tobacco products, like chewing tobacco, snuff, dip, or
snus at least 20 times in your entire life?
1

Yes

2

No

9

Prefer not to answer

IF S2 = 2 = 9, GO TO S5.
S3. Do you now use chewing tobacco, snuff, or dip every day, some days, rarely, or not at
all?
1

Every day

2

Some days

3

Rarely

4

Not at all

IF S3 = 3 = 4, GO TO S5.

Study 1 & 2 – Screener

OMB control # 0910-NEW
Exp: XX/XX/XXXX
S4.

What is your usual brand of smokeless tobacco?
1

Copenhagen

2

Grizzly

3

Kodiak

4

Red Man

5

Skoal

6

Other brand: (Specify: ____________________)

IF S2 = 1 AND S3 = 1 = 2, GO TO STUDY 2 (SMOKELESS TOBACCO USERS).
S5.

Have you ever tried cigarette smoking, even one or two puffs?
1

Yes

2

No

9

Prefer not to answer

IF S5 = 2 = 9, NOT ELIGIBLE.
S6.

Have you smoked at least 100 cigarettes in your entire life?
1

Yes

2

No

7

Don’t Know/Not Sure

IF S1 ≥ 25 AND S6 = 2 = 7, NOT ELIGIBLE.
S7.

Do you now smoke cigarettes every day, some days, rarely, or not at all?
1

Every day

2

Some days

3

Rarely

4

Not at all

7

Don’t Know/Not Sure

IF S6 = 1 AND S7 = 1 = 2, GO TO S10.
IF S6 = 1 AND S7 = 3 = 7, NOT ELIGIBLE.
IF 18 ≤ S1 ≤ 24 AND S6 = 2 AND S7 = 2 = 3, GO TO S10.
IF 18 ≤ S1 ≤ 24 AND S6 = 2 AND S7 = 1 = 4 = 7, NOT ELIGIBLE.
S8.

About how long has it been since you COMPLETELY quit smoking cigarettes?
1

Less than 1 year

2

1 year or longer

Study 1 & 2 – Screener

OMB control # 0910-NEW
Exp: XX/XX/XXXX
IF S6 = 1 AND S7 = 4 AND S8 = 1, NOT ELIGIBLE.
S9.

The next question is about the brand of cigarettes you used to smoke. The brand is
the name that is on the pack. When you used to smoke regularly, what brand of
cigarettes did you smoke most often?
1

Camel

2

Marlboro

3

Newport

4

Another brand

27

Don’t Know/Refused

IF S6 = 1 AND S7 = 4 AND S8 = 2 AND S9 = 1 = 2 = 3, GO TO STUDY 1
(FORMER SMOKER).
IF S9 = 1 = 2 = 3, NOT ELIGIBLE.
S10. The next question is about the brand of cigarettes you smoke. The brand is the name
that is on the pack. During the past 30 days, what brand of cigarettes did you smoke
most often?
1

Camel

2

Marlboro

3

Newport

4

Another brand

7

Don’t Know/Refused

IF S6 = 1 AND S7 = 1 = 2 AND S10 = 1 = 2 = 3, ESTABLISHED SMOKER.
IF 18 ≤ S1 ≤ 24 AND S6 = 2 AND S7 = 2 = 3 AND S10 = 1 = 2 = 3
EXPERIMENTAL SMOKER.
IF S10 = 4 = 7, NOT ELIGIBLE.
S10a. Do you usually smoke menthol or non-menthol cigarettes?
1

Menthol

2

Non-menthol

3

No usual type

GO TO STUDY 1
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 2 minutes per response to complete the
Screener (the time estimated to read, review, and respond). Send comments regarding

Study 1 & 2 – Screener

OMB control # 0910-NEW
Exp: XX/XX/XXXX
this burden estimate or any other aspects of this information collection, including
suggestions for reducing burden, to PRAStaff@fda.hhs.gov.

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
[Display]
Intro1
This study is funded by the U.S. Food and Drug Administration’s (FDA’s) Center for Tobacco
Products (CTP) and conducted by RTI International. For this study, we would like you to
complete a survey about tobacco products. Because the survey asks a few questions about
your use of tobacco products, you may or may not feel uncomfortable answering such
questions. Your participation in this research study is completely voluntary, and you may
skip any questions you do not want to answer. Your identity will be kept anonymous, and no
one will be able to identify you as a participant in this study. Each survey will take no more
than 15 minutes to complete.
If you have any questions about the study, you may call Carol Schmidt of RTI at
1-800-334-8571, extension 22046. If you have any questions about your rights as a study
participant, you may call RTI’s Office of Research Protection at 1-866-214-2043.
[STUDY 1 SCREENER]

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
[IF NOT CURRENT SMOKER, SKIP TO IA1.]

INDIVIDUAL FACTORS: TOBACCO USE BEHAVIOR (for STUDY 1)
[TOBACCO USE BEHAVIORS]
IF S4=2-7 (current smoker), ASK IT1–IT5; OTHERWISE, GO TO IA1.
[TOBACCO USE BEHAVIORS: BRAND LOYALTY]
IT1.

How often do you buy this brand of cigarettes, [INSERT S9 RESPONSE ITEM]?
1

All the time—it’s the only brand of cigarettes I smoke

2

Almost all the time

3

Most of the time

4

Some of the time

5

Every now and then

[TOBACCO USE BEHAVIORS: ITEMS FOR HEAVINESS OF SMOKING INDEX]
IT2.

IT3.

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

9

Prefer not to answer

How soon after you wake up do you smoke your first cigarette?
1

Within 5 minutes

2

Within 6 to 30 minutes

3

Within 31 to 60 minutes

4

After 60 minutes

[TOBACCO USE BEHAVIORS: QUIT HISTORY]
IT4.

How many TIMES during the past 12 months have you stopped smoking for one day
or longer BECAUSE YOU WERE TRYING TO QUIT SMOKING?
1

I have not tried to quit smoking for one day or longer in the past 12 months

2

Once (1 time)

3

2 to 3 times

4

4 or more times

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
IF IT4=2-4, ASK IT5. OTHERWISE GO TO IA1.
The LAST TIME you stopped smoking during the PAST 12 months because you were
TRYING to quit, how long did you stop for?

IT5.

ENTER NUMBER (1-365) |__|__|__|
ENTER UNIT REPORTED
1

Days

2

Weeks

3

Months

4

Years

IF NOT CURRENT SMOKER, SKIP FROM SCREENER (S9) TO HERE (IA1)

INDIVIDUAL FACTORS: ATTITUDES (STUDY 1)
[INDIVIDUAL ATTITUDES: OPENNESS TO NEW PRODUCTS]
Think about the products you use at home. How much do you agree or disagree with the
following statements? Mark one for each statement.
IA1. If I like a brand, I rarely switch from it just to try something new.
Strongly
disagree
1

IA2.

Strongly
agree
2

3

4

5

6

7

I enjoy taking chances when buying new products.

Strongly
disagree
1

Strongly
agree
2

3

4

5

6

7

[INDIVIDUAL ATTITUDES: BRAND, TOBACCO INDUSTRY]
IA6.

How much do you agree or disagree with the following statement?
Some cigarette brands are less harmful than others.

Strongly
disagree
1

Strongly
agree
2

3

4

5

6

7

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
How strong and loyal a preference do you feel for your brand of cigarettes,
[INSERT S9 RESPONSE ITEM]?

IA3.

Not at all
1

Very much
2

3

4

5

6

7

How much trust do you feel for your brand of cigarettes, [INSERT S9 RESPONSE
ITEM]?

IA4.

Not at all
1

IA5.

Very much
2

3

4

5

6

7

How much trust do you feel for tobacco companies, in general?

Not at all
1

Very much
2

3

4

5

6

7

[INDIVIDUAL ATTITUDES: Concern about health risks of smoking]
IA7.

I am afraid of the physical consequences of smoking.

Not at all
1

IA8.

Very much
2

3

4

5

6

7

I worry about my health because of my smoking.

Not at all
1

IA9.

Very much
2

3

4

5

6

7

I feel anxiety when I think of the possible consequences of smoking.

Not at all
1

Very much
2

3

4

5

6

7

IA10. I brood about the physical consequences of smoking.
Not at all
1

Very much
2

3

4

5

6

7

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
*MANIPULATION (Stimulus Exposure)*

[DISPLAY]
The next set of questions asks about the following images. Please look at these
images and when you have finished looking at the images, click “NEXT” to
continue.
[INSERT IMAGES PER ASSIGNED CONDITION: Appendix B, Study 1]
[Instructions: Required min viewing time = 30sec]

[Manipulation Check]
IF CONTROL (NO CLAIM), GO TO DM1.
M1.

Which of the following, if any, appeared on the pack and/or in the advertisement?
1

50% fewer chemicals

2

[INSERT CLAIM]

3

Less harmful than other cigarettes

4

Lower risk of cancer than other cigarettes

5

None of the above

You just said, “[INSERT M1 RESPONSE],” appeared on the pack and/or in the
advertisement. In your own words, where on the pack and/or advertisement was
this statement located?

M2.

[TEXT BOX]

DEPENDENT MEASURES: Understanding and Comprehension of Claim
[JUDGMENTS OF HARM]
[RANDOMIZE QUESTIONS DM1–DM4]
DM1. Think about the product you just viewed, [INSERT BRAND] cigarettes. How harmful
to your health do you think [INSERT: BRAND] cigarettes are? Please select one.
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
DM2. Think about your usual brand of cigarettes, [INSERT S9 BRAND]. How harmful to
your health do you think your usual brand of cigarettes, [INSERT S9 RESPONSE
ITEM], is?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM3. How harmful to your health do you think nicotine replacement therapies, such as gum
or patches, are?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM4. How harmful to your health do you think stop smoking medications, such as Zyban
(bupropion) or Chantix (varenicline), are?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM6. Imagine that tomorrow you completely switched to [INSERT: BRAND] cigarettes
and stopped using your usual brand of cigarettes. How would this affect your chances
of getting a tobacco-related disease?
If I completely switched to using [INSERT: BRAND] cigarettes, my chances of
getting a tobacco-related disease would be…
1

Much less likely

2

Somewhat less likely

3

Equally likely

4

Somewhat more likely

5

Much more likely

[COMPARATIVE RISK]
[RANDOMIZE ITEMS]

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
DM7. Imagine that tomorrow you completely switched to [INSERT: BRAND] cigarettes
and stopped using your usual brand of cigarettes. How would this affect your chances
of getting each of these tobacco-related health issues?
If I switched to using [INSERT: BRAND] cigarettes, my chances of ______would
be…
Much less
likely
DM7_1.

getting cancer

DM7_2.

getting lung
disease

DM7_3.

getting heart
disease

DM7_4.

having a stroke

DM7_5.

becoming addicted

Somewhat
less likely

Equally
likely

Somewhat
more likely

Much more
likely

[COMPARATIVE HARM]
[RANDOMIZE QUESTIONS CH1-CH5]
CH1. Compared to other cigarettes, how harmful do you think [INSERT: BRAND]
cigarettes are?
[INSERT:
BRAND]
cigarettes
are a lot
MORE
harmful

[INSERT:
BRAND]
cigarettes
are a lot
LESS
harmful
1

2

3

4

5

6

7

CH2. Compared to your usual brand of cigarettes, [INSERT S7 RESPONSE ITEM],
how harmful do you think [INSERT: BRAND] cigarettes are?
[INSERT:
BRAND]
cigarettes
are a lot
MORE
harmful

[INSERT:
BRAND]
cigarettes
are a lot
LESS
harmful
1

2

3

4

5

6

7

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
CH3. Compared to nicotine replacement therapies, such as gum or patches, how
harmful do you think [INSERT: BRAND] cigarettes are?
[INSERT:
BRAND]
cigarettes
are a lot
More
harmful

[INSERT:
BRAND]
cigarettes
are a lot
LESS
harmful
1

2

3

4

5

6

7

CH4. Compared to stop smoking medications, such as Zyban, Wellbutrin or
Buproprion, how harmful do you think [INSERT: BRAND] cigarettes are?
[INSERT:
BRAND]
cigarettes
are a lot
MORE
harmful

[INSERT:
BRAND]
cigarettes
are a lot
LESS
harmful
1

2

3

4

5

6

7

CH5. Compared to quitting tobacco use completely, how harmful do you think
[INSERT: BRAND] cigarettes are?
[INSERT:
BRAND]
cigarettes
are a lot
MORE
harmful

[INSERT:
BRAND]
cigarettes
are a lot
LESS
harmful
1

2

3

4

5

6

7

[DEPENDENT MEASURES: PRODUCT APPEAL]
[RANDOMIZE ITEMS]
Please think about the product you viewed, [INSERT: BRAND] cigarettes. Please indicate
how much you agree or disagree with the following statements:
I think [INSERT: BRAND] cigarettes would…
Strongly
disagree
D15.

Be rich in tobacco flavor

D16.

Taste of cheap tobacco

D17.

Be satisfying

Disagree

Neither
disagree
nor agree

Agree

Strongly
agree

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
D18.

Be of the highest quality
tobacco

D19.

Be harsh on the throat

D20.

Taste good

D21.

Be popular among
smokers

D22.

Be an expensive product

D23.

Be a product I might try

[DEPENDENT MEASURES: QUIT INTENTIONS]
Programming note: Only ask if current smoker
D24. Are you seriously considering quitting smoking within the next 6 months?
1

Yes

2

No

D25. Are you planning to quit within the next 30 days?
1

Yes

2

No

D26. How interested are you in quitting smoking?
Not at all
interested
1

Extremely
interested
2

3

4

5

6

7

8

9

10

[DEPENDENT MEASURES: INTENTIONS TO TRY/PURCHASE]
D27. How likely would you be to try [INSERT: BRAND] cigarettes in the next 6 months?
1

Very unlikely

2

Somewhat unlikely

3

Neither unlikely nor likely

4

Somewhat likely

5

Very likely

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
D28. How likely would you be to purchase [INSERT: BRAND] cigarettes in the next 6
months?
1

Very unlikely`

2

Somewhat unlikely

3

Neither unlikely nor likely

4

Somewhat likely

5

Very likely

D29. How likely would you be to try [INSERT: BRAND] cigarettes if one of your best
friends offered it to you?
1

Very unlikely`

2

Somewhat unlikely

3

Neither unlikely nor likely

4

Somewhat likely

5

Very likely

[DEPENDENT MEASURES: PRODUCT BELIEFS]
[RANDOMIZE ITEMS]
PBU1. Think about the product you viewed, [INSERT: BRAND] cigarettes. Please indicate
how much you agree or disagree with the following statements. Please mark one for
each statement.
Strongly
disagree
PBU2.

[INSERT: BRAND]
cigarettes are lower in
nicotine than other
cigarettes.

PBU3.

[INSERT: BRAND]
cigarettes are lower in tar
than other cigarettes.

PBU4.

[INSERT: BRAND]
cigarettes are less
addictive than other
cigarettes.

PBU5.

[INSERT: BRAND]
cigarettes are less likely to
cause cancer than other
cigarettes.

PBU6.

[INSERT: BRAND]
cigarettes have fewer
chemicals than other
cigarettes.

Disagree

Neither
disagree
nor agree

Agree

Strongly
agree

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
PBU7.

[INSERT: BRAND]
cigarettes are less harmful
than other cigarettes.

PBU8.

[INSERT: BRAND]
cigarettes are less likely to
cause heart disease
compared to other
cigarettes.

PBU9.

[INSERT: BRAND]
cigarettes help people quit
smoking.

[DEPENDENT MEASURES: PRODUCT BELIEFS: Claim Understanding]
IF CONTROL (NO CLAIM), GOT TO G4.
[RANDOMIZE ITEMS]
PBUX. As a reminder, earlier you viewed a pack and advertisement for [INSERT BRAND]
cigarettes. The pack and advertisement included this claim: [INSERT CLAIM].
What does this claim tell you about [INSERT BRAND] cigarettes? (Mark one for each
statement.)
YES NO
[INSERT BRAND] cigarettes have a lower risk of causing heart disease than
other cigarettes.
[INSERT BRAND] cigarettes have fewer nitrosamines than other cigarettes.
[INSERT BRAND] cigarettes have a lower risk of causing cancer from smoking.
[INSERT BRAND] cigarettes are less addictive than other cigarettes.
[INSERT BRAND] cigarettes are a safe alternative to other cigarettes for
pregnant women.
Cutting back on smoking regular cigarettes by using [INSERT BRAND]
cigarettes instead would reduce the risk of disease.
[INSERT BRAND] cigarettes are a good alternative to using nicotine
replacement therapies, like the gum.
[INSERT BRAND] cigarettes are a safe way to keep smoking cigarettes.

The pack and advertisement that you viewed earlier included the claim: [INSERT
CLAIM]. How believable is this claim?

M3.

Not at all
believable
1

Extremely
believable
2

3

4

5

6

7

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

G4.

Do you believe that anyone regulates statements from tobacco companies about the
contents or health effects of their tobacco products?
1
2
8

Yes
No
Don’t know

[IF G4 = 1]
G5.

Who do you believe regulates statements that tobacco companies make about the
contents or health effects of their tobacco products? Mark all that apply.
1
2
3
4
5
6
7

G6.

Centers for Disease Control and Prevention (CDC)
Federal Trade Commission (FTC)
Food and Drug Administration (FDA)
National Institutes of Health (NIH)
Surgeon General
Tobacco industry/tobacco companies
None of the above

Do you believe that the United States Food and Drug Administration (FDA) regulates
tobacco products in the U.S.?
1
2
8

Yes
No
Don’t know

IF CONTROL CONDITION, SKIP TO DEBRIEF
M4.

You indicated “[INSERT M1 RESPONSE]” appeared on the pack and/or in the
advertisement that you viewed. In your own words, what does this statement suggest
to you about the product?

[TEXT BOX]

Study 1 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX
[DEBRIEFING]
THANK YOU FOR YOUR PARTICIPATION.
PLEASE READ THIS IMPORTANT INFORMATION ABOUT TODAY’S STUDY:
In today’s survey, you viewed some images of tobacco packages and ads that may have
included a statement claiming the product was a less harmful tobacco product, or contained
less of a harmful chemical. It’s important for you to know that the product and ad you
viewed were made up for the sake of this study. In other words, the product and ad was
hypothetical; they do not actually exist. The pack and ad you viewed may have appeared
on a brand you’re familiar with: Again, these brands were selected by the researchers
because they are popular brands and were used only for the sake of the study. These mock
products have not been demonstrated to be less harmful or contain fewer chemicals than
other tobacco products. There is no safe tobacco product.
Your participation has been very valuable, and we appreciate you taking the time to
complete this survey.

The products I viewed were made-up for this study.
F1. True or False.
True

False

The product I viewed was made-up for this study and does not actually
exist.

If F1 = True, DISPLAY “CORRECT! The product you viewed was made-up for this
study and does not actually exist. There is no safe tobacco product.”
If F1 = False, DISPLAY “INCORRECT! The product you viewed was made-up for
this study and does not actually exist. There is no safe tobacco product.”
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 20 minutes per response to
complete the Survey (the time estimated to read, review, and respond). Send
comments regarding this burden estimate or any other aspects of this information
collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
[DISPLAY]
Intro1
This study is funded by the U.S. Food and Drug Administration’s (FDA’s) Center for Tobacco
Products (CTP) and conducted by RTI International. For this study, we would like you to
complete a survey about tobacco products. Because the survey asks a few questions about
your use of tobacco products, you may or may not feel uncomfortable answering such
questions. Your participation in this research study is completely voluntary, and you may

skip any questions you do not want to answer. Your identity will be kept anonymous, and no
one will be able to identify you as a participant in this study. Each survey will take no more
than 15 minutes to complete.
If you have any questions about the study, you may call Carol Schmidt of RTI at
1-800-334-8571, extension 22046. If you have any questions about your rights as a study
participant, you may call RTI’s Office of Research Protection at 1-866-214-2043.
[STUDY 2 SCREENER]

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX

INDIVIDUAL FACTORS: SMOKELESS TOBACCO USE BEHAVIOR (for Study 2)
[TOBACCO USE BEHAVIORS;]
[ASK IT1-4 OF SLT USERS, ELSE SN1]
IT1.

How many containers of smokeless tobacco (including containers of snus) per week
do you use?
1

About half of a container or less

2

About 1 container

3

About 2 containers

4

About 3 containers

5

About 4 or more containers

[TOBACCO USE BEHAVIORS: ITEMS FOR HEAVINESS OF SMOKING INDEX—
ADAPTED TO SMOKELESS]
IT2.

How soon after you wake up to do you place your first dip?
1

Within 5 minutes

2

6 to 30 minutes

3

31 to 60 minutes

4

After 60 minutes

[TOBACCO USE BEHAVIORS: QUIT HISTORY]
IT3.

How many TIMES during the past 12 months have you stopped using smokeless
tobacco for one day or longer BECAUSE YOU WERE TRYING TO QUIT USING
SMOKELESS TOBACCO?
1

I have not tried to quit using smokeless tobacco in the past 12 months

2

Once (1 time)

3

2 to 3 times

4

4 or more times

[IF IT3=2 = 3 =4]
IT4.

The LAST TIME you stopped using smokeless tobacco in the PAST 12 months
because you were TRYING to quit, how long did you stop for?
ENTER NUMBER (1-365) |__|__|__|
ENTER UNIT REPORTED
1

Days

2

Weeks

3

Months

4

Years

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
SN1. Have you ever heard of snus, such as Camel Snus or Marlboro Snus? Snus is a moist,
smokeless tobacco usually sold in individual or pre‐packaged small pouches that are
placed under the lip against the gum.
1

Yes

2

No

SN2. Have you ever tried snus, even just one time in your entire life?
1

Yes

2

No

INDIVIDUAL FACTORS: ATTITUDES (STUDY 2)—Brand, Tobacco Industry
[INDIVIDUAL ATTITUDES: OPENNESS TO NEW PRODUCTS
Think about the products you use at home. How much do you agree or disagree with the
following statements? Mark one for each statement.
IA1. If I like a brand, I rarely switch from it just to try something new.
Strongly
disagree
1

IA2.

Strongly
agree
2

3

4

5

6

7

I enjoy taking chances when buying new products.

Strongly
disagree
1

Strongly
agree
2

3

4

5

6

7

[INDIVIDUAL ATTITUDES: BRAND, TOBACCO INDUSTRY]
[ASK IA3 and IA4 of SLT USERS; else  IA5]
How strong and loyal a preference do you feel for your brand, [INSERT S4
RESPONSE ITEM]?

IA3.

Not at all
1

Very much
2

3

4

5

6

7

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
How much trust do you feel for your brand, [INSERT S4 RESPONSE ITEM]?

IA4.

Not at all
1

IA5.

Very much
2

3

4

5

6

7

How much trust do you feel for tobacco companies, in general?

Not at all
1

Very much
2

3

4

5

6

7

[INDIVIDUAL ATTITUDES: Concern about health risks of tobacco use]
IA7.

I am afraid of the physical consequences of tobacco use.

Not at all
1

IA8.

Very much
2

3

4

5

6

7

I worry about my health because of my tobacco use.

Not at all
1

IA9.

Very much
2

3

4

5

6

7

I feel anxiety when I think of the possible consequences of tobacco use.

Not at all
1

Very much
2

3

4

5

6

7

IA10. I brood about the physical consequences of tobacco use.
Not at all
1

Very much
2

3

4

5

6

7

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX

*MANIPULATION (Stimulus Exposure)*

[DISPLAY]
The next set of questions asks about the following images. When you have
finished looking at the images, please click “NEXT” to continue.
[INSERT IMAGES PER ASSIGNED CONDITION: Appendix B, Study 2]
[Instructions: Require min viewing time = 30sec]

[Manipulation Check]
IF CONTROL (NO CLAIM), GO TO DM1.
M1.

Which of the following, if any, appeared on the container and/or advertisement?
1

50% fewer chemicals

2

[INSERT CLAIM]

3

Less harmful than cigarettes.

4

Lower risk of cancer than cigarettes.

5

None of the above

You just said, “[INSERT M1 RESPONSE],” appeared on the pack and/or in the
advertisement. In your own words, where on the pack and/or advertisement was
this statement located?

M2.

[TEXT BOX]
DEPENDENT MEASURES: Understanding and Comprehension of Claim
[JUDGMENTS OF HARM]
[RANDOMIZE DM1-DM4]
DM1. Think about the product you just viewed, Durham Snus. How harmful to your health
do you think Durham snus is?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
[Ask DM2 of SLT users, else  DM3]
DM2. Think about your usual brand of smokeless tobacco [INSERT S4 BRAND]. How
harmful to your health do you think your usual brand of smokeless tobacco, [INSERT
S4 RESPONSE ITEM], is?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM3. How harmful to your health do you think nicotine replacement therapies, such as gum
or patches are?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM4. How harmful to your health do you think stop smoking medications, such as Zyban
(bupropion) or Chantix (varenicline)?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM6. Imagine that tomorrow you completely switched to Durham snus and stopped
using your usual brand of smokeless tobacco. How would this affect your chances of
getting a tobacco-related disease?
If I completely switched to using Durham Snus, my chances of getting a tobacco-related
disease would be…
1

Much less likely

2

Somewhat ess likely

3

Equally likely

4

Somewhat more likely

5

Much more likely

[COMPARATIVE RISK]
[RANDOMIZE ITEMS]
DM7. Imagine that tomorrow you completely switched to Durham Snus and stopped using
your usual brand of smokeless tobacco. How would this affect your chances of getting
each of these tobacco-related health issues?

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
If I switched to using Durham Snus, my chances of _____ would be….

Much less
likely
DM7_1.

getting cancer

DM7_2.

getting lung
disease

DM7_3.

getting heart
disease

DM7_4.

having a stroke

DM7_5.

becoming addicted

Somewhat
less likely

Equally
likely

Somewhat
more likely

Much more
likely

[COMPARATIVE HARM]
[RANDOMIZE CH1-CH6]
CH1. Compared to smokeless tobacco, how harmful do you think Durham snus is?
Durham
snus is a
lot LESS
harmful
1

Durham
snus is a
lot MORE
harmful
2

3

4

5

6

7

CH2. Compared to cigarettes, how harmful do you think Durham snus is?
Durham
snus is a
lot LESS
harmful
1

Durham
snus is a
lot MORE
harmful
2

3

4

5

6

7

[Ask CH3 of SLT users, else  CH4]
CH3. Compared to your usual brand of smokeless tobacco, [INSERT S4 RESPONSE
ITEM], how harmful do you think Durham snus is?
Durham
snus is a
lot MORE
harmful

Durham
snus is a
lot LESS
harmful
1

2

3

4

5

6

7

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
CH4. Compared to nicotine replacement therapies, such as gum or patches, how
harmful do you think Durham snus is?
Durham
snus is a
lot LESS
harmful
1

Durham
snus is a
lot MORE
harmful
2

3

4

5

6

7

CH5. Compared to stop smoking medications, such as Zyban, Wellbutrin or
Buproprion, how harmful do you think Durham snus is?
Durham
snus is a
lot MORE
harmful

Durham
snus is a
lot LESS
harmful
1

2

3

4

5

6

7

CH6. Compared to quitting tobacco use completely, how harmful do you think
Durham snus is?
Durham
snus is a
lot LESS
harmful
1

Durham
snus is a
lot MORE
harmful
2

3

4

5

6

7

[DEPENDENT MEASURES: PRODUCT APPEAL]
[RANDOMIZE ITEMS]
Please think about the product you viewed, Durham Snus. Please indicate how much you
agree or disagree with the following statements:
I think Durham Snus would…
Strongly
disagree
D15.

Be rich in tobacco flavor

D16.

Taste of cheap tobacco

D17.

Be satisfying

D18.

Be of the highest quality tobacco

D20.

Taste good

D21.

Be popular among smokeless
tobacco users

D22.

Be an expensive product

Disagree

Neither
disagree
nor agree

Agree

Strongly
agree

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
D23.

Be a product I might try

[DEPENDENT MEASURES: QUIT INTENTIONS]
Programming Note: Only ask if current smokeless user
D24. Are you seriously considering quitting smokeless tobacco within the next 6 months?
1

Yes

2

No

D25. Are you planning to quit within the next 30 days?
1

Yes

2

No

D26. How interested are you in quitting smokeless tobacco?
Not at all
interested
1

Extremely
interested
2

3

4

5

6

7

8

9

[DEPENDENT MEASURES: INTENTIONS TO TRY/PURCHASE]
D27. How likely would you be to try Durham snus in the next 6 months?
1

Very unlikely

2

Somewhat unlikely

3

Neither unlikely nor likely

4

Somewhat likely

5

Very likely

D28. How likely would you be to purchase Durham snus in the next 6 months?
1

Very unlikely

2

Somewhat unlikely

3

Neither unlikely nor likely

4

Somewhat likely

5

Very likely

10

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
D29. How likely would you be to try Durham snus if one of your best friends offered it to
you?
1

Very unlikely

2

Somewhat unlikely

3

Neither unlikely nor likely

4

Somewhat likely

5

Very likely

[DEPENDENT MEASURES: PRODUCT BELIEFS]
[RANDOMIZE ITEMS]
PBU1. Think about the product you viewed Durham Snus. Please indicate how much you
agree or disagree with the following statements. Please mark one for each statement.
Strongly
disagree
PBU2

Durham Snus is lower in
nicotine than other smokeless
tobacco.

PBU3

Durham Snus is lower in tar
than other smokeless tobacco.

PBU4

Durham Snus is less addictive
than other smokeless tobacco.

PBU5

Durham Snus is less likely to
cause cancer than other
smokeless tobacco.

PBU6

Durham Snus has less
chemicals than other smokeless
tobacco.

PBU7

Durham Snus is less harmful
than other smokeless tobacco.

PBU8

Durham Snus is less likely to
cause heart disease compared
to other smokeless tobacco.

PBU9

Durham Snus helps people quit
smoking.

Disagree

Neither
disagree
nor agree

Agree

[DEPENDENT MEASURES: PRODUCT BELIEFS: Claim Understanding]
IF CONTROL (NO CLAIM), GOT TO M3.
[RANDOMIZE ITEMS]

Strongly
agree

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
PBUX. As a reminder, earlier you viewed a pack and advertisement for Durham Snus. The
pack and advertisement included this claim: [INSERT CLAIM].
What this claim tell you about the Durham Snus.
This claim means… (Mark on for each statement)
YES

NO

Durham Snus has lower risk of heart disease than cigarettes.
Durham Snus has fewer nitrosamines than cigarettes.
Durham Snus has a lower risk of causing cancer from tobacco use.
Durham Snus is less addictive than other cigarettes.
Durham Snus is a safe alternative to cigarettes for pregnant women.
Cutting back on smoking cigarettes by using this product would reduce the risk of
disease.
Durham Snus is a good alternative to using Nicotine Replacement Therapy, like
the gum.

The pack and advertisement that you viewed earlier included the claim: [INSERT
CLAIM]. How believable is this claim?

M3.

Not at all
believable

Extremely
believable

1

G4.

2

3

4

5

6

7

Do you believe that anyone regulates statements from tobacco companies about the
contents or health effects of their tobacco products?
1
2
8

Yes
No
Don’t know

[IF G4 = 1]
G5.

Who do you believe regulates statements that tobacco companies make about the
contents or health effects of their tobacco products? Mark all that apply.
1
2
3
4
5
6
7

Centers for Disease Control and Prevention (CDC)
Federal Trade Commission (FTC)
Food and Drug Administration (FDA)
National Institutes of Health (NIH)
Surgeon General
Tobacco industry/tobacco companies
None of the above

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
G6.

Do you believe that the United States Food and Drug Administration (FDA) regulates
tobacco products in the U.S.?
1
2
8

Yes
No
Don’t know

IF CONTROL CONDITION, SKIP TO DEBRIEF
M4.

You indicated “[INSERT M1 RESPONSE]” appeared on the pack and/or in the
advertisement that you viewed. In your own words, what does this statement suggest
to you about the product?

[TEXT BOX]

Study 2 - Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
[DEBRIEFING]
THANK YOU FOR YOUR PARTICIPATION.
PLEASE READ THIS IMPORTANT INFORMATION ABOUT TODAY’S STUDY:
In today’s survey, you viewed some images of tobacco packages and ads that may have
included a statement claiming the product was a less harmful tobacco product, or contained
less of a harmful chemical. It’s important for you to know that the product and ad you
viewed were made up for the sake of this study. In other words, the product and ad was
hypothetical; they do not actually exist. This mock product has not been demonstrated
to be less harmful or contain fewer chemicals than other tobacco products. There is no safe
tobacco product.
Your participation has been very valuable, and we appreciate you taking the time to
complete this survey.
The products I viewed were made-up for this study.
F1. True or False.
True

False

The product I viewed was made-up for this study and does not actually
exist.

If F1 = True, DISPLAY “CORRECT! The product you viewed was made-up for this study
and does not actually exist. There is no safe tobacco product.”
If F1 = False, DISPLAY “INCORRECT! The product you viewed was made-up for this
study and does not actually exist. There is no safe tobacco product.”

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 20 minutes per response to complete the Survey (the time estimated
to read, review, and respond). Send comments regarding this burden estimate or any other
aspects of this information collection, including suggestions for reducing burden, to
PRAStaff@fda.hhs.gov.

Study 3 - Screener

OMB control # 0910-NEW
Exp: XX/XX/XXXX
SCREENER (for Study 3)

[Study 3 – Adolescents (13-17 yrs)
Smokers: Has smoked >0 days in past 30 days.
Susceptible: Responds something other than “definitely not” to at least 1 of 3 susceptibility items (S4).]
S1.

What is your current age in years?
ENTER NUMBER (X-XX)

|__|__|

IF 13 < S1 < 18, NOT ELIGIBLE.
S2.

Have you ever tried cigarette smoking, even one or two puffs?
1

Yes

2

No

9

Prefer not to answer

IF S2 = 2 = 9, GO TO S4.
S3.

During the past 30 days, on how many days did you smoke cigarettes?
1

0 days

2

1 or 2 days

3

3 to 5 days

4

6 to 9 days

5

10 to 19 days

6

20 to 29 days

7

All 30 days

IF S2 = 1 AND S3 = 1, GO TO S4.
IF S2 = 1 AND S3 ≠1, GO TO STUDY 3 (YOUTH SMOKER).

1

Study 3 - Screener

OMB control # 0910-NEW
Exp: XX/XX/XXXX
S4. Thinking about the future…
1

2

3

4

Definitely Probably Probably Definitely
S4_1. Do you think that you will

Yes

Yes

Not

Not

1

2

3

4

1

2

3

4

1

2

3

4

smoke a cigarette soon?
S4_2. Do you think you will smoke a
cigarette at any time in the
next year?
S4_3. If one of your best friends
were to offer you a cigarette,
would you smoke it?
IF S4_1 OR S4_2 OR S4_3 = 4, NOT ELIGIBLE. OTHERWISE GO TO STUDY 3
(YOUTH SUSCEPTIBLE).

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 2
minutes per response to complete the Screener (the time estimated to read, review, and respond). Send
comments regarding this burden estimate or any other aspects of this information collection, including
suggestions for reducing burden, to PRAStaff@fda.hhs.gov.

2

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

PERCEPTIONS OF MRTP SURVEY: EXPERIMENTAL STUDY 3
[DISPLAY]
Intro1
This study is funded by the U.S. Food and Drug Administration’s (FDA’s) Center for Tobacco
Products (CTP) and conducted by RTI International. For this study, we would like you to
complete a survey that asks teenagers what they think about cigarette smoking. About 600
teenagers will complete the survey, which takes about 15 minutes to complete.
Your participation in this research study is completely up to you. The survey asks questions
about your experiences and thoughts regarding cigarette smoking; however, you may skip
any questions you do not want to answer. During the survey, we do not ask for your name;
therefore, your name will not be connected to your answers. Furthermore, we will not share
any information you provide in the survey with anyone outside the research team, including
your parents.
To ensure your answers are kept private, please complete the survey in a place where no
one can look over your shoulder and view your answers. Also, please complete the survey in
one sitting and close the screen when you are done taking the survey.
If you have any questions about the study, you may call Carol Schmidt of RTI at
1-800-334-8571, extension 22046. If you have any questions about your rights as a study
participant, you may call RTI’s Office of Research Protection at 1-866-214-2043.

SCREENER (for Study 3)

1

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

INDIVIDUAL FACTORS: TOBACCO USE BEHAVIOR (for
Study 3)
[TOBACCO USE BEHAVIORS]
[IF S2=1 AND S3≠1 (youth smoker) OTHERWISE GO TO IA3
IT1.

How old were you when you first tried cigarette smoking, even one or two puffs?
1
2
3
4
5
6
7
8
9
99

8 years old or younger
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
15 years old
16 years old or older
Prefer not to answer

[IF S4=2-7 (current smoker), ASK IT2]
IT2.

During the past 30 days, on the days you smoked, how many cigarettes did you
smoke per day?
1
2
3
4
5
6
9

Less than 1 cigarette per day
1 cigarette per day
2 to 5 cigarettes per day
6 to 10 cigarettes per day
11 to 20 cigarettes per day
More than 20 cigarettes per day
Prefer not to answer

[TOBACCO USE BEHAVIORS: ITEMS FOR HEAVINESS OF SMOKING INDEX]
IT6.

How soon after you wake up do you smoke your first cigarette?
1
2
2
3

Within 5 minutes
Within 6 to 30 minutes
Within 31 to 60 minutes
After 60 minutes

[TOBACCO USE BEHAVIORS: QUIT HISTORY]

2

Study 3 – Questionnaire

OMB control # 0910-NEW
Exp: XX/XX/XXXX
How many TIMES during the past 12 months have you stopped smoking for one day
or longer BECAUSE YOU WERE TRYING TO QUIT SMOKING?

IT7.

1
2
3
4

I have not tried to quit smoking in the past 12 months
Once (1 time)
2 to 3 times
4 or more times

[IF IT7=2=3=4]
The LAST TIME you stopped smoking during the PAST 12 months because you
were TRYING to quit, how long did you stop for?

IT8.

ENTER NUMBER (1 – 365) |__|__|__|
ENTER UNIT REPORTED
Days
1
Weeks
2
Months
3
Years
4

INDIVIDUAL FACTORS: ATTITUDES (STUDY 3)—Brand,
Tobacco Industry
[INDIVIDUAL ATTITUDES: BRAND, TOBACCO INDUSTRY]
IA3.

How much do you agree or disagree with the following statement?
Some cigarette brands are less harmful than others.

Strongly
disagree
1

IA4.

Strongly
agree
2

3

4

5

6

7

How much trust do you feel for tobacco companies, in general?

Not at all
1

Very much
2

3

4

5

6

7

[INDIVIDUAL ATTITUDES: Concern about health risks of smoking}
IA7.

I am afraid of the physical consequences of smoking.

Not at all
1

Very much
2

3

4

5

6

7

3

Study 3 – Questionnaire
IA8.

OMB control # 0910-NEW
Exp: XX/XX/XXXX

I worry about my health because of my smoking.

Not at all
1

IA9.

Very much
2

3

4

5

6

7

I feel anxiety when I think of the possible consequences of smoking.

Not at all
1

Very much
2

3

4

5

6

7

IA10. I brood about the physical consequences of smoking.
Not at all
1

Very much
2

3

4

5

6

7

4

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

*Manipulation (Stimulus Exposure)*

The next set of questions asks about the following statement. Please read this
statement and when you’ve finished, click “NEXT” to continue.
[INSERT STATEMENT PER ASSIGNED CONDITION: Appendix B, Study 3]
[Instructions: Required min viewing time = 30s]

[Manipulation Check]
M1.

Which of the following, if any, is the statement you just saw?
1
2
3
4
5

50% fewer chemicals
[INSERT CLAIM]
Less harmful than other cigarettes
Lower risk of cancer than other cigarettes
None of the above

DEPENDENT MEASURES: Understanding and
Comprehension of Claim
[JUDGMENTS OF HARM]
[RANDOMIZE DM1-DM4]
DM1. Imagine that the claim you just read described a new brand of cigarettes, Brand X.
How harmful to your health do you think Brand X cigarettes would be?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM2. Think about regular brands of cigarettes, like Marlboro, Camel, or Newport. How
harmful to your health do you think these cigarettes are?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

DM3. How harmful to your health do you think nicotine replacement therapies, such as
gum or patches, are?
Not at all
harmful

Extremely
harmful

5

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

1

2

3

4

5

6

7

DM4. How harmful to your health do you think stop smoking medications, such as Zyban
(bupropion) or Chantix (varenicline), are?
Not at all
harmful
1

Extremely
harmful
2

3

4

5

6

7

[IF S2=1 AND S3≠1 (youth smoker)]
DM5. Imagine that tomorrow you completely switched to Brand X cigarettes and
stopped using other cigarettes. How would this affect your chances of getting a
tobacco-related disease?
If I completely switched to using Brand X cigarettes, my chances of getting a
tobacco-related disease would be…
1
2
3
4
5

Much less likely
Somewhat less likely
Equally likely
Somewhat more likely
Much more likely

DM6. Imagine that you begin to use Brand X cigarettes. You smoke about 2 to 3 Brand X
cigarettes each day for the rest of your life.
My chance of getting a tobacco-related disease would be…
Not at all
likely
1

Very likely
2

3

4

5

6

7

[COMPARATIVE RISK]
[RANDOMIZE ITEMS]
DM7. Imagine that tomorrow you completely switched to BRAND X cigarettes and stopped
using other cigarettes. How would this affect your chances of getting each of these
tobacco-related health issues?
If I switched to using Brand X cigarettes, my chances of ______would be…
Much less
likely
DM7_1.

getting cancer

DM7_2.

getting lung disease

DM7_3.

getting heart disease

Somewhat
less likely

Equally
likely

Somewhat
more likely

Much more
likely

6

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

DM7_4.

having a stroke

DM7_5.

becoming addicted

[COMPARATIVE HARM]
[RANDOMIZE ORDER OF CH1-CH4]
CH1.

Compared to other cigarettes, how harmful do you think Brand X cigarettes are?

Brand X cigarettes
are a lot LESS
HARMFUL
1

CH2

Brand X cigarettes
are a lot MORE
HARMFUL
2

3

4

5

6

Compared to nicotine replacement therapies, such as gum or patches, how
harmful do you think Brand X cigarettes are?
Brand X cigarettes
are a lot MORE
HARMFUL

Brand X cigarettes
are a lot LESS
HARMFUL
1

CH3.

2

3

4

5

6

7

Compared to stop smoking medications, such as Zyban, Wellbutrin or
Buproprion, how harmful do you think Brand X cigarettes are?
Brand X cigarettes
are a lot MORE
HARMFUL

Brand X cigarettes
are a lot LESS
HARMFUL
1

CH4.

7

2

3

4

5

6

7

Compared to quitting tobacco use completely, how harmful do you think Brand
X cigarettes are?
Brand X cigarettes
are a lot MORE
HARMFUL

Brand X cigarettes
are a lot LESS
HARMFUL
1

2

3

4

5

6

7

7

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

[RANDOMIZE ORDER OF CH8_1-CH8_14]
As a reminder, you previously saw the claim, “[INSERT CLAIM].”
Strongly
Disagree

CH8_1

This claim is worth
remembering

CH8_2

This claim grabbed my
attention

CH8_3

This claim is powerful

CH8_4

This claim is
informative

CH8_5

This claim is
meaningful to me

CH8_6

This claim is convincing

CH8_9

I trust the information
in this claim

Disagree

Neither
Agree or
Disagree

Agree

Strongly
Agree

CH8_10 This claim told me
things I never knew
before about tobacco
CH8_13 This claim gave me
good reasons not to
use tobacco
CH8_14 This claim is annoying

8

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

[DEPENDENT MEASURES: PRODUCT APPEAL]

Imagine Brand X cigarettes with the claim: “[INSERT CLAIM]” on it, and imagine how
Brand X might taste.
Please indicate how much you agree or disagree with the following statements:
I think Brand X cigarettes would………….
Strongly
Disagree

D15.

Be rich in tobacco flavor

D16.

Taste of cheap tobacco

D17.

Be satisfying

D18.

Be of the highest quality
tobacco

D19.

Be harsh on the throat

D20.

Taste good

D21.

Be popular among smokers

D22.

Be an expensive product

D23.

Be a product you might
try/smoke

Disagree

Neither
Agree or
Disagree

Agree

Strongly
Agree

[DEPENDENT MEASURES: INTENTIONS TO TRY]
D27.

How likely would you be to try Brand X cigarettes with this claim on it in the next 6
months?
1
2
3
4
5

D28.

Very unlikely
Somewhat unlikely
Neither unlikely nor likely
Somewhat likely
Very likely

How likely would you be to purchase Brand X cigarettes with this claim on it in the
next 6 months?
1
2
3
4
5

Very unlikely
Somewhat unlikely
Neither unlikely nor likely
Somewhat likely
Very likely

9

Study 3 – Questionnaire

D29.

OMB control # 0910-NEW
Exp: XX/XX/XXXX
How likely would you be to try Brand X cigarettes with this claim on it if one of your
best friends offered it to you?
1
2
3
4
5

Very unlikely
Somewhat unlikely
Neither unlikely nor likely
Somewhat likely
Very likely

[DEPENDENT MEASURES: PRODUCT BELIEFS]
[RANDOMIZE ITEMS]
PBU1. Again, imagine Brand X cigarettes with the claim: “[INSERT CLAIM]” on it. Please
indicate how much you agree or disagree with the following statements. Please mark
one for each statement.
1
Strongly
Disagree

PBU2.

This product is lower in
nicotine than other
cigarettes.

PBU3.

This product is lower in tar
than other cigarettes.

PBU4.

This product is less addictive
than other cigarettes.

PBU5.

This product is less likely to
cause cancer than other
cigarettes.

PBU6.

This product has fewer
chemicals than other
cigarettes.

PBU7.

This product is less harmful
than other cigarettes.

PBU8.

This product is less likely to
cause heart disease
compared to other
cigarettes.

PBU9.

This product helps people
quit smoking.

2

3

4

5

6

7
Strongly
Agree

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Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

[IF CONTROL (NO CLAIM), GO TO M3.]
[RANDOMIZE ITEMS]

PBUX. Think about Brand X cigarettes again with the claim, “[INSERT CLAIM]” on it.
What does this claim tell you about Brand X cigarettes?
Yes

No

Brand X has lower risk of heart disease than other cigarettes.
Brand X has fewer nitrosamines than other cigarettes.
Brand X has a lower the risk of cancer from smoking.
Brand X is less addictive than other cigarettes.
Brand X is a safe alternative to other cigarettes for pregnant women.
Cutting back on smoking regular cigarettes by using Brand X instead
would reduce the risk of disease.
Brand X is a good alternative to using Nicotine Replacement Therapy, like
the gum.
Brand X is a safe way to smoke cigarettes.

How believable is the claim, “[INSERT CLAIM]?”

M3.

Not at all
believable

Extremely
believable

1

G4.

2

3

4

5

6

7

Do you believe that anyone regulates statements from tobacco companies about the
contents or health effects of their tobacco products?
1
2
8

Yes
No
Don’t know

[IF G4 = 1]

11

Study 3 – Questionnaire

G5.

OMB control # 0910-NEW
Exp: XX/XX/XXXX
Who do you believe regulates statements that tobacco companies make about the
contents or health effects of their tobacco products? Mark all that apply.
1
2
3
4
5
6
7

G6.

Do you believe that the United States Food and Drug Administration (FDA) regulates
tobacco products in the U.S.?
1
2
8

M4.

Centers for Disease Control and Prevention (CDC)
Federal Trade Commission (FTC)
Food and Drug Administration (FDA)
National Institutes of Health (NIH)
Surgeon General
Tobacco industry/tobacco companies
None of the above

Yes
No
Don’t know

You indicated “[INSERT M1 RESPONSE]” was the claim that you viewed. In your
own words, what does this statement mean to you?

[TEXT BOX]

12

Study 3 – Questionnaire
OMB control # 0910-NEW
Exp: XX/XX/XXXX

[DEBRIEFING]
THANK YOU FOR YOUR PARTICIPATION.
PLEASE READ THIS IMPORTANT INFORMATION ABOUT TODAY’S STUDY:
In today’s survey, you read a statement claiming a product was a less harmful tobacco
product or contained less of a harmful chemical. It’s important for you to know that the
claim you read was made up for the sake of this study. In other words, the claim and
Brand X cigarettes were hypothetical; they do not actually exist. There is no safe tobacco
product.
Your participation has been very valuable, and we appreciate you taking the time to
complete this survey.
The statement I read was made-up for this study.
F1. True or False.
True

False

The claim I read was made-up for this study and does not actually exist.

If F1 = True, DISPLAY “CORRECT! The claim you read was made-up for this study
and does not actually exist. There is no safe tobacco product.”
If F1 = False, DISPLAY “INCORRECT! The claim you read was made-up for this
study and does not actually exist. There is no safe tobacco product.”

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 20 minutes per response to
complete the Survey (the time estimated to read, review, and respond). Send
comments regarding this burden estimate or any other aspects of this information
collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.

13